1067 Beach Ave early power release ' 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 l5
Permit No. iq S / 7- C'�U� Service Type(Circle One): Overhead =ndergrourid
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
substitute for Final Tnspections or the C/O (Certificate of Occupancyf Tit at 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 to the 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
Ordinanservice.vio atiion of this Agreement shall esult in and
drequest penalized
The al of Atlantic
service
after a twenty-four hour notice.
4. "Early Powerp'release authority is the Electrician and/or the Contractor and must not occur before:
b. Panel its complete with brand eakers and lover,ant(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 anyone of the above items.
CONTRACTOR_��j =PDATE 14V// -7117
PRINTNAME -
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ELECTRICIAN DATE to r 7- r-7
PRINT NAME _'N r✓I
800 Seminole Road,Atlantic Beach FL 32233
Phone.(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 0130 09