Early Power Form 342 5th St 2011 Sep 07 11 12:27p Elite Homes, Inc. 904 -241- 9748 p.1
,a E • Y POWER AGREEMENT & RELEASE
. - ;f CITY OF ATLANTIC BEACH
Electric power is requ - -• now under the conditions and tenets of this fully executed Agreement & Release
Job Address: / - ST -Cr
Permit No. ii- U • *Iv Service Type (Circle Otte): Overh Underground
We, the undersigned . eral Contractor and Electrician, understand and agree:
1. "Early rower" is ly for our construction convenie ce, it is r required by Codes and does
substitute for Final spectipns or the G�(Certificate of Occupancy tat must be issued betiorq occupancy,
and as such is at th - • iscretton of the Building Official.
2. The City of Atlanti Beach will make a special inspection prior to the early power energizing. All rough
inspections must ha pnor Approval, including meter base connections.
3. Occupancy or use f the new goaso uctioa before s forma C/O constitutes fraudulent use of the early
e V c service. ph action is expressly prohibited and penalized by The City of Auntie Beac
a l ances. A vio • on of this Agreement shall result in a request for prompt removal of electric service
after a twenty ■ r notice.
4. "Early Power" rel . , e authority i the Electrician andlor the Contractor and must not occur before:
a. Equt ext • ices and is are installed (or blanked oft) safely.
b. Panel co , plops with breakers and cover, and (labeling required at final inspection).
c, Service co • an and grounding is complete.
d. The clean • stem has safely passed through electrical check.
e. Meter can i • : entl marked with address.
f. Temporary . • ss numbers displayed (Permanent numbers are required for CIO).
5. This fully complet form is to be submitted to the Building Department by hand, mail or fax.
6. Future mach Ag - : , eats will not be accepted from those who violate any one of the above items.
CONTRACTOR --c �` -w C� DATE y /i
PRINT NAME ( , Ail ;i - e-fr7 v:v
ELECTRICIAN -
DATE Jt 6 iot
PRINT NAME ' G r.t
800 Seminole Road. Atlantic Beach FL 32233
Phone: t 04)247.5826 Fax (904)247 -5845 http: / /www.coab.us revised 01 3009