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HomeMy WebLinkAboutPower release Planning and'Development Services girl LUCE tsBuilding and Code Regulations 4 `. 2300 Virginia Avenue © 4 Fort Pierce,FL 34983 i; a 772-462-1553 Fax 772462-6443 TEMPORARY: EARLY TOWER.RELEASE Island Village of HI OA Inc and Village I HI OA (Name of Tenant or Owner) The Tenant or Owner requests St Lucie County Development Services.Department to release:the electrical power at 1905-036-6 ,(address, including suite number, .As posted on.the electric meter and the building) for building permit#1905-0366 , for the purpose of construction and testing building systems, including air conditioning, refrigeration, lighting,power and control circuits with the following stipulations: I. Incomplete or untested circuits are NOT to be energized;without properly licensed electrical personnel on the jobsite and no systems.arc to remain energized beyond the testing/temporary purpose without.proper inspection by the,St Lucie Couny Building:Department appropriately licensed person(§), 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 beinptace. 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,busin_ess entity or owner is permitted by this agreement 9.No fumiture,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. Violation of this agreementmay 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 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 terns of this pennission.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. CoastA Ele 'cal Service Pri t Na e:Eleetrirea Contractor Company Name �i 7 /27 121 7 /28/21 ignature-Electrical Contractor Date 4gadridre-Owner Date Walter. R Rungee �� t`jjIeevo Print Name-Electrical Contractor Print Name-Owner 772 286 _5771 (110 � -� Phone Number-Electrical Contractor Phone Number-Owner EC 13001456 License#lKtriggi0oaIractor 2g 2 The W Group, Inc Ajat�i�-O&rime�-Contractor D t6 e / 7 Print Name-Prime Contractor Company Name Thomas J Flynn 772 220 _1930 Print Name.-Prime Contractor Phone Number-Prime Contractor CGC1505177 License.#Prime Contractor Approved for St.Lucie County by: Signature-:Electrical Inspe'ctorBO Insp ID# Date Inspector comments,limitations and restrictions: 2