No preview available
HomeMy WebLinkAboutInspection Docs/ TEMP EARLY POWER RELEASE FORM OFICE MILLPlanning and Development Services . A Building and Code Regulations 2300 Virginia Avenue Fort Pierce,FL 34983 RECEIVED 772-462-1553 m _ Fax 772-462-6443 JUL 2 2 2021' 5t.Lucie County Permitting TEMPORARY EARLY POWER.RELEASE Ammi -e- Ca (Name of Tenant or Owner) The Tenant or Owner requests St.Lucie County Development Services Department to release the electrical power at t�-Z QL."A) irl�� ,2Jt t)�.0 ,(address, including suite number, as posted on the electric meter and the building) for building permit#191 D QUI 2 , 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 GFC1 protection and all other requirements of the governing Codes,see National Electrical Code(NEC)Article 590, 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. 1 �1�119�I scan§B.JAe,® TMrQvt4nte The©ccupaut of the property(or other appropriate party)shali v®_ffiad�praper tapplleation to the oieeWe utility,paid t-y appiipable tt;;es or dopcsits,attd regg0stcd power In tt timckly and fidbrniod minor,St-Lualc County is not respon9ihle,fbr arty delays In tho rccalpt of. efttrle power. %a91tt owledga€utd acecpt the terms of this pertulmlon,Wo fodhe,r aeknoftd4o brat violation' efthis agt':emaut ora ttdin2.of tmaib oonditiong mWerpraettces feand enthe alto of eaenpaney of the,alto play rosult In Inunediate,dlscenncetien of this temporary power without wart and h mby ragaso St U04 County and all ropmScntalive4 orally mid o,ll Ilatathty resulting Mtn us not Aiding with:this 6gmment. Print Nano tcetrlca.&"tractap 01npally i�1Lln0 SIgra s as A-e di rlatu t0r etc a e �reP 1�€tc r�lid r� 1 AQ art M--nit flRlyaldval C,atraoter Print Name,-Owner `792� .2ol 32 �heng Naurlrer= e c C�OutsEs�tcr Plwn0 Numbfir s 0mg L Me o ff� sat acts I-J-Q slonat>'sc rnc ap Data Print Noma o Prima contraotor Compaq Mate Print Noun>Prime COntr5 r • Phen©Numhcr Prime Ccutrtteter cm �l I� &tWwt 9 Nino Contractor Appmyed hr St Likolc Caur ly byr mil_ �l�etltre s�icetr{cAt lMP§V;WdBG lop ID# Dote >'mpocter comments,Itmitadcas and nwictions, 2 y I k IT ON,. XORN�#i�J?���i�i�'r�s4��=€�� ,M1 PLANNING&DEVELOPMENT SERVICES, BUILDING&CODE REGULATION DIVISION v 3 7 ' "` 2300 Virginia Ave,Fort Pierce;FL 34982 772-462-1553 Faix 7724621578 4 INSULATION INSTALLATION CERTIFICATION Building Permit-#" f. o 7 /C�Site Address -�r:� C_/' rr- Street city State Zip The undersigned hereby certifies that insulation has been installed in the above-described property to meet, the minimum requirements for R-Value of the Florida Energy Efficiency Code in accordance with the approved plans and specifications,as follows: 1. Exterior walls have been insulated with (check one from list)to a — spray on cellulose thickness of inches;which thickness,according to the Fiberglass batts manufacturer will yield an 'R'value of ; at bags Rock Wool Batts per square feet Aluminum Foil Polyurethane Polystyrene Other 2. Ceilings have been insulated with (check one from list)to a Thickness.of _inches,which thickness,according to the Fiberglass blankets manufacturer will yield an 'R'value of 3(e • at 1/D bags Fiberglass loose Fill per square feet Rock wool blankets Manufacturer: 'To h n s jnLAq r► V' I 1_Q Rock Wool loose fill Cellulose loose fill Other., 3. Interior/Adjacent Ten ant Walls have been insulated with to a thickness of jnches which, according to the manufacturer,will yield an 'R'value Of . Manufacturer: 4. Garage partition walls of conditioned living area have been insulated to A thickness of inches which,according to the manufacturer,will yield an 'R'value Cf Manufacturer: 30h a. rY"'a l v The following areas have not been insulated: Insulation Contractor General ContractorjeuY ers L4 PS+"4 e 0 Company Name CC number Company Name CC number LAd r, =e__� )rd, Contractor's Name License# jConntrctor's N e License# 1s' a j . Contractor's Signature Date Con ra ignature ate,