HomeMy WebLinkAboutPSL - NEW RESIDENTIAL SERVICE APPLICATIONCITY OF PORT ST. LUCIE UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL SERVICE APPLICATION
NEW CONSTRUCTION
Account Name: PACE 2000 INC
Service Address: 5421 STATELY OAKS STREET
City: FORT PIERCE State: FL Zip; 34981
Mailing Address: 1233 SE PORT ST LUCIE BOULEVARD PORT ST LUCIE FL
34952-5375
Primary Phone #: (772) 340-7223 Secondary Phone#:
I.D.# ******1228
Legal Description: LOT 17 SOUTHERN OAK ESTATES FIRST REPLAT
Cycle: 02 Book: 500
Zone: NON
Plant: GP
V?03- p(04 r
0186386 - 823538
Customer - Account
WATER Capacity: (One ERQ: $ 1,401.00
NON SAD/USA Line Fee: $
SAD/USA''%" Meter Fee: $
NON SAD/USA''%" Meter Fee: $ 630.00
TOTAL WATER: $ 2,031.00
SEWER Capacity: (One ERQ: $ 2,143.00
NON SAD/USA Line Fee:
$
Grinder Installation:
$
LIPS Installation Fee:
$
Septic Service:
$
TOTALSEWER:
$ 2,143.00
Security Deposit Water: $ 50.00
Security Deposit Sewer: $ 90.00
Recording Fee: $
LESS DEPOSIT & RECORDING $
SCANNLL, TOTAL AMOUNT DUE: $ 4,314.00
BY e Count+ Cash CreditCard 0 Check #
St. Luc . r 1
RECEIPT#: DATE PAID: 03/29/2019 BY: ERESTITUYO
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.
Customer Signature