1717 MARITIME OAK - INVOICE (7 Of\art$ mE- CDQ--k
INVOICE #
City of Atlantic Beach INV-4192
1 .� 800 Seminole Road Date Due: 6/21/2018
'111110'
J Atlantic Beach, FL, 32233
v , .
RIVERSIDE HOMES OF N FL
12276 San Jose Boulevard
#120
Jacksonville, FL 32223
Invoice Date:5/22/2018
Record# Record Type Fee Group Fee Description Quantity Amount
RES18-0169 RESIDENTIAL BUILDING BUILDING PERMIT 0 $1,050.00
BUILDING PLAN REVIEW BUILDING PLAN CHECK 0 $525.00
PUBLIC UTILITIES CROSS CONNECTION 1 $50.00
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 $23.63
STATE DCA SURCHARGE 0 $15.75
ZONING PLAN REVIEW ZONING REVIEW SINGLE 0 $50.00
AND TWO FAMILY USES
$7,424.38
Invoice Total:$7,424.38
Please send your payment to this address:
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Printed:Tuesday,May 22,2018 10:00 AM 1 of 1 IA
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