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Fort P i e Utilities
�-0" 6th Street AUG 0 2 2096.
Fort Pierce, FL 34950
Telephone No. (772) 466-1600 PERMITTiNG ' •
08/02/16 2:01PM St. Lucie County, FL
Receipt #: 031160802000008 Phone(772)466-1600F
Customer #: '247499 Fax (772)461-1938
Location #: 10007019 5 sgq
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For, TIMOTHY YORK IS'{?MERiMV[31C (ESTIhlI T ONI,X}� ,
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Payment Received: 290.00 s' k ;
Amount Tendered - Credit Card: 290.00 t QUti'i'B'FQR T{M4TH "Yt3FtK x
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Payment will be posted: 08-02-2016 F
Register: CASHIER31 PREPARED BY:WARE
Thank you - Have a nice day..'.. FORT PIERCE FL USA 34982
NEW HOURS M-F 9AM - 5PM
DRIVE THRU 8AM - 5PM
www.FPUA.com lir eo;r CFARG,irS
Budget BillingNow Available UtG 4 1 $250.00V $250.00
tEW CUST $0.01 $4 0
VEW CUST, $0.01 $60.00
CUSTOMER COPY $350.00
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
housebuilding 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 obtainedririor 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
weathtir conditions and constrddtion 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: This is only an estimate. A bill will be provided following acceptance of the Customer Invoice once signed and dated. Please
submit accepted Customer Invoice to Customer Service at 206 South 6th Street, Ft. Pierce, FL 34950 or call (772) 466-1600 to setup an
Customer Signature: Date: A-
,.Printed
Name: �►
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nRrc f1C 1 PRINTED ON: 08/02/2015 AT 01:581