2400 Seminole Rd ERES18-0328 early power release tri
J EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
--Q E itY'
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: x0.0
QD - 2_ cep-, /A az-6, C-Thu o 0.s
Permit No. E IBES f O b Z Service Type(Circle One): Overhead Underground 6•)0194\)
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 Occupancyjfliat must be issued before 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 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.
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 p{j !--�/`-' DATE 3-2o- /,
PRINT NAME P�-��/Lk— e ry
ELECTRICIAN / it t cje"-- S A(.71$Z, L f)— DATE . —
PRINT NAME // ^ 4 SL
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 01 30 09
.tIiik Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
J .- "' City of Atlantic Beach Building Department GRAY IS REQUIRED.
' 800 Seminole Rd, Atlantic Beach, FL 32233
�V
ws 9. Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ER ES 18-032
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: J -a2,--/
)ContProject Address: ' ) " --/- Sc. /r1 /No(( l� l'-
Contractor/Contact
ractor/Contact Name: 5 / -'t ff._/`' &eECT'1/ - /99-73-1/c. - .SAr9.v/_t�,/'—
Contact Phone:diO /'27— S"d /cr Email: .5V-%"9A-"4"-4.----A'. f«c y-j / of 6,,N41/4-/'- , Gi
Description of Proposed Revision/Corrections:
C--/7 "--‘, e O"-- /1-/.44,1T , ' Di COU /--.-V s'"rG ee ''/.Altrc
r - 'G .<• ,41- Z400- k ( C-. UE-T Roo se )
RG oPQiv
1 12 'i i -1c Sf w 414— affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
❑No ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved LI Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18