213 OCEAN GATE DR - EARLY POWER 06/29/2016 15: 18 904-2490703 BROOKS AND LIMBUAGH PAGE 03/04
POWER AGREEMENT & RELEASE
EARLY
CITY OF ATLANTIC BEACH
...nom
Electric power is requested now under the conditions and terms•of this fully executed Agreement&Release
Job Address: r 1 di (C,- r•
Permit No. l 5 ^ Service Type (Circle One): Overheadnder u
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
substitute for Final Iii pections or the C/O(Certificate of Occupancy at must be issued before occupar
and as such is at the discretion of the Building Official.
2. ns�City
t ox°S of Atlantic
prlorhA p make
aleinclud�g meter base inspection prior to early power energizing. ,All ro
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the C.
electric service. Such action is expressly prohibited, and penalized by The City of Atlantic Be
Ordinances. A violation of this Agreement shall result m a request for prompt removal of electric ser
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 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.
CONTRACTOR )(,. ZE=-_ . _
DATE , ZCi ( (
PRINT NAME `l�
ELECTRICIAN IIMA DATE ZG
PRINT NAME 1 ,� • l . .'., .a
800 Seminole Road,Atlantic Beach PL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 01 30 09