771 PARADISE LN - EARLY POWER T 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: NI n Raro,A�� LQ�Q
r
Permit No.'"S' ) - 0 3 1 Service Type(Circle One): Overhead '- derground
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 Final-Inspections or the C/O(Certificate of Occupancy7fiat must be issued before occupancy,
and as such is at the discretion of the Building Official.
2. he City ofs Atlantic
tl hticeeprach will make
ale,a spec g inspectionase prior to one.early power energizing. All rough
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early
electnc 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 off)safely.
b. Panel is complete with breakers and cover,and(labeling required at final inspection).
c. Service connection and grounding is complete.
e. The
caniisspermanentlyamarked with addreselectrical check.
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 Agre ents will not accepted from those who violate any one of the above items.
CONTRACTOR (' { (11 Sick/5 DATE Z �CJ
PRINT NAME 7-`(p `j�,K.])Q'''S
/ P iig
ELECTRICIAN DATE I-2-+
PRINT NAME 'frit./
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 01 30 09