1695 SELVA MARINA DR - EARLY POWER . 02-1- lr
A '{i EARLY POWER AGREEMENT & RELEASE
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`..�V . CITY OF ATLANTIC BEACH
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Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: f l' C
Permit No. _lb- 2 534 ...�. Service Type(Circle One): Overhead oder.,_,ound
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early for Power" is purely
or the C/O Cerrtticonvenience,
icate of Oc upancy lflanot required
must be issued bel'orree oc upancy,
substitute for (
and as such is at the discretion of the Building Official.
2. The City
ifAtlantic
tl tic Beach
hr A ill maleincspeciarkg melee tionbase priconor to the power energizing. All rough
inspections
3. Occupancy or use of the new construction beforeba formal
C/a&constitutes
o stitu a fraudulent t use of
early
electric service. Such action is expressly p pe
Ordinances. viola violation
not this
e s Agreement shall result in a request for prompt removal of electric service
after a twenty
4. "Early Power"release authority is the Electrician and/or the Contractor and must not occur before:
a. Equipment,devices and fixtures are installed Cor 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 filly 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.
4014.-":12 DATE L/./6-•' 1
CONTRACTOR • •
HUNT N r' 4 lee I
ELECTRICIAN 027-
DATE r•l 7
PRINT NAME
500 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http:iiwww.coab,us revised 01 30 09