STATE OF FLORIDA
DEPARTMENT OF MANAGEMENT SERVICES
ENERGY DATA
REQUIRED ADDENDUM _______________
LEASE NUMBER: ______________________
Pursuant to Florida Statute 255.254 any building, solely leased by the State, shall require the lessor to
provide monthly energy use data, for the leased space, to be collected and submitted monthly to the
Department of Management Services by the owner of the building. This information shall be submitted
at http://smsisdmz02.state.fl.us/docs/lms/energy_form.asp
Lessee
_____________________________
Lessor
_____________________________
Date
_____________________________
Date
FM 4054I (R05/04)