53 & 55 Lewis St Early Power 2012 Sep-12.2012 08:20 AM The QuestCom Group, Inc 904-285-3811116 112
1
is
I
- EARLY ,POWER AGREEME NT & RE t
L.LASF.
CITY OF ATLANTl BEACH
is
leclric Waver is rvilucsirtl new under Iltc ronditi0uti'111111 terms a 11lis!'telly execuletl Agivenjeol e< Idelense
Joh Address:
Perinil No. 63
jdL2L)---- Servico'We(Circle One): t7vcrluud ender=round
We.Ilia:undwidgnrd Cioncrnl Conlrttclar and Flech•icion.unda•stn d and agree:
I. 'f arty 1'uwer' is a�roly 1101- our construction convenicnee,l it is nt 1-oyuiretl by Colt nncl dues �rnt
substttuat: I'ar I'ntll inspections 01 {he CIO(Cardrcale 01'0cc '
and its such is it Ilie discretion of tele 9ttildtn>p Official. pancy t laI must iIc issued he�'0re uccupmit:y.
2• inspcity
tionslm st have Aria rAwill
proval I clUd ig meter brise c !or to Itnect oiis.t�arl
y power energizing. All rough
3, Ocet'Puncy or use 0f'the new constructlu t before a rnrntttl CIO consujLacs I"rnuclulent use of the early
electric service. Such action is expressly prohibited, and penalized by The City oi' Atlantic Beach
0l1•dinnnces. A violation of this Agreement shservice- result in quest for prompt removal of elceiric
iter a twenty-lour hour notice.
4• "Early P wee,release aptllarity is the L•'lectrician and/or thhe Intra for and must not occur before:
a. qulpmens.devices and lixlures are installecl(or 61aic d of safely,
b. 1'attel is complete wirer brralcers anal covet•,and(Iabe111 required At Anal inspection),
c. Service connection and l;rutulding s complete.
e. Meter cants systemrne t]y olia�keTwldih addrgess�leccriea check.
I. Temporary luldress ntiljj 1-s displayed(Permanent ritin ibers are required far CIA).
S. This 11111y completed form is to be submitted to ilia Building D 1nrlmenl by hand.moil or fax.
G. Future such Agreements will not be accepted from those wh violate say one of the above items.
eo>�I rRAc~rotz +, T,
a DA 2
q
PRINTNAMIr
ELSCfRIClAiV �' �, � � -
17A'i'G 1 f
PRINT NANlP-
300 Seminole Road.Atlantic Bench22
i�
L 3«_33
Phnne: Fax:(()04)347-5945 httpa',v w,conrrevisecl 01 30 0L)
�1
Sep-12-2012 08:20 AM The QuestCom Group, Inc 904-285-3816
212
• �_ _ EARLY -POWER •ACREEM 1 T & RELEASE
CITY OF.ATLANTI BEACH
E leru•ic h„«•cr is rti•�lucstcd nuw unctrr the runclilianw tutd terms olithis lull}�cxrrure;I llt;rceutrnt�l, ti��le,tsc
.Inh nifdrv��:
I ernril No,
-- .. servhx 7liype(Circle One): 'tavoncc,td hulcrgr�u,nd
WC.the ulxlersigner.l Genertil Cunit•uclar nitd Electrician.undarstatI and agree:
!. "Igr,1y Power, is purely till- aur construction convenience.'It is not rrquircd by Coder and docs not
substnutc lor•1.11181 Inspections or She C1C priilicflte ul`Occu ncy}1Tat nntst lx issued Wore occutmncy,
and as such is at the cliscretio11 of Ilse Building C)I7icial.
g. The City of Atlantic Beach %vill snake a special inspersion pr r to the earl
inspections must have prior Approval,including meter base cos ncctions, y power energising. All rough
3- Uccupancy or use of the new construction before a formal ./t) eoostiurtcs lrnu�lulent trsc o!'the earlyy
atectric service. Such action is expressly prohibited and xnalired by 'Ilse C ity of Atlantic E ILMI
Ordinances. A.violation of this Agreemem shall rcxult inn 1e Iuest for prompt reraavnt of electric strvicc
8l tr rt twenty-lour hour notice.
4, "SArly Power"release authority is the Eiecirichin and/or the CO tractor and must 1101 occur before:
a. Equi mient.devices and lixiures are instnlletl(or blan(ce I oil safely.
b. Panel is complete with breakers and cover,and(label inj required tit final inspection),
c. Service connection and grounding is complete.
e.d• Thu electric sppysteryz has ssyafely pa sefl Ihlough electrical heck.
r 'fempoi can
addressrnumbersdisplayed Pe mitnent ntrm iers are requited for GO).
S. ''his lidly confplated form is to be submitted to the Building Der'artment by hand,mail or I`ax.
G. Future such Agreements will not be accepted Irom those Whc violate anyone of the above items.
C ONI•RAC70R
(!Cr
P
ttlNl'Nnh1r.�,�.�
ri..rx.."TRIC IAN
PRINT 1Vn,bIG '� E7 DATC
(�
800 Seminole Rund.Attnatic 13cuch F 32233
Phone:(90412.17.3826 Fax:(904)247.5941 hnp;'hva r.ce,�h•uc revised U1 30 t1q