HomeMy WebLinkAboutImpact FeeWATER
SEWER COMM ST. LUCIE
p COUNTY UTILITIES- P O,
✓ p RES BOX 728 FT. PIERCE FL 34982
METE SZ. NAME /
IRR ACCT. # J 9
SECURITYDEP SERVICE ADDRESS L��a
SERVICE FEE �C
SAME DAYFEE p
OVERTIME FEE SUBDrWSION�-f_�e& d /
LOT/METERINSTALL.. BII'LINGADDRESS BLOCK
CFC/WATER
FPUA CFC
CFC/SEWER PHONE #
MOVE IN/CLOSING DATE
• GUAR. REV This application hereby re
services to the Quest and authorises the Utility to render water and/or sewage
LATERAL Premises described above in accordance with th
rules and regulations , w ch by reference are made apart of this contract. A rent or futuresratesl U TOTAL, the Utility prompuy for such services CUSTOMER CUSTOMERS DEPOSITS 1II accordance with the established rulicant es and agrees to pay
ARE NONNEGOTIABLE OR regulations.
SIGNATURE TRANSFERABLE.
SOCIAL SEC/
NAME OF SPOUSE FED iD
SPOUSE SOCIAL SEC.
DATE RECEIVED'S I CASH OFFICE USE ONLy�
CHK #—'=�� RECEIVED BY
1-1 1a d IMP179-170 . "C
0170-Impact Fee-School-SFR Amount Due:
IMP131_170 ,
0170-Impact Fee-Road-SFR- $6,426.00
IMP197-170 Mainland
0170-Impact Fee -pub Bldg $2�616.00
RECEIVE® I P196-170 Other -SF
ti 0170-Impact Fee -Pub Bldg $118.00
LJAN ���� I 184-170 SF 9 Corr- $236.00
0170-Impact Fee-Parks-SFR
cie County, �ermft_1 191-170
0170-Impact Fee -Libra $1,617.00
IMI'217-170 Fee -SF
IMP210-170 0170-Impact Fee -Law Enfor-SF $229.00
IMP131-170 0170-Impact Fee-Fire/EMS-SF $217.00
0170-ImnarP a,-- „- .. _ _. $632.00