Early Power Form 1357 Camelia 2012 06/13/2012 14:30 904-2490703 BROOKS AND LIMBUAGH PAGE 01/02
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EARL'' POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this M4 executed Agreement&Release
Job Address: p —7 _ }
Permit No. ( -2_"' �2 Service Type(Circle One): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is p�uurrely for our construction convenience, it is no required by Codes and does no
substitute for Final inspections or the C/O(Certificate of Occupancy)Ufat must be issued before occupancy,
and as such is at the discretion of the Building Oficial.
2. The City of Atlantic Beach will makea special inspection prior tothe early power energizing. All rough
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inspections must have prior Approval, ncluding meter base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early
electric service. Such action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service
after a twenty-four hour notice.
4. "Early power"release authority is the Electricianand/or the Contractor'and must not occur before:
a. Equiment,devices and fixtures are installed(or blanked o£o safely.
b. Panef is complete with breakers and cover,and(labeliaig required at final inspection).
c. Service connection and grounding is complete.
d. The electric system has safely passedthrough electrical check.
e. Meter can is gm-manently marlted witty address.
f. Temporary address numbers displayed(Permanent numbers are required for C/O).
5. This fully completed form is to be submitted to the Building Department by hand,mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
CON T FACTOR 1�-�-� " DATT?
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PRINT NAME ---P
ELECTRICIAN TATE ,j t
PRINT NAME
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 hupwwww^ooati.Lis revised 0130 09