Office Use Only:
Acct#:	 Date of Svc Acct: 		 Application Approved
Denied
(Reason) 	

ID Verified

ST. LUCIE WEST SERVICES DISTRICT (SLWSD)
Temporary Water Meter-Application for Utility Services

Applicant is required to provide the following documentation with application:
Personal identification (ID) of applicant (if for business see details below), and
Deposit for 2” meter $1,000.00, and
8 ½ by 11” map, picture, or drawing of the proposed location layout for the fire hydrant assembly (You may obtain map from Google Earth).

Complete the following information to open an account. (PLEASE PRINT) Proposed location for temporary water meter:

(Street Address)

Nearest cross street to proposed location: 	

Applicant’s name (Primary account holder who is responsible for the service location)
																														
(The security deposit placed on this account will be credited only to the above applicant and is non-transferable)
Mailing address (if different than service address)
																														
City	State	Zip

Main phone# 	Alternate phone#(if applicable)  	
Alternate contact name (Person authorized to be contacted by or to contact SLWSD and to pay bills on the account, if applicable)
																														
Alternate Contact phone # (if applicable)_ 	

What is the temporary meter for?:	Construction	Irrigation	Pressure Cleaning	If other, please indicate  	
IF BUSINESS ENTER TAX ID # 	_
(Must provide authorization in writing from business for applicant to sign application.) Important: A two (2) inch connection will be attached to the temporary meter for your convenience.
Check one:	Temporary meter assembled with no lock	Temporary meter assembled with lock

Terms: The undersigned Applicant hereby acknowledges and agrees to the following terms and conditions:

Applicant is responsible for leaving the temporary water meter assembly in the assigned location. Applicant may request that the SLWSD relocate a specific temporary water meter to another location within the boundaries of the development for which service was originally approved.
Applicant is responsible for any and all damage to private property that may result from utilizing the temporary water meter and backflow assembly.
Applicant is responsible for any property damage to the SLWSD water distribution system, including but not limited to damage to the meter and backflow assembly, due to use of the meter and backflow assembly, theft, or vandalism. The Applicant shall be invoiced for the cost of repair or replacement.
Applicant shall not be responsible for normal wear and tear caused by normal use.
Applicant shall be responsible for complying with the Rules of the SLWSD, including but not limited to paying all fees associated with the use of the temporary water meter.

Applicant Signature:		Date:  	

450 S.W. Utility Drive  ●  Port St Lucie, FL  34986  ●  Office (772) 340-0220  ● Fax (772) 871-5771	Updated 01/30/18

TEMPORARY WATER METER GUIDELINES

The following guidelines has been developed regarding temporary use of St. Lucie West Services District “SLWSD” water distribution system. Persons desiring to establish a temporary water source as the result of construction of new subdivisions or developments, residential and/or commercial construction, or other site- specific construction; pressure washing; or other reason will be required to apply for service.
Application for Service
Any person or entity requesting temporary water will be required to complete an application for temporary water meter service and provide a deposit at time of application along with identification and a copy site map. Applicant shall inquire if a temporary meter is available. One (1) business days’ notice is required for application of a temp meter.
The SLWSD reserves the right to approve or deny any application for service. Service applications are to be submitted to:
St. Lucie West Service District Attn: Customer Service Department 450 SW Utility Drive
Port St. Lucie, FL 34986 Tel: (772) 340-0220
customerservice@slwsd.org
Fees
Fees shall be as provided in Chapter III of the Policies and Procedures of SLWSD Utilities System.
2” meter deposit $1,000.00 Monthly Water base rate $123.40
Water usage $3.47 per 1,000 gallons
Installation of Temporary Water Meters
A 2” brass nipple will be provided for the connection point. Customer will be responsible for their own attachment.
Upon application and payment of all required fees, the SLWSD staff will install the required meter assembly and backflow prevention.
Upon completion of installation by SLWSD, the Applicant will request to have the temporary water meter either locked or unlocked and Applicant will assume complete responsibility of the temporary water meter.
The SLWSD staff will make every attempt to provide installation within one (1) business day of completed application and payment of fees.
Termination of Service
Prior to terminating the service, the Applicant must notify the SLWSD Customer Service Department at least one (1) business day prior to termination date to schedule the collection and inspection of the meter.
The Applicant is responsible for leaving the temporary water meter assembly in the assigned location. The SLWSD staff will collect and inspect the meter to ensure that there are no damages to SLWSD property. If the Applicant is unable to be present during the collection of the meter, the Applicant  must notify SLWSD.
Updated 01/30/18

450 S.W. Utility Drive ● Port St Lucie, FL 34986 ● Office (772) 340-0220 ● Fax (772) 871-5771
Office hours are 8:00 AM to 4:00 PM Monday through Friday, 24/7 Emergency Service Call (772) 340-0220