HomeMy WebLinkAboutUtilities Receipt 3111 S 21st St FPf -- C) r-t
Telephone
)6/G2/20
206 S 6th
Fort Pierce,
No.
"-t Im I i't 1� e!s
Street
FL, 34950
(772)
Receipt 006200622000002
,uStomer 260940
-ooation 10 08134
:or: DAMES E HAUKE
)ayment Received:
amount Tendered -- Check:
',heck Number :
)ayment will be posted:
Register:
466-1600
1o;32AM
23140.00
3140,00
183
o6-22-o2o
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CUSTOMER COPY
ff _
Fort t-oti .. _ }"ctiities Authority
.,Committed To Quality"
Water/Wastewater Engineering -} I •
206 South 6th Street I
Ft. Pierce, FL 34950 Phone (772) 466-1600
Fax (772)461-1938
CUSTOMER INVOICE (ESTIMATE ONLY)
QUOTE FOR : JAMES & KAY HAUKE
JOB DESCRIPTION: INSTALL 518 X 314" WATER METER ONLY, NO SEWER
INVOICE NO: SORD00003998332 PREPARED BY: JOHNSONCH
LOCATION ID: 10008134
ADDRESS: 3111 S 21 ST FORT PIERCE FL USA 34982
ADDITIONAL INFO:
TASKS
DESCRIPTION COUNT
UNIT COST
CHARGES
VJ-314 MTR U!G
WATER 314 METER ONLY U1G 1
5250 00
$250 00
W-CAP IM CHG
WATER CAPITAL IMPROVE CHARGE
$0.01
$1,850.00
W-CON FEE NEW
WATER CONNECT FEE NEW CUST
$0 01
$40 00
TOTAL CHARGE
$2,140.00
Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater
Connection Charge is paid - whichever is first . The cost of the service line from the point of delivery at the property line to the
house 1 building is the responsibility of the customer and is not included in this invoice . State laws require that a permit from the Health
Department must be obtained prior to initiating a septic tank abandonment. Contact the Health Department at (772) 873-4931.
Construction cost estimates are based on current labor , equipment and material prices . Actual costs of construction will be determined at
the completion of the project . Should unforeseen circumstances be encountered during construction , including but not limited to adverse
weather conditions and construction conflicts , the customer will be responsible for increased costs . Additional costs incurred by the
customer shall not exceed fifteen ( 15 ) percent of the total estimated construction costs shown above . Estimated costs paid by the
customer that exceed the actual cost of construction will be refunded by Fort Pierce Utilities Authority All fees are due prior to any
construction.
Note, This is only an estimate. A bill will be provided following acceptance of the Customer Invoice once signed and dated. Please
submit accepted Customer Invoice to Customer Service at 206 South 6th Street, Ft Pierce, FL 34950 or call (772) 466-1600 to setup an
Customer Signature:
Printed Name:
Date -
PAGE 1 OF 1 PRINTED ON: 0612212020 AT 10:29 AM