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1305 Rose St septic to sewer 2013 � r w 's, CITY OF ATLANTIC BEACH. 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00001208 Date 10/25/13 Property Address . . . . . . 1305 ROSE ST Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Septic to Sewer (see notes on fee) ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MAIDA, BRIAN OWNER 1305 ROSE STREET ATLANTIC BEACH FL 32233 ------------------------------------------------------------------------- Permit UTILITIES PERMIT Additional desc SEPTIC TO SEWER Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 10/24/13 Valuation . . . . 0 Expiration Date . . 10/24/13 ------------------------------------------------------------------------ Special Notes and Comments *credit balance due from previous sewer charges while on septic tank. charges reversed on utility account 31233-3624 ------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER SDC-SYSTEM DEV CHG 583 . 30 -------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 583 . 30 583 . 30 . 00 . 00 Grand Total 583 . 30 583 . 30 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. White, Debbie From: Matthews, Carlene Sent: Thursday, October 24, 2013 2:11 PM To: White, Debbie Cc: Perkins, James Subject: 1305 Rose Street Debbie, pending waiting on Chris Walker for New Water/Sewer Tap Request for the above address; Sewer System Development Charge $4,050.00 Customer Brian Maida to pay 583.70 *Credit Balance due from previous Sewer $ Charges while on Septic tank Charges reversed on Utility Account 31233-3624 Balance Due zero See me if you have any questions. Thanks Carlene *Pending credit balance refund has to wait on processed bank draft due 10/28/13. 1 °s, CITY OF ATLANTIC BEACH 0:4' SJ PUBLIC UTILITIES 1200 Sandpiper Lane ATLANTIC BEACH,FL 32233 f J131>`� (904) 270-2535 or (904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: © ( Project Address: 130- No. of Units: Commercial Residential 1' Multi-Family New Water Tap(s) & Meter(s) Meter Size(s) New Irrigation Meter Upgrade Existing Meter from to (size) New Connection to City Sewer v Name: Applicant Address: i3U S w City: State: Zip: 3 ZZ 3 3 Phone Number: l7a / Cell Number: Email Address Fax: Signature:'— `"(Applicant) CITY STAFF USE ONLY Application# Water System Development Charge $ Sewer System Development Charge $ Qv Water Meter Only $ Water Meter Tap $ Sewer Tap $ Cross Connection $ Other $ (notes) TOTAL $ U APPRO D: `v (Utility Director or Authorized Signature) ALL TAP QUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED Akxc CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003598 Date 10/30/13 Property Address . . . . . . 1305 ROSE ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc sewer hookup ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MAIDA, BRIAN ADVANTAGE PLUMBING 1305 ROSE STREET 880 MAYPORT RD ATLANTIC BEACH FL 32233 P.O. BOX 49225 JACKSONVILLE BEACH FL 32240 (904) 247-9848 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/28/14 -------------------------------------------------------------------- Other Fees . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 �n &Se—Ph(9247-5826 Fax(904) 247-5845 JOB ADDRESS: c_Jib a J PERNIIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FDxTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MI ELLANEOUS: ewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of ph rs) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspectio ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have *d this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether speci or not. The permit does not give auth - to violate the provisions of any other state or local law regulation construction or the performance of constructi € Property Owners Name r�l Phone Number Office Phone oQ g Fax " Plumbing Company Co. Address: 7q- City (.G�-� State Zip v License Holder(Print)• State Certification/Registration#CFS J S S Notarized Signature of License Holder Sworn and subs nbed before me this day of 20 JULIE YOUNG CHRISTY ' = MY COMMISSION w FF 005505 Signature of Notary Publi _.. EXPIRES:July 21,2017 i ;. Bonded Thru Notary Public Underwriters CITY OF ATLANTIC BEACH i11 800 SEMINOLE ROAD l 1 r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 13-00001208 Date 11/01/13 Application Number 1305 ROSE ST Property Address . . . . . Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL S Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 -------------------------- Application desc Septic to Sewer (see notes on fee) -------------------------- Contractor Owner ------------------------ OWNER MAIDA, BRIAN 1305 ROSE STREET ATLANTIC BEACH FL 32233 -------- -----Permit---- . UTILITIES PERMIT Additional desc . . SEPTIC TO SEWER plan Check Fee . 00 Permit Fee . . . . 3466 . 30 0 Issue Date 10/24/13 Valuation 10/24/13 Expiration Date . ------------------------- Special Notes and Comments *credit balance due from previous sewer charges while on septic tank. charges reversed on utility account 31233-3624-------------------------------- ------------------ -- __ ----- SEWER SDC-SYSTEM DEV CHG 583 . 30 Other Fees • - - --- __ ----------------- --------- - --------Paid----- Credited Due Fee summary g ---- Charged --- ----- ---------- . 00 00 Permit Fee Total 3466 . 30 3466 .00 00 . 00 Plan Check Total 58330 . 00 . 00 . Other Fee Total 583 . 30 00 . 00 Grand Total 4049 . 60 4049 . 60 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PAYMENTS DUE RECEIPT PROGRAM BP820L PREPARED 10/25/13 , 8 : 59 :39 --------------------- CITY OF ATLANTIC BEACH ----------------------------- APPLICATION NUMBER: 13-0o001208 1305 DUES ST ------------------ --------- FEEDESCRIPTION -------------------------- - ------- 3466 .30 UTILITIES PERMIT TOTAL DUE 3466 .30 Please present this receipt to the, cashier with full payment. 6»� C.� 0per: RTLDDA3 Type: 0C Dr aver: i Date: 11/01/13 01 Receipt no: 7216 2013 1%00 Bp BUILDING PERMITS 1.00 : 466,30 CIS. CHECK 112353 $346o.30 Trans date: 11/01113 Time. 8:05:41