Fillable Application for Concurrency Reservation (City of Wildwood)

Fill Online, Printable, Fillable, Blank Application for Concurrency Reservation (City of Wildwood) Form

Use Fill to complete blank online CITY OF WILDWOOD (FL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Application for Concurrency Reservation (City of Wildwood)

On average this form takes 13 minutes to complete

The Application for Concurrency Reservation (City of Wildwood) form is 2 pages long and contains:

  • 3 signatures
  • 0 check-boxes
  • 41 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Wildwood

BROWSE CITY OF WILDWOOD (FL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
City of Wildwood, Florida
Development Services Department
100 N. Main St., Wildwood, FL 34785
Tel: 352.330.1334 Fax: 352.330.1338
www.wildwood-fl.gov
Staff Use Only
Case No.:
Fee Paid:
Receipt No.:
Is the Project Subject to a Developer's Agreement?
Potable Water and Sanitary Sewer Facilities
Capacity
(MGD)(Current)
Gallons Per Day
(Total Project)
Potable Water
Sanitary Sewer
Yes
No
ERUs
(Total Project)
Capacity
(MGD)(Remaining)
Gallons Per Day
(Reserved)
ERUs
(Reserved)
NoYes
Is Reuse Available to the Project?
* Potable water, sanitary sewer and reuse capacity reservation which requires line extensions to service the property require an executed agreement with the City.
Are Line Extensions Needed?:
NoYes
SewerWater
If "Yes" Check Which Apply:
Engineer's Determination of Meter
Size (based on analysis above):
NoYes
Is this a compound meter?
Parks
Other Facilities
Will the Project Contain a Public Park?
N/ANoYes
If "Yes" Provide Acreage:
Does the City Have Adequate Park Land to Accommodate the Project?
Yes N/ANo
Drainage - Does the Project Meet the Minimum Requirements Established in the LDRs?
NoYes
Refuse - Does Sufficient Capacity Exist to Accommodate the Project?
Yes No
Southwest Florida Water Management Permit No.:
*A project name is required for all submissions. Please choose a unique name for your project.
Property Address:
List Parcel Number(s):
Use of Property:
Revised 12/2016
Additional Notes:
Application for Concurrency Reservation
Applicant Name: Phone:
Address: E-mail:
Owner Name: Phone:
Address: E-mail:
Engineer Name: Phone:
Address: E-mail:
Property Information:
PROJECT NAME*:
Page 1 of 2
City of Wildwood, Florida
Development Services Department
100 N. Main St., Wildwood, FL 34785
Tel: 352.330.1334 Fax: 352.330.1338
www.wildwood-fl.gov
**IMPORTANT**ALL PARTIES MUST READ**
The undersigned attests that these demands are reasonable and appropriate in accordance with the current engineering
standards for the project type.
Upon approval from the Development Services Director, the reserved capacities shall be permanently assigned to the
location designated on this application.
Average daily flow shall be subject to reexamination at any time that the user continues to be connected to the City of
Wildwood Water and Wastewater systems. Average daily flow shall be measured by determining the average daily flow
for a three (3) month period.
If, at any time, the three (3) month average daily flow of water or wastewater increases beyond the capacities purchased,
it shall be the owner's responsibility to make application to the City for the purchase of additional capacity.
If a final concurrency determination reveals additional capacities are available from the City, the applicant may request
to purchase such capacities at the rates as they exist on the date of the determination.
All non single family residential capacity reservation applications may be subject to review by appropriate professionals at
the applicant's expense.
It is understood and agreed, that if approved, this capacity reservation runs concurrent with the certificate of occupancy
or the developer agreement. This reservation shall expire if demands exceed the capacities reserved or either the
certificate of occupancy or the developer agreement expire or are revoked.
Signature below shall be applicant's acknowledgement that the undersigned is duly authorized to make the capacity
reservation and that the applicant understands and agrees to the terms of the capacity reservation listed herein.
Signature:
Owner/Applicant
Date:
Signature:
Architect/Engineer
Date:
Signature:
City of Wildwood Development Services Director
Date:
Page 2 of 2
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Application for Concurrency Reservation (City of Wildwood)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 1 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document