2830 Shangri La Dr - Permit UTIL18-0018 CITY OF ATLANTIC BEACH
800 SEAHNOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE-247-5181-4
UTILITY SERVICE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: UTIL18-0018
Description: 2830 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:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Trust No 0001
Address: 1227 SALT CREEK ISLAND DR Harding, Jones, &Watkins LLC
Ponte Vedra Beach, FL 32082
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$7,500.
q q
_s:
UT. I
-City of Atlahtic Beach
.7-=
7�
_PUBLIC UTILMES DEPARTMENT
902Assisltane
Jacksonville,FIL 32233 -
MAR 016 2010-� �il
... ..........
9041247-58.34
.... . . .... ....
ER/SEWER TAP REQUEST
NnVWAT ---
. . .... ....
...21 2 -6h
011� .. ... .
-Date tervice.Add 's::
U
Numberof Unks Commercial Residential ... . ...mu: 1ti-Farnily . ... ....
31 �f ---- -- . . .... ..
New Water Tap(s)t Meter(s) Meter Sizets)
.. .... - - ----
X-i Ing Meter from... to (size).
New Irrigation Meter Upgra4e:E 1!;ti
. . .... .... . . .... ....
New Reclaim W�fer Meter New Connection t6:City$evj q q
... . .. .. . ... -- - ---
. . .... .... . . .... ..
T)
�kpplicartt Name o
. . .... ....
T_ V_
Billing Address-
Ai
....$tate' zip
J. F.
- -- - ---- . .... .... . . ....
Phone .... . ....
. . .... ....
-Email 6Z(R'A' C. 5
. . .... .... . . .... ....
A �Z-4—�c
pplicaht'Signature ....
.. .... CrrYSTAFF USE ONLY . . . ... ...
a
C6
CA.
Water System Charge . .. ...
v
Sewer Systern Developmeht Cha rge $ VS-6, U0
'Water Meter Only
M eter.Only::
water Meter Tap
...SewerTap
tross Connection:-
Other'
vZ14 CZ: (Notes)
TOTAL
2
51
VIVL- Dat
APPROVED Ka�le'Moore,P.E. 777-7
Public Utifides Director V:rAukharked Signature
:ALL TAP REQUESTS MUSTS APPAOVED BY THE PUBLIC UTILITIES DEPARTMENT'SEFORE FEES CAN st A.ssiissm
E ... . ...
''em
... ... . ...
. . .... ....