2060 BEACH AVE - EARLY POWER (2) •
EARLY POWER AGREEMENT & RELEASE
a; ,
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
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Job Address: • •
Permit No. k G - k Service Type(Circle One): Overhead : ndergro d
We,the undersigned General Contractor and Electrician,understand and agree:
I. `Early Power" is purely for our construction convenience, it is not required by Codes i and does not
substitute for Final Inspections or the C/O (Certificate of OccupancyTiriat must be issued bebre occupancy,
and as such is at the discretion of the Building Official.
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2. The City of Atlantic Beach will make a special inspection prior tothe early power energizing. All rough
inspections must have prior Approval,including mefer base connections.
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 prohibitedand penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service
after a twenty-four hour notice.
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4. "Early Power"release authority is the Electrician and/or the Contractor and must not occur before:
a. Equipment,devices and fixtures are installedor 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).
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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.
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CONTRACTOR. ,Yaw • • 0 t - 1, !t t i"i. i , DATE ( "z3- .
PRINT NAME v• �, t.! ' ' • 1 'i C..
ELECTRICIAN , ✓ DATE Co --.11(.10
PRINT NAME `�aI A' et4(► Lnd.
- •Y TO THE ORDER • -
v C�Z{(O4,� KbFMAE- A
NEPTUNE B. H 32266-5108
FOR D -• • • ONLY'
800 Scminole Road,Atlantic Beach FL 32233 CRA ;-D ELE - AL
• 822
Jou ane:('i '247-5826 Fax:(904)247-5845 http://www.coab.us revised 01 1 '' �`'2�
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EC13002649
Po Box 51045
JACKSONVILLE BEACH FL 32250
PHONE (904) 241 -5591
FAX (904) 241 -9037
DATE: lU Z D
To: Pri-\ can ii c Lt ir' d-eet
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FAX #: (9104) 247 RI 4745
FROM: f
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NUMBER OE PAGES; INCLUDING COVER SHEET: 3
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