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Application for Commercial Property Utility Services

Steps

1. Step One This section is complete This section is incomplete
2. Address This section is complete This section is incomplete
3. Important Information This section is complete This section is incomplete
4. E-Bill and Bank Draft This section is complete This section is incomplete
5. Application Fee and Deposit Information This section is complete This section is incomplete
6. Signature This section is complete This section is incomplete

Step One

Application for Commercial Water Utility Service
Complete the form below and submit the request online.
Please allow 1 business day for processing.
For questions, contact Utility Customer Service by phone at (407) 262-7700 Option 4 or by email at CustomerService@casselberry.org.
Company Name*
Owner's Name (if different from above)
Federal Tax Identifcation Number
NOT a Social Security Number
Customer Number
if known
Business Phone Number*
Cellular Phone Number
Email Address
Under Florida law, e-mail addresses are public records.
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Address

Service Address
Address*
Suite or Apartment Number
City*
State*
Zip*
Attach a clearly scanned copy of a signed lease agreement or closing verification from a title agency or warranty deed.*
Date to start service at above address:
Date to start service at above address:
If same day service is needed, applications must be made in person. The deposit must be paid before service will be activated.
Mailing Address
1. Mailing Address is Different than Service Address
Only complete this section if the Mailing Address is different than the Service Address.
Mailing Address
Mailing City
Mailing State
Mailing Zip or Postal Code
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Important Information

All new commercial accounts are required to have a reduced pressure backflow prevention device installed and tested by a certified backflow prevention tester at all potable water meters that service this account. All existing backflow prevention devices are to be tested and repaired upon notice from the City of Casselberry. Fire line sprinkler systems may also be required to have an approved backflow device installed.
Inspection hours are 7:00 a.m. to 5:30 p.m. Monday through Thursday.
Permits are required for all installations.
Please contact the Cross Connection Control Division at (407) 262-7725 Ext. 1712 for questions.
Submit
Completed forms may be submitted here, mailed to P.O. Box 180819, Casselberry, FL 32718-0819, or in person at 95 Triplet Lake Drive, Casselberry, FL 32707. The deposit must be paid before service will be activated.
Email Notice
Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.
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E-Bill and Bank Draft

E-Bill
1. Check here if you would like to receive your invoices by email only
If yes, please provide your Email Address:
Under Florida law, email addresses are public records.
Automated Bill Pay (Bank Drafting)
Bank Draft Authorization
To sign up for Bank Drafting, click on the above link after this application has been submitted.
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Application Fee and Deposit Information

Application Fee
A $30.00 Non-Refundable Application Fee is assessed on all accounts on the first invoice.
Deposit
To guarantee the payment of any and all indebtedness for water and/or sewer service and water usage or otherwise, which may be or may become due to the City of Casselberry, (Utilities Division) a municipal corporation of Florida, for water and/or sewer usage and water used at service address. This deposit is made with the express understanding and agreement that all or any part thereof may be applied by the City of Casselberry (Utilities Division) at any time in satisfaction of said guarantee, and that the City of Casselberry (Utilities Division) may use said deposit as fully as if it was the absolute owner thereof. Upon discontinuance of service covered by this deposit and the presentation of this receipt together with proper identification, the City of Casselberry (Utilities Division) agrees to refund to the person lawfully entitled thereto said deposit less any amount then due the City of Casselberry for water, sewer or other service. Refund applies only to that portion of payment made for Guarantee of Account. Customer meter deposits shall accrue interest commencing on the 31st day after initial deposit. Accrued interest shall be forfeited if a customer closes or finals their account at anytime within 180 days from initial deposit. Accrued interest shall be credited to the accounts of continuing customers once each year not to exceed the current interest paid at the City’s depository. When a customer meter deposit has been held by the City over 24 months, it will be refunded in the form of a credit to the customer's account, if customer has maintained a good and timely payment record. This deposit shall in no way be construed to preclude the City of Casselberry (Utilities Division) from discontinuing any and all water and/or sewer service to the premises herein above described in the event of default in payment of any indebtedness for water and/or sewer and all water and/or sewer service to said premises, regardless of whether or not the amount of this deposit is sufficient to cover the amount of such indebtedness.
The deposit must be paid in advance and cannot be paid online.
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Signature

Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I agree. Electronic Signature*
1. I agree
Signature*
Date*
Date

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Application for Commercial Property Utility Services

Steps

Step One

Address

Important Information

E-Bill and Bank Draft

Application Fee and Deposit Information

Signature

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