HomeMy WebLinkAboutUtility receiptCITY OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
NEW CONSTRUCTION
Account Name: ADAMS HOMES
Service Address: 761 ALTURA STREET
City' PORT ST LUCIE State: FL ZIw. 34952
Mailing Address: 3000 GULF BREEZE PARKWAY GULF BREEZE FL 32563-
5623
Primary Phone #: (772) 90S-8394 Secondary Phone#:,
I.D. # *****0464
Legal Description: LOT 17 BLK 6 UNIT 3 RIVER PARK
cle: 01 Book: 011
Zone: NON
Plant:
0187895 - 832684
Customer - Account
WATER Capacity: (One ERC): $ 1,423.00
NON SAD/USA Line Fee: $ 734.00
SAD/USA %" Meter Fee: $
NON SAD/USA /1" Meter Fee: $ 640.00
TOTAL WATER: $ 2,797.00
SEWER Capacity: (One ERC): $
NON SAD/USA Line Fee:
$
Grinder Installation:
$
LPS Installation Fee:
$
Septic Service:
$
Gravity Sewer:
❑
TOTAL SEWER:
$
Security Deposit Water: $ 50.00
Security Deposit Sewer: $
Recording Fee: $
LESS DEPOSIT & RECORDING $
TOTAL AMOUNT DUE: $ 2,847.00
❑ Cash ❑ CreditCard 0 Check # 258200
RECEIPT#: DATE PAID: 03 29 2021 BY: MBATTAGLIA
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.
W. Bryan Adams
CUSTOMER'S SIGNATURE
03/29/21
DATE