Documents & Forms

Customer Service

Form

Description

Assessments are a non-ad valorem assessment billed annually to all owners of real property in Pasco County. Any unpaid water, sewer, or solid waste assessments will be levied against a parcel and are subject to penalties and lien activity. Title searches are not considered complete without checking for unpaid assessments. In addition assessment searches are used to verify services for the property.

Note: Pasco County Utilities no longer places liens for balances owed on streetlights. It is up to the requesting parties to search official records themselves. PCU does not provide residential solid waste information. If property taxes are current, the residential solid waste assessment amount is current. Additional information can be found by visiting PascoTaxes.com. To verify Pasco County Utilities, as the correct service provider, please use PascoMapper.

Billing Adjustment Request Form
(PDF-WCAG)

To be completed and submitted by the customer with their original invoices or receipts for proof of repair of a leak or pool filling for consideration of a billing adjustment.

Bill Copy Request Form

Requesting a copy of your bill using the online form takes 24-48 hours to process, once submitted. Processing takes place during normal Pasco County Utilities Customer Services hours, Monday - Friday, 8:30 a.m. - 4 p.m., excluding holidays.

Builder - Application Agreement for Service

Requirements checklist to submit a builder application includes an assignment letter and property appraiser record. Please allow 72 hours (excluding holidays and weekends) for your application to be reviewed and processed. Once reviewed, you will receive an email with instructions for payment details on any applicable fees and/or deposits.

Builder fees may be paid in three (3) ways. View payment options.

Electronic Funds Transfer (EFT) Form (PDF-WCAG)

Electronic Funds Transfer (EFT): Automatic monthly payments can be established in person at a Customer Service drive-through or walk-up location. View Locations or View All Payment Options.

When using Google Chrome, please download the EFT form to access all form field features. All features are automatically available when using Internet Explorer or Firefox

Municipal Assessment Form
(PDF-WCAG)

To be completed and submitted to request information pertaining to liens and all monies owed for water / sewer or solid waste assessments.

Notarized Statement of Repair Form
(PDF-WCAG)

To be completed and submitted by the customer if the original repair invoices or receipts are not available for proof of repair or pool filling for consideration of a billing adjustment.

Unexplained High Water Use Adjustment Request Form
(PDF-WCAG)

To be completed and submitted by the customer for an investigation into an unexplained high water usage occurrence.

Utility Easement Agreement Form (Individual)

Form establishing easement to provide water, reclaimed water and/or wastewater utilities.

Engineering & Contract Management

Form

Description

Agent of Record
(PDF-WCAG)

Letter from Owner/Developer granting engineer of record or his agent permission to act on the owner’s behalf.

Availability of Service
(PDF-WCAG)

To be completed by the Owner/Developer or the engineer requesting confirmation of utility services for a given parcel(s) for financial purposes.

Bill of Sale
(PDF-WCAG)

To be submitted by the Owner/Developer to convey utilities constructed in the public right of way to the County.

Commercial Collection License
(PDF-WCAG)

License to collect and dispose of solid waste in unincorporated Pasco County.

Commercial Wastewater Flow Rates/Calculations

Guidelines for determining wastewater flow rates. Florida Administrative Code, Department of Health, Division of Environmental Health, Rule: 64E-6.008,

Dry Line Approval Letter of Understanding for Water
(PDF-WCAG)

To be completed by the Owner/Developer acknowledging proposed construction of the water line will have no connection to existing water lines.

Dry Line Approval Letter of Understanding for Wastewater
(PDF-WCAG)

To be completed by Owner/Developer acknowledging proposed construction of the wastewater line will have no connection to existing wastewater lines.

Engineer of Record’s Cost Estimate
(PDF-WCAG)

Engineer to submit this listing the pipe, etc., and its cost to construct the utilities in the public right of way to be conveyed to the County.

FDEP Construction Water Permit Application

To be used by the project engineer to apply for a Florida Department of Environmental Protection permit for construction of water lines, etc., in the public right of way. This application is normally used where phasing of the project is required.

FDEP Permit Application Checklist

Outlines the requirements for submitting the FDEP permit package.

FDEP Permit Clearance Checklist

Outlines the requirements for submitting the FDEP certification of completion package.

FDEP Reclaimed Water Permit Application

Notice of Intent to Use General Permit for Addition of a Major User of Reclaimed Water. Used by the project engineer to apply for a Florida Department of Environmental Protection permit for construction of reclaimed water lines, etc., in the public right of way.

