HomeMy WebLinkAboutSLC UTILITIES RECEIPTWATER COMM
SEWER RES
METER SZ. M/F
IRR
S Dom" 0 D / SECURITY DEP
SERVICE FEE
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SAME DAY FEE
OVERTIME FEE
METER INSTALL.'
CFGWATER
FPUA CFC
CFC/SEWER
GUAR REV.
LATERAL
TOTAL
PHONE # Rt. MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
rules and regulations, which by reference are made a part of this contract Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER /�
SIGNATURE �L/L� /"ate& _
NAME OF SPOUSE
SOCIAL. SEC/ FED ID 75-2460269
SPOUSE SOCIAL
OFFICE USE ONLY
DATE RECEIVED CASH__ CIIK # RECEIVED BY
PLANNING & DEVELOPMENT
BOARD OF [�� SERVICES DEPARTMENT
COUNTY
COMMISSIONERS 0 _0 D Building and Code Regulation
Division
NOTICE TO ALL BUILDING PERMIT APPLICANTS
EFFECTIVE IMMEDIATELY all residential and commercial building
permit applications (including addition, expansions, and interior
remodeling) that propose to use central water and/or sewer shall submit
the following with their building permit applications:
/1) A copy of the paid utility service receipt for water and/or
sewer; or
2) A letter from the utility services provider stating services are
available (ability to connect at the subject location)
"For new residential or mixed use developments, both a paid utility
receipt and a letter from the municipality regarding the ability to connect to
services will be required.
*************
EFFECTIVE IMMEDIATELY all residential and commercial building permit
applications for new construction shall submit the following .with their
building permit application:
1) A copy of the paid utility service receipt for electric service
or a letter from the electrical utility provider that electric will
be available to the location.
NO EXCEPTIONS
Website: umv.stlucieco.aov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5662
Phone (772) 462-1553 FAX (772) 462-1578