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HomeMy WebLinkAboutFT PIERCE UTILITIES PAPERWORKFort Pierce Utilities Author "Committed To Quality" Key Accounts 206 S. 6th Street Fort Pierce, FL 34984-3191 Job Location: 904 OSCEOLA DR /�09 -( 3Z2' SCANNED BY St. Lucie County Phone(772)466-1600 Fax(772)467-3115 Invoice Number: KA-131-14 Account Name: RODOLFO VEGA -- — — PCN: 340941100040004 Contact Name: RODOLFO VEGA LocID: 10006520-240545 Billing Address: 904 OSCEOLA DR FORT PIERCE FL 34982 Phone: (772)200-0922 Fax:( ) - Cell: ( ) Cust Type Residential City Limits Outside �yEsc Desdsn.iprt-in ���T ,a_ e 12 . $S .75 Water Meter and/or Service Installation zr . $250.00 1 Water Security Deposit $60.00 Water New Account Setup Charge $40.00 Water Capital Improvement Charge W ERC's 1.00 $920.50 Wastewater Security Deposit $0.00 Wastewater New Account Setup Charge $0.00 Wastewater Capital Improvement Charge W W ERC's 0.00 $0.00 Lien Fees 0.00 0.00 0.00 Down Payment: $0.00 Invoice Total: $1,270.50 Description for service order: INSTALL 5/8" BY 3/4" WATER METER :1 2,7c),c O Date Paid: 101 Z3 liq Check Number: �113 Total Paid: Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater Charge is paid - whichever is first The cost of the service line from the point of delivery at the property line to the houselbuilding is the res customer and is not included in this invoice. Stale laws require that a permit from the Health Department must be obtained prior to initlatii abandonment, Contact the Health Department at (772)873-4931. - . Construction cost estimates are based on current labor,equipment and material pdces. Actual costs of construction will be determined at the compTettc 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 (16) 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: Kurtis Strand Key Accounts Specialist 222014 Date: 10/01/2014 Date: f o /;2 3. /!4 ATTORNEY CLnRANCE This will confirm that the following customer has signed an annexation agreement and is therefore cleared for provision of utility services: Customer Name: SCANNED BY Rodolfo Vega and Carmen Hernandez, his wife St. Lucie County Site Address: 904 Osceola Drive, Fort Pierce, Florida 34982 Parcel ID No. 3409-411-0004-000-4 of Execution of Annexation Agreement: DOTED= this_ '' -day of 2014. n V W - R. N. ROBLEGARD, III, Attorney ti ATTORNEY CLEARANCE This will confirm that the following customer has signed an annexation agreement and is therefore cleared for provision of utility services: Customer Name: Rodolfo Vega and Carmen Hernandez, his wife Site Address: 904 Osceola Drive, Fort Pierce, Florida 34982 Parcel ID No. 3409-411-0004-000-4 Date of Execution of Annexation Agreement: Ip`q'ILA DATED this -`� day of 0GT0e>M- , 2014. Kurtis Strand 1 Customer Service Representative Fort Pierce Utilities Authority .yj,\ 206 South 6th Street (34950) (772) 466-1600 ext. 9 P.O. Box 3191 Fax (772) 465-6984 Fort Pierce, FL 34948-3191 www.fpua.com R. N. KOBLEGARD, III, Attorney