Install Seperate Water Meter 73 W 4th St 2012 ,, ~ CITY OF ATLANTIC BEACH
4 j 800 SEMINOLE ROAD
f., -" ATLANTIC BEACH, FL 32233
W M :r \I
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000943 Date 7/24/12
Property Address 73 W 4TH ST
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
ADD ADDITIONAL WATER METER TO DUPLEX MAIN #75
Owner Contractor
MOYANO LOURDES & ALDO C OWNER
305 20TH ST
ATLANTIC BEACH FL 32233
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . .00 Plan Check Fee . . .00
Issue Date . . . 7/24/12 Valuation . . . . 0
Expiration Date . 1/21/13
Other Fees WATER CONNECT /METER ONLY 50.00
WATER CONNECT /TAP & METER 800.00
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 1990.00 1990.00 .00 .00
Grand Total 1990.00 1990.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
44' CITY OF ATLANTIC BEACH
� PUBLIC UTILITIES
1200 Sandpiper Lane
44:1.01.11) ATLANTIC BEACH, FL 32233
X31, (904) 270 -2535 or (904) 247 -5874
NEW WATER/SEWER TAP REQUEST
Date: 7/23/12 Project Address: 75 W. 4 St.
No. of Units: 1 Commercial Residential X Multi- Family Duplex
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: Mr. Moyano
Applicant Address: 75 W. 4 St.
City: Atlantic Beach State: FL Zip: 32233
Phone Number: 352 -0836 Cell Number:
Email Address amo anol ahoo.com Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#
Mr. Moyano wishes to separately
Water System Development Charge $ 1,140 meter the units on this duplex
Sewer System Development Charge $ (currently metered together).
Water Meter Only $
Water Meter Tap $ 800
Sewer Tap $ N/A
Cross, Connection $ 50
Other $
TOTAL $ 1990
APPROVED: Donna Kaluzniak 7/23/12
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED
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Graham Shirley
From: Matthews, Carlene
Sent: Tuesday, July 24, 2012 11:15 AM
To: Graham Shirley
Subject: RE: 75 W 4th St. WS form.docx
JEA has 73 & 75 W. 4 Street
From: Graham Shirley
Sent: Tuesday, July 24, 2012 11:10 AM
To: Matthews, Carlene; White, Debbie
Subject: RE: 75 W 4th St. WS form.docx
What does JEA show for the addresses, maybe we can just do 75 -A and 75 -B?
From: Matthews, Carlene
Sent: Tuesday, July 24, 2012 11:00 AM
To: White, Debbie; Graham Shirley
Subject: FW: 75 W 4th St. WS form.docx
We will need to have another address for this duplex.
Thanks
Carlene
From: Kaluzniak, Donna
Sent: Monday, July 23, 2012 4:45 PM
To: White, Debbie
Cc: Graham Shirley; Matthews, Carlene; Walker, Chris
Subject: 75 W 4th St. WS form.docx
Debbie, here is a water /sewer tap request form for Mr. Moyano of 75 W 4 St. He wishes to separately meter the
duplex at this location. (The 2 units are currently metered together). Thanks, Donna