smallgeneratorinterconnectionrequest-oati（7页）.docVIP

SMALL GENERATOR INTERCONNECTION REQUEST (Application Form) Transmission Provider: Florida Power Light Company Designated Contact Person: Tom Sanders or Luke Whiting Address: FPL – TSP, 4200 West Flagler St, Miami, FL 33134 Telephone Number: Tom Sanders (305) 442-5922, Luke Whiting (305) 442-5258 Fax: (305) 442-5886 E-Mail Address: tom_b_sanders@ , luke_whiting@ An Interconnection Request is considered complete when it provides all applicable and correct information required below. Preamble and Instructions An Interconnection Customer who requests a Federal Energy Regulatory Commission jurisdictional interconnection must submit this Interconnection Request by hand delivery, mail, e-mail, or fax to the Transmission Provider. Processing Fee or Deposit: If the Interconnection Request is submitted under the Fast Track Process, the non-refundable processing fee is $500. If the Interconnection Request is submitted under the Study Process, whether a new submission or an Interconnection Request that did not pass the Fast Track Process, the Interconnection Customer shall submit to the Transmission Provider a deposit not to exceed $1,000 towards the cost of the feasibility study. Interconnection Customer Information Legal Name of the Interconnection Customer (or, if an individual, individuals name) Name: Contact Person: Mailing Address: City: State: Zip: Facility Location (if different from above): Telephone (Day): ______________________ Telephone (Evening): _____________________ Fax: _______________________________ E-Mail Address: __________________________________ Alternative Contact Information (if different from the Interconnection Customer) Contact Name: ___________________________________ Title: ____________________________________________________________________ ______ Address: ___________________________________ ___________________________________ Telephone (Day): ______________________