S526 ATLANTIC BEACH CT - EARLY POWER 05/07/2019 11:01 9042609688 TRICOUNTY PAGE 01/01
5'
/ �t� *t,�it EJ-MY POWER AGREEMENT & RELEASE
li: 4_ n»� s a CITY OF ATLANTIC BEACH
Eloi;tric power isIrcquested now under the conditions and terms of this Mly executed Agreement&Release
Job Address; /1 ,`c 0-]„-� C 1,) I)t- ' gClii---"-- e
CC
Pcrhiit No, L Rt..+5 IS --.036_„3 3( Service Type(Circle One); Overhe,d Underground'
i
We.the undersigned General Contractor and Eleotricinn,understand and agree:
1. `Early Powe." is,purely for our t construction convenience, it is not required by Codes and does not
®ub as nucf i nt he dip rction of tthehe Attild(Certificate Officiof Occupancy)that must be issued bef'oro occupancy,
2, The City of. tientic Beach will make a special inspection prior tothe early power energizing,n All rough
inspections n est have prior Approval,Mcluding meter base connections.
•
3, Occupancy r r use of the new construction before a formal 0/0 constitutes f audillcnt use of the earl
elect`ie sere ce. Such action is expressly pCehibited, and penalized by The City of Atlantic Beae�t
Ordinances. A violation of,this Agreement shall result in a request for prompt removal of elects•ic service
atter a twent;-four hour notice.
4. ",Early Powo'"release authority i the Elcclr(eian and/or the Contractor and must not occur before:
Equi meat,devices and mixtures ars installed or(hien cd o safely.
b. Pane i3 complete with breakers and cover,an�(labeling required tiyt final inspection),
c, Seri,co connection and Bounding is complete,
d, The.leotrie system has safely passed through electrical check.
o, Matt can.s permanently mar1red with address.
f, Tem;•orary address numbers displayed(Permanent immbers are required for C/O).
S. This fully co.. plotod form is to be submitted to the Building Deportment by hand,mall or fax.
6. Future such(Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR, , a& DATE 5— 3 — )9
PRINT NAME S_ 0 tik:r.v ` i\<;' . .;
ELECTRICIAN i - • .' ` DATE 5 _ 3 — )9
PRINT NAME V i� v L-•• -Li, /r
800 Screinolo Road,Atlantic ocli;!L32233 •
-
P:one:(904)247-5326 Fax:(904)2(17•584s '•ittp;Uwww,coab,ue revised Cl.30 09
i
SU"
l_ .AC.'‘
C.,