HomeMy WebLinkAboutNew Residential ApplicationCITY OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
NEW CONSTRUCTION
Account Name: TNT BUILDERS OF SOUTH FLORIDA LLC
Service Address: 151 EASY STREET
City: PORT ST LUCIE State: FL ZjM 34982
ling Address: 981 SW BILTMORE STREET PORT ST LUCIE FL 34983
Primary Phone #: (772) 344-9400 Secondary Phone#:
I.D. # ******5368
Legal Description: LOT 5.6,7 BILK 14 UNIT 3 INDIAN RIVER ES
Cvcle: 01 Book: 007
cone: IRE/PD
Plant:
1034592 - 834561
RECEIVED Customer - Account
AUG 2021
WATER Capacity: (One ERQ: $ 1,423.00
St. Luci8 Permitting County NON SAD/USA Line Fee: $ 734.00
SAD/USA 3/" Meter Fee: $
NON SAD/USA %" Meter Fee: $ 640.00
TOTAL WATER: $ 2,797.00
SEWER Capacity: (One ERQ: $
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 Check #
RECEIPT #: DATE PAID: 07/21/2021 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.
Melissa McLeod 07/21/21
CUSTOMER'S SIGNATURE
DATE