HomeMy WebLinkAboutPSL UTILITIEST
'ITY OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
City of Pori St Lucie Utility Systems
0941042 - 823401
121 SW Port St. Lucie Blvd
Port St. Lucie, FL 34984
Customer - Account
(772)871-5330
1 T,
Utility@cityofpsl.corn
J
V 3
WATER Capacity: (One ERC):
$ 1,401.00
RECEIPT #:
0329724
NON SAD/USA Line Fee:
$ 722.00
03/13/2019 0
SAD/USA'sY4" Meter Fee:
$
Customer - Account: 0941042 - 823401
)4981
NON SAD/USA a/a°Meter Fee:
$630.00
NICHOLAS TESTA
TOTAL WATER:
$ 2,753.00
5260 DUNN ROAD
LUCIE FL 34981
RECEIVED
Deposit Paid - Sewer
$90.00
SEWER Capacity: (One ERC):
$2,143.00
Deposit Paid - Water
$50.00
$8,327.00
Phone#:
MAR 18 2019
NON SAD/USA Line Fee:
$ 36Q.00
Miscellaneous
Subtotal
$8,467.00
Grinder Installation:
$
$8,467.00
S_r. Lucie County PerMittinR
---
LPS Installation Fee:
$ 3,071.00
Total
Septic Service:
$
_ TENDERED
TOTAL SEWER:
$ 5/574.00
Check #1146
$8,467.00
Total
$8,467.00
Security Deposit Water:
$ 50.00
L Change
$0.00
E$
Security Deposit Sewer:
$ 90.00
C Remaining Balance
-$8,467.00
Recording Fee:
$
NON
LESS DEPOSIT & RECORDING
$
Plant: GP
TOTALAMOUNTDUE:
$8,467.00
E]Cash F-jCredltCard Check#1146
SCANNED
BY
RECEIPT #: ��I _1
) L'DATE PAID: 03/13/2019
�
BY: A7} CC
I 6ve County
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.
In
Customer Signature Date