HomeMy WebLinkAbout30 day power release Q.
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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 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.
ELECTRIC CONNECTION
Print Name-riectricai Contractor Company Ne+rm.
noluic Fkctrig�jQonlrnctt r Dmo Sienat ihij vvn r �._ I?itte _
RandyS�aardema
Print Name—Ellecthcal Contractor Print Name- wrier
(561 ) 586-9€389 (3d`j ) % - I Z
Phone Number-Electrical Contractor Phone Number-Owner
EC0002938
License N FAL%Aric4i Contractor
HOMECRETE HOMES INC
4i rsitu c-1, _C;cinta actor Date Print Name.-Prime Contractor Company Namc
JEFF ALEXANDER � � 1772) 873 -6707
Print Name-Prime Contractor Phone Number-Prime Contractor
CGC1513746
-License N-Prime Contractor
Approved for St. Lucie County by:
Signature-Electrical Inspectbr/BO lnsp ID k Date V
Inspector comments,limitntlons and restrictions:
2
(S)
r= Mannhtg and Development Services
r (ru�� '�i a;t Building and Code Regulations o
2300 Vir&in Avenue Vk
Fort Pierce. FL 34933
Fax 772-462-6443
TEMPORARY EARLY POWER RELEASE
(Name ol'Tenani or Owner)
The Tenant or Owner requests St Luci County'Development Services Department to release the
ciccttical A4ttiticr itt 1206 ROYAL PALM BLVD ,{address,_includ ng-suitc_number,__
as posted on the electric meter and the building) for building permit ;2104-05.9 , for the
purpose of construction and testing building systems, including air conditioning, refrigeration,
lighting, power and control circuits with the foko\ving stipWalioils:
1. incomplete or untested circuits are NOT to be energized without properly liecnsed electrical
personnel on tite 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 tut in use musi be locked in the"71'F"position or !uses removed.
a.Proper procedures for lockout/ragout must be in place.
4.The electrical equipment morn(where applicable) .vill remain locked at all times with the key in
the possession of the electrical contractor.
5. All lmal 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 O ieial.
6.The building may not be occupied berore to CSC:-tiliCatC Of Ucculmncy(C.O.)is issuer!.
7.No stocking of materials,other than those required for construction is permitted by this agreement
b.No on-site Occupancy or training ol'personnel employed by the occupant,business entity or owner
is pet•rttiucd by this agreement
9,Na turttilure.racks, I'umishings or Other personal or corporate property is permitted rm Site by this
asrt:ement.
10, ('onsuvction power mmains covered by the requirements 601' GF(:I protection and all other
requircntcitt3 of the governing"'odes.see National Clectrical Code(Ni Q Article 590,
Violation of this agreement may result in the immediate termination of the electrical power without
prior notice or %v'mJh&Y to the affected parties. This ,farm requires all of the following signatures
prior io pm er being released.The undersigned acknowledge that the operation of air conditioning
equipment while C0115trUCtioal is I11 pr'agress mite create or increase the risk of contamination or
premature failure ol'the equipment.
The undersigned acknowledges the above listed slipuiations.agrees to the terms or this agreemew
and agrees to hold St Lucie (;au)ty 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 farm dQCS not butu'antee pov-,er, which is at the discretion and control of'the electrical
utility.
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