217 OCEAN GATE DR - EARLY POWER 06/29/2016 15:18 904-2490703 BROOKS AMU LIP.IBUAGH PAGE 04/04
4:,:43.7.7.7_ .;.,,
"' ,.., EARLY POWER AGREEMENT & RELEASE
w ^A~ j� CITY OF ATLANTIC BEACH
A
Electric power is requested now under the conditions and terms•of this fully executed Agreement& Release
Job Address: Qcect.il GG l•
v
Permit No. - E\.1 e - Z5?_ _`-i.) Service Type(Circle One): Overhead 1.1rndergr is
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 Inspections or the C/O(Certificate of Occupancyf at must be issued before occupar
and as such is at the discretion of the Building Official.
2. heofAtltiBeahillmaleapcipebsnconnections.
rtothearly power energizing. All to
inspections cep Approval, including inspection
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the e
Ordinane .service.violation his lAgreementshpall prohibited
in and request forprompt1e removaloof electricctseaer
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 adress 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.
0 2q ) (4'
CONTRACTOR •, •-tib 4• -' DATE
PRINT NAME ,K L'-'---'-- }'��--i�— _`,�
/ (T , I DATE ��
ELECTRICIAN l to` -
PRINT NAME La t 4 �� fl l��C�"L'�`G'�) .
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 01 30 09