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Early Power Form 1349 Camelia St 2012 06/13/2012 14:30 904-2490703 BROOKS AND LIMI3UAGH PAGE 02/02 r EARLY POWER AGREEMENT & RE LEASE CITY OF ATLANTIC $EA,CH Electric power is requested now under the conditions and terms of this fully. executed Agreement&Release Job Ads Permit No. Service Type(Circle One): Overhead Underground We,the undersigned General Contractor and Electrician,understand and agree: 1. "Early Power" isurely for our construction convenience, it is not required by Codes and does M1 substttute for Final inspections or the CIO(Certificate of OccupancyTffiat must be issued before occupancy, and as such ,s at the discretion of the Building Official. 2. The City of Atl tic Beach will make a special inspection prior to the early power energizing, All rough inspections must Piave prior Approval, including metor base connections. 3. Occupancy or use of the new eoustruetion before a formal C/O constitutes fraudulent use of the early electric service. Such action is expressly prohibitedand penalized by The City of Atlantic Beach i Ordinances. A violation of this Agreement shall result n 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. );quipmerit,devices and fixtures are installed(or blanked oft)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 p�eermatnently mftRed with address. E 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 be accepted from those who violate any one of the above items. CONTRACTOR f DATE PRINT NAME ELECTRICIAN DATE (A — — PRINT NAME 80o Seminole]toad,Atlantic Beach TL.32233 Phone:(904)247-5826 Pax:(904)247-5845 ht.tp:Nwww,coab.us revised 01 3009