2011 early power form 1839 Taylor 08130/2011 15:56 904-2490703 BROOKS AND LIMBUAGH PAGE 01102
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
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Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address:
Permit No. I Service Type(Circle One): Overhead derground,
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power'",is 1pg�rrely for our construction convenience, it is of required by Codes and does not
substitute for FhW spections or the C/O(Certificate of 0ecupancy bat 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 format C/O constitutes fraudulent use of the earl
electric service. Such action is expressly prohibited and penalized by The City of Atlantic Beaci
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.. Equ ment,devices and fixtures are installed(or blanked o�safety,
b. Pane is coinplete with breakers and cover,an (labeling required at final inspection).
c. Service connection and grounding is complete.
d. The electric system has safely passed through electrical cheep.
e. Ivicter can is permanently marked with address.
f. Temporary a dress numtsers displayed(permanent numbers are required for CIO).
5. This fully completed fbtm is to be submitted to the Building Department by hand,mail or fart.
6. Future such Agreements will not be accepted from those who violate any out of the above items.
CONTRACTOR DATE )I
e 2.11
PRINT NAME C ,
ELECTRICIANDA'R'E
PPJNT NAME
goo Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 hil..p://www,coab.us revised 01 30 09