106 Ocean Gate Dr early power release 05/05/2017 11:36 904-2490703 BROOKS AND LIMBIJAGH PAGE 03/03
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is roquested now uedor the conditions and terms of this fully executed Agreement&Release
Job Address: F� \
permit No. LI.IService Type(Circle One): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early P er is pure) for our construction jgonven enco, it is ryq) reyaired ¢y Codes and does W
des such is it the dh'imact ctitionsotrtlite Bu/iOlsdufnt+ge OthegialoG� �cupancyl prat 7aust be issued lrs)'orc occupancy,
2. The mast hav Beach prior will
makcinelDdinaI ' or btOne connects ior tu the early power energinng. All rough
inspectionsp Approval, R
3. Occuppancy or use of the new conswction before a f �� C/O Gonstrfut� 13nudulont use of the early
ale= service. Such arp ig expressly prohibited and pen iiyed by The City of atlantic BOAZ
Ordinances. A violation of this Agreement shall result in a request for prompt rem0al of electric service
altar a twenty-four hour notice.
4 "Early pgwa"release authority,i the Eleetrlaian$n dd/or the C for and must not occur before:
a. Equ merit,devices and�ixtures aro mstallod( b ankc o safely,
b. ppanel is cors late with breaker anti cover an�(In Chug required at final iospeetion).
c. 3 a copnpCetlon and RrR n'i is compp�lete.
d. TMe�enear cen7an issppyoosrrtemms�shcumtlsyyateslcprd w{aliieddnhh Icchical ohcek,
Temporary addreas numbe ;displayed(Permanent numbers aro required for GO).
5. This fully completed form is to be submitted to the Building Dopartment by hand,mail er fax.
6. Future aoeh Agreements will not be accepted from these who violate any one of the above items.
CONTRACTOR \\ DATE
if V
PRINT NAME .k{Qgbbl _,
ELECTRICIAN t �(Yom/y �r SA v DATE L4 1'25 ( I' 1-f
PRiNTNAME
$00 Seminole Road,Atlantic Beach FL" 32233
Phone!(904)147.5$26 Fax:(904)247-5845 httpWwww.coeb.na revised OI 30 09