HomeMy WebLinkAboutNew Residential Service ApplicationUI FY Vh PUK 1 J 1. LLPLIC IJ I ILI f TJ I r.IVIJ L9crr+n r IVIGIM I V5�~ 05b's
NEW RESIDENTIAL SERViCE. APPLICATION
EW CONSTRUCTION 0963040 - 815031
�.3;_F � �,-.1 �_ Customer - Account
G 7 2Ui5
WATER Capacity: (One ERC):
$1,257.00
:Count Name:-.DIFRANCESCO CONSTRUCTION
LY:
NON SAD/USA line Fee:$535.00
irvice Address: 00 GRAND OAK AVENUE
SAD/USA Y" Meter Fee:
$
NON SAD/USA Y" Meter Fee:
$ 871.00
ttr FORT PIERCE State: FL Mr. 34981
TOTAL WATER:
$ 2663.00
IailinR Address: 8840 LONESOME PINE TRL FT PIERCE FL 34945-3114
SEWER Capacity: (One ERC):
$ 2,131.00
NON SAD/USA Line Fee:
$197.00
Grinder Installation:
$
rimaiv Phone #: (772) 201-7797 Secondary Phone#:
LPS Installation Fee:
$ 2,981.00
D_# 65-0417189
Septic Service:
$
TOTAL SEWER:
$ 5,309.00
Security Deposit Water:
$ 50.00
Security Deposit Sewer:
$ 90.00
aval Description: TRAC Al SECOND REPLAY SOUTHERN OAK
Recording Fee:
$
ycle: 02 Book: 500
LESS DEPOSIT &. RECORDING
$
ype of Service Requested: NON
TOTAL AMOUNT DUE:
$ 8112.00
'lant: GP WP❑
MCash 0 CreditCard ■Check #1005
RECEIPT #•
DATE PAID: 06/29/2015 .
BY: MBYRD
LITY 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 w;
/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 ma'
ulre consumer to curtail use which exceeds such allocated capacity. I have read and acknowledge receipt of this Service Agreement by signature below.