Welcome to Riviera Beach

Stormwater Utility Credit Request Form

* indicates required fields
Owner's Name *:
Business Name *:
Address *:
City, State, Zip *:
Contact Person *:
Phone Number *:	- -
Utility Account Number *:
Parcel ID #:
SFWMD Permit Number
SFWMD Permit Date:
Has the system been maintained in accordance with the SFWMD Permit?:	Yes No Don't Know
Description of Stormwater System *:
Attach Image 1:
Attach Image 2:
Attach Image 3:

Please be aware that as of July 1, 2006, 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 us electronic mail. Instead, contact the City of Riviera Beach by phone or in writing.