350 3rd St early power release 1
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power Is requested now under the conditions and terns of this fully executed Agreement&Release
Job Address: ?5V
Permit No. J 1- Ty Service Type(Circle One): Overhead nderground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Earl Power" is unl for our oonstrupptt.�on ££onvenknce, it is required ¢y Codes and does w
subst(iute of Final pinsp�enons c She C/U{Certificate of Occupeney%at must be issued belbre occupancy,
and as suchis at the discretion o the Build ng tial.
2. The City of Atlantic Beach will make a special inspection Dilor to the early power energizing. All rough
inspections must have prior Approval, including meter base connections.
3. beta enc r use of the nfw gonstruction before a fprnal CJO conggtitt�te$_finu�iulent use of the early
elecbQe srv�ce, g$uqh action is expressly prohibited and penalizeG by The City of Atlantic Basch
Ordinances. Af vio at On of this Agreement shall result in a request for prompt removal of electric service
after a twenty- ow hour notice.
4. "Early Power"release authority i the Electrician and/or the ontractora�ndd must not occur before:
A. Equipment,deviws and f�xtures are inaWled(or bleu ed off)safely.
b. 1 is complete wnh breakers end cover,and(label ng req
I.. uired at final inspection).
Ice connection and"unding is cgmplete.
a etedric system hes a sly based through electrical check.
pp Meter can is ppermanently mar ed with address.
t. Temporary aadrcss numbers isplayed(Permanent numbers are required for C/O).
S. This fully completed form is to be submitted to the Building Department by hand,mall or fax.
6. firture such Agreements will not be accepted from those who violate guy one of the above losing.
CONTRACTOR I DATE —3
PRINT NAMEC tees )h
ELECTRICIAN DATE T-2-9-17
PRINT NAME
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Pax;(904)247.5845 http://www.wab.us revised 0130 09