13-3873 1 FLEET L. EP LTR S r�`l7jV�
r s, EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
will
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: _ �_A n� �1yd, `
Permit No. _1�5-0 039 Service Type(Circle One): Overhea Underground
We,the undersigned General Contractor and Electrician,understand and agree:
Codes and does not
1. "Early Power" is urely for our construction convenience, it is notarequired ebssued before occupancy,
and stuch is at�the a1scretion of the C/o
uilld(Certificate
ng O ccial of Occupancy�6t
2. The City of Atlantic Beach will make 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 early
electric service. Such action is express sW result
e�d naaa request
gqueeSstffo pr by iemo al of electric ser
vice
e
afterr a twenty-fur hour noticof e. Agreement
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 o$)safely.
b, Panel is complete with breakers and cover,ands(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 permanently marked with adient numbers are required for C/O).
f. Temporary address numbers displayed(P
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.
/ f
CONTRACTOR DATE �►CS�/K
PRINT NAME luR�
ELECTRICIAN DATE
PRINT NAME
goo Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 01 30 09