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:
The facility will not be occupied until a certificate of occupancy has been issued.
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 suchright. 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.
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.
Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by
doors, the panels shall be equipped with a locking mechanism (approved by the AHJ). 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.
If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with
water on the system prior to pre-power.
This pre-power approval is valid for a maximum of 180 days from date of approval.
Check with the local jurisdiction for fees associated with pre-power.



 Print Name of Owner/Tenant


   Print Name Of General Contr.



   Print Name Of Elect.Contr.  



   Signature of Owner/Tenant


   Signature of General Contr.


  Signature of Electrical Contr.

JURISDICTION EMPLOYEE NAME: ___________________________________________________________

JURISDICTION: ______________________________________________________________________________
                                          _____   Duke Energy                        on _____/_____/_____
                                          _____   Florida Power & Light        on _____/_____/_____