EARLY POWER 1336-1338 VIOLET ST 2013 05/15/2013 16:12 904-2490703 BROOKS AND LIMBUAGH PAGE 01/02
:1, POWER AGRE EMENT & RELEIkSyl-
EARLY
CITY OF ATLA
NTIC 13EACI
executed Agreement 81 Release
VV under the,CO..1dijIiojis and terms Of this fully
Electric pcv.F.r Q
uested no
Job Address:
Service Type(Circle one): overhead(ndergroand
Permit No. J2
ee:
We,the undersigned General Contractor and Electrician,understand and age I by Codcs and does !12-1
for our construction convenience, it is not requirec issued bekore occupancy,
erj ff,
1. "Early J>Ower" is rely tions or the C/0'(C lcqte of occuparjay) at must be
-For Final Vispec,
substitute
WD as such is at the discretion of tile Building official. energizing, All rough
make a special ills ection prior to the early Power
jections.
Me -r base 6onk
reach will i
2. The City of Atlantic Be Approval,includil
inspections must have prior �audulent use &tile early
iction before ted
C/O constitutes fe City Atlantic 13eqcll
or use of the new I-OnstrL ibit�d and penalized by Th of Atla
3, OccuPallcy A... such action is expressly PrOh' quest for prompt removal of electric service
electric ser f this Agreement shall result in a-re
orainances' A violation 0
after a twenty-four hour nobae.
Mictor and must riot occur before:
It -y is t�,-� leotxi.aian e:Ajdjr,r the Cor
,,Early Power"release aji fixtures are installed(�r blanked of�safelY- I inspection).
4. Equi meet,devices and and(labeling required at fina
Pane is co�n7�lete with brm](Orq and cover,
b, , . I t' -ua ling iw zr'-�nplete'
q, Service cOrknec �` A"r"; grfj ' c assed through eltectncai c0"k
d' The electric systeil G, safely p iress-
- 1,;permanelitl MarRed with ad4 urab�-',rs are required for C/O)-
e. Meter can 11 .
'Adre 1�ers displayed(Perl'n8nentn
f. Temporary address nuin
5. This frilly completed form is to be submitted to the Building Department by hand,mail or fax.
not be accepted from those who violate any one of the above items.
6. Future such Agreements will
CONTRACTOR DATE
PRINT NAME
DATE
ELECTRICIAN —----------
PRINT NAM-
goo serninoic Road,Atlantic Beach FL 32233
-�jv �ev-ised 11,29.06
phouc: (904)247-582,6 �)(yj),247-5845
05/15/2013 16:12 904-2490703 BROOKS AIND LIMBUAGH PAGE 02/02
EARLY POWER kGREU,MENT & RELEASE
TIC BEACH
Jn
CITY OF ATLAN
J.
under -nd,ten-as of this rally executed Agreement&Fclease
'r the conditions 2,
Ejectric ower is requested now
z�)Job Address: V
Service Type('Circle One): OveTun erggr(o)
pennit No. r`7 1 71
We,the undersigned Gereml Contractor and Electrician,wider.stand and agree.
it is ljot required by Codes and does —not
Power":is urely for our construction convenience, TV7 at must be issued belbre occupancy,
1. "Early Pow L, jca:�q of occupaMy
`3 ti.te C/o(Certj
'11bo ,
such
T,ijj�I nsryeO '11S Off—
is at aje-diS, id
ana'as such _retIUj3 Of_the ZUjf j the early Power energizing, All rough
-b will make.a special irLspection prior to
2. The City of Atlantic Bead? including meter base conne��tions
inspections must have prior a formal C/o constitutes iraudtot01, useof the new constructionbefore d. and penalized by Te City of Atlantic Beqcb
3. occupancy ar'tionis res, r pro removal of electric service
Sly prohibite request fo mp
e Such is Agreement electric SUM Violation of shall-result In a
Ordinances. A '
after a twenly-four hour notice. [/Or the Contractor and must not occur before'
,,Early power" release aUthority. is the Electrician and )ff)safely,
4, qui 5 are installed(or blanked uired at final inSPeet'on)•
a. E ge,,t,devices and flxture� and(labeling req
lete witil breakers and cover,
b. Panel is comp lie and grounding is complete. e0k.
C. Service cojulectioll
tem has safely passed through electrical Ch
d, The electric SYS tt marged with addfcss.
c, Meter can is Permsrie'3 displayed (permanent numbers are required for C/O).
f Temporary address numbers d submitted to the Building Departnerit by ljp�d, mail or fax.
5. This fully completed forrn is to be sub
will not be accepted from those who violate,any one Of the above items.
G. Future such Agreements
CONTRACTOR- DATE
PRINT NAME
DATE
ELECTRICIAN
PRINT NAME
goo s=inole Road,Atiintic Beach FL 32233
Phone: (904,)247-5926 Fax: (904)247-5845 _
11 ft�/ww �.Goabo��Revised 11.29.06, r