603 SELVA LAKES CIR - EARLY POWER •
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t : , EARLY POWER AGREEMENT & RELEASE
rj CITY OF ATLANTIC BEACH
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Electric power is requested now under the conditions and terns of this filly executed Agreement&Release
Job Address: 603 S(J
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Permit No. E K!=.S 1 7' 003 Service Type(Circle One): Overhead nderground '
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" isurely for our construction convenience, it is r required lly Codes and does Lt
substitute for Final Inspections or the C/O(Certificate of Occupancy)►teat 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 or 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 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 the Electrician and/or the Contractor and must not occur before:
a. Equipment,devices and fixtures 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.
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CONTRACTOR ,----2 DATE /2 q r
PRINT NAME j'),") -T-40e r l
ELECTRICIAN �‘...31L:ivice, i�'/Z oJ� DATE g ..'c t7'/7
PRINT NAME "r�i1/4 pcS (A< r�.
800 Seminole Road,Atlantic Beach FL
Phone:(904)247-5826 Fax:(904)247-5845 http://www.conh.us revised 01 30 09