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HomeMy WebLinkAboutTEMPORARY EARLY POWER RELEASE�1a8e0?�8 OWCM O r ,---- 1- Planning and Development Services Building and CodeRegulations 2300 Virginia Avenue Fort Pierce, FL 34983 772-462-1553 Fax 772462-6443 TEMPORARY EARLY POWER RELEASE Karen Polier (Name of Tenant or Owner) The Tenant or Owner requests St Lucie County Development Services Department to release the electrical power.at 1764 .W Midway Road ,. (address; including suite number, as posted o thth electric meter and the building) for building permit #9—©%�f6r the Po se, nil and testin buildin systems, including air conditioning, refri erati ,gf3Y g g� g on. npower and control circuits with the following stipulations:. SUT 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 testingftemporary .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.Flectrical Inspector andfor the Building Official. 6: The'building may not be occupied before a Certificate of Occupancy (C.O,) is issued. 7. No stocking ofmaterials, 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 Witt 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 tlhe'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 at bvelisted 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. Ua L��l�LIL ` •r_. i7 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 or occupancy of the site may result inimmediate 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 wit(t this agreement. wether Electric Company Prin e - Elec is Contractor Company Name ' 11/30/21 store -Electrical Contractor Date Charles Hoppmann Print Name - Electrical Contractor c 772 621 9494 Phone Number - E ec 'cal Contractor EC13004122 Li1 Beff lectrical Contractor Signature;. Prime Contractor Date Print Name : Prime Contractor CICV-P_ 9t-3 I � x Approved yh St. 1/30/21 Signature - Owner — a e !� Karen Poller Print Name - QM= t1�Lw-A-24ke Phone Number - OwneP G vea Lae- Pant Name - Prime Contractor Company Name Phone Number - Prime Contractor r by: Insp ID it and restrictions: M I , Date 2V 1