HomeMy WebLinkAboutUtilitiesFort Pierce Utilities Authority
"Committed To Quality"
Water/Wastewater Engineering
206 South 6th Street
Ft. Pierce, FL 34950
INVOICE NO:
LOCATION ID:
ADDRESS:
ADDITIONAL INFO:
Service Order No.
W-314 MTR UIG
W CON FEE EXIST
Posted Sub Total
STOMER INVOICE
OR =DAVID PICHETTE ,
JOB DESCRIPTION.
SORD00004339406
RECEIVED
SEP 2 T7 2021
St- LUCID COunly
Permittino Phone (772) 466-1600
Fax (772) 461-1938
10008408 F�
is
2840 NAVAJO AVE FORT PiiF �oO P
`1
g Charges
'rxr„"�-?*w,s�a'.c' +s�. s�,t". F; f.,c j E 2'.3 "s' "5,;va';,,'"_....,�, "?'v'� g
a _rnd,t ,rY"Y%?..�2t't`� fey g. ,g, 4.�.>' .rc .�Fn;"+,z: �, f f.»>�`.. `.L` c. w-. Sri a `'i+�` u'' 3"TM✓r��`N
WATER 3/4 METER ONLY U/G " ems'
$250.00 $250.00
WTR CONNECT FEE NEW COST $0.01 $40.00
$0.00 Unposted Sub Total $290.00 Service Sub Total $290.00
Posted Total $0.00 Unnaded total $290 00 -Grand Total $290 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/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: Please submit accepted Customer Invoice to Customer Solutions at 206 South 6th Street, Ft. Pierce, FL 34950 or call (772) 466-1600 to setup account
Customer Signat
Printed Name:Z�- ` r
Date:' oZ
1i
PAGE 10F 1 PRINTED ON: 09/17/2021 AT 04:38 PM
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: David Pichette
PROPERTY ADDRESS: 2840 Navajo Ave Fort Pierce, FL 34946
PERMIT #:56-SF-2368200
APPLICATION #: AP 1729110
RECEIVED DATE PAID:
C E PAID:
S6P �o RECEIPT #:
A.rmat DOCUMENT #: PR1647940
LOT: 25-30 BLOCK: 56 SUBDIVISION: San Lucie Plaza
PROPERTY ID #: 1428-702-1233-000-1
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ' ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [
900 ]
GALLONS / GPD Seotic new
CAPACITY
A [
]
GALLONS / GPD N/A
CAPACITY
N [
]
GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
]
GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
D [ 375 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED DO MOUND [ ]
I CONFIGURATION: [X1 TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: site BM #2 at elevation 15.2'
I ELEVATION OF PROPOSED SYSTEM SITE [ 14.00 ][1 INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 18.00][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
19
0
T
H
E
R
FiN qulmD: C ZZ.UU] INCHES EXCAVATION REQUIRED: [ 62.00 ] INCHES
system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
9pd•
SPECIFICATIONS BY: Ian P Moore TITLE: CEHP 19-2072
APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD
Sri= J n§ram
DATE ISSUED: 09/14/202 EXPIRATION DATE: 03/14/2023
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 of 3
v 1.1.4 AP1729110 SE1594501