HomeMy WebLinkAboutUtility ReceiptCITY OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
NEW CONSTRUCTION
Account Name: SYNERGY HOMES LLC
Service Address: 113 LIMA COURT
City: PORT ST LUCIE State: FL Zip: 34983
Mailing Address: 581 NW MERCANTILE PLACE SUITE 106 PORT ST LUCIE FL
34986-2256
Primary Phone #: (561) 662-3287 Secondary Phone#: (561) 436-4882
I.D. # *****0163
Legal Description: LOT 2 BLK 41 UNIT 4 RIVER PARK
Cycle: 02 Book: 021
Zone: USA9/PD
Plant: WP
1017196 - 834385
Customer - Account
WATER Capacity: (One ERC): $ 1,423.00
NON SAD/USA Line Fee: $ 734.00
SAD/USA ¾” Meter Fee: $
NON SAD/USA ¾” 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: $
Septic Service: $
Gravity Sewer:
TOTAL SEWER: $ 2,543.00
Security Deposit Water: $ 50.00
Security Deposit Sewer: $ 90.00
Recording Fee: $
LESS DEPOSIT & RECORDING $
TOTAL AMOUNT DUE: $ 5,480.00
Cash CreditCard Check #
RECEIPT #: DATE PAID: 06/23/2021 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.
Olivia Fitzgerald 06/23/21
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CUSTOMER’S SIGNATURE DATE