110 SANDY BEACH LN - EARLY POWER 12/02/2015 16:27 904-2490703 BROOKS AND LIMBUAGH PAGE 01/11
J ' °' AGREEMENT RELEASE
, EARLY POWER A.GREEMEN
. ..:... .....; CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement& Release
Job Address: ` 1 0 S l C I r
I yy y 1 -
Permit No. k} 5- C r J . t Service Type (Circle One): Overhead nd" erground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is purely for our construction convenience, it is not required by Codes and does not
substitute ucfo i ni spec io ns r the Building/ C(Certificate of Occupancy}fiiiat must be issued before occupancy,
2. The Co f Atlanti Beach make special teese ior to the early power energizing. All rough
inspections must have P rApP ro � igmeba 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 Beach
Ordinances. A. violation of this Agreement shall result its 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 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 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.
CONTRACT / \ �4-t f - DATE / Z " /
PRINT NAME _ ja h
ELECTRICIAN NA DATE L` 2 - 13
PRINT NAME , 1. . . &A
800 Seminole Road,Atlantic Beach FL 32233
Phone: (904)247-5826 Fax: (904)247-5845 http:/!www.coab_us revised 01 30 09