340 8TH ST EARLY POWER EARLY POWER:AGREEMENT&RELEASE
-/7 CITY OF ATLANTIC BEACH
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Electric power is requested now under theconclitions and ems of this fully executed.Agire.errient.&Release
Job Address:
Permit No. 5.(-16Z. 'Z.50 ervice Type:(Ci-tele One):: Overia ridergound
We.the undersigned General Contractor.and Electrician.I clers-tand and wee:
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I. "Early. Power- is. purely,purely for our.construction con enidzice. Et: not required bvCodes- , and does mot
substitute for Finalinspectionsor theorolcertific4t- of 0c6.1pgteyrfpt must be issued before occupanZy.
and assuchis at thediscretion of the.BuildingOffici.1
2.. The City of:Atlantic Beach will,inake a special ins I•ction pier to the early power energizing. nauet
inspections must havepriar Approval,iriehiding m• base connections_
3Occupancy or use orthe construction before d formal C/O constitutes fraudulent use of the early
electric service. Such action is expressly prohi ',ed and penalized by The. Citv of Atlantic Beach
Ordinances.' A violation of this.Agreement shall:- It inn.request for prompt removal-of electric service
after a twenty-four hour notice.
4. "Early POwer7 release authority is the El andior the Contractor ant/must not occur before:
a: Equipment,devices and fixtures are installed Or blanked off)safely
Panel is complete with breakers and-cover-and(labeling required at final inspection),
• c. service connection and groundingis comPlete.
d. The electric System has safely passedthrough electrical cheek.
e.. Metercanis nem-lane:rift mairktedwith address_
f. Temporary.-addressnuniberSdisplayed(Pennanent numbeirSare required.for CIO).
5. This felly completed form is to besubmitted to theBailding,Department by hand,mail or fax.%
6. Future such Agreements will riot he accepted from those who violate any one of the above items• -
c5;)
COIS: irTRACTOR DATE
PRINT NAME 1Pk.) %SW&
ELECTRICIAN - . DATEe 7
PRINT NAME-
806 Sentimale Reed_Atlantic Beach EL 32233
Phone:.(9U4247-5$26 Faxt,(904-14T5S.1.5 revisetl01 30 09
10/04/2017 15:16 ' 9642963471 ALLSTATE ELECTRIC PAGE 01/61
/45656
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'.4''! A -. ' ': EARLY OWEAGAIEMEp & E EASE
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CITY OF ATI),NTJC VE.ACUI
Electric power is requested now,under the conditions.and terms of this iblly executed Alreemerit& Release
Job Address; 00) 1)A
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Pam it No. &,,,:___,.•Z- service Type•(Cirele•One); (' verheadit�deraroutad
We, the.undersigned General Contractor arid Electrician_ tiiderstand and agree:
1., "Early po,,,vor is ppurely for our. .construction convenience, ftis..noi required by 'Codes. And dries n�rf
substitute for Final-1rispectiot�s or the C"iOICei-ttticat c Ocaupancl'rtEat must be issued be'foie gccupanr,
and as such 15 at the discretion of the 8uildine Official,
2. The City of Atlantic Bedell will,make'.a•special inspection prior to.the early pi.lwer enc rgiLing. All rough•
inspections musthave prior.Approv=al. including met r base connections. •
3. Occupancy or use of'Elie new Construction before formal CIG constitutes 'fraudulent use, of the adv•
electric service. Such ae.ti.on .is e\prtssl 'probrllied and penalized. by The Citi, of, Atlantic 13e'ach -
Ordinances. A Violation of this.Agreement shall re ult in a request for prompt ren1oval•of cicctrio serkice
caltei•a twenty-four hour notice.
4. '`Early Power"release authority is the•'Electrician au ,.ar the Contractor and must not•Qcctrr be:tcare:
.t_ Equipment.devices and fixtures•are installed(or blanked oft)safer•.
b. Panel 16 complete v ith.breakers and cover,6 d(labeling,required•at•finai inspection).
c:. Serkrice•cq tnectro.n and groiind na is complete.
d. The electric system Stas safely passed through electrical,check.
e. 'Meter can i, erManeittl 'tna,rked with adtlt e4s.
f Tempoiar'y address numbers diviaved,(Perri anent numbers are required for CYO).
5, This fully completed Fenn is to b�e;subntitted to the t3';ilding Department b}'•band,mail or fas•.,
6. Vuturrr,:such A reeii eut$•3,•itl not be•seeepted Eiden those who°�7io1ate ilii 'one of the abo've,items-
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CO ,TRA "I C)R D:-�'l 1 r
r t,r;C't"E iCIAN9#1•224? r''. al .. -•'' .---• DtvrE. OCT Q 4 2017
PRINT NAM i 17/9-17 Z kii a-1 A --• ee//3
00'Se)ninole Read_Atlantic beach FL 32233
Phone;•t004)147-5826 .Fak:(900247-580'• -.1..a' :,i-,,.•. ":M;;_;:.;. revlsedl••07•3,0 09