539 ATLANTIC BEACH CT - UTILITY (---
� iv CITY OF ATLANTIC BEACH
,r-- e I- 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
01"319%' INSPECTION PHONE LINE 247-5814
UTILITY SERVICE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: UTIL18-0055
Description: Move 3 Boxes off Sidewalk
Estimated Value: 0
Issue Date: 9/12/2018
Expiration Date: 3/11/2019
PROPERTY ADDRESS:
Address: 539 ATLANTIC BEACH CT
RE Number: 169505 1425
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 1227 SAN JOSE BLVD STE 120
JACKSONVILLE, FL 32223
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
U. T1 Llg-OO 5.5
i r�I�f ii+'..
' - City of Atlantic Beach
i
y; PUBLIC UTILITIES DEPARTMENT
r?i 902 Assisi Lane
/ Jacksonville, FL 32233
%!,--r);I �r (904) 247-5834
NEW WATER / SEWER TAP REQUEST
Date C1kZ i i Service Address 5194.ka►/\'M C 13 CV Lou c l
Number of Units Commercial Residential X Multi-Family
New Water Tap(s) & Meter(s) Meter Size(s) ) m_ 3 v k t. i 1-1 -e
ao\-,5 ova 04 S ,c. ;,tic-i i 4
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaim Water Meter Size New Connection to City Sewer
Applicant Name E.d vfS C,9 Q v\e)
Billing Address
City State Zip
/
Phone •
/
Email
Applicant Signature
AA / .
CITY STAFF USE ONLY
Application # 01 b V t S on to oG- t-3
Off! c,-R Trt Ti-tE SIoc7./+t IC ,
Water System Development Charge $
Sewer System Development Charge $
Water Meter Only $
Reclaim Meter Only $
Water Meter Tap $
Sewer Tap $
Cross Connection $
Other $
TOTAL $ I, 0 5-0 . CZ (Notes)
APPROVED /.1.t....„,24...-,64-----_ Date 7 —/2'' 10
es Director or Authorized Signature
ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED