130 Seminole Rd early power P, 4. n 20 4 34PM --I- t, CfY7 No. 0334 P. 1
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EARLY POWER AGREEMENT & RELEASE
C UY OF ATLANTIC BEACH
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Electric power is requesteditow under the coaditions andterm of this fully exezi-fted Agreement&Rtleast
fob Address:
pannitNo. l 721� ServiceTypef0rcle0de); ONCdaea"nderground
We,the mdersigned Gcimml Contrac^r and Electrician,understand and agree:
L "Early Power" is RurelYfor QV construed convenience it is not reTiced by Codes and does aLt
substitute for Finalr►speet►ans t he CQ(Certificate of 00 'CLIP ancy)Uat muskbe issmd re.occupancy,
and as such is at the discretion OMoial-
The City of AtlauticBaachWj- akcja special inspection prior to,the early.Power energizing. All rough
inspections must have prior.AW ral, nclixt
mew base connectEons.
3. Qa cy or use of the new -sstructiay bEfOTC a formal C/O constitutes fraudulent Use of the =]y
cupan lanti
elemic semGe. Such action ,s expressly prohibited, aid penalized by The City & At c B;e4
Ordinanom, A violation of this Agro=W"result w a-request for prompt removal Of Oleetric service
after a twenty-four hcrx notice.
4. Early Power"release authority 0 the Electrician and/or the Contractor and must not occur before,
a. Equi ent,devices gra fixtures are installed(,or blanked off)safely.
b. paariis complete with breakers and cover m8(labeling required at final inspection).
r- Service comecti and =ding is
.
d. 'Ile 1,c,,i, check.
e. Meter canis perz=ently M-Ukedwith address for C/O);
f TeWomry address nwnbers displayed(Pennment numbers arc requited
5. This fully completed form.is to be submitted to the Building Department by hatd,mail of fax.
6. Future such Agreements will u(st be accepted from those who violate anyone of the above items:
DATE Ll 120
CONTRACTOR
PRUIT NAME
DATE
BUCTWIAN
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PRINT NAME
soo Seainoleltmd,Atlantic Beach FL 32233
Phone:(904)247-5826 Fir(904)247-5&45 revised 0130 09