HomeMy WebLinkAbout0 Fianl Receipt - PAID - PSL Signed Document CITY OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
NEW CONSTRUCTION 1059670 - 832086
Customer-Account
WATER Capacity: (One ERQ $ 1,423.00
Account Name: AURELIO F PEREIRA NON SAD/USA Line Fee: $
Service Address: 2430 NOBLE OAKS LANE SAD/USA%" Meter Fee: $
NON SAD/USA%" Meter Fee: $ 640.00
City: FORT PIERCE State: FL Z[R 34981 TOTAL WATER: $ 2,063.00
Mailing Address: 1425 SE VILLAGE GREEN DRIVE PORT ST LUCIE FL 34952 SEWER Capacity: (One ERQ $
NON SAD/USA Line Fee: $
Grinder Installation: $
Primary Phone#: (772) 201-7364 Secondary Phone#: (772) 201-7363 LPS Installation Fee: $
I.D. # *********0980 Septic Service: $
Gravity Sewer: ❑
TOTAL SEWER: $
Security Deposit Water: $ 50.00
Security Deposit Sewer: $
Legal Description: LOT 1 NOBLE OAKS ESTATES Recording Fee: $
CYCIe: 02 Book: 500 LESS DEPOSIT& RECORDING $
Zone: NON TOTAL AMOUNT DUE: $ 2,113.00
Plant: ❑Cash ■ CreditCard ❑Check#
RECEIPT#: DATE PAID: 02/19/2021 BY: MBYRD
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.
,c a Z 02.19.21
Customer Signature Date