227 Beach Ave - Meter Upgrade / Change 0 LAN:riel
N ;',1s CITY OF ATLANTIC BEACH
J S s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
� 05119?
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -PLBG -115
Job Type: PLUMBING ONLY
Description: METER UPGARDE / CHANGE
Estimated Value:
Issue Date: 1/19/2016
Expiration Date: 7/17/2016
PROPERTY ADDRESS:
Address: 227 BEACH AVE
RE Number: 170189 -0000
PROPERTY OWNER:
Name: GOODEN TRUST, CORKIE
Address: 4216 POINT LA VISTA RD
FEES:
SEWER SDC- SYSTEM DEV CHG $2,744.00
WATER SDC- SYSTEM DEV CHG $764.00
Total Payments: $3,508.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
p,-..! � :.,-, cL y T. ATLANTIC REACH
PIJE'LliC U TLTTIES
IWO Sandpiper Lave
\Jl�! %` ATLANTIC BEACH, FL 32233
(904) 2 70 -2535 or (904) 247.5874
KEW ATE SEWER TAP REQUEST
Date: f _ / r di Project Address: ;7
No. of Units: Commercial o,/�
Residential Mcal'ti_I{'$ncity
New Water Tap(s) & Meter(s) ,,
Meter Size(s)�_
New Irrigation Meter ►r tr
- ---- -_ U pgrade Existing Meter fro to
- __i (s
New Reclaimed Water Meter Size ---___ New Connection to City Sewer
Name:
Applicant Address:
City: State:
Phone Number: Zip
Email Address Cell Number:
Fax:
Signature:
(Applicant)
Application# CITY STAFF USE ONLY
Water System Development Charge $ 7b g
Sewer System Development Charge $ , 1SD
Water Meter Only $
Reclaimed Meter Only $----
Water Meter Tap $ --
Sewer Tap $___________
(notes)
Cross Connection $----
Other $ ---- --
TOTAL
APPROVED: Ka yle Moor '`
APPROVED l UTLITIES P Director or Authorized Signature) ALL T a
ENT BEFORE ��'EES CANBEASSESSED .� �' MUST BE