138 Ocean Gate Dr early power release 11/08/2017 18: 48 904-2490703 BROOKS AND LIMBUAGH PAGE 03/03
it EARLY PQWTR AGREEMENT & RrLEASE
CITY OF ATLANTIC BEACH
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Electric power is requested now under the conditions and terms of this :nilly executed Agreement:&.Rel.case
.lob Address, �'On� `� ��r _r
Permit No, � -s Service Type(Circle One): Overhead nderground
We, the undersigned General Contractor and Electrician, understand and agree:
1.. "Early Power" is purely for our constrOution convenience, it is not required by Codes and does not
substiha.t:c'for Final'l.nspectio.ns or the CIO(C`.Crtiricate oroccupaney)1110.1..inust be itiSUEd betbre occiipart y,
and ag such iS at the discretion of the Building Official,
2. The City of Atlantic .Beach will make-a. special inspection prior to the early power cner(*i7,ing, .All rough,
inspections roust have prior Approval,including meter base connection%.
3. Occupancy ar I= Of the new construction before EL formal C/O Constitutes fraudulent use of the Carlyy
electric wtvice. Such action is expressly prohibited and penalized by The City of Atlantic, Beacll
Ordinances, A violation of this Agrccment shall result: iii a rcduest for prompt removal of electric service
after a twenty-tour horn'notice.
4. "Early Power"release authority is the I lectricia.n and/or the Contractor and must not occur before:
a, Equi 7ment, devices and fixtures are'installed(pr blanked rift)safely.
b. I'�,inel is complete with brca.kers and cover,an I(labeling requb-ed at final inspection).
c. Service cottnCction and groanding i5 complete.,
d. The electric;system has safely passed through electrical Cheek.
o. Meter can is lieniiancritly marked with address.
I'. Ternponary address numbers displayed(Permanew nu.nibers are.required for C;/O),
5. This fully Completer] forrn is to be submitted to the Building Depa.rl.meoit by hand,mail or fax,
G. Future such Agreements will not be accepted from those who viplate any one of the above items,
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CONTRACTOR DAT � `�'
RRJNT NAME
ELEC'TitICTAN DATH
PRINT NAME 1.. Li m
900$cir.inole Rend, Atlantic Beach VL 32233
Phone: (904')247-5826 f i�x:(904)247-5845 Iittp://www,c(ittb.u,; iV08ccl 01 30 09