587 BEACH UPG 3/4 TO 1 1/2 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-912
Job Type: PLUMBING ONLY
Description: UPGRADE FROM 3/4" TO 1 1/2" WATER METER
Estimated Value:
Issue Date: 4/20/2015
Expiration Date: 10/17/2015
PROPERTY ADDRESS:
Address: 587 BEACH AVE
RE Number: 170157-0000
PROPERTY OWNER:
Name: CRABTREE, RR
Address: 8777 SAN JOSE BLVD
PROPERTY OWNER:
Name: MOQUIN, KIRK & ANNE MARIE,
Address: 2375 S PONTE VEDRA BLVD
FEES:
WATER CONNECT/TAP & METER $145.00
WATER SDC-SYSTEM DEV CHG $2,656.00
Total Payments: $2,801.00
PEWIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUI ING CODES.
i
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5855
Cashier Id: aspcust\at)bbia
Receipt Date: 4/20/2015
Receipt Number: 0S-66558
Job ID: 15-PLBG-912 - UPGRADE FROM 3/4" TO
1 1/2" WATER METER W3 - WATER CONNECT/TAP &
METER $.145.00
Job ID: 15-PLBG-912 - UPGRADE FROM 3/4" TO
1 1/2" WATER METER W5 - WATER SDC-JYJTEM DE
U CHG $2,656.00
Amount Due: $2,801.00
Tender Information: Cash $2,801.00
Tender Type: CC
Tender Amount: $2,801.00
Change Due: $0,00
CITY OF TL,,4,NTIC
EACH
PST-BL'C UTILITIES
............
-- 1200 Sandpiper Lane
J1i1 Jf'
ATLANTIC BEACH,FL, 32233
(904)270-2535 or(904)247-5874
Date:
NEW WATER/SEWER TAP REQUEST
- ZO- /,$"` Project Address:
No. of Units:_____ Commercial
____Residential ✓_Multi-Family
New Water Tap(s)& Meter(s)
Meter Size(s)___
New Irrigation Meter_
Upgrade Existing Meter from- to
�_
New Reclaimed Water Meter y „ —(size)
Size New Connection to City Sewer
Name: ---_
Applicant Address:
City. State:
Phone Number: Zip
Email Address Cell Number:
Fax:
Signature:
(Applicant)
Apphcahon# CITY STAFF USE ONLY
Water System Development Charge $ zcx�
Sewer System Development Charge $
Water Meter Only $ —=�
Reclaimed Meter Only $
Water Meter Tap $----
Sewer Tap $-------�_
Cross Connection ---—_ (notes)
Other $---
TOTAL
APPROVED: KavIe Moore. PE
(Deputy PwDrec'Or Or
APPR0VED BP UTLITyES DEPARTI6�E1itT BEFORE Fe
ALL TAP REQITEST�I7ST BE
EES CANBEASSESSED