110 SUNRISE CT - EARLY POWER 12/02/2015 16:27 904-2490703 BROOKS AND LIMBUAGH PAGE 04/11
EARLY AGREEMENT & RELEASE
�� �:-�"-si��•r`j`' LY POWER
' CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms-of this fully executed Agreement& Release
Job Address:
10 Ckn i S E
Permit No. Service Type (Circle One): Overhead Underground
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 for Final Inspections o or the C/O(Certificate f .of Occupancy at must be issued before occupancy,
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
electric Ordinances.service. Such action A Agreement prohibited arequestiforprom The em al of electric sere ce
Ordinances. A violation of P_�'
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 Founding is complete.
d. The electric system has safely passed through electrical check.
c. 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.
CONTRACTOR 'F'' . 4,0-- DATE / Z / 3
PRINT NAME ..
M , 1� IC
, DATE 2 Z
ELECTRICIAN } 1'�.i 1
PRINT NAME A- \t, 4 L-1
800 Seminole Road,Atlantic Beach FL 32233
Phone: (904)247-5826 Fax: (904)247-5845 http:/iwww.coab.us revised 01 30 09