REQUEST FOR PRE-POWER
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Date:
Project Name: Project Address:
Building Permit #: Electrical Permit #:
In consideration for authorizing the appropriate utility company to energize the facility, we agree with
and understand the following:
1. The facility will not be occupied until a certificate of occupancy has been issued.
2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of
occupancy has been issued, the jurisdiction will have the unilateral right to direct the utility to
terminate electrical service without notice. Furthermore, we understand and agree that should
the jurisdiction exercise such right, the jurisdiction will not be responsible for any damages or
costs which may result from the exercise of such right. Also, in the event any third party claims
damages from the exercise of such right, we agree to jointly and individually indemnify and hold
harmless the jurisdiction from all such damages and costs, including attorney’s fees.
3. The building or structure shall be weather tight and secure. The electrical wiring in the area
designated for pre-power shall be complete and in safe order. All electrical services associated
with the area will be 100% complete unless specifically approved by the electrical inspector.
4. Interior electrical rooms shall be lockable or if electrical panels are in an area that cannot be
locked by doors, the panels shall be equipped with an AHJ approved locking mechanism. The
licensed electrical contractor or his licensed representative shall hold the keys(s) for such
access to electrical panels to prevent energizing circuits other than those that are safe and
approved by the jurisdiction.
5. If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with
water on the system prior to pre-power.
6. This pre-power approval is valid for a maximum of 180 days from date of approval.
Print Name of Owner/Tenant Print Name of Gen. Contractor Print Name of El. Contractor
Signature of Owner/Tenant Signature of Gen. Contractor Signature of El. Contractor
Gen. Contractor License # El. Contractor License #
JURISDICTION EMPLOYEE NAME: ______________________________________
JURISDICTION: ________________________________________________
CALLED INTO: Progress Energy Florida Power and Light on ___/____/____
(Rev. 8/06/13)
