HomeMy WebLinkAboutAPPLICATION FOR NEW SERVICE'Y OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL
SERVICE APPLICATION
P. I KU(;TION
0868820 - 820672
Customer - Account
C
WATER Capacity: (One ERC):
$ 1,380.00
Account Name: RON RAYMOND CONSTRUCTION INC'
NON SAD/USA Line Fee:
$
Service Address: 5140 DUNN ROAD
SAD/USA /" Meter Fee:
$ 621.00
EC IVED
NON SAD/USA %" Meter Fee:
$
City; PORT ST LUCIE State: FL Zip'. 34981
G C 25 M018
TOTAL WATER:
$ 2,001.00
line Address: P 0 BOX 12058 FT PIERCE FL 34979-2058
ST. Lucie county, Permitting
SEWER Capacity: (one ERC):
$ 2,111.00
NON SAD/USA Line Fee:
$
Primary Phone #: (772) 878-1361 Secondary Phone#:
Grinder Installation:
$ 3,026.00
I.D. # ******6717
LPS Installation Fee:
$
Septic Service:
$ .
- - -- _ — - - - - --
- -- — —
—TOTAL SEW ER: -
$ 5,137.0
Security Deposit Water:
$ 50.00 r
00
Security Deposit Sewer:
$ 90.00;
Legal Description: LOT 3 DUNN ROAD ESTATES
Fee:
-D'�
$
Recording
Cycle: 02 Book: 500
rh
LESS DEPOSIT & RECORDING
$
_...ne: NON
I
TOTAL AMOUNT DUE:
<
$ 7,278.00
it: G P
Cash 0 CreditCard 0 Check # 11920
RECEIPT #: 0291124 DATE PAID: 05/03/2018 BY: AMCCOY
UTILITY 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 water
and /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 ofthe allocation and may
require consumerto curtail use which exceeds such allocated capacity. I have read and acknowledge receipt of this Service Agreement by signature below.
Signature Date
r
A__....vrv, I KUCTION
'Y OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
Account Name: RON RAYMOND CONSTRUCTION INC
Service Address: 5140 DUNN ROAD
City: PORT ST LUCIE State: FL ZIM 34981
!' 41ing Address: P 0 BOX 12058 FT PIERCE FL 34979-2058
;
Primary Phone #: (772) 878-1361 Secondary Phone#:
I.D. # ******6717
Legal Description: LOT 3 DUNN ROAD ESTATES
Cycle: 02 Book: 500
7-ne: NON
it: GP
0868820. - 820672
Customer - Account
WATER Capacity: (One ERC): $1,380.00
NON SAD/USA Line Fee: $
SAD/USA V4" Meter Fee: $ 621.00
NON SAD/USA %" Meter Fee:- $
TOTAL WATER: $ 2,001.00
SEWER Capacity: (One ERC): $ 2,111.00
NON SAD/USA Line Fee: $
Grinder Installation: $ 3,026.00
LPS Installation Fee: $
Septic Service: $
TOTAL SEWER:. $ 5,137.00
Security Deposit Water: $ 50.00
Security Deposit Sewer: $ 90.00
Recording Fee: $
LESS DEPOSIT & RECORDING $
TOTAL AMOUNT DUE: $ 7,278.00
Cash 0 CreditCard Check # 11920
RECEIPT #: 0291124 DATE PAID: 05/03/2018 BY: AMCCOY
UTILITY 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 water
and /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 may
require consumer to curtail use which exceeds such allocated capacity. I have read and acknowledge receipt of this Service Agreement by signature below.
Signature Date