340 Ocean Blvd early power release 03128/2018 18: 44 904-2490703 BROOKS AND LIMBUAGH PAGE 01101
EARLY POWER AGREEMENT &
Ono ` RELEASE
.
SE
"O .' `,'.,, CITE'
OF ATLANTIC BrACH
Electric power is requested now under the eoaiditions and terms of this fully executed.Agreement&Release
Job Address: 'Llo
0
Permit No. Service Type(Circle One): Overhead Ud.e:r o
gr d
We, the undersigned General. Contractor and Electrician,understand and agree:
1. "Early Power" is purely for our construction convenience, it is n t required by Codes and does not
substitute for Final inspections or the C/O (Certificate of Occupancy)that must be issued bekore occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will snake a special inspection prior tothe early power energizing. All rough
inspections crust.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
Ordinances to violation of this A ceitaent shall rci sultdin a requestzfordprboynpt removal of ltect is sory ce
after a twee four hour notice.
ty-four
4. "Early Power".release authority is the Electrician acid/or the Contractor and must not occur before:
a. Equiwent, devices and fixtures arc installed(or blanked off)safely,
b. Panel is complete with breakers and cover, and (labeling required at final inspection).
e, Service connection and grounding is complete.
d. The electric system has safely passed through electrical check.
e. Meter canis e.rrnanently 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 from those who violate any one of the above items.
CONTRACTOR / --- DATE
PRINT NAME
ELECTRICIAN DATE
PRINT NAME Jh,
800 Semin...ole Road,Atlantic Beach Fi 32233
Phone: (904)247.5826 Fax.(904)247-5845 htth://www,coa,b.us revised 01 09