177 OCEAN GATE DR - EARLY POWER 09/14/2016 14:47 904-2490703 BROOKS AND LIMBUAGH PAGE 03/04
rT
0'
° ' ,
EARLY POWER AGREEMENT & RELEASE. : j
. --..
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: ,—I 1 -..____c_ce Gr
„ J+- _. ,.._.
Permit No. FL�c. - ( Service Type(Circle One): Overhead U der,ronnd
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 not
substitute for Final inspections or the C/O (Certificate of Qccupancy3`tTat 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 qr use of the new construction before a formal C/O constitutes fraudulent use of the early
electric service. Such action is expressly prohibited and penalized' by-sThe 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.
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 1,y hand,mail or:fax.
6. Future such Agreements will not he accepted from those who violate any one of the above items.
CONTRACTOR �.� DATE-.. zc \ 110
PRINT NAME
iELECTRTCI.ANEirip11101, DATE +
PRINT NAME \\ `► . l ry-1 e...L1...
800 Seminole Road,Atlantic Beach FL 3223'.
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.:;s revised 01 30 09