1765 SELVA MARINA DR - EARLY POWER oi,
t't EARLY POWER AGRFEMEN1' & RELEASE
CITY OF ATLANTIC BEAC►1
, le'etric power is requested now under the conditions and terms of this fully executed Agreement& tt;i'•,
Job Address'.- --
--t:. tit. _ /
Permit No. ._�L)- v )
- .� Service Type(Circle One): Overheadlndrrgrouncl 2
_ . t1 't
We.the undersioned t iencral Contractor and Electrician,understand and agree.
1. "Early Power" is purely for our construction convenience, it is not required by Code, and .foe nor
substitute for Final'Inspections or the CEO(Certificate of Occupancy)Tnat must be issued boor::ni rni,;i, .,.,
and as such is at the discretion of the Building Official.
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 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 "Farly 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.
h. 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.
I. Temporary address numbers displayed(Permanent numbers are required for CJQ).
5. This fully completed form is to be submitted to the Building Department by hand,mail or tax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
/ c) 1i ►
CONI'RAcroR _ DATE :f �,4 Jr&_) , L .
PRINT NAME _ _ —
ELECTRICIAN A ` J DATE. (1 W �. ,
PRINT NAME. L7csr',e) (A DU. A k\�e f
800 Scinhnolc It;,a;l. Atlantic Beach'r.. . ..
Phone.f904)247-5t2( Fax:(904)24%-5845 hop •..,,;',. . , h 0, ,c,.
maw rqms.,-micanmir.at rmarmunimiNIIIIMImmirmanweniavrcaetvill111111.1111msuraiwousattio riraour3 2rtest.ORinzar'at>a...D.n,n►....-,..,-.,.,..-,