971 Paradise Circle EARLY POWER EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: /G 7I /Y ntf .r��L5P 1 CCP
Permit No. 16-CfZ L- 1. S r / Service Type(Circle One): Overhead derground
We,the undersigned General Contractor and Electrician,understand and agree:
I. "Early Power" ispurely for our construction convenience, it is rr required by Codes and does not
substitute for Final Inspections or the C/O(Certificate of Occupancy) at must be issued bekm- 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 or use of the new construction befo e a formal C/O constitutes fraudulent use of the early
electric service. Such action is expressly pro�iibited and penalizeA by The City of Atlantic Beach
Ordinances. A violation of this Agreement shall result in a request ffor 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:
e_ 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.
E 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 anyone of the above items.
CONTRACTOR DATE 10/4/2016
PRINT NAME Slav Polis
ELECTRICIAN •� DATE '/ od ab/6
PRINTNAME
Ft7P.✓r t,., c h
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247.5826 Fax:(904)247-5945 hnpi//.v.cuab.ns revised013009