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86 Saratoga Cir (vault) • CITY OF ATLANTIC 8MAC , F . iItA APPUCATION FOR ILI TRICA& PIRIMIIT TO THE CHIEF ELECTRICAL.INSPECTOR: DATE: 1Ii f f MIMPORTANT NOTICE: IN CONSIDERATION',OF PERMIT GIVEN FOR,DOING T , WORK A5 DES+CRIRED IN THE FOLLOWING, WE EMERY AGRM TO PERFORM�SAID WORK,1N ACCORDANCE ITH THE AT`�ACHED'PLANS AND SPECIFICATIONS, HICH ARE APART HEREOF, AND'IN ACCORDANCE WITH TH ELECTRICAL REGULATIONS;CODES AND CM OF LANTIC BEACH ORDINANCES. RICA ,FIMAQURME N" JmaA S�� NIAItAE ^- �� ADDRESS: RFD _BOX r ti.tXlf.SIZE ETWEEN: " RES.t { APT.;t 1 A.t 1 PUBLIC t 1 IND .'t I NEW t 1 OLD t 1 REW.4 1 . AMMON'i I TRAILER t } Tralw.t I SIGNS t 1 SO.FT. i SERVICE: IliE1lV 1 INCREASE; REPAI t 1 FEE DUCT SIZ AdAMPS C R I l ALUM. *mf go g EAKE f If' PH w OlT . RV.SIZE c + '. APH W VOLT RACEW Y 1 I:EDERS NO. :SIZE NO. SIZE NO. SIZE LKRHTINO OUTLETS t NCEALED OPEN TOTAL PIECEPTACtEs : CONCEALED OPEN TOTAL 31,loo AMPS.Ilists 0.100 y3NCANDESCENT f � �I.UORESi�ENT Be:M.v. � ` 0.100 Am- I (>x � Ari LI cE BLL TRANSP. H.P.tATiNf.i H.P.RATING ' w ITER ..OTHER MOTORS XW44EAT1 . , Q1 Own h! TORS H.R. VOLTAOE PHS 'NO. I II.P. VOLTAGE PHS { 11 LLAN TRANSiFORM€ S: UNDER S0-V: - ER.SW V. NO, KVA NO. KVA NO%NEON TRANSF. NO. VA. MA. MOT R SIZE SWITCH FLASHE EACH SIGN . Q { JL i FOIR AR50 S Tt3i4 FESS. k CITY OF 4&4A is BeacA-O;J i* Office of Building Officimll REQUEST FOR INSPECTION Date Peri ilt No. Time A.M. Received P.M. DIsj,lct No. Job ress Locality Owner's Name �� toC Contractors BUILDING / CONCRETE ELECTRICAL II PLUMBING MECHANICAL Framing tib Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTIO A.M. Mon. Tues. /n/ Thurs. Friday P.M. u ,��r A.M. Inspection Made P.M. Inspector �, Final Inspection❑ Certificate of Occupancy I Date s. I DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. O5 5 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON OB Date JrTTy 19—$4 1:*DU Y Valuation$ FIREPLACE Fee$ 15, *DOCKT 4736 In 7/13/84 This permit not valid until above fee has been paid to City Tr asurer,and is 614 •t.0CAC isubject to revocation for violation of applicable provision of law. 4736 1 A, 7/13/8 This is to certify that KEN TODD 0001 has permission to build FIREPLACE RESIDNNTIAL i Classification Zone Owned by Lot 1,lock S/D House No. 86 SARATOGA CIRCLE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE O Building material,rubbish and debris -Zi from this work must not be placed in public space, and must be cleared up and hauled away by either can- tractor or owner. ~ 1 Building Official. r' r FOR OFFICE PERMIT DATE CONTRAC USE ONLY NUMBER �,,,,..+"'� PLUMBING ELECTRICAL SEWER WATER ,ai�As .�lly. I nyam: T'. a 0 l P A Product Information Models 33A and 38A Hearthstar RADIANT AND •AII-refractory firebox interior CONVECTIVE EAT with realistic fire-brick pattern Models TOO! for the authentic look of tradi- 33A and 38A tional masonry. The Heartstar Mod 1.1 A is an •Standard integral cast iron Fireplace Systems economical dual-m de system fuel grate assures safe and that circulates warn air in efficient fireplace use. addition to conven Tonal radi- *Decorative glass doors Efficiency, style ant heat output. FE ctory built (optional) improve heating effi- and economy OCl'// and ready for low ost zero ciency and provide attractive y y clearance installat�on, this visual enhancement. warm u t0. attractive model pr vides p unmatched economy in a heat *Outside combustion air kit circulating fireplac with the (optional) increases the Model charm and appeal f an A's built-in heating efficiency. authentic masonry fireplace. *Unique two-wall chimney, the The