575 TIMBER BRIDGE LN - ERLY POWER 12/10/2015 08:33 3961136 MUNSONANDBRYAN PAGE 01/01
4. ' EARLY POWER AGREEMENT & RELEASE
5 � . r�....-;:r),:-11 %� CITY OF ATLANTIC BEACH
•
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
lob Address: S Ji.46e✓ B,,y ,-- L�/
Pernti:No. 15 /e 1(09-7 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 gat required t eliys Codes. and
substitute as sucks at the discretion discretion of thee CIO Official.of Occupancy}" fi
and as
2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough
including must have prior Approval, ncluding meter base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the earl"
electric service. Sucb action is expressly prohibited, andpenalized boym t Ci al of a la ne sBe cle
��r aantwent,'fou�hoiior notii�is A cement shall result in a r nest for p p
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.
I
1,4/.,, f- -�,r.) DATE / 1 • 7 .
CONTRACTOR
i
PRINT NAME
�,� , /ELECTRICIAN DATE v 0
P171NTNkME —.5D JC.401± Q
300 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http:l/www.coab.us revised 01 3009