350 OCEAN BLVD - EARLY POWER $t I cd
,,,t;-WY 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: '3 Sia 0 ce L wt L
Permit No. {Ze5 Vi " 0 3' Service Type(Circle One): Overhead Underground
I B - C`` CD
We,the undersigned General Contractor and Electrician,understand and agree:
I.
substiituteofor Final Inspections orrthe CIO(Certificate of Occupancy arequired
must be issued Codes,
eforree occupannal
y,
and as such is at the discretion of the Building Official.
2. e City
iof Atlantic
Beach Approval,llmake
incspeciaing meterM000n prior
o neto the,early power energizing. All rough
inspectionsprior
3. Occupancy or use of the new construction before a formal GO constitutes fraudulent use of the early
electric service. Such action is expressly prohibitedand 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 installedor 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 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 's RoNit.4Q.44 Ct—• / •ATE gJ _71 ti
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PRINT NAME 1tiJ l oA� /
ELECTRICIAN V 0 5• t- (Sr • a GG1-O Lc- DATE ) a 7 t rr
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PRINT NAME •-o145 crt,sa --
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 01 30 09