630 ORCHID EP LETTER 10/1112013 16:32 904-2490703 BROOKS AND LIMBUAGH PAGE 01101
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: g„
Permit No. 1 ~ 9L50 �? service Type(Circle One): Overhead Un4 ground
We,the undersigned General Contractor and Electrician,understand and agree:
I. "Early Power" is pvrely for our construction convenience, it is of required 1?Y Codes and docs not
substitute for Final Inspections or the C/O(Certificate of Occupancy�at 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 tothe early power energizing. All rough
inspections must have prior Approval,including meter base connections.
I Occupancy or use of file new construction before a formai C/O constitutes fraudulent use of the earl
electric service. Such action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances. A violation Vfthis 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 of)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.
e, Meter can is�ermanentiy 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,trail or. fax.
6. Futiare such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR
c DATA
PRINT NAME i39 4e
ELECTRICIAN DATE ! �t
PRINT NAME
800 Seminole Road,Atlantic Beach FL 32283
Phone:(904)247-5826 Fax:(901)247.5845 littp://wm,w_coabbus revised 0130 09