398 Sherry Dr early power release From: 07/03/2017 11 :18 #177 P.001 /001
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EARLY POWER AGREEMENT & RELEASE
u` CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Pob Ad
3 i AaR� r)a•
Permit No. /7-E/tC Service Typo(C9rele One): Ov d Underground
We,the undersigned General Contractor and Electrician,understand and agree.
1. "Barly Polder",is ptuely for our construction p9anvenimcq it ie o� required by Codes and docs not
substitute ler Final Inspections of the CIO(Certiti,gte of Occupancy)uraI must be issued before occupancy,
and as such is at the discretion o1 am Building UUtt55cial.
2. the Cily of Atlantic Beach will make a SP i etion prior to,the early power energizing. All rough
inspections mast have prior Approval,including m has connections.
3. Occupancy or use of Jhc new construction before p formal C/O gonstitutes twApient use of the early
VleGGinc eeavice. gnpn action is expressly probbiled, and pauhzed by The City of Atlantic Beach
dtlinanees. A violation of this Agreemont shall result m a request for pnnnpt menoval of electric service
atter a twenty-four hour notice.
4. 'Barly Power"release apthorky is the Electrician @ud(or the or and must not occur before:
a, Egmmnent,deVlCeB pita{1t(aKR are lnatalled.(Ol blank o safely.
b. Panel is complete with breakers and cover and(labeling required at final inspection).
c. Service connection and coding is comp ale.
d. The electric system has sanely passe(,t VNtrgh electrical check.
e. Meter esti is pmmanrntt marked with adtiruse.
£ Temporaryaddress numbers displayed(Permanent numbers are required for C/O).
5. Pay5300.administration fee, any reinspection fees and my outstanding requirements must be satisfied prim
to release.
6, This fully completed form is to be submitted to the Building Department by hand,mail or fax.
7. Future such Agreements will not be accepted from those who violate anyone of the above Items.
CONTRACTOR
PRINTNAME
ELECTRICIAN Ill
DATE
PRPTNArE ee �. / Neiy .
800 7IdI/%
Seminole Road,Adantio Beach FL 32233
Phone:(904)747-5826 Fax:(904)247-5845 hgae w v coati us revised 11.29.06