381 5TH ST - EARLY POWER 1p EARLY POWER AG ' EMENT & RELEASE
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J �r CITY OF AT ANTIC BEACH
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Electric power is requested now under the conditions a d terms of this fully executed Agreement&Release
Job Address: c9 6
Permit No. / c/ Service, Type(Circle One): Overhead Underground
`
We,the undersigned General Contractor and Electrical ontractor, understand and agree:
1. `Early Power"is purely for our construction convenience it is not required by Codes, and does not
substitute for Final Inspections or the C/O(Certifica e of Occupancy)that must be isued before occupancy,
and as such is at the discretion of the Building Offic al.
2. The City of Atlantic Beach will make a special inspe. ion prior to the early power energizing. All rough
inspections must have prior Approval,including met: base connections.
3. Occupancy or use of the new construction before a fo I al C/O constitutes fraudulent use of the early
electric service. Such action is expressly prohibited d penalized by The City of Atlantic Beach
Ordinances.A violation of this Agreement shall resul lin a request for prompt removal of electric service
after a twenty-four hour notice.
4. "Early Power"release authority is the Electrician and ,r 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, a,11c1(labeling required at final inspection).
c. Service connection and grounding is complete.
d. The electric system has safely passed throug electrical check.
e. Meter can is permanently marked with addre s.
f. Temporary address numbers displayed(Perm' ent numbers are required for C/O).
5. This fully completed form is to be submitted to the B 'lding Department by hand,mail or fax.
6.Future such Agreements will not be accepted from hose who violate any one of the above items.
71 CONTRACTOR l h, Pw-rei
U'f�a7D ATE �.d
PRINT NAME ✓
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ELECTRICAL CONTRACTOR f fir�'1e t-- Rif
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PRINT NAME � fvt. 114 4.-
800 Seminole Road,Atlantic Beach FL 32233 Phone:(904)247-5826 Fax:
(904)247-5845 http://www.coab.us revised 01 30 09