1475 Main St ELPP19-0001 early power releaseEARLY POWER AGREEMENT & RELEASE
1
CITY OF ATL AN IC BEACH
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Electric power is requested now under the conditions and terms of this fully executed Agreement & Release
Job Address: I ` 4 -7 S +
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Permit No. C a to th 1 — C) O `3'5 Service Type (Circle One): Overhead Underground
We, the undersigned General Contractor and Electrician, understand and agree:
1. "Farb Power" is urely for our construction convenience, it is not required by Codes and does not
substitute for Final Inspections or the C/O (Certificate of OccupancyjTat must be issued before occupancy,
and as 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 energizing. All rough
inspections must have prior Approval, including meter base connections.
3. Occupancy or use of the new construction before a formal CIO constitutes fraudulent use of the early
electric service. Such action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service
after a twenty-four hour notice.
4. "Earle Power" release authority is the Electrician and/or the Contractor and must not occur before:
a: Equipment, devices and fixtures are installed (or blanked off) safely.
b. Panel is complete with breakers and cover, and (labeling required at final inspection).
c. Service connection and grounding is complete.
d. The electric system has safely passed through electrical check.
e. Meter can is permanently marked with address.
f. Temporary address numbers displayed (Permanent numbers are required for C/O).
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 one of the above items.
CONTRACTOR DATE
PRINT NANIE C •—
ELECTRICIAN 17/t101oll C�+ Dej Z � DATE zS 19
PRJNT NAME
800 Seminole Road, Atlantic Bei
Phone: (904)2475826 Fax: (904)247-5845 http
ANGELICA SAN MIGUEL
F Notzry Public - State o1 florid
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ADDITIONS or CORRECTIONS
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1 JOB ADDRESS DATE
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THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be made
before the job will be accepted.
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$55.00 REINSPECT FEE NO CHARGE
It is unlawful for any Carpenter, Contractor, Builder or other
persons, to cover or to cause to be covered, any part of the
work with flooring, lath, earth or other material, until the
proper inspector has had ample time to approve the
installation.
After additions or corrections have BLDG /
been made contact the Building Dept. ELEC {/
at 247-5814 for an inspection. Office MECH
hours are Monday through Friday PLMG
8:00 a.m.to 5:00 p.m.