1697 Atlantic Beach Dr early power release I JUL 25 2017
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EARLY POWER AGREEMENT& RELEASE
CITY OF ATLANTIC BEACH -
Electric power is requested now under the conditions and terms ofthis fully executed Agreement dt Release
Job Address:\
Perm(t No. Il-SQQ.- \k41.. Service Typo(Cirek One): Overhead Underground
We,the undersigned Geneml Contractor and Electrician,understand and agree:
I. "Earl Power" is urely for our construction convenience, it is Qp( required liy Codes and does gel
subst�(utefor Final plr jrtiow orthe GO(Cerlifatj of Occupancy lt must be issued before occupancy,
andassmhisatthe I rationofthe Builpdoomg Officia. pn
2, repeUionsfmoet haveprlcohApprovekl,mclUding memr�(rase conn ciionf early Power energizing. All rough
3. Occupancy or use of he new construction being F formal CIO £onatitutes fraudulent or of the ead�
de Inc service. Sue action Is expressly pro t�(tilted and penalized by The city of Atlantic Bac
Ordinances. A violation of this Agreement shall result in a request
far prompt removal of electric service
after a twenty-four hour notice.
4. "Early Power'release authmity is the Electrician ad/or the Contractor and most not occur before:
a. Equi main devices and futures are installed(or banked off)safely.
b. Panel is camplele with breakers and cover and(la cling required at final inspection).
c. Service connection and grounding is comphete.
d. Ilia electric system has safely passed throuugh electrical check.
Fp Meter an is permanci ll marked will sdtl as.
f Temporary address num�ers displayer)(Permanent numbers are required for GO).
5. This fully 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 out of the above item.
CONTRACTOR DATE -
PRINTNAME
ELECTRICIAN pp C— DATE
PRINT NAM
900 Seminole Road,Adaptic Beach FL 32273
Phone:(904)247-5826 Fu:(904)247-5845 hupWwwwcoab.us revind013009