645 Ocean Blvd Early power 10/09/2016 14:45 9042609688 TRICCUNTV PAGE 01/01
EARLY POWERAGREEmFiNT & RELEASE
OTY of ATLANTTG BEACH
Blecirlo power Is requested nowunder the eonEl�Noo,and(forms of this Polly"Wined Agmemmu&Relcasc
Job Address: 6"19 t7r,,E,4A/ 4f1a_
Permit No, res-� r -9/E- Selvica Typo(Circle One):. Overhand Undorgmund
we,the undersigned Oencrai Contractor and Electrician,understand and agme:
I. 'Earl Power" Is 1p�uMlyy for mm I otion aonvant{enc It is required by Caries and does
subshiute[or FinallModcN ar s ofr 'a .i d;,%Kcato 6f Cocipancy that must be issued be{bre occupancy,
codes such($'ar the Gl95era0on o the Bur ding Ricini.
1. The CIP of Atlamla Bo@eh will make a 5p lal ins Non.prior the early power energizing. Alt rough
inspect ms must hhaas prior IncInclud�ng metgr s to connections.
3, eu�yahay Gr use of the new comtructiopp bntpra a i'mme1 GO oonsNtutos fmu Ment tae of the early
aeoRyo tiers tto, Suoh IRn Is expree9ly ptohlbi i niM� yrnel(aed by 71ra tvy of ptlamia Ba h
reran twcfl ,4 ur Mourn this Agreement Shall.m m t in a regtuiet;for prompt removd of cis 1c serv7w
after atwenty-four hour notice.
4. "Early Powte release%harity is me Blectrlcion /tlr iMa c 91or dmust not occur before:
dev ccs d fixtures are Inatome (ot bfanke�ttot[7 siY
e Is complete wilt li bera�srq anft cover and`labeling required 6t'final inspection),
CC ervtce connection and nding s campNte,
d. oelecMe sgstem hase� aha throe h elsabicoJ check.
e. sten nen is mnanently ea wirt,oodddrgess.
f. Temporary wdrcss numnet'S d played(Parmanam ttumberS ate required for d0).
5, This Polly completed farm is to be submitted to the Building Department by hand,mail ar fax.
6. Future mull Agmmnents will not be aecepted from those who violate any one of the above Items.
IL-CCMPRACTOR 0 ✓`�� DATE
M
PRINTl4AMB r•, d o
ELCCT3(fC1A14 ..� . / DATIS
PRfNT NAhIB �Cay� n Lr Ova, r
300 3moinole Road.Adami,;Beach FL 32233
Phohe,(904)247-1316 Fex;(904)247-3348 hap:1Av w.aoab.ue miredol.3009