HomeMy WebLinkAboutNEW RESIDENTIAL SERVICE APPLICATION - CITY OF PSL UTILITYCITY OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
NEW CONSTRUCTION
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Account Name: FOUNTAIN PLAZA INVESTMENTS LLC
Service Address: 12103 RIVERBEND ROAD
City: PORT ST LUCIE State: FL Zip 34984.
ling Address: 737 SW PORT ST LUCIE BOULEVARD SUITE A PORT ST
LUCIE FL 34953
Primary Phone #: (954) 325-3199 Secondary Phone#:
I.D..# ******4433
Legal Description: LOT 6 BAY ST LUCIE .
'le: 01 Book: 455
Zone: NON
Plant:
JAN 16 2019
ST. Lucie County, Permitting
1014042 - 822846
Customer - Account
WATER Capacity: (One ERQ: $ 1,401.00
NON SAD/USA Line Fee: $ 722.00
SAD/USA '%."`Meter Fee: $
NON SAD/USA %" Meter Fee: $ 630.00
TOTAL WATER: $ 2,753.00
SEWER Capacity: (One ERQ: $
NON SAD/USA Line Fee: $ SCANNED
By
Grinder Installation: $ St Lucie COUnf
LPS Installation Fee: $ y
Septic Service: $
TOTALSEWER: $
Security Deposit.Water: $ 50.00
Security Deposit Sewer: $
Recording Fee: $
LESS DEPOSIT & RECORDING $
TOTALAMOUNTDUE: $ 2,803.00
Cash F-I CreditCardCheck# 2214
RECEIPT #:. DATE PAID: 01/07/2019 BY: MBYRD
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 fora 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 consumerto curtail use which exceeds such allocated capacity. I have read and acknowledge receipt of this Service Agreement bysignature below.
/-_ 7_ 19
Customer Signature
Date