149 OCEAN GATE DR - EARLY POWER 09/07/2016 08:40 904-2490703 BROOKS AND LIMBUAGH PAGE 03/04
" : `-` EARLY POWER AGREEMENT E
• ',- `` CITY OF ATLANTIC BEACH
..
Electric power is requested now under the conditions and terms.of this fully executed Agreement& Release
Job Address: C �� n t t 4i.
Permit No. ! ` •� 24... Service Type(Circle One): Overhead Underground
i
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is purely for our construction convenience, itnot required byobefores ddesn
hsat• sonfdgcaof Occu cY} eico
and substitute the discretion of the (Certificate
2. The City of Atlantic Beach will make a special vnspectionprior to the early power energizing. All muga
inspections must have prior Approval,including meter base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent Odin the
earl'
electric service. Such action is expressly prohibited, and penalized by The City
eac
Ordinances. vol violation notice.
this Agreement shall result ma. request for prompt removal of electric service
after a twenty-four
4. "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'ground is completeeiectlical check
d. The electric system has safelysed through •
e. Meter can is permanently marked with adddresasneut numbers are required for C/O).
f. Temporary address num'cis displayed(�
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.
r
CONTRACTOR ` DATE
q ii ________
,_ , . (--)
PRINT NAME -f .a�' ,
:IWO ELEGTRICiAN A1�.. +
PRINT NAME - t'. . . l U\ rXL. , (.^.,
800 Seminole Road,Atlantic Beach FL 32233
_ .-. ,nnAV1A,/ CW14 Fax• (4(14)247-5845 httpJ/www•.coab.us revised 01 30 09