905 ASSISI LN - NEW COMMERCIAL CONST. ANTHEM LAKES r7r <<
���� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
COMMERCIAL NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-CNEW-654
Job Type: COMMERCIAL NEW CONSTRUCTION
Description: ANTHEM LAKES ASSISTED LIVING
Estimated Value:
Issue Date: 1/23/2015
Expiration Date: 5/8/2016
PROPERTY ADDRESS:
Address: 905 ASSISI LN
RE Number: None
PERMIT INFORMATION:
FEES:
UTIL REV COMMERCIAL BLDG $75.00
SEWER SDC-SYSTEM DEV CHG $67,514.00
WATER CROSS CONNECTION $200.00
WATER SDC-SYSTEM DEV CHG $19.004.00
Total Payments: $86,793.00
PERMIT 1S APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
(-------
� 's , CITY OF ATLANTIC BEACH
f _ - PUBLIC UTILITIES
V yr 1200 Sandpiper Lane
ATLANTIC BEACH, FL 32233
p'' -4 J,,1>'' (904) 270-2535 or (904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 12/30/14 Project Address: 905 Assisi Lane(Anthem Lakes-Assisted Living)
No. of Units: 137 (master metered) Commercial X Residential Multi-Family
New Water Tap(s) &Meter(s) 1 Meter Size(s) 4-inch
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer 1
Name: JBC Plannin l 'e -McCall Construction
Applicant Address:
City: State: FL Zip:
Phone Number: _398-9900 ext. 2208 _Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application# 14-CNEW-654 _
New assisted living&memory care
Water System Development Charge $ 19,004 center. Will be master-metered.
Sewer System Development Charge $ 67,514
Water Meter Only $ Their contractor to provide&install
Water Meter Tap $ tap&meter and sewer tap.
Sewer Tap $
Cross Connection $ 200
Other $
TOTAL $_86,718
APPROVED: Donna Kaluzniak 1/22/15
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED