129 Ocean Gate Dr - Early Power 1
EARL
Y POWER AGREEMENT & RELEASE
i
, , + �4 CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms. of this fully executed Agreement & Release
Job Address: ` OCeaxl C3-cd, Di LI
Perm it No. I T 1_15- C y i �� Service Type (Circle One): Overhead ndergroun
____
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
s d ti suc for Final d s p ectio n of the C/O l C Official of OccupancyrFiat must be issued be occupancy,
a 2. Atlantic
must have priohApprovaleincluding inspection r base connections early power energizing. All rough
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early
electric service. Such action is expressly prohibited an e
dpenalized by The i of
of Atlantic C service
Beach
Ordi A violation of this Agreement shall result in request prompt
after a twenty -four hour notice.
4►
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 isitomplete with breakers and cover, and (labeling required at fmal 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.
•
// �. L DATE 2 4 1 i Yc
CONTRACTOR
i
PRINT NAME 1 Pt_- v ,
� ,` ` (,/II I
i te - - ` DATE 21 4 I `l
ELECTRICIAN s k
PRINT NAME A.e, . tifnLctiAs
800 Seminole Road, Atlantic Beach FL 32233
Phone: (904)247 -5826 Fax: (904)247 -5845 http: / /www.coab.us revised 01 30 09