1730 Park Terrace - Early Power Release 06/21/2017 17:21 9042609688 TRICOUNTY PAGE 01/01
EARLY POWE R AGREEMENT & RELEASE
CITY OF ATLAN171C BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement& Release
Job Address-
-Te- 57-
Permit No, 1 1-7—X-/ Service Type (Circle One): Overhead Underground
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 Zol
substitute for Final Inspections or the C/o(Certificate of OccupancyTMat must be issued before occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will inal<e a special inspection prior to the early power energizing. All roughinspections must have prior Approval, including meter bitse connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use Of the earlV
electric service. Such action is expressly prohibited and penalized by The 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[lour notice,
4. "Early Power"release
authority,
is t
he El
ectrician
a
nd
/
or the Contractor and m
ust not occur be
The fore:a. Equipment,devices anfixtures are installed (or blanked Off)safely.b. Panel i complete with breakers and cover,
Ove and (labelingrequiredat final inspection).eryice e?nnect,01andgrounding ` c01d. electric system has s felyI "ed -1rougI electrical
cheCk,e. Meter
Ca1isSel ManeTtl� malked withaddrsaf. 'emporalyadressnuners displayed
(Perm �cnt
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 thf3se who violate any one of the above items.
CONTRACTOR
DATE
PRINT NAME
SLECTRJCTAN DATE
PRINT NAME J�-e V, k-t
800 Seminole.Road, Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 11ttp://www.coab,us revised 0l 30 09