Permit SDC Fees 1448 Camelia 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00000505 Date 11/16/11
Property Address . . . . . . 1448 CAMELIA ST T CHARGE RESIDENTIAL (S
Application type description SYSTEM DEVELOPMEN
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 ---------------
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Application desc
SDC ONLY
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Owner Contractor
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BLAKELY MATTHEW OWNER
1448 CAMELIA STREET
ATLANTIC BEACH FL 32233
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Permit . . . . . . ADV PMT-SEWER IMPACT FEE
Additional desc . . SDC FEE
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 11/16/11 Valuation . . . . 0
Expiration Date . . 11/16/11
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Other Fees . . . . . . . . . SEWER SDC-SYSTEM DEV CHG 4050 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4050 . 00 4050 . 00 . 00 . 00
Grand Total 4050 . 00 4050 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NTIC BEACH
CITY OF ATLA
�L-
PUBLIC UTILITIES
1200 Sandpiper Lane
ATLANTIC BEACH,FL 32233
(904) 270-2535 or (904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 11/14/11 Project Address: 1448 Camelia St.
No. of Units: I Commercial Residential X Multi-Family-
New Water Tap(s) & Meter(s)- Meter Size(s)
New Irrigation Meter Upgrade Existing Meter from to-- (size)
New Connection to City Sewer I
Name: Matthew Blakely
Applicant Address: 1448 Camelia St.
City: Atlantic Beach State: FL ZiD: 32233
Phone Number: 713-7716-Cell Number:
Email Address Fax:
Signature:
(Applicant) CITY STAFF USE ONLY
Application#
Water System Development Charge $
Sewer System Development Charge $__4 050.00
Water Meter Only $
Water Meter Tap $ 1Z
Sewer Tap $
Cross Connection $
Other $
(notes)
TOTAL 4,050.00
APPROVED: Donna Kaluzniak
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CANBEASSESSED