Fillable WATER AND WASTE WATER (City of Edgewater Florida)

Fill Online, Printable, Fillable, Blank WATER AND WASTE WATER (City of Edgewater Florida) Form

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

WATER AND WASTE WATER (City of Edgewater Florida)

On average this form takes 10 minutes to complete

The WATER AND WASTE WATER (City of Edgewater Florida) form is 1 page long and contains:

  • 0 signatures
  • 7 check-boxes
  • 38 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your City of Edgewater Florida forms online.

BROWSE CITY OF EDGEWATER FLORIDA 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
 
April 2, 2020
BUILDING DEPARTMENT
104 North Riverside Drive
Edgewater, Florida 32132
Phone (386) 424-2400 X 1514 FAX (386) 424-2423
buildingdept@cityofedgewater.org
WATER AND WASTE WATER
SERVICE APPLICATION
SUBMIT WITH BUILDING PERMIT APPLICATION
A meter deposit up to $200 may be required depending on credit rating. This will be billed to your account.
Project Information
Date
Permit Number
Site Plan #
Parcel Number
Address of Proposed Connection(s)
Applicant Information
Owner Builder
☐
Yes
☐
No
Phone Number
Email Address
Billing Address
Engineer Information
Phone Number
Email Address
Building Square-feet
Fixture Count
Reclaimed Water ☐Yes ☐No
Calculated Gallons/Day Water Demand
Meter Size Requested
☐ ¾” ☐1” ☐1½” ☐ 2” ☐ Other
Equivalent Residential Units
Irrigation Meter ☐Yes ☐No
Total Impervious Surface Area
On-Site Stormwater Treatment ☐Yes ☐No
Equivalent Drainage Units
OFFICE USE ONLY
FEES
IRRIGATION – Potable Water
WATER
WASTEWATER
(4A) Connection
(4D) Impact Fee
(4N) Impact Fee
(4A) Connection
(4I) Connection
(UD) Utility Deposit
Additional Charges
(4C) Service Fee
(4G) Reclaimed
Calculation And Approval
Date
Comments
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

WATER AND WASTE WATER (City of Edgewater Florida)

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 22 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document