378 AQUATIC DR EARLY POWER 08-21-15; 10:28 ;From: To:92419037 ;9042475845 # 1/ 1
EARLY POWEJ[�..A,GP EE, & I�'E. :ASE
CITY OF AT L ANrT C BE'ACH%'
,tib v}
Electric power is requested now raider the conditions and terms of this fully executed Agreement&Release
Job Address: 2U wh,
c6CO2�h_
22
Permit No. ' e V' Service Type(Circle One): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree: '
1. "Early Power" is pttrely for our construction convenience, it is not required by Codes and does not
substitute for final Inspections or the C/O(Certificate of Occupancy) hat must be issued belorc 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 eonstieutes 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 authority is the Electrician and/or the Contractor and must not occur before:
a. Equipment,devices and fixtures are installed(or blanked oft)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 permanently marked with address.
f. 'temporary address numbers displayed(Permanent numbers are required for CIO).
5. This fully completed form is to be submitted to the Building Department k%,hand,mail or fax.
6. Future such Agreements will not be accepted from those who violate anyone of'the above iters.
CONTRACTOR DATE 2) Yb
PRINT NAME
ELECTRICIAN 1jarynAYCL DATE
PRINT NAME
800 Seminole Road,Atlantic Beach FL 322T
Phone:(904)247-5326 rax:(904)247-5845 littp://www.coab.!:s revised 01 30 09