CITY OF LAKELAND
BUILDING INSPECTION DIVISION
REQUEST FOR PRE-POWER
*Pre-power required for Final Electrical Inspection*
Date:
To: Building Inspection Division
228 South Massachusetts Avenue
Lakeland, Florida 33801
Re:
(Description and Location of Facility, and Permit Number)
Although no Certificate of Occupancy has been issued yet by the City of Lakeland for the above referenced
facility, we hereby request that you instruct the Lakeland Electric & Water to turn on the electricity for the
facility on a temporary basis.
Our sole reason for asking that you cause the electricity to be turned on is to enable us to determine whether
equipment and systems at the facility which cannot function without electricity are in working order. We
pledge that the facility will not be occupied until a Certificate of Occupancy has been issued.
We understand and agree that if you should hereafter find that the facility has been occupied before a
Certificate of Occupancy has been issued, you have the unilateral right to direct that the electricity be turned
off without notice. Furthermore, we understand and agree that should you exercise such right, the City will not
be responsible for any damages or costs which may result to either or both of us from the exercise of such
right. Also, in the event any third party claims that he has been damaged by the exercise of such right, we
agree to jointly or individually indemnify and hold harmless the City for all such damages and costs, including
reasonable attorney's fees.
Signature of Owner Signature of Building/General Contractor
Printed Name of Owner Printed Name of Building/General Contractor
SWORN TO AND SUBSCRIBED before me SWORN TO AND SUBSCRIBED before
me this day of , 20 . this day of , 20 .
Notary Public Notary Public
(SEAL) (SEAL)
Page 1 of 1 Temporary Power Form Rev: 2/26/2019
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