HomeMy WebLinkAboututility fee receiptFort Pierce Utilities Authority
"Committed To Quality"
Water/Wastewater Engineering
P.O. Box 3191 (34948-3191)
1701 S. 37th S
Please remit payment to:
treet
FPVi4
COMMUNITY PROU
Fort Pierce, FL 34947
Phone (772)466-1600 Fax (772)468-2414
Job Location: SW Corner of Orange Avenue and Kings Highway Invoice Number: 3,643
Fort Pierce UtiliAu ties thority
Attention: Key Accounts Department
P.O. Box 3191
Fort Pierce, FL 34948-3191
Account Name:
WAWA
Florida,
LLC
PCN: 231141100040001
Contact Name:
WAWA
Florida,
LLC
FEI#
Billing
Address:
20411 S.
12 Mile, Suite 200 Southfield
Phone:
(248)797-0003
Fax:( ) - Cell:
MI 48076
Location Id:
Accounting Codes
#
Size
Description
Fees
06-3-060-43701-0000
0
Water Meter and/or Service Installation
❑ General
$11675.00
06-2-000-23500-0000
Water Security Deposit
❑ Inside CityLimits
$300.00
06-3-060-48800-0000
Water New Account Setup Charge
$40.00
06-3-060-43702-0000
Water Capital Improvement Charge
W ERC's
12.10
$22,385.00
08-2-000-23500-0000
Wastewater Security Deposit
$450 00
08-3-080-48800-0000
Wastewater New Account Setup Charge
$20.00
08-3-08043702-0000
Wastewater Capital Improvement Charge
WW ERCis
15.13
$43,106.25
Accounting Codes
Construction Cost Estimate
Fees
Invoice Total: 67 976.25
Description for service order: ERC's based on FOR calculations.
Total Paid: Date Paid: Check Number:
Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from dale wastewater Connection
Charge is paid - whichever is first. The cost of the service line from the point of delivery at Ure property line to the house/building is the responsrbitily 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 eslunales are based on current labor, equipment and material paces Actual COSTS of construction Will he determined at the completion of
the protect Should unloreSeen ctrannsMnces be encountered Bunny consln¢I¢rn, Inrhrdmg but oat 6mded lO adverse weathrr concOtions and
aurslnrctiort cOnllirls. the customer wall be responsible for increased casts Additional costs utcunerl by the customer shall not exceed lifters (t 5)
percent of the total estimated construction costs shown above Estimated costs pail by the customer that exceed the actual cost of conshuction will be
efunded by Fort Pierce Utilities Authority.
Reviewed By:
Customer's Signature:
Printed Name:
John
Environmental Engineer
Date: 2020-01-22
Date:
206 S 6th Street
Fort Pierce, FL 34950
Telephone No. (772) 46Cl E00
11/05/21 10;OEAM
Receipt #: 009211105000040
Customer #: 247433
Location #: 10008441
For; WAWA FLORIDA; LLC
Payment Received; 67,976.25
Amount Tendered - Check; 67,976.25
Check Number : 1100419166
Payment will be posted: 11-Obi-2021
Register; CASHIERS
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