106 SANDY BEACH LN - EARLY POWER 12/02/2015 16:27 904-2490703 BROOKS AND LIMBUAGH PAGE 10/11
J 5),7.1,7 ..,; :� 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: I SCL-na. . - . .at
Permit No. 1 Et-EC. I 5q,Q Service Type(Circle One): Overhead U dergro d
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is purely for our construction convenience, it is not required by Codes and does Ligi
substitute f r Final ln pectlonof duce Building d((C(Certificate of OccupancyTfat must be issued beibre occupancy,
2. inspections fmustallt�iv pntor�Appro aleincludtiigmeterbase ponnectuons.early power energizing. All rough
3. Occupancy or use of the mew construction before a formal CIO constitutes fraudulent use of the early
electric service. 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. Equl ment,devices and fixtures are installed(,or blanked oft)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.
e. Meter can is perrrmanently marked with address.
f. Temporary address numbers displayed(Permanent numbers are required for C/O).
5. 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.
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CONTRALTO. I .A,J 1 — t4— DATE / L 2 - / a
PRINT NAME --
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p4 illil
DATE 17 2
ELECTRICIAN
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PRINT NAME • .I. -'•
800 Seminole Road,Atlantic Beach FL 32233
Phnne: (904)247.5826 Fax:(904)247-5845 http://www.coab.us revised 0) 30 09