13-3873 1 FLEET L. EP LTRS=r'�'y7jV
s, EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Vill
Electric power is requested now under the conditions and terms of this fully executed Agreement & Release
Job Address: -�_ �—A n
Permit No. _�� - ion 039
VGL
Service Type (Circle One): Overhea Underground
We, the undersigned General Contractor and Electrician, understand and agree:
Codes and does not
1. "Early Power" is urely for our construction convenience, it is notat m t beissued before occupancy,
and as
substitute
is at�the a1scretion of the C/o (Certificate
O ccial of Occupancyj�6t
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 express
steal rlesul in ar request for prbmpt mP remo al oy The City f electric service
a$err a twenty -fur hour noticee. Agreementof this
4. "Early power" release authority is the Electrician and/or the Contractor and must not occur before:
a Equipwent, devices and fixtures are installed (or blanked off} safely.
b, Panel is complete with breakers and cover,
an (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 ade neat numbers are required for C/O).
f. Temporary address numbers displayed (P
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 DATE ►cs1 /K
PRINT NAME TY
ELECTRICIAN DATE
PRINT
goo Seminole Road, Atlantic Beach FL 32233
Phone: (904)247-5826 Fax: (904)247-5845 http://www.coab.us revised 01 30 09