91 W 4th - Early Power Release EARLY POWER AGREEMENT & RELEASF
CITY OF ATLANTIC BEACH
Electric power is requested Inow under the conditions and terns of this fully executed Agreement& Release
Job Address:_ 1 I (,V Sf' -"T r �ic &
r( 1 i
Permit No. ES )7 "01 SG Service Type(Circle One):Overhead nderground
We, the undersigned Generdl Contractor and Electrical Contractor,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 CIO(Certificate of Occupancy that must be issued before occupancy.
and as such is at the discretion of the Building Official.
2. "fhe 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
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 andfor the Contractor and must riot 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 thorough electrical check.
e. Meter can is permanently marked with address.
f. Temporary address numbers displayed(Permanent numbers are required for CIO).
5.Tltis ful IN,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.
-/!�y 11/29/2017
CONTRACTOR DATE
Kevin martin
PRINT NAME__
El FCTRICAI- CONTRACTORjLi!_ L t �. '__--__ PATE '
PRINT NAME"
800 Seminole Road,Atlantic Beach FL 32233 Phone:(904)247-5826 Fax:
(904)247-5845 http;_'«wxv.coah.us revised 06 02 16