870 MAIN ST - EARLY POWER tp ]EARLY POWER AGREEMENT & ll I;gAS.,E
CITY OF ATLANTIC BEACIU!
Electric power is requested now under the conditions and terms of this Hilly executed Agreement&Release
Job Address: $�� In'�pt i •
Permit No. �6 ' ��J? Service Typo(Circle One): Overhead ndergroLind
We,the undersigned General Contractor and Electrician,understand and agree:
I. ")early Power" is purely for out- construction convenience, it is not xequired by Codes and does.not
substitute for Final Inspections or the GO(Certificate of Occupancy)-tliat must be issued before occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will make a special inspection prior tothe 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 earl
Ordinances.�A violat on of thus Agreement sh all res ltaand
adrequest for prompt removaloof Atlantic
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: Equi ment,devices and fixtures are installed(or blanked off)safely,
b. pane is complete with breakers and cover,an (labeling required at final inspection).
e. Service connection and grounding is complete.
d. The electric system has safely passed through electrical check.
e. Meter f. Temporarytaddr ssrnumbe disp,with address.
(Permanent numbers are required for C/O).
S. This fully completed form is to be submitted to the Building Department f,.v hand,mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR
L /_ 13ATE
PRINT NAME
ELECTRICIAN �^
DATE S`i6 li0
PRYNT NAME --------------------
800 Seminole Road,Atlantic Beach FL 3223.
Phonc:(904)247-5826 l=ax:(904)247-5845 http://WwW.coab.::s revised 0130 09