382 7TH ST EARLY POWER 2015 }p 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 R'Z 44 caTT G ,*CA, rt T&Z.T-3
Permit No. /4/-00too 12 l Z.__
--.- Service Type(Circle one): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree:
Codes and does
1. "Early PowerF is purely for our construction convenience, it is not required eissued before occupancy,
substitute for Final pinspectipns or the CIO(Certi�"cate of(}ccupatrey)'�Fi
and as such is at the discretion of the Buildmg Of#�icial.
Z inspectionsfmust have prior Approval,including inspection
er base connerior ctions,the early
power energizing. Ail rough
3_ Occupancy qr use of the new construction before a formal C/O constitutes fraudulent use of the ear!
electric service. guch action is expressly prohibited and penal fordpromptoCity rem1 of Atlantic
Ecnt c sBrv��
Ordinances_ A violation of this Agreement shall result in a req
ice
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. Panel is complete with breakets and cover,and(labeling required rrt final inspection).
c. Service connection and grounding is complete.
c. The
teranris permahas
ntlsyafmarked with ddreselectrical check.
f Temporary address num�crs displayed(Permanent numbers are required for C/O).
5, This fully completed form is to be submitted to the Building Department by band,mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR
DATE
PRINT NAME j4P4111K / ���-!•"�
ELECTRICIAN DATE
PRINT NAME
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5$45 http://www,coab,us revised 01 30 09