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2325 Beachcomber Utilities FormsPUBLIC UTILITIES PLAN REVIEW COMMENTS Date: Application #: Project Address: APPLICATION TRACKING COMMENTS Check Box to Add Comment Check Box to Print Underground Water Sewer Utilities Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5878.   Meter Boxes Sewer Cleanout Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.   RT1 Sewer Cleanout A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible.   RPZ Backflow A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities.   Sensus Touch-Read Meter Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities.   Fire Sprinkler Backflow Requirement If fire sprinkler system is provided, call 247-5878 for backflow requirements. At a minimum, will require a double check backflow preventer.   Fire Line Meter Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2” must be installed in a vault as noted in JEA specifications.   Utility Map See attached Utility Map.   Disconnect & Cap Disconnect and cap water and sewer lines.   Inspection Prior MUST call the Inspection Line at 247-5814 to request an inspection of the disconnected and capped water and sewer lines PRIOR to demolition.   Utility Inspections All water & sewer utility connections must be inspected prior to cover up. Please call the inspection line at 247-5814 to schedule inspections 24 hours in advance. Failure to schedule utility connections may result in failed inspections and additional fees, and delays in utility services.   System Development Fees All fees must be paid for water & sewer connections before meters will be set. Please call the finance department customer service line 247-5816 to coordinate payment of fees.     4/19/22 2325 BEACHCOMBER TRAIL PPI22-0001 x x x x x x x x x x City of Atlantic Beach PUBLIC UTILITIES DEPARTMENT 902 Assisi Lane Jacksonville, FL 32233 (904) 247-5886 NEW WATER / SEWER TAP REQUEST Date ________________Service Address __________________________________________________ Number of Units _____ Commercial _____ Residential _____ Multi-Family _____ New Water Tap(s) & Meter(s) _____Meter Size(s) __________ New Irrigation Meter _______ Upgrade Existing Meter from ___________ to ___________ (size) New Reclaim Water Meter _____ Size _______ New Connection to City Sewer _____ Applicant Name ___________________________________________________________________ Billing Address _________________________________________________________________ City ______________________________________State __________Zip ______________ Phone ____________________________________ Email _______________________________________________________________________ Applicant Signature ____________________________________________________________ CITY STAFF USE ONLY Application # ________________________ Water System Development Charge $_____________________ Sewer System Development Charge $_____________________ Water Meter Only $_____________________ Reclaim Meter Only $_____________________ Water Meter Tap $_____________________ Sewer Tap $_____________________ Cross Connection $_____________________ Other $_____________________ TOTAL $_____________________ (Notes) APPROVED Date __________________ Public Utilities Director or Authorized Signature ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED All fees must be paid before meter set/establishing service. 4/19/22 2325 BEACHCOMBER TRAIL 1 PPI22-0001 x 3/4" 1140.00 4050.00 185.00 50.00 5425.00 Chris Walker 4/20/22