Fillable Application Energy Edge Rebate Program (City of Boynton Beach)

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Application Energy Edge Rebate Program (City of Boynton Beach)

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Energy Edge Rebate Program
Application
Please attach all the required documents to participate in the Energy Edge Rebate Program: (please check)
A copy of Palm Beach County Property Appraiser's record indicating you are the owner and occupant of the home or business.
(This is available online at: www.pbcgov.org/papa/ )
Completed application
A written estimate which must include material and labor shown separately.
Applicant Information
First Name: Last Name:
Businesss Name (if applicable):
Street Address:
City: Boynton Beach State: Florida
Zip Code:
Cell Phone:
Email Address:
Number of household members (for business applicants, number of employees):
Yes No
Is the property owner employed by the City of Boynton Beach?
City of Boynton Beach, Development Services, P.O. Box 310, Boynton Beach, FL 33425-0310
Phone: (561) 742-6067 / Fax: (561) 742-6089
EnergyEdge@bbfl.us
Last Updated 9/12/18
Page 1 of 2
Building Type (check one):
Phone:
Single Family Detached
Multifamily (condominium, duplex, attached villa, etc)
Manufactured Home
Commercial
Industrial
Institutional
Other (please specify):
A copy of the FPL Energy Report:
www.boynton-beach.org/fpl
Does a relative/partner of a City of Boynton Beach employee reside at the address?
Yes No
Print Form
There is a limit of one rebate per property. Please check which ONE of the following rebates you are interested
in applying for:
Please mail or email this form with all the required documentation, or bring it to:
Omission of required information may delay or prohibit processing.
I certify that I am the owner and occupy the above-mentioned property and it is my primary place of residence; in the case
of a business, my business is the principal and predominant occupant of the building. As a part of this award, I, the owner,
shall not offer the building for sale or lease within one (1) year after completing the work. The information provided above
is true and complete to the best of my knowledge.
I understand that the energy improvement product or system that I intend to purchase and install at the above mentioned
property must meet ENERGY STAR standards.
I commit to follow all relevant laws and regulations and to minimize waste from the selected improvements.
Print (or type) Name:
Signature:
Date:
City of Boynton Beach, Development Services
P.O. Box 310
Attn.: Energy Edge Program
Boynton Beach, FL 33425-0310
EnergyEdge@bbfl.us
In-person:
City Hall, 3301 Quantum Blvd., Suite 101,
Boynton Beach, FL 33426
Last Updated 9/12/18
Page 2 of 2
HVAC Central AC / Heating System
Insulation
ENERGY STAR Doors or Windows (or Impact Doors/Windows with ≥ .25 solar heat gain coefficient)
Reflective Roof
Water Heater (solar, natural gas, or high-efficiency)
Lighting Fixture Replacement (business only)
Occupancy Sensors (business only)
Solar Photovoltaic (PV) System
Electric Vehicle Supply Equipment
Owner Certification
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Application Energy Edge Rebate Program (City of Boynton Beach)

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Completed 29 July 2020

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