HomeMy WebLinkAboutFPUA Receipt 8-10Fort Pierce Utilities Authority
"Committed To Quality"
Water/Wastewater Engineering
P.O. Box 3191 (34948-3191)
1701 S. 37th Street
Please remit payment to:
Fort Pierce Utilities Authority
Attention: Key Accounts Department
P.O. Box 3191
Fort Pierce, FL 34948-3191
Fort Pierce, FL 34947
Phone (772)466-1600 Fax (772)468-2414
Job Location: 3751 Virginia Avenue Invoice Number: 5,681
Account Name: HSC Fort Pierce, LLC - Dollar General PCN: 242022100020009
Contact Name: Linda Biro FEI#
Billing Address
805 Trione Avenue
Daphne AL
Phone: (772)359-9322 Fax: ( ) - Cell: Location Id:
FPLAA
COMMUNITY PROU
36526
Accounting Codes
#
Size
Description
Fees
06-3-060-43701-0000
2
1", 3/4"
Water Meter and/or Service Installation
El General
$1,500.00
06-2-000-23500-0000
Water Security Deposit
❑ Inside City Limits
$220.00
06-3-060-48800-0000
Water New Account Setup Charge
$60.00
06-3-060-43702-0000
Water Capital Improvement Charge
W ERC's
5.44
$10,064.00
08-2-000-23500-0000
Wastewater Security Deposit
$90.00
08-3-080-48800-0000
Wastewater New Account Setup Charge
$20.00
08-3-080-43702-0000
Wastewater Capital Improvement Charge
WW ERC's
1.00
$2,850.00
Accounting Codes
Construction Cost Estimate
Fees
METER AUTHORIZATION REQUIRED
Invoice Total:$14.804.00
Description for service order: CIC fees based on meter; Install (1) 1" Irrig. Meter 1331 GDP/4.44 WERC
(1) 3/4"/1 WERC Meter w/ sewer - 1 WWERC based on EOR calculations.
Total Paid: $14,804.00 Date Paid: 08/10/2020 Check Number: 4030
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/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.
Reviewed By:
Customer's Signature:
Printed Name:
Date: 2020-08-04
Date: F//c1%? c.)