39 Dudley ERES20-0094 Early PowerEarly Power Agreement & Release "Au #600"VAX
City of Ma Beach Buldn Depanmem_
800 Seminole RcL Atlantic Reach, FIL 32M
Phone: (904) 247-5826 Ems:uilding-Dept t�-s l � ��e
JOB ADDRESS: SHWIIIIMTYPE��� 1i UNMRGROUND
Electric fiver is requested now under the coriditkas and terms of ft fully executed dement aid tease:
We, the underskned General Conu=or and Electrical Contaractor, undersund and ate;
1. "Early Power" is purely for our construction convene, it is not requires! by Codm aM dOM rrot "'
for Final Inspections or the CO (Certificate of Occupancy) that must be issued befoire icy, and as ugh i$
at the discretion of the Building {?ficial.
2. The City of Atlantic Beach will make a special inspection prior to the early power erterttzft. All rough
inspections mast have prior Approval, including meter base connections -
3. Occupancy
onnections.
3.Occupancy or use of the new construction before a formal Co constitutes fraudulent use of the ear#ir Oectrs(.
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- =
hour notice.
4- `Ealy 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 rewired for CO).
5. This fully completed form is to be submitted to the Building Department by hand, mail or fox.
b. Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRAC OR NAME;` . n .Ir ►/ -- _- -- DATE: ,o�,� _
CONTRACTOR SIGNATURE_
ELECTRICIAN NAME;
ELECTRICIAN SIGNATURE:
N
Page 1 of 3
LATE: /V/-4 L.
'to //
Updated JO/17/1$