145 8TH ST - EARLY POWER Jul. 7. 2017 10: 50AM No. 4758 P. 1
:; EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
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Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address• L (,
Permit No. j .' E L E , - -61 ?a, Ser'v'ice Type(Circle One): Overlies l Jndergroun
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Powe?' is purely for our construction convenience, it is not required by Codes and does !g
substitute
uidsti such for
Final tInspections
cic do s or
f the B i0(Certificate iof Occupancyjffiat must be issued bellore occupancy,
2. The City of Atlantic Beach will makea special inspection prior tothe early power energizing. All rough
including must have prior Approval, 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 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 hour notice.
•
4. "Early power"release authority is die Electrician and/or the Contractor and must not occur before:
a. Equipment,devices and nxtures are installed(or blanked oft)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 by hand,mail or fax.
6, Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR Jeffrey Sellers, Construction Solutions, Inc.DATE 6/21/2017
PRINT NAME 1' .a: 1- 2EUt g..
;r1;
L+LECTRICIAN l -f DATE - cv r?
14
1
PRINT NAME Si t •
•.4' • .1r ifiC
_
f ` HOLLY>WALDEN
MY COMMISSION N 00044489
800 Seminole Road,Atlantic Beach FL 32233 1 EXPIRE$November 28,2020
Phone:(904)247-5826 Fax;(904)247-5845 http://wwm.coab.us re " � 01 30 09