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2832 Shngri La Dr - Permit UTIL18-0019 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 2,47--5814. UTILITY SERVICE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: UTIL18-0019 Description: 2832 Shangri La Dr(not in GeoTrak) -water/sewer tap request Estimated Value: 0 Issue Date: 5/23/2018 Expiration Date: 11/19/2018 PROPERTY ADDRESS: Address: RE Number: PROPERTY OWNER: Name: Trust No 0001 Address: 1227 SALT CREEK ISLAND DR Ponte Vedra Beach, FL 32082 GENERAL CONTRACrOR 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$7,500. q UTa L . .... ........................ .... .... . . .... IV. it�'df Atlantic Beach. UBLIC UTILIT ES DEPARTMENT 4" P ... :,07.MsIsItane . . .... 9 cintille,FL 32233 Jacks ., 0 ::,MAR 20 1964)'247-5834 . .... ... q vp REQUEST ..Date te''WiceAddress�:,-9 q. a q 'Number:of:Un'itL Commerdal Residential .:Multi-Faunily . Meter Site(s) .. New Water Tap(s) Meter(s)..,K ..-1: : : - q (size) Newftription Meter Upgrade,Existing Meter from to Reclaim W;.Aer Meter_ New Connection t6-City$eWer es S� ;�f 0 0:0.: Name. .. .... . .. t4 es AI , Billing Addr s C e� Zip: y— ... Stat Phone r Email 0 q . . .... .... p. Aoplicant:Signature q ... . ... . . .... .. . .. ... ...CrrYSTAFF USE ONLY ... .... a .:, :. q S�. A 'ica't .. .... . .. . .... q ppl ion C— q occ f r7: -h ... : Water System:Development C arge .. .. ... Sewer Systern Development Charge Water Meter On. ly Reclaim Meter .. .... . n Wat er M eter Tap .... . . .. SewerTap, -,:Cross Connection .. .... . .... OthO - .... . . .... (Notes) t6tAL ... . . .... . q i4te Kaylg Moore,P.E. 2 k APPROVED q Public utilities Director&Auti�ofizedslgnmmo .:ALL TAP REQUESTS MUST BE A PPROVED BY THE PUBLIC:UTILITIES DEPARTMENTBEFORE FEES CANBE ASSESSED r . . .... .... ... .... . . .... ....