1828 ATLANTIC BEACH DR RES25-0208_1'j- NEW WATER -SEWER TAP REQUEST
City of Atlantic Beach Public Utilities Division
902 Assisi Lane, Atlantic Beach, FL 32233
Phone: (904) 247-5886 EmaiI:Jdsrnith@coab.us
Service Address 1828 Atlantic Beach Drive Date 7/7/2025
Number of Units ❑ Commercial Residential ❑ Multi -Family
New Water Tap(s) & Meter(s) ❑ Meter Size(s)
New Irrigation Meter ❑ Upgrade Existing Meter from
New Reclaim Water Meter ❑ Size
to (size)
New Connection to City Sewer ❑
Applicant Information
Applicant Name Craig & Audrey Alderman Phone 229-403-1019 Email caldermanhoa@gmail.com
Billing Address 1930 Tara Court City NeptuneBeach State FL Zip 32266
Applicant
Application #
Water System Development Charge $
Sewer System Development Charge $
Water Meter Only $
Reclaim Meter Only $
Water Meter Tap $
Sewer Tap $
Cross Connection $
Other $
TOTAL S
City Staff Use Only
NOTES
APPROVED DATE
Public Utilities Director or Authorized Signature
"ALL TAP REQUEST MUST BE APPROVED BY THE PUBLIC UTILITIES DIVISION BEFORE FEES CAN BE ACCESSED"
Return all requests to the Public Utilities Division or email to jdsmith al coab.us
Water -Sewer Tap Request Form 07.03.2025