1042 BEACH AVE EARLY POWER 04/15/2015 08:17 904-2490703
BROOKS AND LIMBUAGH PAGE 01/01
�+ ARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC IBEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Rolease
Job Address:
Permit No. Service Type(Circle One): Overhead Underground
._V
We,the undersigned General Contractor and Electrician,understand and,agree:
1. "Early Poweel;is purely for our construction convenience, it is not required by Codes and does not
substitute
dsti such sattheiscretion of the C/O(Certificate
of OccupancyffCiat must be issued before occupancy,
z u�spoct ons£mul have eachprior ill a ein�cludicnlg meter cbaoso conneetions.�ly mower energizing. All rough
3. Occupancy or use of the new construction before a formal 0 constitutes fraudulent use of the early
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 authoril&is the Electrician and/or the Contractor and must not occur before:
a. Equipment,devices an fixtures are installed(or blanked off)safety.
b. Pane]is complete with breakers and cover,and(labeling required at final inspection).
c, Service connee4pri and grounding is complete.
d. The electric system has safely passed through electrical check.
e. Meter can is permanently 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 from those who violate any one of the above items.
�I
CONDATE A4
CONTRACTOR T.R.A•
PRINT NAME
ELECTRICIAN DATE
PRINT 14AME LLL
�..
goo Seminole Road,Atlantic Beach FL 32233
iota
Phone:(904)247-5826 Fax:(904)247-5845 //www.coab.us revised 11.29.06