1355 Ocean Blvd water/sewer 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-19
Application Number . . . . . 13-00001201 Date 3/06/13
Property Address . . . . . . 1355 OCEAN BLVD
Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
water sewer tap for new home
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Owner Contractor
------------------------ ------------------------
LINDLEY TOLERT DESIGNS BOSCO BUILDING CONTRACTORS
465 BEACH AVENUE 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
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Permit . . . . . . UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 3/06/13 Valuation . . . . 0
Expiration Date . . 3/06/13
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Other Fees . . . . . . . . . SEWER TAP FEES 8894 . 00
WATER CONNECT/TAP & METER 835 . 00
WATER CROSS CONNECTION 50 . 00
WATER SDC-SYSTEM DEV CHG 1904 . 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 11683 . 00 11683 . 00 . 00 . 00
Grand Total 11683 . 00 11683 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
C,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001201 Date 3/06/13
Property Address . . . . . . 1355 OCEAN BLVD
Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
water sewer tap for new home
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LINDLEY TOLERT DESIGNS BOSCO BUILDING CONTRACTORS
465 BEACH AVENUE 21S8 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
----------------------------------------------------------------------------
Permit . . . . . . UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 3/06/13 Valuation . . . . 0
Expiration Date . . 3/06/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . SEWER TAP FEES 8894 . 00
WATER CONNECT/TAP & METER 835 . 00
WATER CROSS CONNECTION 50 . 00
WATER SDC-SYSTEM DEV CHG 1904 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 11683 . 00 11683 . 00 . 00 . 00
Grand Total 11683 . 00 11683 . 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
(904) 270-2535 or(904) 247-5874
NEW WATER/SEWER T REQUEST '�o
/-3"5"p � I
Date: 2/12/13 Project Address: -.k� Ocean Blvd.
No. of Units: I Commercial Residential X Multi-Family_
New Water Tap(s) & Meter(s) I Meter Size(s) I
New Irrigation Meter Upgrade Existing Meter from to— (size)
New Connection to City Sewer I
Name:
Applicant Address: 1345 Ocean Blvd.
City: Atlantic Beach State: Fl, Zip: 32233
Phone Number: Cell Number:
Email Address Fax:
Signature: (Applicant)
CITY STAFF USE ONLY
Application# 12-1728
Water System Development Charge $ 1.,904 1345 Ocean Blvd. previously had a
house on the lot with water& sewer
Sewer System Development Charge $__6 794 ,,'
J_ service. The lot was subdivided-now
Water Meter Only $ 1345 and 1355.
Water Meter Tap 8--3-5
Sewer Tap 2100 The existing water and sewer taps &
Cross Connection ---50 meter are located at the new address
Other of 1355.
TOTAL 11683
Fees and new water and sewer taps
and water meter must be charged to
1345 Ocean Blvd.
APPROVED: -Donna Kaluzniak 2/12/13
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED