Early Power Form 5817 Fleet Landing 2010 From:American Electrical Contract 9047371099 10/07/2010 13;23 #100 P.001/001
EARLY POWER AGREEMENT & RELEASE
CITE'OF ATLANTXC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address:
Ind 5613 661-7 Fl-er - 1-undlrl,�lyd A+la.ni- r t3 2 _ 33
Permit No. twl qn� / '� Service Type(Circle One): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is purely for our construction convenience, it is not required by Codes,, and does not
substitute for Final Inspections or the C/O(Certificate of Occupancy3—15at 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 C/O constitutes fraudulent use of theearly
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. -Early Power"release authority is the Electrician and/or the Contractor and must not occur before:
a. Equipment,devices and fixtures are installed(or blanked o�safely.
b. Pane]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. .Pay$300.administration fee,any reinspection fees and any outstanding requirements must be satisfied prior
to release.
6. This fully completed form is to be submitted to the Building Department by hand,mail or fax.
7. Future sarch Agree tints 'll not be accepted from those who violate any one of the above items.
CONTRACTOR _ DATE I f--7 — I Q
PRNTNAM �{tY S. dri Ltr�
l�
ELECTRICIAN DATE
PRINT NAME
900 Seminole Road,Atlantic Beach Fr 32233
Phone:(904)247-5826 Fax:(904)247-5845 http„//NyAmroab.us revised 11.29.06