94 Stanley Rd 2013 early power forms 04/11/2013 15:52 904-2490703 BROOKS AND LIMBUAGH PAGE 02/06
EARLY POWER AGREEMENT & RELEASE
P
CITY OF ATLANTic BEACH
E lectric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: ciz-1 S;i
Permit No. 0 service Type(Circle One): Overhead Underground
Ltrician, tinderstaqd;�.nd agree:
We,the undersigned Geiieral LiAtrado-F�11 0
1, "Early P()wer" is purely for OUr construction convenience, it is no required by Codes and does not
substitute for Final inspections or the C/O�Certificate of occupancy7-ffiat must be issued betore occupancy,
and as such is at the discretion of the Building official.
2. The Ci�y of Atlantic Beach will make a special inspection prior to the early power energizing. All rough
inspections must have prior Approval, including meter base connections.
e
use of the new construction before a formal C/O constituts fraudulent use of the carl
3, Occupancy qr ic 13e2
electric service,. Such action is expressly prohibited and penalized by The City of Atlant
Ordinances. A violation of this Agreement sliall result in a requestfor prompt removal of electric service
after a twenty-four bour notice.
4, "Early Power" release authority. is the'Electrician and/or the Contractor and must not occur before:
a. Equi ment, devices and fixtures are installed(or blanked off) safclv.
b, pane-�is complete with breaker-,and cover,and(labeling required A rinal inspection).
c. Service copnection and giounding is complete.lectrical check.
6, The electric system.has safely passed through e
e. Meter can is permanend marRed with address.
f. Temporary address riMers displayed(permanent numbers are required for C/O).
5. This fully oompleted form is to be submitted to the Building Department by�Ajid, mail or fax.
6. Futuresuch Agreements will not be accepted from those who violate any one of the above items.
DAT E
CONTRACTOR
k
PIUNT NAMF, r
ELECTPJCTAN DATE
r
PRINT NAME- _y
Seininole Road,Atlantic Beach FL 32233
Phone: (904)247-5826 Fax: (904)247-5845 jjttj).;��
c�oab.u, r-vised 11.29.06
04/11/2013 15:52 904-2490703 BROOKS AND LIMBUAGH PAGE 03/06
EARLY POWER AGPM EMENT & RELEASE
CITY OF ATLANTic BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address:
Service Type(Circle one). Overhead underground
Permit No. understand and-agree:
We,the undersigned General Co an
" is urely for our construction convenience, it is not required by Codes and does not
I. 'T�ffly Power the C/o(Certificate of occupan&y)ffiat must be issued betore occupancy,
substitLite for Final.3nspections or ,
and as such is at the discretion of the Building Official.
2, The Cit wlY Power energizing. All rough
.y of Atlantic Beach will make a special inspection prior to the e
inspections must have prior Approval, including meter base connections.
3. occupancy qr use of the new construction before � formal C/O constitutes fraudulent use of the early
electric service. Stich action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances. A-violation of this Agreement sliall result in a request for P19mPt removal of electric servioe
after a twenty-four hour notice.
ust not occur before:
4. "Early P0W0r,,release autbork is the Electrician and/or the Contractor and M
ely.
a. ment, devices and fixtures are installed(or blanked off)saf
Equi ed at final inspection).
b. Paff is�ojnplete with breakers and cover,and(labeling requir
C. Service connection and grounding is complete-
d. The electric SYsterrI has safely passed through electrical check.
,r can is permanently k.ed with address.
e. Mete
f. Temporary aadress nunIDers displayed(permanent numbers are required for C/O)
in e, rtm
5. This fully completed form is to be submitted to the Build g D pa ent by.. d,mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
............
