HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESSEWER
METER SZ,
1�
COMM ST LUCIE COUNTY UT
S - P.O. -BOX 7Z8 FT.
:!kRES NAME
M/F
OQ IRR
SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
METER INSTALL.'
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
LATERAL
TOTAL
SERVICE 4Dl)Rj:s.s
SUBDIVISION�_n00'C� 2
- OT /✓ � BLOCK
BILLING ADDRESS
PHONE # MOVE IN/CLOSING DATE
This application hereby request and authoriies services to the premises described abIlse Utility to render water and/or sewage disposal
ove in accordance with the Utilities present or future rates,
rules.and regulations, which by reference are made a part of this contract. Applicant agrees to pay
the Utility OM promptly for such services in accordance with the established rules and regulations.
iTOMER CUSTOMERS DEPOSITS ARE NON NEGOTIABLE ORTRANSFERABLE.
NATURE ` ; j(
4E-.OF SPOUSE
DATE RECEIVEA
N-ERDVeg
IMP179.170
IMP131-170
IMP197.170
IMP196.170
IMP184-170
IMP191.170
IMP194-170
IMP217-170
IMP210-170
IMP131-170
NPermi685
NSIMS851
NBPSur950
NBPTru1009
SOCIAL SEC/
FED ID
SPOUSE SOCIAL SEC.
USE ONLY
CASH CHK #�_
RECEIVED BY �J� G�
N-ERD Vegetation - Vegetation
Removal
$50.00
0170-Impact Fee-School-SFR
$6,428.00
1 �' a h c
0170-Impact Fee-Road=SFR-
V v
Mainland
$2,616.00
0170-Impact Fee -Pub -Bldg
Other -;SF
$118.00
) 86
0170-Impact Fee -Pub Bldg Corr_
SF
$236.00
0170-Impact Fee-Parks-SFR
$1,617.00
0170-Impact Fee -Library -SF
$229.00
0170-Impact Fee-Library-MF 3+
floors
$0.00
0170-Impact Fee -Law Entor-SF
0170-Impact Fee-Fire/EMS-SF
$zlroo
RECEIVE®
0170.Impact Fee-Road-SFR-
Mainland
$832.00
($2,0*00)
J A N 0 2? v' 9
N-Permit Fee -Residential &
Commercial - New & Additions
$2,680.64
ST. Lucie County, Permitting
N-BP BIMS
N-BP Surcharge - Perml865 -
$5.00
Res & Comm - New & Additions
$26.81
N-BP Trust Surcharge - Permt685
- Res & Comm -'New & Additions
$40.21,
6/15/2018 9:10'56 AM