355 Plaza 2014 early power 05/06/2014 11:14 904-2490703 BROOKS AND LIMBUAGH PAGE 01/01
EARLY POWER AGREEMENT & RELEASE
C4
CITY oF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this-fully executed Agreement&Release
Job Address:
Underground
lie; UnderSroi,
Service Type (Circle One): Lverhe
Port-nit No.
.
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 C/O (Certificate Of OCCUpaticyTffiat must be issued bekrc occupancy,
and is such is at the discretion of the Building Official.
2, The City of Atlantic Reach will inake 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 formal 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 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 1-le Electriciasi and/or the Contractor and must not occur before:
a. Equi rncnt,-devices Ad fixtures are installed(or blanked off} safely.
b. Panel is complete with br,ak6rs and cover, and (labeling required at final inspection).
c. Service connection and-g,,ounding is complete,
d, The electri(-, stem has sassed through electrical check.
ely P
C, Meter can is permanentl- narked with address, numbers are required for C/O).
f. Temporary address num, rs displayed (Permanent nui-n
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 the above items.
�
DAT"`c"
TE
CONTRACTOR
PRINT NAME
ELECTRICIAN DATE
PRINT NAME
800, Seminole Road,AtImitic Beach PL 32233
Phone: (904)2475826 Fax.(904)247-5845 httj)://www,c0&b revised 11.29.06