1626 MARITIME OAK DR - EARLY POWER ,17
lb' x, EARLY POWER AGREEMENT & RELEASE
J T _ •.
";- CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement& Release
Job Address:
444 ovc tirP O
Permit No. r✓ee g7
(t 1 Service Type(Circle One): Overh ' d Underground
We,the undersigned General Contractor and Electrician, understand and agree:
1, "Early Power" is purely for our constructionconvenience, it is not required by Codes and does not
substitute for Final Inspections or the C/O(Certificate of Occupancyrthat must be issued betore occupancy,
and as such is at the discretion of the Building Official.
. npeosfAtlantic
tBeach
aoA make
esilinsptionconnections.riortohearly power energizing. All rough
City
hacp will meter
3. Occupancy qr use of the new construction before a formal C/O constitutes fraudulent use of the earl
Ordina service. iol do 1 of Ott s expressly
shall prohibited
in adrequestlzed forr prompt The of electric seec rvic�e
Ordrnaes. violation
hour notice. g
after a twenty-four4. "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 arc 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.
�. DATE
CONTRACTOR AL, :.!1
PRINT NAME / at . ," I 'e)•
4.3
ELECTRICIAN vG'L
DATE 7 -7-4,-16
PRINT NAME r
800 Seminole Road,Atlantic Seach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 01 30 09