169 OCEAN GATE DR - EARLY POWER 01/24/2017 10: 16 904-2490703 BROOKS AND LIMBUAGH PAGE 04/04
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.��'i , ,j E+ ARLY POWER AGREEMENT & RELEASE
'' ' :w„r ';' CITY OF ATLANTIC BEACH
•
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: ._. I t octc2,___ _..c.,t Dr
Permit No. - E. , - • Service Type (Circle One): Overhead Underground
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
substid tute
ucforh Final tdiscretion of ttheB C/O
Buildin
g O cal of OccupancyY ffiat must be issued be'ore occupancy,
2. nleciyGfAtlantic
tt Beach
einspection
opithe early power energizing. All rough
inspections havoApprylizcluding meter base connections.
se
3. Occupancy or use of the new construction before
a f and / constitutes
ss'fraudulent of 11Atla f ie the early
electric service. Such action is expressly p penalized
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. 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 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 munbers 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 he accepted from those who violate any one of the above items.
CONTRACTOR_
,../ .1 - DATE -7—Li
PRINT NAME ' ' " ��� cc---(1., �sn„..
i AI
ELECTRICIAN., i tth+.,l . —
DATE
PRINT NAME l 4. ,.. Il IN1 lir-Q., C
800 Seminole Road,Atlantic Beach FL 32233
Phone: (904)247-5826 Fax: (904)247-5845 http://www.COah.us revised 1 1.29.06