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Fort Pieme Utilities Authority :' •
"Committ d To Quality" '
WaterMas ewater Engineering
206 South 6th Street Phone(772)466-1600
Ft. Pierce, FL 34950 Fax (772)461-1938
CUSTOMER INVOICE (ESTIMATE ONIY 1
QUOTE FOR:JANICE E DOUGLAS-PARKLAND MSBU t
JOB DESCRIPTION: PLS INSTALL NEW 518 x 314-WATER MTR ONLY -NO SEWER
INVOICE NO: SORD00003058795 PREPARED BY:WARE
LOCATION It: 10006983
ADDRESS: 6385 GARDENIA ST FORT PIERCE FL USA 34962-767
ADDITIONAL INFO: 772-216-1309
I
TASKS DESCRIPTION COUNT I i' UNIT COST CHARGES
W-3/4 MTR U/G WATER 314 METER ONLY U1G 1 ! $250.00 $250.00
W-CON FEE NEI V WATER CONNECT FEE NEW COST $0.01 $40.00
DEPOSIT INVOI E DEPOSIT FOR INVOICE NEW COST $0.01 $60.00
W-FEES PAID WATER FEES PAID $0.00 $0.00
TOTAL CHARG
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Customers will t le assessed wastewater charges the day they connect to the wastewater system or'within 365 days from date wastewater
Connection Ch rge is paid - whichever is first. The cost of the service line from the'l point of;delivery at the property line to the
housebuilding i the responsibility of the customer and is not included in this invoice. State laws require that a permit from the Health
Department mu t be obtained prior to initiating a septic tank abandonment.Contact the Health Department at (772)873-4931.
Construction c1Xceed
estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at
the completion the project. Should unforeseen circumstances be.-encountered during construction, including but not limited-to adverse
weather conditns and construction conflicts, the customer will be responsible for increased costs. Additional costs incurred by the
customer shaltof exceed fifteen (15) percent of the total estimated construction costs shown above. Estimated costs paid by the
customer that the actual cost of construction will be refunded by Fort Pierce Utilities Authority-All fees are due prior to any
construction. j
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. Pierc i, FL 34950 or call (772)466-1600 to setup an
l
Customer 81,c nature: l Date:
Printed Name:
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PAGE 1 OF 1 PRINTED ON: 10/11/2016 AT 09:43 AM
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fans iD� 8693766812' Train°ID:' 86937,8fi812
4t4;Code: X174264 Auth:Coda '1.74264
?proved Amt: $350.00• -Approved Amt $350.00
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kGREE TO'PAY THE ABOVE TOTAL ACCORDING LAG }TO MY;THE ABOVE TOTALACCORDING•
�N1Y CARD ISSUERAGREEMENT: T,O.MY CARD ISSUFJZi4GREEMENT.