1602 Maritime Oak Dr early power release1... 3S
r
y 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:
n
Permit -No_ _ (r7
Service Type (Circle Once): Overhead Underground
We, the undersigned General Contractor and Electrician, understand and agree:
1 • " Early Power" is Purely for our construction convenience, it is not required by Cedes, and does not
substitute for Final inspectlons or the C/O (Certificate of OccupancyT` tl'iat must be issued before occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will intake a special inspection prior to the early power energizing. All rough
inspections must have prior Approval, including teeter base connections.
3. Occupancy or use of the nevi= 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 and/or the Contractor and must not occur before:
a- Equipment, devices and fixtures are installed (or blanked offs safely.
b. Panel is complete with breakers and cover, and (labeling required final inspection).
c_ Service connection and grounding is complete.
d. The electric system has safely passed through electrical check -
e. ran ]permanently
ssnrd with Tempoaryadenumbs displayed Pmancnt 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 anyone of the above items.
C014"rRACTOR
PRINT NAME
ELECTRICIA
PRINT NAMT
DATE z� zo
DATE J
JIL
300 Seminole Road, Atlantic Beach FL 32233
Phone: (904)247-5826 Fax_ (904)247-5845 http://Iv'�Av.coab.us revised o] 30 04