1644 PARK TER E EARLY POWER LTR From:Mike Lar. Fax:+1(9041"0.901a To Gem.1fCok.r Far: +11904)241.7009 Page 1 of 1 5/4/20134:06D TM @ T 0 T
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Y'1 EARLY PONVER AGREEMENT& RELEASEr n B
� CITE-OF ATLANTIC BEACH
Electric power is requested now under the conditions and terins ofthis frilly executed Agreement&Release
Job Address: s
Perin it No. 12 =Z _----- -- Servi.e Type(C role 0w,): Overbea. Underground
we.the undersigned General.Contractor ar:d R).ectrician,urzders;and and a�m�r :
1. "Early Power` ispurely for our construction convenience, it is not required by Codes and does not
substitute for Final Inspections or the C/O(Certificate of OccupaticyTMat must be issued bet;ore occupancy,
and as such is at-the discretion of the Building Official.
2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough
inspections must have prior Approval,inciudin.g meter base connections.
3. Occupancy or use of the new coustniction before a. forinal C/O constitutes frsudulen't use of the early
electric service. Such action is expressly prohibited and penalized by The City of AtlanticBeach
Ordinances. A violation of this Agreement shall r.,sult in a request for prompt removal os electric service
after a twenty-four hour notice.
4. "Early Power"release authority is the Electrician and-'or the Contractor and anust not oc:cu-r before:
a. Fquipment,devices and fixtures are installed(or blanked of)safely.
b. Panel is complete with breakers and cover,grid(labeling required at final inspection).
c. Service connection and grounding is complete.
d. The electric system has safely passed through electrical check.
e. Meter can is ermanently,:narked with address.
_. Tempo..ary address numbers dispiayed(Permanent numbers are required for C/O).
5. This fully completed form is to be submitted to the Building bsnartment,by hand,mail or fax..
5. Future such Agreements will not be accepted from those who violate anyone of the above items.
CONTRACTOR DATE----S'7- 2c-0-
1-41&. .PRINTN,4,1d ie,41.4 (�Yllot r
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/ DATE
ELcC`fRICG1N� "ail.-••d�-�-��' �-f_ ��y�c- E"✓Cy/LC
PRINT NAME
800 Seanin,A,,e,Road,.Atlantic Beach�`:L 32233
Phone(9041247-5825 Fax,(904)247-5849 revised 01 30 09
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