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464 Orchid Street WELL-SEPTIC Ltr 03.25.2009 CITY OF ATLANTIC BEACH BUILDING AND PLANNING 800 SEMINOLE ROAD , 'r f%L`I ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5826 �� FAX: (904)247-5845 f www.coab.us 15 Vr �/Wily)r" March 25, 2009 Fred Fair F.W. Fair Plumbing Company P.O. Box 51558 Jacksonville Beach, Florida 32240 Re: Abandonment of septic tank and connection to sewer service for 464 Orchid Street Dear Mr. Fair: This letter serves as confirmation that the cost for connection to City sewer service and abandonment of the septic tank for the Doris Ribbon residence located at 340 West 14th Street will be reimbursed to F.W. Fair Plumbing Company in the amount in the amount of$2,988.00 through the City's Community Development Block Grant program. Please contact Mrs. Ribbon and her daughter,Jane Hammock(994-8689)to coordinate on the work schedule. Once the work is permitted, completed and inspected, please submit the enclosed form to the City's Utility Department so that payment can be processed. And feel free to call me at 247-5826 with any questions. Sincerely, Sa-ktr- 02?-0,A/1-- Sonya Doerr, AICP Community Development Director Enclosure cc: Chris Walker, Department of Public Utilities Jane Hammock for her mother, Doris Ribbon S==L��i• J• ,y P ry 011 City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 • FAX: (904)247-5845 • http://www.coab.us CDBG FUNDED SEPTIC TO SEWER CONVERSION CONTRACTOR PAYMENT REQUEST Instructions to Contractor: Once work is completed and inspected, obtain homeowner's signature in space provided below, and return this form along with supporting documentation to the Utility Department. Homeowner: Doris M. Ribbon Address: 340 West 14th Street, Atlantic Beach, Florida 32233 Contractor: F.W. Fair Plumbing Company Permit Number: Contractor Address: P.O. Box 5158, Jacksonville, Beach, FL 32240 Contractor's Cost (Do not include $2,988.00 contractor cost for impact fee, tap or meter cost.) abandonment of existing septic tank, lines and connection to City sewer Total amount requested $2,988.00 Contractor: I hereby request an inspection in order to receive payment in the amount of $ . I hereby certify that I have satisfactorily completed the necessary work to justify this request and that all bills incurred for labor used and materials furnished in making the connection to City sewer have been paid in full to this date. Attached is an invoice and complete description of the work completed and the amount of payment requested itemized by work item. Contractor's Signature: Date: Homeowner: Uwe hereby agree that the work as permitted and as stated by the Contractor has been satisfactorily completed. Homeowner's Signature: Date: Approved by Utility Inspector: Date: COAB Office Use Only. (Account Number 110-1005-515.83-00) F.W.FAIR PLUMBING CO. RF0037053 Estimate P.O. BOX 51558 JAX BEACH,FL 322401 Date Eitlmate+r 904-241-7191 Bi13n008 9948689 "Call FAIR for a FAQ.Deal" Warne ! Address DORIS RIBBON 340 W 14TH ST ATLANTIC BEACH FL 32233 Project Description Total SCOPE OF WORK;ABANDON SEPTIC TANK AND RUN SEWER TO CITY TAP WE PROPOSE TO THE DO THE FOLLOWING OBTAIN A PERMIT PROM THE CITY OF ATLANTIC BEACH FOR THE SEWER OBTAIN A PERMIT FROM THE CITY OF MX FOR ABANDONING THE SEPTIC TANK RUN THE NEW SEWER TO THE CITY TAP INCLUDING CONNECTING THE DRAIN FOR THE WASHING MACHINE PUMP THE SEPTIC TANK,PREPARE FOR ABANDONMENT,FILL WITH DIRT. ALL WORK WILL BE INSPECTED BY THE CITIES 2,988.011 PAYMENT SHALL BE DO IN FULL UPON COMPLETION THANIKYOU FOR GIVING US TEE OPPORTUNITY TO FIGURE THIS PROJECT FOR YOU •F• I• ACCEPTED J THANK YOU FOR YOUR BUSINESS THE FAIR PLUMBING TEAM Total $2,988.00 174 Ow 04)16 D 3//7/D/