60 OCEAN BLVD EARLY POWER From:9047371099 05/14/2015 13:55 M9110 P.002/002
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:
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Permit No. / Z-r �/ Service Type(Circle One): Overhead rider o
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is ppurely for our construction convenience, it is % required by Codes and does
substrmte for Finallnspections or the C/O(Certificate of Occupancy at 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 early
electric service. Such action is expressly prohibited, and penalized by The City of Atlantic Beacb
Ordinances. A violation of this Agreement shall result 1n 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. Bquipmem,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.
d. The electric system has safely passed through electrical check.
e. Meter can is permanent]y 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 anyone of the above items.
CONTRA
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PRINTNAME
ELECTRICIAN GC,. DATE
PRINT NAMEx, --
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.cmb.us revised 0130 09