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UTCO City Water 635 Jasmine 2011 ' 11v 0 ' � CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD J ft - ., '" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002643 Date 9/19/11 Property Address 635 JASMINE ST Application type description UTILITY CONNECTION Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc CONNECT TO CITY WATER FEES Owner Contractor HARDING MITCHELL OWNER 635 JASMINE STREET ATLANTIC BEACH FL 32233 Permit UTILITIES PERMIT Additional desc . WATER CONNECTION FEES Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 9/19/11 Valuation . . . . 0 Expiration Date . 9/19/11 Other Fees WATER CONNECT /METER ONLY 185.00 WATER CROSS CONNECTION 50.00 WATER SDC- SYSTEM DEV CHG 1140.00 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1375.00 1375.00 .00 .00 Grand Total 1375.00 1375.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t �s CITY OF ATLANTIC BEACH PUBLIC UTILITIES 5 1200 Sandpiper Lane J1I ATLANTIC BEACH, FL 32233 (904) 270 -2535 or (904) 247 -5874 NEW WATER/SEWER TAP REQUEST Date: 9/19/11 Project Address: 635 Jasmine St. No. of Units: 1 Commercial Residential X Multi - Family New Water Tap(s) & Meter(s) 1 Meter Size(s) 3/4" New Irrigation Meter Upgrade Existing Meter from to (size) New Connection to City Sewer Name: Mitchell Harding Applicant Address: City: State: Zip: Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# Water System Development Charge $ 1,140 Sewer System Development Charge $ Water Meter Only $ 185 Water Meter Tap $ Sewer Tap $ Cross Connection $ 50 Other $ TOTAL $ 1,375 (notes) APPROVED: Donna Kaluzniak (Utility Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED White, Debbie From: Kaluzniak, Donna Sent: Monday, September 19, 2011 12:57 PM To: White, Debbie; Graham Shirley Subject: FW: Water fees Attachments: 635 Jasmine.docx Debbie & Shirley — here is the cost for Mitch Harding to connect to City water with a standard 3/4" meter. ($1140 + 185 + 50 = $1,375). He already has a tap, so does not need a tap & meter — just a meter only. He would like to come in and pay so we can set the meter. He will have to have a plumber connect from his house to his meter. Here's the water tap form - Donna From: Kaluzniak, Donna Sent: Thursday, September 08, 2011 10:09 AM To: 'bicpd3527 @gmail.com' Subject: FW: Water fees Mitchell — sorry total is $1375 - Donna From: Kaluzniak, Donna Sent: Thursday, September 08, 2011 9:55 AM To: 'bicpd3527 @gmail.com' Subject: Water fees Hello Mitchell, Here are the fees for connecting to water on Jasmine St. Feel free to call or email with any questions. Thanks, Donna System Development Charge (impact fee) - $1,140 Meter connection charge $ 185 Cross- Connection inspection fee $ 50 Total: $1,610 Donna Kaluzniak Utility Director City of Atlantic Beach 902 Assisi Lane Atlantic Beach, FL 32233 PH: 904 - 270 -2535 FAX: 904-242-3475 dkaluzniak (d;coab. us Please note: Florida has a very broad public records law. Most written communications to or from city officials regarding city business are public records available to the public and media upon request. Your e-mail communications may be subject to public disclosure. 1 -*Ar-, CITY OF ATLANTIC BEACH PUBLIC UTILITIES 1200 Sandpiper Lane ATLANTIC BEACH, FL 32233 pill (904) 270 -2535 or (904) 247 -5874 NEW WATER/SEWER TAP REQUEST Date: 9/19/11 Project Address: 635 Jasmine St. No. of Units: 1 Commercial Residential X Multi- Family New Water Tap(s) & Meter(s) 1 Meter Size(s) 3/4" New Irrigation Meter Upgrade Existing Meter from to (size) New Connection to City Sewer Name: Mitchell Harding Applicant Address: City: State: Zip: Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# Water System Development Charge $ 1,140 Sewer System Development Charge $ Water Meter Only $ 185 Water Meter Tap $ Sewer Tap $ Cross Connection $ 50 Other $ TOTAL $ 1,375 (notes) APPROVED: Donna Kaluzniak (Utility Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED