HomeMy WebLinkAboutEarly Power Release t �
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�� ���� ^ Planning and Development Services
�5 Buildingand Code Regulations
0 2300 Virginia Avenue
Fort Pierce, FL 34983
7724624553
Fax 772=462=6443
TEMPORARY EARLY POWER RELEASE
Creighton Construction & Management
(Name of Tenant or Owner)
The Tenant or Owner requests St Lucie County Development Services Department to release the
electrical power at 7310 Indrio Road Ft. Pierce , FL 34951 , (address, including suite number,
as posted on the electric meter and the building) for building permit # SLC2003-0239 for the
purpose of construction and testing building systems, including air conditioning, refrigeration,
lighting, power and control circuits with the following stipulations :
1 . Incomplete or untested circuits are NOT to be energized without properly licensed electrical
personnel on the jobsite and no systems are to remain energized beyond the testing/temporary
purpose without proper inspection by the St Lucie County Building Department appropriately
licensed person(s).
2. All panels and disconnects not in use must be locked in the "OFF" position or fuses removed.
3 . Proper procedures for lockout/tagout must be in place.
4. The electrical equipment room (where applicable) will remain locked at all times with the key in
the possession of the electrical contractor.
5 . All final inspections relative to the closeout of this project must be requested and passed in a
timely manner as determined by the Electrical Inspector and/or the Building Official .
6 . The building may not be occupied before a Certificate of Occupancy (C.O .) is issued.
7. No stocking of materials, other than those required for construction is permitted by this agreement
8 . No on-site occupancy or training of personnel employed by the occupant, business entity or owner
is permitted by this agreement
9. No furniture, racks, furnishings or other personal or corporate property is permitted on site by this
agreement.
10 . Construction power remains covered by the requirements for GFCI protection and all other
requirements of the governing Codes, see National Electrical Code (NEC) Article 590 .
1
Violation of this agreement may result in the immediate termination of the electrical power without
prior notice or warning to the affected parties. This form requires all of the following signatures
prior to power being released. The undersigned acknowledge that the operation of air conditioning
equipment while construction is in progress may create or increase the risk of contamination or
premature failure of the equipment.
The undersigned acknowledges the above listed stipulations, agrees to the terms of this agreement
and agrees to hold St Lucie County harmless from any damages that may arise as a result of the
release of power to the premises . The undersigned hereby requests power to be released for this
project. This form does not guarantee power, which is at the discretion and control of the electrical
utility.
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Important: The occupant of the property (or other appropriate party) shall have made proper
application to the electric utility, paid any applicable fees or deposits, and requested power in a
timely and informed manner. St Lucie County is not responsible for any delays in the receipt of
electric power.
We acknowledge and accept the terms of this permission. We further acknowledge that violation
of this agreement or a finding of unsafe conditions and/or practices found on the site or occupancy
of the site may result in immediate disconnection of this temporary power without warning and
hereby release St Lucie County and all representatives of any and all liability resulting from us not
abiding with this agreement.
Wilson 's Petroleum Equipmant, Inc
Print Name al Contractor Company Name
�p�
027A40512:5T.
04 / 05 / 21 Matt Ross ""
""""""" "' 04 � 05 � 21
gnature - Electrical Contract r Date Signature - Owner Date
Bruce Arnold Matt Ross
Print Name - Electrical Contractor Print Name - Owner
468 - 3689 2( 39 ) 989 - 3237
Phone Number - Electrical Contractor Phone Number " Owner
EC -0001343
nse # Electrical Contractor
/6/21 Wilson 's Petroleum Equipment , Inc.
Signature - Prime ConW ate Print Name - Prime Contractor Company Name
Robert Kenned 772 468 - 3689
Print Name - Prime Contractor Phone Number - Prime Contractor
CBC1250981
License # Prime Contractor
Approved for St. Lucie County by:
Signature - Electrical InspectorBO Insp ID # Date
Inspector comments, limitations and restrictions :
2
RE: LOA for Proposed new Mleven in Fort Pierce, FL
Site Location NW Corner of Indrio Rd. & Kings Highway
Fort Pierce, FL 34951
Parcel ID: 1314444-0000- IDIM
5/ 6/ 19
To whom it may concern:
We the undersigned, hereby authorize Roger Posey (Creighton Construction), Matt Ross
(Creighton Construction), Matthew Gillespie (Kimley-Horn), Casie Connolly (Kimley-Horn),
Bishoy Girges (Cuhaci & Peterson), Josh Long (Gunter) and Robert Raynes (Gunter) to act
on our behalf in all manners relating to application for permits, including signing of all
documents relating to these matters for the proposed 7-Eleven in Fort Pierce, FL. Any and
all acts carried out by these individuals on our behalf shall have the same effect as acts of our
own.
This authorization is valid until further written notice from Indrio Retail Properties LLC.
Sincerely, ) o
B. Adam Berlin
Indrio Retail Properties LLC
STATE OF FL
COUNTY OF I n A 2 ) W //
Sworn to (or affirmed) and subscribed before me this (� day of May 2019, by B. Adam
Berlin,
LOUISE BRZOZOWSb
MY COMMISSION #GG07$704 Signature of Notary Pu lic
EXPIRES: FEB 15, 2021 Print, Type/ Stamp Name of Notary
3onded through lst State Insul>UICB
Personally known:
OR Produced Identification:
Type of Identification Produced: