HomeMy WebLinkAboutCity of PSL Utilities New Residential Service ApplicationCITY OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
NEW CONSTRUCTION
Account Name: PORT ST LUCIE PROPERTIES INC
Service Address: 8217 MAIDENCANE PLACE
City: PORT ST LUCIE State: FL ZiE 34952
Mailing Address: 201 SW PORT ST LUCIE BOULEVARD STE 103 PORT ST
LUCIE FL 34984` -
Primary Phone #: (772) 626-3176 Secondary Phone#: (772) 249-0086.
I.D. # ******7111
Legal Description: LOT 1115 PLAT 1 LAKE LUCIE ESTATES
Cycle: 01 Book: 109
Zone: NON
Plant: WP
0814135 - 832702
Customer Account
WATER Capacity: (One ERQ: $ 1,423.00
NON SAD/USA Line Fee: $
SAD/USA %" Meter Fee: $
NON SAD/USA %" Meter.Fee: $ 640.00
TOTAL WATER: $ 2,063.00
SEWER Capacity: (One ERQ: $ 2,177.00
NON-SAD/USA Line -Fee:- -
$ -
Grinder Installation:
$
LPS Installation Fee:
$
Septic Service:
$
Gravity Sewer:
TOTAL SEWER:
$ 2,177.00
Security Deposit Water: $ 50.00
Security Deposit Sewer: $ 90.00
Recording Fee: $
LESS DEPOSIT & RECORDING $
TOTAL AMOUNT DUE: $ 4,380.00
Cash ■ CreditCard o Check #
RECEIPT#: DATE PAID: 03/30/2021 BY: MBATTAGLIA
rILITY 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
id /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
quire consumer to curtail use which exceeds such allocated capacity. I have read and acknowledge receipt of this Service Agreement by signature below.
Kristen Montalto psl propreties inc 03/30/21
CUSTOMER'S SIGNATURE
DATE
R.
PORT ST.
Quality Home
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SUBCONTRACTOR LIST:
LUCI E PROPERTIES
Builder
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