HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESO DL-1 4 CUSTOMER'S DEPOSIT RECEIPT & SERVICE AGREEME]
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Own or Rent: n
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Schedule Date:
Received From: Sa .
L-L, CA ; Cc
Date• _ ,
Street Address: , 14. i,
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8 141 �r
Mail Address: 4 31
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D.L.#: `sq 1 (0000835
Phone #:
BI{,& PG #: O 31 — 0 t Y v(
Same Day Turn on Fee: $
Added to First Bill: p (initials)
Paid: m (initials)
Water Deposit: $ S p . OJ. ❑ Check#
Sewer Deposit: $ 9 O • ll
Deposit: $
❑ Cash
[b` Credit Card I q 0
Customer requests water be left on and understands the release of liability to the City initials
agreed refused
S.T.E.P/GRINDER system brochure" Use of City w on w
lter for irrigation result in high usage costs- initials
This payment is to guarantee aay and all indebtedness for wa
the City of Port St. Lucie Utilities Systems Department, it's aj
the Customer. Customer agrees that this Deposit, or anyj
indebtedness of Customer to Utility. The Customer herein a
service address, until a request in writing for termination;of',
service covered by this Deposit and the presentation of this R
to Customer the Deposit, less any amounts due Utility. Prior
the (serviced) property, the Customer agrees to provide Uti
er and/or sewer service which may be or become due to
vents or employees (hereinafter called `-`Utility"), and by
portion thereof, may be applied in discharge of any
grees that it is responsible for all service charges to the
ervice is provided to the City. Upon discontinuance of _
;ceipt and proper identification, Utility agrees to refund
to the transfer of any service account to a new owner of
lity a copy of the Closing Statement.
This Deposit shall not preclude Utility from discontinuing for nonpayment, the service covered by this Deposit,
regardless of the sufficiency of said Deposit to cover any inldebtedness for such service.
Customer agrees to abide by all existing rules and regulations of the Utility and any amendments thereto. Copies of
the rules and regulations and amendments are available for ilnspection at the City Clerk's Office.
Customer agrees that Utility shall, at all times, have access to Utility's lines, meters, and Suburbanaer (pressure sewer
system), and the areas where such facilities are located will be kept 'free of shrubbery, trees, fences, interference
from anypets and other obstructions. Customer agrees that it shall hold Utility harmless, and Utility shall not'be liable for
any damage or injury alleged to have occurred to real property,�persons, or pets by the Utility conducting. inspections
and repairs to Utility lines, meters, and 'Suburbanaer (pressure sewer system).
Customer agrees that all bills for water and/or sewage charges will be paid within twenty (20) days of mailing. After
' five (5) days written notice if not so paid, Utility will have the right to disconnect service and charge a reasonable fee
for reconnecting,.
It is further understood and agreed that the sale of water to (Customer occurs at the meter; and Utility has no
responsibility relative to service or supplying water after the water passes through the meter. It is thf Customer's
responsibility to insure that all plumbing past the meter is shut offprior to the water service being activdted. Utility's
responsibility to gravity sewer service ceases at Customer's property line, and Utility's responsibility relative to
Suburbanaer (pressure sewer system) ceases at the point at which the house lateral enters the Suburbanaer unit.
The Terms and Conditions Regarding Water and Wastew:
City Of Port St. Lucie, are listed on back of this service agr
this service Agreement by signature below.
X M` hel'By
ustom
service, adopted by the City Council of the
ent. I have read and -acknowledge receipt of
TY OF PORT ST. LUCIE UTILITY
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Rev. 6/13