60 & 62 W 10th St 2014 early power release 06/10/2014 15: 15 904-2490703 BROOKS AND LIMBUAGH PAGE 01102
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EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
i✓lectric power is requested now under the conditions and terms of this fully executed Agreement& Release
.iob Address:
-7 ti
Permit No. _��r I Service Type(Circle One): Overhead nderground
We, the undersigned General Contractor and Electrician, understand and agree:
I. "Early Power" is purely for our construction convenience, it is nr)t required by Codes and does trot
substitute for Final inspections or the C/O (Certificate of Ocdupancy7Tiat must be issued before 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, including meter base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the earl
electric service. Such action is expressly prohibited and penalized by The City of Atlantic BeaJ
Ordinances, A violation of this Agreement shall result in a request for prompt 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:
a. .Equipment, devices and fixtures are installed(or blanked off)safely.
b. Panel is complete with breakers and cover, and(labeling required at final inspection).
c. Service connection and grounding is complete.
d_ The electric system has safely passed through electrical checic.
e. Meter can is permanently marked with address_
f. Temporary address numbers displayed(Permanent numbers are required for C/O).
5. This fully completed forn is to be submitted to the Building Department by hand,mail or fax.
6. F'uturc such Agreements will not be accepted from those who violate anyone of the above items.
CONTRACI'O1'�.�TY DATi.
PRINT NAME
ELECTRICIAT DATE_
PRINT NAME New (21
41-
800 Seminole Rood,Atlantic Beach FL 32233
Phonc: (904)247-582(- rax- (904)247-5845 http://www.coab,us revised 01 30 09
06/10/2014 15:15 904-2490703 BROOKS AND LIMBUAGH PAGE 02/02
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: G + I A Las
Pen-nit No, A4 Service Type(Circle One): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree:
I. "Early Power" is inspections
for our construction convenience, it is not required by Codes and does not
substitute for Final or the C/O(Certificate of Occupancy)-Mat must be issued before 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, including meter base connections.
3. Occupancy or use of the new construction before a. formal C/O constitutes fraudulent use of the early
electric qervicc. Such action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances, A violation of this Agreement shall result in a request for prompt 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:
a. Equipment,devices and fixtures are installed(or blanked off)safely.
b. Panel is complete with breakers and cover,and(labeling required at final inspection).
c. Service connection and grounding is complete,
d. The electric system has safely passed through electrical check.
c. Meter can is permanently marked with address.
f. Temporary address numbers displayed(Permanent numbers are required for C/O).
3. This fully completed form is to be submitted to the Building Department by hand,mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACT DATE I o
PRINT NAMP,
ELECTRICIAN 13ATE— A
PRINT NAME
1eh))( mbaL__& -
NIJ
800 Seminole Road,Atlantic Beach FI.,.12233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 0130 09