HomeMy WebLinkAboutFPUA Water ReceiptFort 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
t, FPUA
Fort Pierce, FL 34947
Phone(772)466-1600 Fax(772)468-2414
Job Location: 9563 S, Ocean Drive Invoice Number: s.68a
Account Name: Baron Island Storage
Contact Name: Jeremiah Baron
Billing Address: 49 SW Flagler Avenue, Suite 201
Phone: (772)286-5744 Fax: ( ) - Cell:
PCN:450221200010207
FEI#
Stuart FL 34994
Location Id:
Accounting Codes
#
Size
Description
Fees
06-3-060-43701-0000
1
51
Water Meter and/or Service Installation
❑ General
$1,250.00
06-2-000-23500-0000
Water Security Deposit
❑ Inside City Limits
$60.00
06-3-060-48800-0000
Water New Account Setup Charge
$40.00
06-3-060-43702-0000
Water Capital Improvement Charge
W ERC's
1.00
$1,850.00
08-2-000-23500-0000
Wastewater Security Deposit
$0.00
08-3-080-48800-0000
Wastewater New Account Setup Charge
$0.00
08-3-080-43702-0000
Wastewater Capital Improvement Charge
WW ERG
0.00
$0 00
Accounting Codes
Construction Cost Estimate
Fees
METER AUTHORIZATION RI--.OUIRED
Invoice Total: 3 200.00
Description for service order: Install (1) Above Ground Commercial 518" meter & service.
CIC fees based on min. capacity for meter size Annexation Required.
Total Paid: Date Paid: Check Number:
Customers will be assessed wastewater charges the day they connect to the wastewater system or wilhin 365 days from dale wastewater Curnecbon
Charge is paid - whichever is first The cost of the service fine from the point of delivery at the property line to the houselbuilding is the responsibility of the
customer and is not mch ded in this invoice State laws require that a perms from the Health Department must be obtained prior to entailed a septic tank
abandonment Contact the Health Department at (772)8734931
Conslruchon 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 mnsirudmn. including but not limited to adverse weather conditions and
construction conflicts, the customer will be responsible for increased costs Additional cols incurred by the customer shall nor 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 Aulhonty
Reviewed By:
Customer's Signature:
Printed Name:
James Carnes, P.E., Supervising Engineer -:? Date: 2020-09-21
Date:
Baron Island Storage LLC
49 SW Flagler Ave. Suite 301
Stuart, FL 34994
CENTERSTATE BANK OF FLORIDA, N.A.
9/24/2020
1021
PAY TO THE
ORDER OF Fort Pierce Utilities Authority $* 3.200.00
Ing a Thousand Two Hundred and 001100`x*xxxx+x+xxxxxxxxxxx+xxxxx.x+++xw*++x++►xx+x+•x+xxxxx+xxx+x*r+x+++xxrx+xxxxxxx:
DOLLARS
Fort Pierce Utilities Authority
PO Box 3191
Ft Pierce FL 34948
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