| Utility Account Name(s): |
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| Contact/Applicant Name(s): |
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| Address of Service Request: |
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| Parcel ID# / STRAP#: |
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| Building / Utility Permit#: |
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| Utility Billing Address: |
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| City / State / Zip: |
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| Phone: |
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| Alternate Phone: |
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| Utility Bills are delivered via Email - Email Address: |
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| Preferred Method of Contact for Alert Notifications |
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| Have you had a Utility account with the City of Cape Coral? |
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| If yes, please provide account # or address of service |
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| Service Type: |
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| Potable Water Service - |
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| Meter size(s) (from 5/8" to 6") = |
" x Qty
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| Sewer Connection: |
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| Irrigation Service: |
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| Will you be connecting existing sprinklers? |
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| Component Irrigation |
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| Metered Irrigation |
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Number of irrigation meter(s):
Size(s):
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| Fire Sprinkler Service: |
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Size(s):
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| New Construction: Please check to acknowledge that prior to new service installation, the following requirements will be met: |
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| *UTILITY DEPOSIT RATES* |
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Residential - 5/8" = $225.00
Commercial - 5/8" = $350.00
1" = $975.00
1 1/2" = $1,950.00
2" = $3,700.00
Each inch above = determined by the City
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- A deposit shall be required for all new utility customers.
- Deposit Exemptions - A new customer will be exempt from the customer deposit requirement with a written statement from another utility company that previously provided service to the customer, stating that the new customer's account was active for two (2) years AND had a good payment history for a minimum of twelve (12) months.
- Please provide a copy of the driver license or government issued id for all owners of record.
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| Please use the select button to upload a copy of the Driver's License or Government issued photo ID for all owners of record. (jpg, jpeg, png, or pdf) |
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Please read the following:
I agree to take water, sewer and/or irrigation service from the City of Cape Coral Utilities Division in accordance with the appropriate City ordinance, regulations and rate schedules now in effect and/or superseding ordinance, regulations and rates. I understand that Florida Statute 159:17 provides authority to lien this land or premises for all unpaid water, sewer and/or irrigation service charges until paid, which liens shall be prior to all other liens on such land or premises except the lien of state, county and municipal taxes and shall be on parity with the lien of such taxes. I agree that if this account goes to a Collection Agency for an unpaid balance, I will be
responsible for all collection charges.
By typing your name(s) and clicking on the submit button, you are electronically signing this application. |
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