New Service Application | New Smyrna Beach Utilities

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Applications submitted after 4 PM will be processed on the next business day. Please see our list of office hours and holidays that may affect your application.

Contract for Service – Existing Home or Business

New Smyrna Beach Utilities |
Phone (386) 427-1361 | Fax (386) 424-2713 | www.nsbufl.com

Today's Date

Requested Service Start Date *

Applicant Information

Name of Applicant *

Applicant is

Owner

Tenant

Date of Birth *

Previous Service with NSBU?

Yes

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address *

Home Phone *

Cell Phone

Work Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Co-Applicant Information

Name of Co-Applicant

Co-Applicant is

Owner

Tenant

Date of Birth

Previous Service with NSBU?

Yes

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Home Phone

Cell Phone

Work Phone

Requested Service Address Information

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Type of Residence

Business

Residence

Mailing Address Information

My mailing address is the same as my requested service address.

My mailing address is different from my requested service address. (Enter mailing address below.)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Service Options

electric

water

sewer

reuse (if available)

irrigation meter

street light

This is a rental property. Upon my request, I authorize NSBU to turn on service in my name between tenants without making additional application.

Yes, I authorize NSBU to turn on service in my name between tenants without making additional application

Other…

Documentation

Upload photo copies of driver’s license or other official state identification and proof of ownership, lease agreement or Notarized Account Representative Affidavit here.

Applicant Identification

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav.

Proof of Ownership or Lease

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav.

Co-Applicant Identification

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav.

Customer Verification

Customer Verification (initial) *

IF APPLICABLE, RESIDENTIAL HOUSEHOLD AFFIDAVIT: This is to certify that until the undersigned notifies NSBU in writing, the electrical service provided to the above referenced account is exempt from the Florida Sales Tax for the following reasons: (1) the electrical service provided to this account will be used exclusively to service a residential household and the meter will not service any commercial or business activities. Commercial or business activities include but are not limited to, rental operations that cater primarily to transient guests (hotel, motels and room rentals), the provisions of day care facilities, and the performance of any activity that is not residential in nature. (2) The electrical service provided to this account will be used exclusively to serve common areas of residential housing complexes, and the meter will not serve any commercial or business activities such as vending machines, coin operated laundry facilities, sewage/lift station equipment, or any activity that is not residential in nature. (3) The electric service provided to this account will be used exclusively to serve a residential model home. The meter will not serve any commercial activity such as a sales or business office, or any activity that is not residential in nature.

Name of Applicant Signifying Agreement *

I hereby make application to the New Smyrna Beach Utilities (NSBU), Florida for utility service and upon approval of this application, agree to abide by all NSBU resolutions, tariffs, policies, procedures, rules and standards, and acknowledge and agree this contract is made subject to the provisions of NSBU’s Rates, Charges and Fees and Services Policies and Customer Information Manual, the latter of which I have been provided, and incorporates such manual as part of this contract as it exists at the time of this contract and may be amended as per the last paragraph of said manual. I also acknowledge and agree that the undersigned, as a NSBU customer, shall be liable for all applicable sales tax and agree that I will be personally responsible for the payment of deposit and/or utility bills rendered under this account.

Name of Co-Applicant Signifying Agreement