1241 OCEAN BLVD EP LTR EARLY POWER AGREEMENT & RELEASE
OTY OF ATLAN'Tic BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: 1�ql
6 C E� /710 j
Permit No. N- 1019 Service Type(Circle One): Overhea Underground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" isurely for our construction convenience, it is not required by Codes and does not
substitute for Finalpinspections or the CIO(Certificate of OeeupancyTMat 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 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 CIO constitutes fraudulent use of the earlyy
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 and/or the Contractor and must not occur before:
a. Equipment,devices and fixtures are installed(or blanked off)safely.
b. Pane! 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 ispermanently 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 front those who violate any one of the above items.
CONTRACTOR DATE
PRINT NAME _
ELECTRICIAN DATE
PRINT NAME St ivc- ry, �J►
800 Seminole Road,Atlantic Beach FL.32233
Phone:(904)247-5826 Pax:(904)247-5845 http-//www.00ab.us revised 01 30 09