FDEP Wastewater Permit Application

Notification/Application For Constructing A Domestic Wastewater Collection/Transmission System. Used by the project engineer to apply for a Florida Department of Environmental Protection permit for construction of wastewater lines, etc., in the public right of way.

FDEP Wastewater Clearance Application

Request For Approval To Place A Domestic Wastewater Collection / Transmission System Into Operation. This form is used by the engineer of record to certify the completion of the wastewater collection system under the Florida Department of Environmental Protection wastewater permit.

FDEP Water Clearance Application

Certification of Construction Completion and Request for Clearance to Place Permitted PWS Components into Operation 962-555.900(9). This form is used by the engineer of record to certify the completion of the water construction project under the Florida Department of Environmental Protection water permit.

Jumper Meter Request
(PDF-WCAG)

This form is to accompany customer payments for a Jumper Meter.

Letter of Credit
(PDF-WCAG)

Sample of a type of maintenance guarantee to warranty utilities for one year.

License-Maintenance Agreement-CDD
(WCAG)

This agreement is required whenever a developer, HOA or CDD proposes to place landscaping and/or fencing on County Utility property. The agreement requires the Licensee to assume all liability and responsibility including paying all costs for installation and maintenance of the landscaping and/or fencing.

Maintenance Bond
(PDF-WCAG)

Sample of a type of maintenance guarantee to warranty utilities for one year.

Merchant’s Agreement
(PDF-WCAG)

Form of the agreement between multiple owners for usage and maintenance of a private pump station. To be reviewed and approved by PCU prior to recording by the owners.

FDEP Permit Fee Application
(PDF-WCAG)

Form needs to be signed by the owner/developer and engineer agreeing to Pasco County’s terms and conditions and payment of commitment and permit fees.

Pressure Main Data Test Sheet
(PDF-WCAG)

Form to be used by the engineer or his representative and County inspectors when conducting a pressure test of the water, wastewater or reclaimed water mains.

Service Connection Application-Single Residential/Commercial
(PDF-WCAG)

Form is to be completed by the owner/developer or the engineer of record for a specific proposed project to request utility services, determine meter size and to calculate all appropriate fees and charges. This form is for a single residential or a commercial project.

Service Connection Application-Subdivision without Reclaim
(PDF-WCAG)

Service Connection Application-Subdivision with Reclaim
(PDF-WCAG)

Service Connection Application for Taps and Jumper Meters
(PDF-WCAG)

Form is for contractor’s use to request taps and jumper meters for a given project which must be preapproved prior to submittal of payment of fees by the Planning and Service Commitment section.

Solid Waste Management Program User Charge System
(PDF-WCAG)

Guidelines for calculating the fee for solid waste.

Utilities Services Agreement for Water Supply, Wastewater Treatment and Reclaimed Water Supply
(PDF-WCAG)

Form to be used as the agreement between Owner/Developer and Pasco County Board of County Commissioners outlining services to be provided and requirements by each party.

Utilities Services Agreement for Water Supply and Wastewater Treatment
(PDF-WCAG)

Form to be used as an agreement between Owner/Developer and Pasco County Board of County Commissioners outlining services to be provided and requirements by each party.

Master Utility Plan Guidelines
(PDF-WCAG)

Outlines the requirements for submitting an overall utility site plan for proposed utilities including existing utilities in the surrounding area of the proposed project.

Utilities Standards for Design and Construction (PDF)

Technical manual for design and construction of water, wastewater, and reclaimed water facilities for Pasco County Utilities Department. Revised February 10, 2021.

Customers in need of accessibility assistance specific to the renderings or content within this document may contact Pasco County Utilities Engineering, Aurybel Rivero, at 813-235-6189 Ext. 6796, or via email at arivero@mypasco.net, as well as Eric B. Patrick at 813-235-6189 Ext. 6929, or via email at epatrick@mypasco.net.

Customers in need of accessibility assistance can connect by phone through the Federal Information Relay Service at 800-877-8339 for TTY/voice communication or by visiting PascoCountyFL.net/Accessibility for other available support avenues.

Customers in need of accessibility assistance within a Pasco County Utilities Engineering Department document, specific to the renderings or content, may contact Pasco County Utilities Engineering, Aurybel Rivero, at 813-235-6189 Ext. 6796, or via email at arivero@mypasco.net, as well as Eric B. Patrick at 813-235-6189 Ext. 6929, or via email at epatrick@mypasco.net.

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