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1355 OCEAN BLVD EARLY POWER 07/12/2013 10: 06 3961136 MUNSONANDERYAN PAGE 02/02 EARLY PowFR AGREEMENT & RELEASE CITY of ATLANTIC 13EACH Electric power is requested now under the conditions and terms of this fully executed Agreement&Release Job Address: 55 OCeqy� lU Rtya11�,c e��, /. F�- , 3_2_Z3� Permit No- 13 0 002 Service Type(Circle One): Overhea(U�nderground We,the undersigned General Contractor and Electrician,understand and agree: 1. "Early Power" ispurely for our construction convenience, it is not required by Codes and does not substitute for Final Inspections or the C/O(Certificate of Occupancy7 7tat must be issued before occupa — and as such is at the discretion of the Building Official. 2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough inspections must have prior Approval, including meter base connections. 3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early electric service. Such action is expressly prohibited and perialiZed 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 aid must not occur before: a. Equi meet,devices and fixtures are installed(or blanked off)sately. b. Parief 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 ispermanently 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 be accepted from those who violate any one of the above items. CONTRACTORC, — .6� A DATE PRINT NAME oc C &r_0 :�S CA.' DATE ELECTRICIAN PRINT NAME 800 Seminole Road,Atlantic Beach FL 32233 Phone-(904)247-5826 Fax:(904)247-5845 http://v.,",w.ccab-us revised 0130 09