359 11th St (water-sewer fees) 2013 r0,,,,,,,,„
e `S f CITY OF ATLANTIC BEAQ
s) 800 SEMINOLE ROAD
5 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00001205 Date 8/14/13
Property Address 359 11TH ST
Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
new water and sewer tap
Owner Contractor
CDL AB LLC OWNER
357 12TH ST
ATLANTIC BEACH FL 32233
Permit UTILITIES PERMIT
Additional desc .
Permit Fee . . . . 00 Plan Check Fee . . . 00
Issue Date . . . 8/09/13 Valuation . . . . 0
Expiration Date . 8/09/13
Other Fees SEWER TAP FEES 4687 . 00
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
Fee summary Charged Paid Credited Due
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 10727 . 00 10727 . 00 . 00 . 00
Grand Total 10727 . 00 10727 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
P CITY OF ATLANTIC BEACH
- a PUBLIC UTILITIES
1200 Sandpiper Lane
ATLANTIC BEACH,FL 32233
'4011 (904) 270-2535 or (904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 3/27/13 Project Address: 359 11th St.
No. of Units: 1 Commercial Residential X Multi-Family
New Water Tap(s) & Meter(s) 1 Meter Size(s) 3/4"
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer 1
Name: Chris Lambertson
Applicant Address:
City: Atlantic Beach State: FL Zip: 32233
Phone Number: Cell Number: 349-2803
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#
Will need new water tap and sewer
Water System Development Charge $ 1,140 tap.
Sewer System Development Charge $ 4 050
Water Meter Only $ Sewer tap will need to be installed by
Water Meter Tap $ 800 City's annual contractor—amount is
Sewer Tap $ 4,687 actual cost.
Cross Connection $ 50
Other $
TOTAL $_10,727 (notes)
APPROVED: Donna Kaluzniak 3/27/13
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED
0 :4,
kiltW, CITY OF ATLANTIC BEACH
PUBLIC UTILITIES
1200 Sandpiper Lane
ATLANTIC BEACH, FL 32233
r-�Ji31 � (904) 270-2535 or(904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 3/27/13 Project Address: 359 11th St.
No. of Units: 1 Commercial Residential X Multi-Family
New Water Tap(s) & Meter(s) 1 Meter Size(s) 3/4"
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer 1
Name: Chris Lambertson
Applicant Address:
City: Atlantic Beach State: FL Zip: 32233
Phone Number: Cell Number: 349-2803
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#
Will need new water tap and sewer
Water System Development Charge $ 1,140 tap.
Sewer System Development Charge $ 4,050
Water Meter Only $ Sewer tap will need to be installed by
Water Meter Tap $ 800 City's annual contractor—amount is
Sewer Tap $ 4,687 actual cost.
Cross Connection $ 50
Other $
TOTAL $ 10.727 (notes)
APPROVED: Donna Kaluzniak 3/27/13
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED
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