701 Jasmine St 2013 water/tap 1
CITY OF ATLANTIC BEACH
S 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001207 Date 5/13/13
Property Address . . . . . . 701 JASMINE ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
water sewer tap SDCR NEW HOUSE
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Owner Contractor
-
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CURRY, LESLEE K. OWNER
12485 AIRPORT ROAD
BILOXI MS 39532
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Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 5/13/13 Valuation . . . . 0
Expiration Date . . 11/09/13
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Other Fees . . . . . . . . . SEWER SDC-SYSTEM DEV CHG 4050 . 00
WATER CONNECT/TAP & METER 800 . 00
WATER CROSS CONNECTION 50 . 00
WATER SDC-SYSTEM DEV CHG 1140 . 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 6040 . 00 6040 . 00 . 00 . 00
Grand Total 6040 . 00 6040 . 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
z PUBLIC UTILITIES
1200 Sandpiper Lane
ATLANTIC BEACH, FL 32233
J;k (904) 270-2535 or (904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 5/7/1/ Project Address: _701 Jasmine St.
No. of Units: 1 Commercial_ Residential X Multi-Family
New Water Tap(s) & Meter(s) 1 Meter Size(s) 314"
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer 1
Name: _I eslee Curry
Applicant Address: _701 Jasmine St.
City: Atlantic Beach, FL -State: Zip:
Phone Number: Cell Cell Number:
Email Address-Ae,_L tr— r X91kW�Lpf fax: ---_
(.4�pliccrn!)
CITY STAFF USE ONLY
Application#
Water System Development Charge $_1,140 I New home on undeveloped lot.
Sewer System Development Charge $_ 4,050
Water Meter Only $
Water Meter Tap $ 800
Sewer Tap $
Cross Connection $ 50
Other $
TOTAL $-6,040
i (notes)..
APPROVED: _ _Donna Kaluzniak_—
(utiGh°Director or 4uthoriaed Signature)
ALL TAP REQUEST MUST BE APPROVED BAY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED