Permit Early Power 353 7th Street 2012 From: FAXmaker To: 2475845 Page: 3/3 Date: 10/4/2012 2:51 A 0 PM
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ARLX POWER.AGREEMENT& RELEASE
nw;aM rr CYT'Y of ATLAN'T'IC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
rob Address:
-7 "m 5T_ ATLA-P:r-xc_ i;E4cH Ft_ 3 a R3 3
Permit No, D.`C>000 CSO 4-(:4 Service Type(Circle One): Overhead Undergraunc
We,the undersigned General Contractor and Electrician,understand and nVow.
1. "Early Power" isppurely for our construction gonvcaience, it is not required py Codes ttnd does not
substitute for Final inspections or the CIO(Certificate of OccupancyMat must be issued betare occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will make a spegial inspection prior to the early power energizing. All rough
inspections must have prior Approval,including meter base connections,
3. Occupancy qr use of the new constructiop befo i f4rrn C/O gonsti to fraudulent use of the gayly
ecl�leC�t�no service, , guph 8ctign is exq�pssty p ttibitod trim paWized by The City of Atlantic Beach
Qr(liinancos, A viols}tion of this Agrc6mcnt shah result in a request for prompt removal of electric service
after a twenty-four hour notice.
4. "EarlyA wqr"releas a ority is the Electrician rdlor the Contractor and must not occur before:
a. 9qurgmont, eviocs and fixtures are installed(or blanked oft)safely.
b. Panel is complete with breakers and cover,and(labeling required at final inspection).
a. Service connection d gr nding is complete.
d. The electric system as satglp' through elcotrical cheek.
Meter can is rmancntly m with address.
Temporary address numbers displayed(Pormanant numbers arc required for CIO).
5. This fully completed form is to be submitted to the Building Dopartment by hand,mail or fax.
6, Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR DATE
PRINT NANM
ELECTRICIAN DATE + d _ 4—/ I r�
PRINT NAiMiF
$00 Seminole Road,Mimetic Beach FL 32233
Mone:(904)247-5826 Fax.,(904)247-5845 hap://www.coab.us revised 0130 09
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