Hearthstar Mo Jel A pro- TF air cooled system pio vides energy efficiency - neered by Superior, assures designed for less cost. safe and easy installation. The secret is in engineering a *Large screen size, 24" high, heat circulating de ign that is enhances opening of fireplace. remarkably econo ical yet *Smooth front face permits looks like a finishe J masonry convenient flush hearth fireplace. The Modi il A face installations. can be decorated with sur- .Standard screens, fitted with round materials to the edge of the opening, givin you the brass pulls, protect against look and feel of a I rge open- sparks. ing masonry firepl ce. Yet the *Exclusive angled rear refrac- unique internal de ign allows tory designed to simulate heat circulation. C nvective appearance of a traditional warm air from the Vlodel A masonry fireplace. flows into the roon i for your .Special narrow side face con- comfort and enjoyment. As a struction allows closer instal further benefit, the Model A's lation of surround materials to new beauty and warmth can firebox opening enhancing the be added to practi ally any finished appearance. room, thanks to th installa- tion simplicity of zo iro clear- *Energy-saving cam-lock ance design technology. The damper ensures a positive Model A looks like a tradi- seal to save heat. tional fireplace - y t provides •Easy access for gas line, rr; the comfort of hea circulation. with knockouts on each side. A choice of two m dels is *Construction anchors, inte- available: 33A wit 33" screen gral with the firebox, secure opening and 38A with 38" the fireplace to the floor, screen opening. preventing movement after installation. QUALITY-ENGI EERED *Nailing flanges provide safe RM :v DESIGN FEATURES method of fireplace attach- ` ment to framing members. The Hearthstar Mc Jel A offers •UL listed and tested for several advanced esign fea- safety. Other major U.S. test- tures which makec, it one of ing agency approvals also the best value dua -mode fire- apply. places you can bu r. These *Twenty-five year limited war. include: ranty, your assurance of finest quality, top performance and enduring value. y •i,�' t T� Kik A P M r k Product Information Models 33A and 38A ATTRACTIVE OPTIONS SUPERIOR'S UNIQUE CONVENIENCE AND ACCESSORIES THRU-FLOW TWC I WALL CHIMNEY PACK AIR COOLED CHIMNEY Hearthstar offers several ways SYSTEM For a basic, one story conven- to tailor the look and perfor- tional home installation, mance of the Model A to suit All Model A fireplace offer Superior's TF8-CP7 Conven- individual preference. the advantages of Su erior's ience Chimney Pack includes safety tested TF two Nall air all flue and chimney compon- cooled chimney system. The ents necessary for a 122" system provides sim le, two- effective height. This all-in- piece construction, q ick one accessory is available for assembly and built-in cost both the 33A and 38A Models. savings. The 33A and 38A Models use the TF8 ,;ystem. TF8 12Yx" 'ystem 0.D. 8" I.D. UL Listed Glass Doors are available for each Model A fireplace-33"and 38"- The TF chimney system may with a choice of antique brass finish in be built straight both models and 38"in flat black only.An g up or employ optional antique brass trim kit can also be offsets to avoid obstructions. added to the fireplace,when doors are not Effective system hei t – Installed,to further enhance the fireplace opening. which includes firepic ce, chimney and top - m y run from 12'0" to 8010". — — — ——— — -- To reach height requi ed, you --T1— can select straight sections in I I O I I 12", 18" or 36" length I I Superior also offers a full I I I range of components includ- ing offset and return elbows, firestop spacers, flashings, r — — — ——— — 1 storm collars and chiinney top I terminations. I II O — CTD Termination Outside Combustion Air Kit brings in out- side air for improved combustion.it installs easily on the left side of the fireplace and operates from the left front side.The kit features a positive seal closure to prevent cold air from entering the home when the 'T Pal fireplace is not in use. rer !nation 3 INSPECTI6N LOG JOB ADDRESS CONTRACTOR OWNER BUILDING PERMIT ELECTRICAL PERMIT PLUMBING PERMIT fir` MECHANICAL PERMIT �k i - FLOOD ZONE DATE SURVEY FILED called in ap roved JEA Temp-pole Slab Footing Framing Plumbing (R) Electrical (R) Mechanical Fire Place Top Out Other Electrical Final FINAL INSPECTION Certificate of Occupancy Issued COMMENTS : I CITY OF .- Office of Building Offi al p REQUEST FOR INSPE TION Date O rmit No. Time '#100 Received p,M. D trict No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE / ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTI IN � A.M. Mon. Tues. ed. Thurs Friday P.M. A.M. Inspection Made P M Inspector Final Inspection❑ Certificate of Occupancy Date i I DEPARTMENT OF BUILDING. 6 026 C CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 1 Date .. une 11. , �La 19 T Valuation$_11 , 291 - 40 , Fee$ This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. 4iX` `' i This is to certify that TIE 11011E TUORKS 723 7th Atenue E:_ has periDission to build ADDITIOIq Aq PE2 ' I RES IDENT(DAL Classification Zone Owned by KEN TODD Lot C1 Block SDA House No. a' According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS Ar,,D FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE — 10 4 D O Bu Ilding material, rubbish and debris -Zi &o In this work must not be placed in public space, and must be cleared up andh,.a�uled away by either con- tra"tor.ld'a caner. f I Building Official, FOR OFFICE PERMIT DATE -� CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER I WATER i I i �I I UT: - - ---- - - - BUILDING 1'LIC-11 T 1;01;1;SHEE7� 0 HEATED SQUARE FOOTAGE: _-- Aw @ $ - `r —�------- Per sq. GARAGE (PRIVATE/SHED) : —_ _-- @ $ --- - —_ — Per sq. CARPORT: _ _ @ $ per sq. ft. _ $— PORCHES: — @ $ � — per sq. ft. DECK: — -- @ $ -- - -- per sq. ft. = S PATIO: -- -- @ $ - ---- per sq. ft. ------- TOTAL VALUATION: PEP!-JIT FEES TOTAL VALUATION DATA Ist $ RE`IAI' D VALUATION @ per thousand or portion the eof TOTAL BUILDING PERMIT FEE. . . . . _ . . - _ $ �D PLUS 15 THE BUILDING PERMI FOR PIAN FILING FEE. . . . . . . . . . . $ 04 U TOTAL FEE DUE- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - $ ------------------------------------------------- ------------------------------------------ PLL_•.BING PERMIT FEE: $ 1.1~CRVJC L PTF -IIT FEE: $ ELECTRICAL RESIDENTIAL: $ E ECT IC?L TE'-�PORAR : $ NATER METER SIZE: FEE: $ — SEVER CONNECTION CHARGE: SQUARE FOOTAGE: FEE S WATER CONNECTION CYARGE: FIXTURE L'NITS @ $10.00 PER UNIT: $ ACCOLTT NO- : APPROVED BY: TOTAL BUILDI`:G/PLAN FILING FEES: $_ Ca TOTAL !-TATER :-IETER C?-1_AP.GE: $ _ TOTAL WATER CO':`:ECTION CF_ARGE: $— _ — TO TAL SEWER CO':`:ECTIO\ CPARGE: $ - G1 :D TOTAL DUE: -- CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT s Owner KF-0 Address 4g ,706 crr2, 5twr-4Phone �2q&4yqp Architect Address Phone Contracto,Zl__)i,,,1, -LC�_ �ress T" qvJ W -Tb Phone A'l-DOZ)I License NumberExpiration Date q- 30_Q2)q tarv�T Lot # Block # Subdivision , e @a1 - Zoning Street,.QS. Between _a d side A pi2C t 04Str"' l�itT$i✓f/OazJ e7� C tc T Valuation $ 6000^ Purpose of Buildin !