Hold Harmless Utility Connection Agreement – Cape Coral, FL

The Hold Harmless Utility Connection Agreement is a City of Cape Coral form on which a property owner acknowledges that city water or wastewater service is not available and chooses to wait for it or to install a well or septic system.\n\nThe form is two pages long and is divided into a water type and a wastewater type. Each type has two options, each with its own acknowledgment text and its own owner signature lines:\n\n- Potable City Water: the owner asks the City to issue the new construction building permit without requiring a well permit, agrees that the City may delay the certificate of occupancy (CO) until the potable City water system is installed and operational, and accepts that completion of the structure may be delayed.\n- Well: the owner requests a permit to install a well and understands that, once the City provides potable water to the property, connection to the system and payment of all associated fees will be required.\n- City Wastewater: the owner asks for the new construction building permit without a septic permit and agrees that the CO may be delayed until the wastewater collection system is complete and operational.\n- Septic System: the owner requests a septic permit and understands that connection to the wastewater collection system, payment of all associated fees and proper closure and abandonment of the septic system will be required once the City provides service.\n\nThe form states that the signature must be notarized and includes a notary block. The City lists it under Miscellaneous Documents in its Permit Document Center.

The legal owner of a property in Cape Coral uses this form when potable City water, a City wastewater collection system, or both are not available to the property as of the date of signing. Every statement on the form is made "as the legal owner of the property", so the signer is the owner.\n\n- An owner who wants a new construction building permit issued without a well permit, or without a septic permit, signs the Potable City Water or City Wastewater option and accepts the possible delay of the certificate of occupancy.\n- An owner who wants to install a well signs the Well option; an owner who wants to install a septic system signs the Septic System option. Both accept the duty to connect to the City system later and to pay all associated fees.\n\nThe form provides two owner signature lines and two date lines under each option, so more than one owner can sign. It does not say who else may sign for an owner. Whether the form applies to your project is decided by the City; the Customer Service-Permitting Division is listed at (239) 574-0546.

The trigger is a property where the City water or wastewater system is not available on the date the owner signs, even though a system may be planned for the area. In that situation the form is signed in connection with the new construction building permit, or with the request for a well or septic permit, whichever option the owner selects.\n\nThe form prints no due date of its own. It does warn that the City system may not be complete when the structure is ready for a certificate of occupancy (CO), and that the City may then delay the CO until the system is installed and operational. Because each statement speaks as of the date of signature, sign when the information is current. For timing questions tied to your permit, contact the Customer Service-Permitting Division at (239) 574-0546.

The form names no submission channel of its own. The only contact details it prints are those of the City's Department of Development Services, Customer Service-Permitting Division: P.O. Box 150027, Cape Coral, FL 33915-0027, Tel. (239) 574-0546.\n\n- Before you send it: every owner signature must be notarized. The form's notary block asks for the state, county, date, the name of the person who signed, the identification used, the notary stamp, expiration date, commission number, and the notary's signature and printed name.\n- Where to deliver it: call the Customer Service-Permitting Division to confirm how to deliver the notarized form with your permit. The City publishes the form and related permit documents in its Permit Document Center.\n\nFillingPDF lets you fill out and download the PDF; submission follows the City's channels described above.