820 14th Street West SIMMONS SEPTIC TO SEWER 2012 11/2912012 06:17 90424753544, _ BEACHES BOOKKEEP PAGE 03103
.�e(t CITY OF ATLANTIC BEACH
PUBLIC UTILITIES
1200-Sandpiper Lane
ATLANTIC BEACH,FL 32233
f31'� (904)2702535 or(904)a47-5874
NEW WATER/SEWER TAP REQUEST `-52"
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Date: �r Project Address: `i' ' T!?�'F- �X
No. of Units: Commercial Residential I Multi-Family
New Water Tap(s) &Meter(s) Meter Size(s) _
New Irrigation Meter Upgrade Existing Meter from to (size)
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New Connection to City Sewer � �
Name: Elor er fm
Applicant Addres ZO I e�� Zip. 2,'Z C�,�
City: State:
Phone Nuzuber: Cell.Number:
Email Address l ,fiZ ykcr'ZS U�1 Fax: 9� ` Z j L��
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ignature:
(Applicant) r<<
CITY STAFF USE ONLY
Application#
Water System Development Charge $
Sewer System Development Charge $
Water Meter Only $
Water Meter Tap $_ �.•
Sewer Tap $
Cross Connection $
Other $
(notes)
TOTAL
APPROVED: _
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED
11/29/2012 06:17 9042475354 BEACHES BOOKKEEP PAGE 01/03
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PROPOSAL '`'�`:�
CHRISTY FIRST COAST PLUMBING, INC.
1651 MAYPORT ROAD, ATLANTIC BEACH, FL 32233
247-4419 (Office); 249-4660 (Fax)
CFC056487
PROPOSAL
June 30, 20111 Revised October 25, 2012
Debbie Simmons
82014 th Street West
Atlantic Beach, FL 32233
626-5159
debbiesimmons0201 a@yahoo.com
We will provide labor, material and permit to run approximately 45' of 4" Schedule 40 sewer line and
tap into 6" city lateral. Backhoe service will be used to facilitate the job. Ditches will be backfilled to
grade. We will contact Central Locating to mark utilities. Please allow 3 to 5 days for locating once
contract is signed.
We will permit through the Duval County Health Department to abandon the septic tanks; they will be
pumped out and then inspected by Health Department officials and filled with clean fill after the
inspection.
DWV to be Schedule 40 PVC. Water piping to be CPVC. Water taps, sewer taps and any other city
charges to be billed to and paid for by owner/builder. Patchwork and landscaping are not
responsibility of plumber. Price does not include permit fee.
A signed copy of this contract must be in our possession before the mentioned work commences.
Freight charges on special order items to be paid for by owner/builder.
Christy First Coast Plumbing, Inc. will warranty our craftsmanship (installation only of products and
materials) for one year after completion of job. Products and material provided by Christy First Coast
Plumbing, Inc. will carry the manufacturer's own warranty as applicable on defective products. The
term "defective" shall not be construed as embracing damage that arises from misuse, negligence,
Acts of God, normal wear and tear or failure to follow operating or cleaning instructions.
Warranty work will be performed during regular working hours between 8:00 a.m. and 5:00 p.m.,
Monday through Friday, except on holidays_
11129/2012 06: 17 9042475354 BEACHES BOOKKEEP PACE 0210=
We propose to furnish material and labor in accordance with the above prices and specifications for
the sum of Three Thousand Three Hundred Seventy Dollars ($3,370.00). This price is for work
performed during normal business hours; no overtime included.
DRAWS: $3,370.00 to be paid upon job completion.
Draws to be paid within 3 days of invoice date. If not paid, a service charge of 1.5% of the unpaid
balance per month (1$% annum) plus all cost of collection, including attorney's fees incurred in the
event of legal action will be assessed. No plumbing will be performed unless or until prior billings for
this job have been paid.
The above prices, specifications and conditions are satisfactory and are hereby accepted. You have
authorization to perform the work as specified above.
Signature Date
Our proposal is subject to any industry standard price increases.