145 OCEAN GATE DR - EARLY POWER 09/07/2016 08: 40 904-2490703 BROOKS AND LIMBUAGH PAGE 04/04
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EARLY POWER AGREEMENT & RELEASE
� ;e`;•:. TLANTIC BEACH
' CITY OF .A
- -
Electric power is requested now under the conditions and terms.of this fully executed Agreement&Release
Sob Address:
1
Permit No. 1 D.- E L-C. 7 tri- ) Service Type (Circle One): Ovencea.d Under i,ound
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is urely for our construction convenience, it is not required by Codes and does no
subnd u his atnthInspections
dis rreon of the Bu dig Q cal of OccupaneyTlfiat must be issued before occuparicti-
2. The City of Atlantic Beach will make a special inspection prior to.the early power energizing. All rougt
inspections must have prior Approval, including meter base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the earh
electric service. Such action is expressly prohibited and penalized by The City of Atlantic Beacl
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. EquiFment, 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 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.
/~ ` Gj / / —~� DATE 1
CONTRACTOR x-./`" J\' 4
PRINT NAME �.w� .. ire,(?_,-
•
Ilki;(Aa,,
1111 IVO; BATE �' Y�tEIECTRiCIAN +�..� .
PRINT NAME -)_.), - . • $ .111
800 Seminole Road,Atlantic Beach li-.32233
Y.L__... ennAVIA7_521A fax-(9041247-5845 htrp://www.coab.us revised 01 30 09