HomeMy WebLinkAbout30 day power release t
Planning andDevelopment Services
� Building andd Code Regulations
O 2300 Virginia Avenue RECEIVED
Fort Pierce,FL 34993
• 772462-1553 JUL 01 2021
Fax 772-462-6443
St.Lucie courity
Perrrij fing
TEMPORARY EARLY POWER RELEASE
I
4-er` 4-
(Name of Tenant or Owner)
The Tenant or Owner requests St Lucie County Development Services Department to release the
electrical power at S 1 1 0 ,(address, including suite number,
as posted on the electric meter a t OI ' 82 p h e. ctn and he building) for building permit #2 � , for the
purpose of construction and testing building systems, including air conditioning, refrigeration.
lighting,power and control circuits with the following stipulations:
,i I. 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 disconnect not in use musube locked in the"OFF"position or fuses removed.
3.Proper procedures for lockoutltagout 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:
i
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 agreement may result in the immediate termination of the electrical power without j
prior notice or warming 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 j
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 i
Utility. i
j
1
�- I
t
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 mariner. 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
j 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.
Xture
1 al Contractor Company ame
t _ r
ctrical Contractor ate ignature- caner Date
Print Name-Electrical Contractor Print Name-Owner
qZn e Number-Electrrcal Contractor Phone Number-Owner
License#Electrical Contractor
Sign tune-Prime Contractor Date Print Name-Wryie Contractor Company Name
0jan t-) U 1-s
Pr1rd Name-Prime Contractor Phone Number-Prime Contractor
CSC I Q S-L4
License#Prime Contractor
i
Approved for St.Lucie County by:
t
1
Signature-Electrical InspectorlBO Insp ID# Date f
Inspector comments,limitations and restrictions- i
I i
i
j
f
. t
2
i i