HomeMy WebLinkAboutPSL Utility ApplicationCITY OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
NEW CONSTRUCTION
Account Name: GRANDE CONSTRUCTION
Service Address: 465 SE VERADA AVENUE
City: PORT ST LUCIE State: FL ZiM 34983
Mailing Address: PO BOX 881765 PORT ST LUCIE FL 34988-1765
:�.rnary Phone #: (772) 336-7240 Secondary Phone#:
I.D. # ******7413
Legal Description: LOT 52 BLK 32 UNIT 4 RIVER PARK
Cycle: 02 Book: 025
Zone: USA9/PD
int: WP
0847327 - 831594
Customer - Account
WATER Capacity: (One ERC): $ 1,423.00
NON SAD/USA Line Fee: $ 734.00
SAD/USA %" Meter Fee: $
NON SAD/USA %" Meter Fee: $ 640.00
TOTAL WATER: $ 2,797.00
SEWER Capacity: (One ERC): $ 2,177.00
NON SAD/USA Line Fee: $ 366.00
Grinder Installation: $
LPS Installation Fee: $ 3,120.00
Septic Service: $
TOTAL SEWER: $ 5,663.00
Security Deposit Water: $ 50.00
Security Deposit Sewer: $ 90.00
Recording Fee: $
LESS DEPOSIT & RECORDING $
TOTAL AMOUNT DUE: $ 8,600.00
Cash M ICreditCard Check #
RECEIPT#: DATE PAID: 01/14/2021 BY: IVIBYRD
UTILITY will provide water and/or sewer service upon payment of the applicable connection charges and compliance with the Terms and Conditions listed on the back of this Service Application. The Utility policies provide for a water
and /or wastewater plant capacity allocation of two hundred and fifty (250) gallons per day equivalent residential connection (ERC). The Utility will not be obligated to provide capacity of service in excess of the allocation and may
require consumer to curtail use which exceeds such allocated capacity. I have read and acknowledge receipt of this Service Agreement by signature below.
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Customer Signature
Date