197 Ocean Gate Dr early power release 10/20/2016 14:59 904-2490703 BROOKS AND LIMBUAGH PAGE 03/04
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and tmms.of this fully executed Agreement& Release
Job Address: 7^;
Penrhm. I5- IrIe.0 —ZT03 Service Type
((Circle One): Overhead U
We,the undersigned General Contractor and Electrician,understand and agree:
I. "Early Power" is �r our the
ccaten)Oee, it is n�,i; required its Codes, and does cy
su for Pmol mor We C! Certificate of O¢wpancY7 Wet must be issued before occupancy
and as such is at the tabun of the 13u1 ding Ofl9ciat
2, The City of Atlantic Beach will make a.papist I¢spuee�tloa fo We early power energizing. All mugl
inspections must have prior Approval,inotuding tneft bar ae tion.
3. Occupancy qr use of the new construction before a g GO Gonstiuries liaudulairt use of We cath
clecutc service Such action iy expressly, pmbibhcd, end peuslV by The CRy of Atlantic Bead
Ordinances. A An on of this Agreement sbell result m a request fix prompt removal of electric servici
after a twenty-four hon notice.
4. "Early Power"release;apth0rity is We Electriei�n�Md/ r the �r endymas[not occur before:
a. fiqwPm ant,devroes and Bxnnea aro insmUed%o b o safel
Y-
b. Panel Is complete wild trinkets and rover p Eng required at final inspection).
C. ggervtce ognnbetloa and'&Mw�pia�gs>s lam.
& T re electnp system hes safeaarked9witlth ekxtrlcal check.
e. Meter can to p4tuaane ��ed(Permanent rrel
E Temporary a num numbers are required for C/O).
5. This fully completed form is to be submitted to the Building Deperhaent by band;mail or fax.
6. Pamre such Agreements will not be accepted from those who violate say ane of the above hems.
CONTRACTOR ��i,/C�,Jff7 DAT$
PRINTNAME
ELECTRICIAN 1�, DATE I I Z'o
PRINT NAME Ia-
Hip Seminole Road,Alla,&Be& t FL 32233
pant(9041247-5845 http:/lwww,wab.us revised 0130 09