353 2nd St. Early Pwr Agreement r}
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
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Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: zS 7Ca+.b�() T��
Permit No. 14% Service Type(Circle One): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is purely for ow constriction convenience, it is not required by Codes and does not
substitute for Final Inspections or the C/O(Certificate of OccupsncyJifiat must be issued be{ore occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will make a special inaUUeclion prior to,the early power energizing. All rough
inspections most have prior Approval,including mefer base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early
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electric service. Such action is expressly prohibitedand penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreement shell result n a request for prompt removal of electric service
after a twenty-four how notice.
4. "Early Powce'release authority,is the Electrician and/or the Contractor and must not occur before:
a. Equipmeet,devices and fixtures are installed or blanked oft)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 bas safely passed through electrical check.
e. Meter can ispermanently mmked with addre .
f Temporaryaddress numbers ssdisplayed(Panmament 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 be accepted from those who violate anyone of the above items.
CONTRACTOR yfLj '(--1' DATE
PRINTNAME Fr-tCIC
ELECTRICIAN {-JL DATE
PRINTNAMEaL
$00 Seminole Road,Atlantic Beach FL 32233
Phone:(9D4)247-5926 Fax:(904)247-5845 http://ww,coab.us revised 013009
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