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165 OCEAN GATE DR - EARLY POWER 01/24/2017 10: 16 904-2490703 BROOKS AND LIMBUAGH PAGE 03/04 'b4::`:;1 EARLY POWER AGREEMENT & RELEASE CITY OF ATLANTIC BEACH :',hr;y<H;.:;Fra:".'w•. Electric power is requested now under the conditions and terms of this fully executed Agreement&Release Job Address: • � Permit No. [(:)::_al_a_L7D____— -JService Type(Circle One): Overhead Underground 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 for Final al Inspections sp c tlonsof the C/SD(Certificateng Ofiof Occupancy) fhat must be issued before occupancy, and 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 earl electric service. Such action is expressly prohibited, and penalized, by The City of Atlantic Beach A violation of this Agreement shall result m 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. Equipment,devices and fixtures are installed(or blanked off)safely. b. Panel is complete with breakers and cover, and(labeling requiredat final inspection). c. Service connection and grounding is complete. d. The electric system has safely passed through electrical check. c. Meter can is permanentlymarked with address. 'F. Temporary address numers displayed(Permanent numbers are required for C/O). 5. This fully completed form is to he submitted to the Building Department by hand, mail or fax. 6. Future such Agreements will not be accepted from those who violate auy one of the above items. ,/ �...I • mo _ DATE - H CONTRACTOR - PRINT NAME 1 PAlk DATE ` ( i ELECTRICIAN .�Ill�i . . . PRINT NAME ' 800 Seminole Road,Atlantic Beach FL 32233 Phone:(904)247-5826 Fax: (904)247-5845 http://w\yw.coab.us revised 1 1,29.06