345 6th St early power 2013 May 27 13 04:06p p.1
EARLY POWER AGREEMENT & RELEAS
CITY OF ATLANTIC BEACH
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Electric power is requested now under the conditions and terms of this fully executed Agr ement&Release
Job Address:
31-IS �Tu jTQ�C i AT-I- N,�JTIL Z6 F
Permit No. 'Z-— g �� 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 CIO(Certificate of OccupancyT at must be iss ied 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 aergizing. 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 fraudi lent use of the early
electric service. Such action is expressly prohibited and penalized by The CDy- of Atlantic Beach
Ordinances. A violation of this Agreement shall result in a request for prompt reme val of electric service
after a twenty-four hour notice.
4. "Early Power"release authority is the Electrician-and/or the Contractor and must not o cur 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 ins ction).
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. This fully completed form is to be submitted to the Building Department by hand,mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of th e above items.
coNTRAcroR M C A-,J C&j L� civ 1 U V)E23 (AL( DATE SJ Z$ 13
PRINT NAME LCO k)fAQ-b W. M cq�E.ry Y
ELECTRICIART (-\L.L C Lf-'C-r2ICAL COLIRACI*SDATE S1 d' 113
PRINT NAME M LIQ IL nn LAX JELL
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http:llwwwcoab.as revised 01 30 09