HomeMy WebLinkAboutUITILTY PAPERWORKFort Pierce Utilities Authority Please remit payment to:
"Committed To Quality" Fort Pierce Utilities Authority & Igc)tja
WaterMastowater Engines ' Attention: Key Accounts Department P.O. P.O. Box3191 �� COMMUNITY PROU
P.O. Box 3191 (34948-3191) BY Fort Pierce, FL 34948-3191
1701 S. 37th Street St. Lucie Count
Fort Pierce. FL 34947 y
Phone (772)466-1600 Fax (7721468-2414
Job Location: 904 S Market Ave Invoice Number. 3.gv
Account Name: David Mann Construction
Contact Name: David Mann Construction
Billing Address: 904 S Market Ave
PCN:
FEI#
Fort Pierce FL 34982
Phone: (7721370-0635 Fax:( 1 - Cell: Location Id:
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06-3-060-43701-0000
1
518 x 314
Water Meter and/or Service Installation
® General
$700.00
06-2-000-23500-0000
Water Security Deposit
❑ Inside C' Limits
$60.00
06-3-06048800-0000
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
$90.00
08-3-08048800-0000
Wastewater New Account Setup Charge
$20.00
08-3-080-13702-0000
Wastewater Capital Improvement Charge
W W ERC's
1.25
$3,562.50
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Description for service order. Install (1)-5i8" x 314" inch domestic meter with sewer.
Total Paid: Data Paid:
Invoice Total: 6 322.50
Check Number.,
Customers YOU be assessed wastewater charges the day they correct to the wastewater system orvdhin 365 days from date wastewater Connection
Charge Is paid. whichever Is that The coal of the service tine from the paint of delivery at the property line to the housalbuiiding is the reapone aulty of the
customer and is not included in this invoice. State laws require that a permit from the Health Department must be obtained prtorto ini iatirw a septic tank
abandonment. Contact the Health Department at (r72)873-4931.
Construction cast esBmeNs are based on aumvrt labor, equipment and materiel pdoes. Actual costs of construction wig 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 wilt be mapons3le for Increased costs. Additional costa incurred by Sue customer shell not exceed fifteen (15)
;r** percent pfineteW estlmated consWctlon cash shwmabove. Fstimatedcests paid brew, wstomerthatexceedtheadual eostot construction wa be
reheated by Fort Plerce Utilities Authority.
Reviewed By: Richard Muttedrack, Environmental Engineer 94
Customer's Signature:
AUG 13 2019
Date: 2019-08-12
Data:
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Fort Pierce Utilities
Fort Pierce Utilities
206 S 6th Street
Fort Pierce, FL
206 S 6th Street
Fort Pierce, FL 34950
34950,
Telephone No. (772) 466-1600
Telephone No. (772) 466-1600
08/13/19 11:41AM
08/13/19 11:42AM
Receipt #: 031190813000001
Receipt #: 031190813000002
Customer #: 227415
Location #: 10007889
Customer #: 227415
Location #: 10007889
For: DAVID MANN CONSTRUCTION, INC
For: DAVID MANN CONSTRUCTION, INC
Payment Received:
Amount Tendered - Check: 150.00
Payment Received: 6,172.50
Check Number ; 150.00
Amount Tendered - Check: 6,172.50
5054
Check Number : 5054
Payment will be posted: 08-13-2019
Payment will be posted: 08-13-2019
Register: CASHIER31
Register: CASHIER31
Thank you - Have a nice day....
Thank you - Have a nice day....
NEW HOURS M-F 9AM - 5PM
NEW HOURS M-F 9AM 5PM
DRIVE THRU SAM - 5PM
DRIVE THRU BAN - 5PM
www.FPUA.com
www.FPUA.com
*** Budget Billing Now Available ***
*** Budget Billing Now Available **
CUSTOMER DOPY
CUSTOMER COPY
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date: / z. / z> 11 19 Permit Number:
Project Address: q o `i K -�rktfi 1JV4t i' f ,'A,—C �, F'i
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION. FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above stated purpose only, and there will be no
occupancy of any type, other than that permitted by construction during this time period.
2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement,
including Building Division Policy, which is incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled "Requirements for 30 Day
Power for Testing" have been fulfilled and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be made in writing to the Building Official stating
the reason for the request. Power may be removed from the site and/or a Stop Work Order issued if
the Final Inspection has not been approved within 30 days. A fee of $100.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER
�SIGNATURE DATE
GENERAL CONTRACTOR SIGNATURE DATE
ELE R L CONTRACrOR SIGNATURE DATE
JAN 17 2020
Permitting Department
St. Lucie County, FL