HomeMy WebLinkAboutMaverick Boats Permit 2105-0262 Temporary Power ReleasePlanning and Development Services
Uo �1lls -�- tsurramg ana �oae xeguranons
0 �2300 Virginia Avenue
Fort Pierce, FL 34983
772-462-1553
Fax 772462-6443
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 14551 5+, tc� c %V d . , (address, including suite number,
as posted on the electric meter and the building) for building permit # I�0 Syt z., 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.
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.
L'
Important: The occupant of tic properly (or other appropriaic party) shall have made proper
application to the electric utility, paid any applicable fees or deposits, and requested power in a
tinncly and informed manner. St Lucie County is not responsible for any delays in the receipt of
cicctric powcr.
We acknowledge and accept the terms of this permission. We fiuther acknawlcdge that violation
of this agrecunent or a funding of unsafe conditions and/or practices found oil the site or occupancy
of the site nnay result in innnnedlate disconnection of (Ills temporary power without warning and
i
hereby release St Lucic County and all representatives cifany and all liability resulting lons us not
abiding with this agreement.
Print Name - C ectrical Contraetor Company Name
oil
Signature - Electrical Contractor Date
Print Name - Electrical Contractor
Phone Number - Electrical Contractor
License # Electrical�jContractor
natt)•e - Pt ime Contractor
�ovglt�.S�K,,►�
Print Name -Prime Coniructora
License f� Prink C��ntrartur
...............
Phone Number - Owner
Duce Print Name -Prime Contractor Company Name
6335
Phone Number - Prime Contractor
Approved For St. Lucie County hy:
Signature - ElccU•ical Inspector/[30 insp 1D �f
inspctaor connmcnts, limitations atn�l restrictic�ns:
Date
r.