604 TIMBER BRIDGE LN - EARLY POWER ;:.; EARLY POWER AG1Ervfl NT& RELEASE
\ CITY OF ATLANTIC BEA.Cuu
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Viectric.power is requested now under the conditions and terms of this fully executed Agrccinectt&B.elease
lob Address:
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Permit No. Service Type(Circle One): Overhea Underground -
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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 not
substitute for Final laspections or the(:/O<Certiforite of Occupanoy7That must be issued before occupancy,
rind as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough
i,ispt:ctions trust halve prior Approval,including meter base connections.
ccupancy or use c1 the new construction before a formal C/O constitutes fraudulent use of the early
-Teems 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 n nwenty-four hour notice.
4 "Fatly Poker"u:leasc authority is the Electrician and/or the Contractor and must not occur before:
•r. L qut m.nt,devices and fixtures arc installed(_or blanked off)Safely.
h. Panel is coruplcto with breakers and cover and(labeling required at final inspection).
c. Scr,•iee connection and grounding is complete.
ct. 'rim cicctrip system has safely passed through electrical check.
c. Meter Grin is permanently marked with address.
f. 'i etnporar'y address numbers displayed(Pernfanent numbers art required for C/Q).
5 This folly completed form is to be submitted to the Building Department by band,mail or fax.
6. l'uitt a such Agreements will not be accepted from those who violate any cue of the above items.
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PRINT NAME. 1\i).)' I { �S�i 1
ELK ftt1C1AN \Cs..�.n�Ca,sn L.--,1% '�'•�), DATE Q i ' i I t S
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800 Seminole Road,Atlantic Beach FL.32233 I�
r'h;:nc:(904)247-5826 Fax:(901)247-5845 http://www.coab.us revised 0130 09
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