Early Power 358 5th St 2013 Feb 10 13 12:49p Elite Homes, Inc. 904-241- 9748 p.1
.t r ' I O
E+ARLy PoWFR AGREEMENT & RELEASIE
CITY' a>r ATLANTIC BEACH
Electric power is regncsted now under the conditions and terms of this folly executed Agreement&Release
Job Address: `��� �" Sj-VttT"
Permit No. Service Type(Ciml ,One): Overhead ndergr�
We,the undersigned General Contractor and Electrician,understand and agree:
1 s"Earlyewer
Bogor Final lu pec"r s for or the C/p�pCertificon ate ofOccupane: t must be nox required issued and does
pancyt
and as such is at the discretton of the 13uilding Officjal.
2. The City of Atlantic Reach will m a inosu�ng inspection ae prior t.the
ee.a ly power energizing. All rough
inspections must have prior App
3. Occupane�y or use of the new construction before a formal C/o constipates fraudulentfuse Of the Carly
clectrrc service. Such action is expressly prohibited, and penalized y Tlxc City h
Odd=ancees. f violation
a f this Agreemo�at sEtall result in a request for prompt removal of electric service
4. "may p qu e'rc c deu=ces&ad is the fixtures ere insigliea{or the
Contractor aand
e ymust not occur before:
b. Nue_1 is winpleta with breakers and cover,ani3(labeling required at @nal inspection).
o. Service connection and grounding is complete_
d. The electrie systern has safely passed through electrioal check.
Meter can is penngnently marked with d adHumours axe required for GO).
Temporary address numbers display (permanent
5. This frilly completed form Is to be submitted to the Building W-pament by hand,mail or fax.
6. Future sueb Agreements will not be accepted frorn those who violate any one of the above items.
O ATE
CONTRACTOR
pR1NT NAME
DATS of
ELECTRICIAN ,
pkINT NAME N L�----
300 Serninole ELoad,Atlantic Beach FL 32233
Phone:(904)247-5826 Fa)e:(904)247-5845 littp:f/www.coab.us revised 01 30 09