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1798 ATLANTIC BEACH DR - INVOICE i q 8 R-t-Cal‘410-. Ees , .;.„..,../..., INVOICE # rf City of Atlantic Beach INV-1076 'lair 800 Seminole Road Date Due: 9/10/2017 �iAtlantic Beach, FL, 32233 BERICHON JEFFREY S 6070 CENTER ST MENTOR,OH 44060 Invoice Date:8/11/2017 Record# Record Type Fee Group Fee Description Quantity Amount RES17-0080 RESIDENTIAL BUILDING BUILDING PERMIT 0 $1,365.00 BUILDING PLAN REV BUILDING PLAN REVIEW 0 $50.00 RESUBMITTALS RESUBMITTAL SECOND BUILDING PLAN REVIEW BUILDING PLAN CHECK 0 $682.50 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 $31.46 STATE DCA SURCHARGE 0 $31.46 ZONING PLAN REVIEW ZONING REVIEW SINGLE 0 $50.00 AND TWO FAMILY USES $8,020.42 Invoice Total:$8,020.42 Please send your payment to this address: IC Printed: Friday,August 11,2017 10:41 AM 1 of 1 1`