605 Coastal Oak Meter 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PLUMBING PERMIT INSPECTION PHONE LINE 247-5814
LJ ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-PLBG-362
Job Type: PLUMBING ONLY
Description: 1 in meter
Estimated Value:
Issue Date: 11/3/2014
Expiration Date: 5/2/2015
PROPERTY ADDRESS:
Address: 605 COASTAL OAK LN
RE Number: None
FEES:
WATER CROSS CONNECTION $220.00
WATER CROSS CONNECTION $50.00
Total Payments: $270.00
PERMIT IS APPROVED ONLV 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 TAP REQUEST
Date: 10/23/14 Project Address: 605 Coastal Oak Ln.-Maritime Forest
No. of Units: 1 Commercial X Residential Multi-Family
New Water Tap(s) & Meter(s)_ _ Meter Size(s) 1"
New Irrigation Meter 1" REUSE _ Upgrade Existing Meter from to (size)
New Connection to City Sewer N/A
Name: Atlantic Beach Partners/EFS Construction- Doug Maier
Applicant Address:
City: State: FL Zip:
Phone Number: 759-1395 Cell Number:
Email Address dougmaierAcomcast.net Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#
Reuse irrigation meter.
Water System Development Charge; $
Sewer System Development Charge $
Water Meter Only-Reuse $ 220.00
Water Meter Tap $
Sewer Tap $ (notes)
Cross Connection $ 50.00
Other $�
TOTAL $ 270.00
APPROVED: Donna Kaluzniak 10_/23/14
(Utility Direct_ ,r Authorized Signature)
ALL TAP REQUEST MUST FE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED