2028 Mealy St utility permit CITY OF ATLANTIC BEACH
r Scl
f
r' 800 SEMINOLE ROAD
yr ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
UTILITY SERVICE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: UTIL18-0009
Description: 2028 Mealy St(not in Trak)RE# 169465-0010 water tap request
Estimated Value: 0
Issue Date: 3/8/2018
Expiration Date: 9/4/2018
PROPERTY ADDRESS:
Address:
RE Number:
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
Q77LI - 0005
City of Atlantic Beach
U s is IVE PUBLIC UTILITIES DEPARTMENT
s' 902 Assisi Lane
JAN 2 9 2018
Jacksonville, FL 32233
!D�fj9r (904)247-5834
NEW WATER/ SEWER TAP REQUEST
n Akaiv( �-A - - ►
Date ` 29(- Service Address 26 2 8 1 kid 34 L\-t
Number of Units I Commercial Residential L1 Multi-Family
�7
New Water Tap(s) & Meter(s) Meter Size(s) }
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaim Water Meter Size New Connection to City Sewer
Applicant Name
Billing Address y\y Pi`a
City State Zip
Phone
Email
Applicant Signature
c'i CITY STAFF USE ONLY
Application #.U71 TI L � b - O d�
k1 T(Z1 p NI--/.-
Water System Development Charge $ I , C) o - 00
Sewer System Development Charge $
Water Meter Only $
Reclaim Meter Only $
Water Meter Tap $ peri, o6
Sewer Tap $
Cross Connection $ c5ep , e)[i
Other $
TOTAL $ 1 Q (Notes)
APPROVED Kayle Moore, P.E. �,` Date ( 3( $
Public Utilities Director or Authorized Signature
ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED