616 TIMBER BRIDGE LN NEW SERVICE TEMP POLE AND EARLY POWER w f -
EARLY POWER AGREEMENT ' • & IMLEA.SE
CITY OF A'LANaic BL.A.CR " •
EIcctric power is requested now now rider the conditions and terms •of this fay executed Agee tent & Release
.lob Address: •
Permit No. / NSF/ — 15'# 5 Service Type (Circle One). Overhead Underground
We, the undersigned General Contractor and Electrician, understand and agred°
1_ ` Barly Power" is urely for our conatract on convenience, it is not b red by Codes and does not
substrtute for Final inspections o the Cia Certifu of Occupanay)7 e- st be issued ore occupancy,
and as suet! is at the discretion of the Build g Official.
2. The City of Atlantic Bench will make a special ' ection prior to the Iy power energi,zing. All rough
inspections must !lave prior Approval, including a n base donnec#tons.
3- Occupancy or use of the new construction before a formal CIO con, tag jEraucl use of the early
electric service. Such action is expressly rohibited and penalize Crty of Atlantic Beach
Ordinances. A violation of this Agreement shall result m a`request fo. mtpt rettrovel of electric sent=
attar a twenty -four hour notice.
4. 'Tarty Power" release authority is the Elea; ciao and/orthe. Co or and must not occur before:
a. Equip�eut, devices d fixtures are installed or blanked rely.
b, P.3nee1 is complete wt i bt low�ss and cover, and (labeling required at - final inspection).
.c. Service c�onnerh`on and grourprang is col7gplete.
d. The electric system has safely passed tb rough electrical cheek.
e. lvlcter earn pertnanentl marked wi address.
f. Temporary address numbers displayed {Porttraaent rr,.ucbers are rP,uired fax C/O).
5. his flrIl completed form is to be submitted to the Building Dapaatrztettt ": y hand, mail or fax
6W Ftitare such Agreements 'svi11 not be accepted from those srha xriolate any one of the above items.
CONTRACTOR DAT to,////4.
PRINK' NAME
1wL�E tTCZAN DATE y° / 1:2
PRINTN,AME d✓ g (i ....� _
SOO Seminole Roadi, Atlantic Beach FL 3223'.
Phone: (904)247 -5826 P a* (904)2474E45 hitp:/ /www.coa$. +:s revised 01 30 09
•