1380 Camelia St early power release r EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement& Release
Job Address: �g �t a J���a�1 t �p t 3-LZ33
Permit No. T« _�.� L L(� Service Type(Circle One): Overhea Underground
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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 FinalInspectionsor the C/O(Certificate of OccupancyTTRat must be issued be('ore 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
electric service. Such action is expressly prohibitedand penalized by The City of Atlantic Beach
i
Ordinances. A violation of this Agreement shall result n a request for prompt removal of electric service
after a twenty-four hour notice.
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.
f. Temporary address numbers displayed(Permanent numbers arc 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.
< _ I
CONTRACTOR DATE ! Y
PRINT NAME. ( � CL✓ 1
ELECTRICIAN -!W/
DATE j
PRINTNAME � �C��� \�ZeJC
800 Seminole Road,Atlantic beach FI.32233
Phone:(904)247-5826 Fax:(9(4)247-5845 http:/i\N-ww.coab.us revised 01 3009