366 10th St early power 2013 Elite Homes, Inc 9042419748 p.1
i% EARLY POWER AGREEMENT & RELEASE
V CITY OF ATLANTIC ]BEACH 2 ,
i: I J
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: �� 5—
Permit No. �"�'" r G rl2 90 2 Service Type(Circle One): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is ppurely for our construction convenience, it is not required by Codes and does not
substitute for 1=inallnspections or the C/O (Certificate of0ecupaneyTMat must be issued betbre occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will make a special inspection prior tothe 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 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. "Early Power"release authority is the Electrician andlor 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_
c. Meter can is Perniancady marked with address.
f. 'Temporary aadress numbers displayed(Permanent numbers are required for CIO).
5. This fully completed form is to be submitted to the Building Department by hand,mail or fax.
b- Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR __ .,._..-__.. . DATE ::�Z G-�; j
PRINT NA141E 4,, =
ELECTRICIAN DATE
MINT NAM IE JICYY�. 60, -F
800 Seminole Road, Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coob.us revised 01 38 09