Permit Septic to Sewer 94 W 3rd St 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
+� ri ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002062 Date 1/29/13
Property Address . . . . . . 94 W 3RD ST
Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
Septic to Sewer
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Owner Contractor
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SCHNEIDER, CHRISTIAN C OWNER
140 APPLEWOOD DR
EASTON PA 18045
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Permit . . . . . . UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 1/28/13 Valuation . . . . 0
Expiration Date . . 1/28/13
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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.
CITY OF ATLANTIC BEACH
PUBLIC UTILITIES
1200 Sandpiper Lane
ATLANTIC BEACH, FL 32233
51111 '" (904) 270-2535 or (904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 1/28/13 Project Address: 94 W. 3`d St.
No. of Units: 1 Commercial Residential X Multi-Family
New Water Tap(s) & Meter(s) Meter Size
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer 1
Name: Christian Schneider
Applicant Address:
City: Atlantic Beach State: FL Zip: 32233
Phone Number: Cell Number: O {7 /
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#
SDC fees for Septic to Sewer
Water System Development Charge $ connection.
Sewer System Development Charge $__4,050 Qty Cf Atlantic Beach
Water Meter Only $ REPRINT
Water Meter Tap $ *aster Re= *
Sewer Tap $ �: �: Cc nom. 1
Date: 1/29/13 01 Paceirt m: 31033
Cross Connection $ Dagaiptim Qtat-ttity Amu t
Other $ 2013 2062
EP ajz=FER-M
1.00 $x0.00
TOTAL $ 4,050
Terri°r tbt'ai l
CC CF=CMD $4c50.00
Total tenixed $4050.00
Total pwnff t $4060.00
APPROVED: Donna Kaluzniak 1/28/13 Tram date: 1/29/13 Tire: 16:22:15
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED
Walker, Jennifer
From: Walker, Chris
Sent: Tuesday, April 09, 2013 4:26 PM
To: Kaluzniak, Donna
Cc: Walker, Jennifer; Matthews, Carlene
Subject: 94 W 3rd St
Connection is made and all good here.
i