HomeMy WebLinkAbout5608 Palm utility receipt 10-21-21 LC? lC ST LUCIE COUNTY WATER & SEWER DISTRICT ( SLCU )
' NEW CUSTOMER APPLICATION
WATER COMM
SEWER RES NAME Marcio Silva for Building Partners LLC
METER SZ M/F ACCT. #
i
IRR
$ � ! SECURITY DEP SERVICE ADDRESS 5608 Palm Drive, Fort Pierce FL 34982
SERVICE FEE
SAME DAY FEE SUBDIVISION Indian River Estates Unit Eight LOT 20 BLOCK 56
r OVERTIME FEE
t
'T34 ` METER INSTAL BILLING ADDRESS 981 SW Biltmore St , Port St. Lucie, FL34983
CFC/WATER EMAILADDRESS: belavistacontractors(cDgmail.com
FPUA CFC PHONE # (954) 644-3121 MOVE IN/CLOSING DATE 10/25/2021
CFC/SEWER
GUAR. REV. This application hereby requests and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates, rules and
q LATERAL regulations, which by reference are made apart of this contract. Applicant agrees to pay Utility promptly for
$ \ _ � TOTAL such services in accordance with the established rules and regulations .
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
APPLICANT AGREES THAT APPLICANT WILL BEGIN PAYING BASE FACILITY CHARGES FOR THE UTILITY SERVICE
MS E REGARDLEAPPLIED FOR ON THE DAY THE WATER METER OR OTHER UTILITY SERVICE CONNECTION IS INSTALLED AT
APPLICANT'S PROPERTY,
,Fs APPLICANT'SWHEN APPLICANT STARTS UTILIZING THE METER AND/OR SERVICE.
CUSTOMER SIGNATURE SOCIAL SEC/FED ID 83-2360242
NAME OF SPOUSE N/A _- _ SPOUSE SOCIAL N/A
( OFFICE USE ONLY ��^^
DATE RECEIVED ; �( ' e CASH CHECK # RECEIVED BY W
c