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1618 ATLANTIC BEACH - INVOICE j. Cn ( e 4 14 n`h c �e INVOICE # City of Atlantic Beach INV-1002 r ,n_v 800 Seminole Road Date Due: 9/3/2017 Atlantic Beach, FL, 32233 RIVERSIDE HOMES OF N FL 414 OLD HARD RD STE 502 MATTHEW ROBERTS ORANGE PARK, FL 32003 Invoice Date: 8/4/2017 Record# Record Type Fee Group Fee Description Quantity Amount RES17-0084 RESIDENTIAL BUILDING BUILDING PERMIT 0 $1,194.00 BUILDING PLAN REV BUILDING PLAN REVIEW 0 $50.00 RESUBMITTALS RESUBMITTAL SECOND BUILDING PLAN REVIEW 0 $50.00 RESUBMITTAL SECOND BUILDING PLAN REVIEW BUILDING PLAN CHECK 0 $597.00 PUBLIC UTILITIES CROSS CONNECTION 1 $50.00 CROSS CONNECTION 0 $50.00 REINSPECTION SEWER SYSTEM 0.75 $4,050.00 DEVELOPMENT CHARGE WATER METER ONLY 0 $185.00 DOMESTIC WATER METER ONLY 0 $185.00 RECLAIM WATER SYSTEM 0.75 $1,140.00 DEVELOPMENT IMPACT CHARGE PUBLIC UTILITIES PLAN REVIEW PU REVIEW RESIDENTIAL 0 $50.00 BLDG PUBLIC WORKS PLAN REVIEW PW REVIEW RESIDENTIAL 0 $100.00 BLDG STATE SURCHARGES STATE DBPR SURCHARGE 0 $28.37 STATE DCA SURCHARGE 0 $28.37 ZONING PLAN REVIEW ZONING REVIEW SINGLE 0 $50.00 AND TWO FAMILY USES $7,807.74 Invoice Total:$7,807.74 Please send your payment to this address: Printed: Friday,August 04,2017 11:09 AM 1 of 1