55 Simmons ERES18-0384 •
J 1 l
r-9:
-- EARLY POWER AGREEMENT & RELEASE
4ito CITY OF ATLANTIC BEACH
."40.219
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address:
)iinrnen3 Q.ck
Permit No. E1 kS `Sj- 0-) V1. Service Type(Circle One): 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 Codes and does not
substitute
ubstid sucfh r Final te discretion of tthe he Building/O(CertificateOfficial.of Occupancyjffiat must be issued before occupancy,
a
2. The
City of
must tic Beachr will make
ke a speciale ing meter tion prior tot the early power energizing. All rough
insp
pr
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
Oina twenty-four ohour noticeAgreement shall result in a request for prompt removal of electric service
afterty fou
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.
0 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.
.---\.CC
CONTRACTORPhCA(...f-' Orr
\-r• DATE \-).,2- \e/
PRINT NAME
-�-
ELECTRICIAN 0 1 -r \ l YyY> DATE `- 1 9
PRINT NAME
0
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http:/Iwww.coab.us revised 01 30 09