230 10TH ST - EARLY POWER (1,:iffrilii!i:4,,
/ • `r`\':.::. ; 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: 2 3Q 1C3 74! Slre2eZPT /"scru i%C /3 i C w l2. 3 2 2 33 - S'7f0
Permit No. 12 4F 18 - C3 V./Z. 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 no/ required by Codes and does nor
substitute for Final Inspections Ofthe O(Certificate of Occupancy)-fiiat must be issued before occupancy,
and as such is at the discretion of C/the Building Official.
2. The City of Atlantic Bench will makea special inspection prior tothe early power energizing. All rough
including must have prior Approval, meter base connections.
3. Occupancy or use of the new construction before a foram C/() constitutes fraudulent use of the early
electric service. Such action is expressly prohibited and penalized by "I he 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 ofO safely.
b. Panel is complete with breakers and cover,and(labeling required at final inspection).
c. Service connection and grounding is complete.
it. The electric system has safely passed through electrical cheek.
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 he accepted from those who violate any one of the above Items,
CONTRACTOR GI.ditii S /A l(C //ci7�-f- DATE 2` /X- 20
PRINT NAME __. -4 ''...4,3 22 44-e;gip '
ELEC1 RICIAN LZoe",/`� — DATE, '-11 ' 2_0
PRINT NAME }L�V;4 1- WI Q, r
800 Reininote Road,Atlantic Beach Pl.32233
Phunc:(904)247.5826 Fax:(904)247.5845 hop://www.coab.us revised 01 30 09