Permit SDC Septic to Sewer 1487 Begonia 2011 IS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\ .
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\U; 31 ,-)'"
Application Number
Property Address 11-00000506 Date 12/07/11
BEGONIA
Application type description SYSTEM DEVELOPMENT CHARGE RESIDENT
Property Zoning IAL (S
To BE UPDATED
Application valuation • 0
Application desc
DEV CHGS FOR CITY WATER AND SEWER CONNECTIONS
Owner
Contractor
PONCE, JANET M.
OWNER
ATLANTIC BEACH FL 32233
Permit ADV PMT -WATER CONNECTION FEE
Additional desc . WATER AND SEWER SDC FEES
Permit Fee . . . .00
Issue Date Plan Check Fee .00
Ex . 12/07/11 Valuation 0
Expiration Date .
Fee summary Charged Paid
Credited Due
Permit Fee Total .00
Plan Check Total .00 .00 .00
Grand Total •00 .00 .00
.00 .00 .00 .00
.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
s i' CITY OF ATLANTIC BEACH
y ' PUBLIC UTILITIES
v 11)1119-
? jl � , 1200 Sandpiper Lane
ATLANTIC BEACH, FL 32233
(904) 270 -2535 or (904) 247 -5874
NEW WATER/SEWER TAP REQUEST
Date: 11/15/2011. Project Address: 1487 Begonia Street
No. of Units: 1 Commercial
Residential XXX 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: XXX 0
Name: Janet M. Ponce
Applicant Address: 1487 Begonia Street
City: Atl,antic Beach State: FL
Phone Number 904 249 -7527 Cell Number:
Zip: 3
Email Address
Fax:
Signature:
(Applicant) Dav id Thompson:
Application# CITY STAFF USE ONLY
Water System Development Charge $_4/90 C v� - &7a /-�-. d e � -'
Sewer System Development Charge $ vSo,
Water Meter Only $::1_/,:y � ,,o± / �'
Water Meter Tap
Sewer Tap $ �G -5 Con ✓ego,,
Cross Connection $ W 1 eviwc. j'` Ni h
Other $ L 5 a ���.
TOTAL $ (notes)
v
APPROVED: C01
(Utility r i
ALL TAP REQUEST MUST B EAPPROVEDBY Zr UTLITIES DEP
CAN BE ASSESSED AR TMENT BEFORE FEES