87 W 4th - Early Power Release ..
EARLY POWER AGREEMENT & RELEASE
.< CITY OF ATLANTIC BEACH
. under the conditions and terms of this lolly executed Agreement & Release
Electnc power is requested now
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Job Address: '- pverhead ndera oared
Service Type(Circle One):
permit No. "�
�i C,3� 7
we,the undersigned General Contractor and Electrical Contractor•undersand and agree: red does not
1. `Early Power"is purely for our construction convenience,itis not required b}
Codec,a
or Final Inspections or the Ci0(Certificate of Occupiincy�that mu t be issued before occupancy,
substitute for
and as such is at the discretion of the Building will make a.specialj All roush
g.
of Atlantic Beach kinspection prior to the early power ene
3.The Cilrfizint
inspec:t►ons must have prior Approval,mcludmg meter base connections.
e early
and penalized by The City of At Beach
ccu ane or use of the new construction beforeaf rmalpen constitutes fraudulent use f e h ric service
3.O ectfic service. Such action is expressly prohibited
Ordinaiuenty--four hour of notice. occur
shall result in a request for prompt rem
after a
4."Early power"release authority fthe ixtures are installed(or blanked off)safeltractor and .must not occur before:
a. Equipment,devices
b. Panel is complete with breakers and cover,and(labeling required at final inspection)-
b.
C. Service connection and grounding is complete.
d. The electric system has safely passed thorough electrical check.
C. Meter can is permanently marked with address.
f. Temporary address numbers displayed(permanent numbers are required for C%O).
5."Chis fully completed form is to be submitted to the Building Department by hand. mail or fax.
b. Future such Agreements will not be accepted from those-.sho violate any one of the above items.
11/29/2017
DATE_
CONTRACTOR
Kevin martin
PRINT NAME_
DATES`
ELECTRICAL CONTRACTOR.
PRINT
800 Seminole Road,Atlantic Beach Fl.32233 Phone:(()04)247-5826 Fax:
(904)247-5345hrrf�:`,�µu;.coah•us revised 06 0? 16