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109 Ocean Gate Dr - Early Power ` A ' iv EARLY POWER AGREEMENT & RELEASE y' CITY OF ATLANTIC BEACH 4 4 i.• Electric power is requested now under the conditions and terms. of this fully executed Agreement & Release Job Address: I B C Dir Permit No. IS lLEG 114(0G Service Type (Circle One): Overhead nder and We, the undersigned General Contractor and Electrician, understand and agree: 1. "Early Power" is purely for our construction convenience, it is not required by Codes and does not substitute such for Final i at l Inspections eti o the C/O C of of Occupancyjliiat must be issued before occupancy, 2. inspections Cto Atlantic Br will ma e • a special inspe p rior toi the e, early power energizing. All rough p 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 ndp en a t i o prompt Ci a of electric sBre h Ordinances. A violation of this Agreement shall re in e q after a twenty -four hour notice. 4. "Early 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 isltomplete 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 hand; mail or fax. 6. Future such Agreements will not be accepted from those who violate any one of the above items. CONTRACTOR / / A AlLs.--- _ DATE 1 4 ( l PRINT NAME X , - 12 '!kr3v I ' DATE 2' 1 ELECTRICIAN ' '' 4 PRINT NAME A \�� ,. L1rn h r i :, 800 Seminole Road, Atlantic Beach FL 32233 Phone: (904)247 -5826 Fax: (904)247 -5845 http: / /www.coab.us revised 01 30 09