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HomeMy WebLinkAboutProject Information Fort Pierce Utilities 206 S 6th Street Fo Pierce, FL 34950 Telephone No. (772) 466-1600 RECEIVED DEC ' 2 -0,- 12/12/16 3:27PM Phone(772)466-1600 Receipt #: 052161212000021 Fax (772)461-1938 Customer #: 247967 Location #: 10007047 f �lT/.G in � iT I� A1LI t'` } ,... j ig For; CLAYTON C JOHNSONF �� �� E3� 3s..''a'S -ray Ea, f+YSc" 7<. Payment Received: 290.00 �� irt ,� N, Not St 3 �r Amount Tendered - Credit Card: : y 294.00 E♦■1 �p�uyy} 2�� zMh 4 rrY� �� try{ �Alrlr 1=s ��h� ���� ���� Payment will be posted: 12-12-2016 PREPARED BY. WARE Register: CASHIER 29 Thank you - Have a nice day,,., ;T PIERCE FL USA 34982-7624 NEW HOURS M-F 9AM - 5PM DRIVE THRU BAM - 5PM www.FPUA.com J/Gf 1 $250.00 $250.00 *** Budget Billing Now Available *** W CUST $0.01 $40.00 :W CUST $0.01 $60.00 CUSTOMER COPY $0.00 $0.00 $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 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'bonditions 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: 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: / -D Printed Name: L�/ �JGoi► �nsa� PAGE 1 OF 1 DDIAITEn r%K1. q'f/,t-w Pine r er nn.-„ n.A