G:\Zoning 2009\Forms and Sample documents\Website Documents\Building\Forms\cap_form.pdf Modified: 10.22.2012
City of Pompano Beach
Department of Development Services
Building Inspections Division
100 W. Atlantic Blvd Pompano Beach, FL 33060 Utility Connection and
Phone: 954.786.4670 Fax: 954.786.4677 Capital Recovery Fee Application
As Per Sec. 50.13 and Sec. 51.11 City Code of Ordinances 2009-13
Each new applicant requesting new water or sewer service from the City will be required to pay an initial capitol recovery fee.
Date: ______________________ Application: __________________________________
Tax Folio: ____________________________________
Job Address: ______________________________________ Pompano Beach, FL (ZIP) _______________________
_________________________________________________________ _______________ ______________
Subdivision (If Acreage, attach legal description.) Block Lot(s)
_________________________________________ __________________________________________
Contractor Name Phone
Type of Connection Requested: Type of Building:
□ Sewerage (City Sewerage ONLY_) □ Single Family / Duplex Residential
□ Water/ Sewerage (Combined) □ Multi Family Residential
□ Water (City Water ONLY) □ Commercial
□ Water for Fire Sprinkler ONLY (NO FEE)
Meter Size Water Sewer Combined
3/4" $985 $545 $1,530
1" $1,675 $928 $2,603
1 1/2" $3,252 $1,801 $5,053
2" $5,224 $2,893 $8,117
3" $9,857 $5,458 $15,315
4" $16,461 $9,116 $25,577
6" $32,823 $18,177 $51,000
8" $52,537 $29,095 $81,632
10" $75,603 $41,869 $117,472
Application made by: Date:
Print Name Signature
Address: City / State /Zip
DO NOT WRITE BELOW THIS LINE- FOR CITY USE ONLY
Notes:
CHARGES
Sewerage Only
Water Only
Combined Water/ Sewage
Utility Connection Fee
Total $
Approved by: Date:
