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1771 ATLANTIC BEACH DR 800 Seminole Road Atlantic Beach, Florida 32233 IS Telephone(904) 247-5800 FAX (904)247-5845 January 16, 2014 CHANGE OF ADDRESS LETTER ATLANTIC BEACH COUNTRY CLUB IRRIGATION METER IN MEDIAN New address: 1771 Atlantic Beach Drive Please see attached map for location of the new Irrigation Meter. Should you have any questions regarding this matter, please feel free to contact our office (904)247-5826. Sincerely, Jeremy Hubsch Building and Zoning Director cc: Jacksonville Electric Authority c/o Shannon Leggett T-4 21 W. Church St. Jacksonville, FL 32202 Duval County Property Appraiser Attn: Clay Whitfield 231 E. Forsyth Street, Suite 270 Jacksonville, FL 32202 911 Emergency Coordinator 501 E. Bay Street, Suite 312 Jacksonville, FL 32202 United States Postal Service Attn: Post Master 100 1 Mayport Road Atlantic Beach, FL 32233 Howard Seltzer via email dbarnesgcoj.net via email (Property Appraisers ofc) City of Atlantic Beach—City Hall AB Finance & Water Department AB Police Department AB Planning & Zoning AB Public Works AB Public Utilities CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-156 Job Type: PLUMBING ONLY Description: 1 IN RECLAIMED WATER/METER Estimated Value: Issue Date: 1/22/2015 Expirati n Date: 7/21/2015 PROPERTY ADDRESS: Address: 1771 ATLANTIC BEACH DR RE Number: None FEES: WATER CROSS CONNECTION $50.00 WATER CONNECT/TAP & METER $220.00 Total Payments: $270.00 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 WATERJSEWER TAP REQUEST Date: 1/21/15 Project Address: 1771 Atlantic Beach Dr. No. of Units: I Commercial X Residential Multi-Family_ New Water Tap(s) & Meter(s)_ Meter Size(s) New Irrigation (Reclaimed) Meter 191 Upgrade Existing Meter from-to-(size) New Connection to City Sewer Name: ABCC Applicant Address: city: State: FL Zip: Phone Number: -Cell Number: Email Address-Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# Water System Development Charge $ New I" reuse meter landscape island Sewer System Development Charge $ at 1771 Atlantic Beach Dr. Water Meter Only $ Water Meter Tap $ Sewer Tap $ Cross Connection $ 50 Other Reclaimed Meter only $ 220_ TOTAL $ 270_ (notes) APPROVED: —Donna Kaluzniak 1/21/15 (Utility Director or A uthorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED