102 SANDY BEACH LN - EARLY POWER 12/02/2015 16:27 904-2490703 BROOKS AND LIMBUAGH PAGE 11:`11
POWER
EARLY POWER & RELEASE
EARLY .A►.GREEME
CITY OF ATLANTIC I;'
Electric power is requested now under the conditions and terms.of this fully executed Agreement& Release
lob Address: .. r `� • .
e ,‘� ' I<cigl' Service Type (Circle One): Overhead nderground
Permit No. ��- W-
We,the undersigned General Contractor and Electrician, understand and agree:
1. "Early i to for Power" is purely np tions or thconstruction O(Certificate convenience,cpancy}�at must be issued befor and cc upancyt
substitute far Final [rl,pe
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach Approval,make,aspecia u inspection lion connections.rir to the
early power energizing. All rough
inspections must have prior pp
3. Occupancy or use Such the c icon construction p ybprohibited� and penalized t1byteThe City usc Beach
Ordinances,service. Such t Agreement shall result in a request for prompt removal of electric service
Qrdinances. A violation of this Agr
after a twenty-four hour notice.
4. "Early powuir'ment deviceerand fi:�turesl are Install d or blal iced offi) safely�ust not occur before:
b. Eq
b. pane 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).
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.
o A.L4 L, DATE Z
caNTRACro�
PRINT NAME • t �; , 7"�
ELECTRICIAN x,,.21 F�A!', DATE
PRINT NAME A �� !A .. 1/14
800 Seminole Road,Atlantic Beach FL 32233
.n,,,vm7_c )f Fax: (9041247-5845 http://www.coab.us revised 01 30 09