-r1tlryAec,; Type Const. vrie r .27 /2 e'QR&'27 Nft"U.;, Dimensions : Buildings-N`�Dw�=F /&y",.n'S�Lot QrA2 oz(P4 Sz .Footings Sz. Piers Sz. Sills.s� �Y"�� `J`�"re test Span Sills Sz. Ceiling JoistscR`.a"xb" R stance onCent . ' Greatest Span 10,0. Sz.Floor Joists Distance on Centers Greatest Span Sz.Rafters Distance on Centers Greatest Span Heating Solid-Filled Ground Roof Bs,cr VP f Rcvrt,a To PeRo-oar Flood Zone If located with' a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , rough plumbing and fire place is completed and ready to cover up . 5 . Rough electrical . 6 . Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made. In consideration of permit given for doing Rear Lot Line the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications , which are a part hereof, and CL a in accordance with the building regulations m of the City of Atlantic Beach. o 0 rt t� rt Signature OWNER Signature BUILDER I'h { Front Lot Line MAP SHOWING U RV EY OF Lot 9, Block 4, Atlantic Beach Villa Uni No. 2, as recorded in PIR r o 1, Page 13, of the current public records o Duval County, Florida. FOR : SPACE BUI] DMS, INC . fGY/�v�9g4,ron r"/r �`j' l� !v�° .�1• _�.., '• �� �faun.7'�4`/ron 1J t! V-rwTY 9DIiLH At?8A .4 ! 27o'. pna 110&- �. �• � lt�� ✓ fa:a' �.... r.,b ' � 1 r C ti !N \3! r.j • o � r1 C R2 PcizT C gala co be 1 �n3cw;c'D STRIPS �cle--�- -�- �- r���� - ---------- ,�¢rr•.3 .�a�',�'¢f• �/ /9G3 td dnr�f? �a��w'j' v' r� tet¢ / /' i.�.:a4 I !.e 1•a;l' the hr•,r,l.e,! 4rP'1v6 INS If n SU.1 .di;dl ",r, •, . .d!1.'3 4-1 A . , '1:, vA m.n rnw t rr P � 1 HEREBY CERTIFY THAT I HAVE SURVEYID THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THERE ARE NO ENCROACHMENTS. � �,--�r}�- r /�d :�� ., ... , ,.•; -^l--0 SIGNEDJ/ _ SCALE: r1 REGISTERED BURVEYOR NO.-#!�OFLA. SOUTNSID[-Y/r SERVICE INC. ORDER NO i rr c Rio ! u n 'r Di girnI e x o 1 iA -- t K i' 1 f' sem° > C s F !r kin ronr z at .40 1 T J ' DEPARTMENT OF BU L DING t CITY OF ATLANTIC 8 EACH ` FR.RI!4�"I' ,TI�tF 1�NATTOIsi � 1.+C�CAT�IbtNINFORMATION . Add a sF SARATOGA CIRCLE Wt t, T %, O MkR ATL.ANT.TC 'B ACk1, FL.ORI DA ,� 3 Ilr' i of Woir*: REPAIR % � � � . �.� � LEGAL, DESCRIPTIOK w Piro o d use: 1>otr PAM Ly . Plot 1,tookf Paget D 0111ing 2 O Gado s 0 , Sub Jivi ion t ,ATLfl►ta TIC:' 'REAGIN VILLA .ti a ►t Valu*3 OWNER INFORIMATICIN -_--_---- ' Pay ov. C r�r z *0.00 *mss MRS. RXTON T at 1 IP' r 7. 0 Add ov i I ARA"'0 A C RCLE UTIs A a e � $7. 50 ATLANTIC BEAC;N„ FLORIDA 3223: .. . a x ,�a� Prte t c > W �C ffi ::l14 . • UARE FEET BUIL. dP ROOF) 4#PLICATIOU ;FRES �. i ARL. ,PE 47. SO SPA R IMPACT FEE *Of OIC SEW R VjP0, T FEE k, aTpAl `pl ekes` cy x p k 4 RA H SAS % 40. 00 7,50 , L �w WA I TAPO.00 ' .. F T 0. , �3 .. f: ��� "yAUL.IC SHARE *i�. 00 * � h F t RR NSPCCT FEE a OT s y ��fi`HtX�www"a ,a NOTES: 4 i f NOTICE--ALL CONCRETE FOR*S AND FOOTINGS MU TBE IN ]BEFORE POURING PERMIT VOID SIX MONTHS AFtE R DATE CF"ISSUE. BUILDING MATtRIAL,RUBE SH AN1J DEBRIS FROM THIS WORK M U ST NOT BE PLACED IN PUBLIC.SPACE,AND M ' BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OIA NER. iFAILURE "1"C1 C©MPLY WITH THE MEC NCS' LIEN LAIN/ SCAN RESUL IN THE PRQP.E TY OWNER,PAYING T'WI E F0 R BUILDING IMPROVEMENT ills ISSUtO ACCORDINlG TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REYOCATIO 'FQR` Y'lo»ATFOIJ OE APP ICABLIE f' 61 NS OF LAW. r r AtLANT ACH BUILDING DEPARtM t r' By` it it I I CITY OF ATLAN 'IC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER f Q� PHONE JOB ADDRESS LOT# BLOCK OR UNIT # SUBDIVISION CONTRACTOR A ,jt/ PHONE ADDRESS �C LICENSE NUMBER EXPIRATIONS_ pv JOB VALUATION $ MATERIALS: SIGNATURE OWNER DATE SIGNATURE CONTRACTO DATE���� I i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PE MIT NO-,,,,_,_ 