262 2ND ST - EARLY POWER UNITED ELC JAX Fax 904-731-5311 Dec 14 2015 01;13pm P001/001
'' 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: a a r S
Permit No. 1 7 - Service Type(Circle One): Overhead Underground�
We;the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is urely for our construction convenience. it is t required l y Codes_ and does not
substitute for Final 1nv etions or the C/O(Certificate of Occupancyythat must be issued before occupancy,
and as Building is at the discretion of the Build �cial.
2. The Croy of Atlantic Beach will make a special inspection prior to.the early power energizing. All rough
di
inspections must have prior Approval, including men base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the marl}"
electnc 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. EquiGment, 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 band,mail or fad.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR , DATE 2.- t
P JN NAME a 206.4)411-i
ELECTRICIAN ci.,).; 04) / _ DATE 6 r! t t
•
PR NAME ! . ice✓\ c J, z 1 /1
TI' d L nn 5 0—1
800 Seminole Road, Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 i tp:/!:v ii,.'.c.oay. .s revised 0130 09