396 11TH ST EARLY POWER From:BUSCO BUILDING CONTRACTORS INC 904 241 0326 04/25/2015 15: 12 #063 P.001/001
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
I!
Electric power is requested now under the conditions and
(terms of�this
,,ffu�lll�ylexewrte(d Agreement&Release
Job Address1:C�( \9 kk" ,' � ( 0C T�.F1ll' k t rc
Permit No. )J ' 1��rV,&- lJ"I Service Type(Circle One): OverheadUnderground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power' is purely for our construction convenience, it is nye required by Codes and does gQ(
subshtute for Final mspectlona or the C/O{Certificate of Occupancy)mat must be issued before occupancy,
end as each is m the discretion of the Building Oficial.
2. The City of Atlantic Beach will make a special inspection prior m,the early power energizing. All rough
inspections must have prior Approval,including meter base coanecnons.
3. Oce cy or use of the new construchon before a forms] C/O constitutes fraudulent use of the early
electPic 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-farm hour notice.
4. "Early Power"relcase authority is the Electrician and/or the Contractor and must not occur before:
a. Equi prpmt devices and fixtures are installed(or bleaked 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 eased through electrical check
e. Meter canis d mmkPed with address.
f. Temporary a= 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. Futmre each Agreements will not be accepted from those who violate any one of the above items.
CONIRACTO DATE ZS IS
PRINTNAME
ELECTRICIAN ) DATE
PRINTNAME �✓ 0 �,
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 In:(904)247-5845 harp://w .coab.us. revised 0130 09