Engineering: Utility Availability Request Form

2. Engineering Division
   For additional information please contact the Engineering Division by phone at 407-703-1718.

   For additional information please contact the Engineering Division by phone at 407-703-1718.

4. Date Requested*
   Date Requested

6. Property Location

   1. City of Apopka

   1. Orange County

   Please check

8. Name*

9. Email Address*

11. Address

13. City

14. State

15. Zip Code

17. Phone Number

19. Parcel ID*

    Please visit the Orange County Property Appraiser's website at https://www.ocpafl.org for Parcel ID.

21. Existing Conditions

23. Attachment 1

    Please include any attachments for this parcel. Example: Map of parcel or exhibits

24. Attachment 2

    Please include any attachments for this parcel. Example: Map of parcel or exhibits

28. Water Available Location

30. Water Distance (LF) (If Over 50 Feet)

32. Required to tie into water?

    1. Yes
    2. No

34. Sewer Available Location

36. Type of Sewer Line

38. Sewer Distance (LF) (If over 50 feet)

40. Sewer Cost of long service tap (if applicable)

42. Required to tie into sewer?

    1. Yes
    2. No

44. Reclaim Available Location

46. Reclaim Distance (LF) (If over 50 feet)

48. Required to tie into reclaim?

    1. Yes
    2. No

50. Note: Public Services recommend connecting the following:

    1. Into the Water System
    2. Into the Sewer System

    Checked per City Administrator

52. Staff Files Attachment 1

53. Staff Files Attachment 2

55. Comments

Leave This Blank:


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

    This field is not part of the form submission.

59. Submit

* indicates a required field