3� I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB I Date June 20 19 86 Valuation$ 1--��Fee$ 15 00 + ' T t 500CRT 5 13 This permit not valid until above fee has been paid to City Treasurer,and is 913 subject to revocation for violation of applicable provisions of law. •OnrA y that aces AIUMi,n inn J '� 20 This is to certify Beh � um 10390 !2655 inn 1 has permission to build Classification residential Zone Owned by Mrs. Todd Lot 9 Block 4 House No. 86 SaratO a Circle —S 'B. villa 2 According to approved plans which are part of this permit I NOTICE—ALI CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS �_______� �♦ AFTER ATE OF ISSUE o Z Building material,rubbish and debris 1 from this work must not be placed in public space, and must be cleared up d hauled away by either con- tract r or owner. Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL I SEWER I i WATER CITY OF ATLANI IC BEACH APPLICATION TO MAKE ADD ONS OR/�ALTERATIONS ...� 4[%,i r. �,G •/J✓6 2 G Owner,/'4r s /a All Address 1 Phone j - y Architect,// Address .Z rd2 � ,la x Be 4 Phone_2 y S SL S Contractor'„�1_/, �v ;„�> Address. -Z S` S, Jc 0 k Phone Q q I Contractors License/Certification Numbers /e) Z) 5S Expiration DateS� —o Property Address t= r �` r c l �,"c 62-e' Zoning Lot _Blcok or Unit S division,4 C �- Valuation of Construction $ e of Construction I& Describe Work to be Performed'yv Materials to be Used Present Use of Building Proposed Use of Building Flood Zone Dimensions of New Area: HEATED I)A GARAGE OR STORAGE IVA CARPORT OR PORCH DECK Aye PATIOS YES NO NLR Will there be an increase in number ,of units? X _ Will there be a decrease in number of units? >1 _ Any additional plumbing fixtures? _'11Y Any new fireplaces? k SUBMIT TWO COMPLETE SETS OF PLANS INCLUDING S Signature OWNER--V Date Signature CONTRACTOR aZ'ZYDate Qi-� / d Q d �-t 5 �,G�"'•t,V�-t { � I��4 C.�..t � �a r�O r� t' �L SArA f v9 e- I!i ) II3 I ))Attar hpUS[ �QL�,Q 7D ��Owrh� 11 co i /" opt.irs AS ptr cod< 3 -4a 4 ,oas ihk G✓77�,., o,v. �ror � f- — --- po..Vn sPn✓ �'- — i i a . i s I; I Ij I FPage�l'� MAP SHOWING SURVEY OF Block 4, Atlantic Beach Villa Unit o. 2, as recorded in Pla o 1, ,- of the current public records of uval County, Florida. FOR : SPACE BUILD 50 INC . A 4 017 ��'• l`_7 `� ,�1 ,7 fours;14'''/rnn tn 1 f� 2 `f �� -� e.n• I/a 6 0 � 9- 49- 7.7. Nf 164; o \ iib. i.�s• � 9 ;e' �Ve ' � r�a'a , y /`� tiCTE: The IiC:tr1;,n n' the bwlL!;ng, the fim,ho4 grade! are ;n 5u9s!auti.lt agream;•,I 1 r with 11.r p .d idrs and sen!+ea:n.ns Ind adep,jtr!y S acccmphsh V;6 ObicLtrres ct the VA minimum prapaty I•s ii I `HEREBY CERTIFY THAT 1 HAVE SURVEYED iHE LANDS AS SHOWN IN THE ABOVE CAPTION AND THERE ARE NO ENCROACHMENTS. w t" SIGNED 40 4 1902 -, SCALE. REGISTERED SURVEYOR NO., !C*CFLA. .,w,•.:.�a>.mxrmw.w.. ..:. Address Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ I er sq ft = $ Deck @ $ er sq ft = $ Patio @ $ er sq ft = $ TOTA VALUATION: $ �00� 0 _ $ d . o Total Valuation lst $ $ Reminder Valuation per thousand or portion thereof --------------------------------------------, Total Building Fee $ �� . cD O ADDITIONAL PERMITS and/or FEES REQUIRED 1 a Filing Fee $ S, py Mechanical ; fireplaces @ 15.00 $ Plumbing ; UILDING'PERMIT FEE $ S. OCD New Electric / ------ ------------------------------------------ Electric/Tang Septic Tank IUILDING PERMIT $ 15, CSO Well IZATER METER CHARGE $ Staff= r g Pool EWER IMPACT FEE $ Sign ATER IMPACT FEE $ Water Connection SCEL ANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate jl TOTAL DUE $ -------------------------------------------------- ------------------------------------------- CALCULATIONS and/or NOTES r I CI,