398 11th Street EARLY POWER EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
rr 9
Electric power is requested now under the conditions aan�d�teerrms of this fully executed'/vA'�greemrnt&./Release
Job Address: �J(IlIQ ,Ni
i fr `� vKJ�r�' O\ * ` �. !/z
Permit No. 5— YM�7) Ci `�l R S Service Type(Circle One): Overhead Undergromd
We,the undersigned General Connector and Electrician,understand and agree:
I. "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 OccupancyT fiat must be issued be{ore 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 C/O constitutes fraudulent use of the early
ement
electric service. Such action is expressly prohibited, and penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreshall result to a request for prompt removal of electric service
atter a twenty-four hour notice.
4. "Early Power"release authority is the Electrician and/or the Contractor and most not occur before:
a. Equipment,devices and fixtures are installed(or blanked off)safely.
b. Panel is complete with breakers and cover,and(labeling required at final inspection).
c. Service connection and grounding is complete.
I The electric system has safely passed through electrical check.
e. Meter can is pennanrntly 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.
CONTRACTOAAC�1 ^ � DATE �S
PRB4T NAME l V O� O `n 1 1nI
ELECTRICIAN DATE �S
PRWTNAME
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 In:(904)247-5845 httpl/www.coab.us raised 01 3009