DATE
coNTRACTOR
1116d,
pP,TNT NAME It DATE
ELECTRICLAN. U
PWNT NAW,ig!L
Soo Seminole Road,Atlantic Beach FL 32233
Phone-,(904).247-5826 fax:(904)247-5845 LM_/IwwW-_coab.us revised 11.29.06
04/11/2013 15:52 904-2490703 BROOKS AND LIMBUAGH PAGE 04/06
EARLy Powrm AGRrmMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of thiS.f
.ully executed Agreement&Release
Job Address: L4 % 4—f��
13 -01 Service Type(Circle One): Overhead Underground
Pertnit No. — rL-aj
We,the undersigned General Contractocr-�k&lcinclj,Zerstand and agree:
I for our construction cOnvenier1ce, it is not required by Codes and does not
"y cup��y)-ffiat must be issued be.ore occupancy,
,pectioris or the C/O(Certificate of 00
"Early Power is )ff
substitute for Final
and as such is at the discretion of the Building Official.
,Ing. All tough
2, The Cit
.y of Atlantic Beach will make,a special inspection prior to the early power enero
inspections must have prior Approval., mcffiding mcfer base oorinections.
,tiol . C/o constitutes fraudulent use of the eatl
occupancy or use of the new constr0c p before a formal City of Atlantic Begc�
3, electric service. Such action is expressl� prohibited and penalized by The
Ordinances. A violation of this Agreement shO result in a request for pr9mpt removal of electric service
after a twentY_four hour notice.
4. "Early Power"release authority.is the Electrician and/or the Contractor and must not occur before:
levices and fixtures are installed 'or blanked off)safely.
a. (labeling required at final inspection).
b. Pane is cornPlete with breakers and co, 'lete,
c. Service connection and grounding is 0014
d. The electric system has safety passed through electrical check.
is errna�nently m Red with addiess.
e. Meter can ' nt numbers are required for C/O).
f Temporary a9dress numbers isplaycd(Permane
5. This fully completed for.m is to be submitted to the Building Departme:at by..h,Mid,mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
1DATE
CONTRACTOR
PRINT NAME
DATE
ELECTRICIAN
r r
L
PRINT NAME
goo Seminole FW4 Atlan.tic Beach FL 32233
Phone:(904)247-5826 Fax: (904)247-5845 hAP---1/-w-vXw-,coab,us revised 11,29.06
04/11/2013 15:52 904-2490703 BROOKS AND LIMBUAGH PAGE 05/06
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electic power is requested now under the conditions and terms of this fully executed Agreement Release
Job Address:
e2Z ound
Permit No. Service Type(Circle One): Overhead Undergr
* . 41We,the undersigned General Contractol 0 cian,und ::, tand and-agree,
1, "Early Power is urely fbr our constrUCtiOn convenience, it is not required by Codes and does not
substitute for Final 31)$pecti ons or the C/O(Certificate Of OccuPan6yyffiat must be issued b;fbr� occu*'cY,
and as such is at the discretion of the Building Official.
2. The Cit pecial inspection prior to the early power energizing, All rough
.y of Atlanfic Beach will make a s
inspeefions must have prior Approval, including meter bme connections,
3. Occupancy qr use of tile new construction before ?L formal C/O constitutes ffaudulent use of the early
.ibited and penalii�d by The CitY of Atlantic Beach
electric seivice., Such action is expressly proh e i -vice
Ordinances. A violation Of this Agreement sliall result in a request for prpnipt removal Of lectr 0 sel
after a twenty-four hour notice.
4, "Early Power�'release authority,is the Electrician and/or the Contractor and mustnot occur before:
jcvices and fixtures are instaUed or blanked off)safely.
a. Equi ection).
Pane-Y�nent" lete with breakers and cover,an. (labeling required at ftal insP
b , is comp
o: Service connkfiox)and grounding is complete
d. The electric system has safely passed tbrOugh�lectfiral check.
e. Meter can is Rer
.manently mirRed.with address.
f, Temporary aadress numbers alsPlayed(Piemanent numbers are required for C/O).
artment by d, ,ai I-or f
5. This fully completed form 1,q to be submitted to the Building Del) ax
6. Future such Agreements will not be accepted from those who violate any one of the above items.
CONTR.ACT6R DATE
PRINT NAME
DATE
F,LECTRICIAN
PRINTNAME
goo Spminole p 32233
Old,Atlanbc Beach FL
hU:LyA�.coab� revised 11.29.06
Phone: (904)2474826 Fix,�(904)247-5845