275 SHERRY DR - EARLY POWER - _ EARLY POWER AGREEMENT & RELEASE
- 1CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: 0 //L `( _rr
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Permit No.
Z6 Service Type(Circle One): Overhead I:nderground
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 not
sand as such for Finalh is atthe discretion an ofttre BuildingC/ Certifficate of Occupancy�t must be issued before occupancti'.
2. The City of Atlantic Beach will make special inspection prior to the early power eyerg�izing. All rough
inspections must have prior Approval.including meter base connections.
II, 3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent l�fAtlanticof the h
electric service. Such action is expressly prohibited, and penalizedby
Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service
after a twenty-four hour notice.
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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 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.
t. 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 frost those who violate any one of the above items.
CONTRACTOR 4 (_ -- — DATE oiss... 6/
PRINTNAME '-r�, Kvv4 n) Q\D*J1IJ
ELECTRICIAN ►efr• �Cu�(1.(- A[/ e kDATE (,/ota- —G-
PRINT NAM[
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800 Seminole Road.Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 :lap: _: _ revised 01 30 09