HomeMy WebLinkAboutPower release LOT #177
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St Lucie County
Planning and Development Services
' Building and Code Regulations
2300 Virginia Avenue
Fort Pierce, FL 34983
772-462-1553
Fax 772-462-6443
TEMPORARY EARLY POWER RELEASE
(Name of Tenant or Owner) '
The Tenant or Owner requests St Lucie County Development Services Department to release the
electrical power at 4410 N Hwy AIA, Fort Pierce FL. 34949 , (address, including suite number,
as posted on the electric meter and the building) for building permit # 1901-0540, 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 will remain energized beyond the testing 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 will 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 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 will remain covered by the requirements for GFCI protection and all other
requirements of the governing Codes.
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 the City of West Palm Beach 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.
Rev. 0713012020
el
OU NTY
f .L r,O 'R 6 _,C�.:-A
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 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.
METRO ELECTRIC SERVICE INC.
Print Name - Electrical Contractor Company Name
-/�/ /U 04/05/21
Si lectrical Contractor Date Signature - Owner Date
AMUEL AZUZ _Victor Ortega
Print Name - Electrical Contractor Print Name - Owner
oat(786) _512_-_4484
Phone Number - ectrical Contractor Phone Number - Owner
SC-31649 EC-13002723
License 4 Electrical Contractor
04/05/2021
Signature J Prime Contractor Date
ARMANDO REYES TOLEDO
Print Name - Prime Contractor
SC-31143 CGC-1527445
License # Prime Contractor
Approved for the City of West Palm Beach by:
Signature - Electrical Inspector
Inspector comments, limitations and restrictions:
ARTAR CONSTRUCTION LLC
Print Name - Prime Contractor Company Name
(786) 344-3855
Phone Number - Prime Contractor
Date
Rev. 0713012020