593 TIMBER BRIDGE LN - EARLY POWER 12/07/2015 14:47 3961136 MUNSONANDBRYAN PAGE 01/01
y.; ' EARLY POWER AGREEMENT & RELEASE
13 CITY OF ATLANTIC
BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address:5' 7 3 -kr"A►d e/ 13/%/ C.+ -
Permit No. 15- C. /a / Service Type(Circle One): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree:
I. "Early Power" is purely for our construction convenience, it is nor arequired by Codes.Foanodoes not be
substitute h at the-inspections Building(Certificate of Occupancyj�t
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'
electric anservice use Such action construction bprohibitefdo, and penalizedtby The City of AlanticeB early
Ordinances.fie �folu violation not this Agreement shell result in a request for prompt removal of electric service
:t. "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
e. Meter can is permanently marked with address.
f. Temporary address numbers displayed(Permanent numbers are requiredfor G'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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CONTRACTOR /` ✓� DATE ,��. : ' f r >
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PRINT NAME I 'f (U / 1.?,; _
/' 144W/ l .2/7//
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DATE
ELECTRICIAN -
PRINT NAME Gbtj,Z 5e_ _L11(2.
SOD Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.ccoab.us revised 01 30 09
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