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1445 Seminole Rd UTIL19-0065 New Irr Meter �S'2-r%�\ UTILITY SERVICE PERMIT PERMIT NUMBER ! T�:. ..I�'``V'� UTIL19-0065 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 11/6/2019 �74-`'n* ATLANTIC BEACH, FL 32233 EXPIRES: 5/4/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: 3 PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1445 SEMINOLE RD UTILITY SERVICE new irrigation meter request $0.00 TYPE OF I REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171901 0000 SELVA MARINA UNIT 01 COMPANY: ADDRESS: CITY: I STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: KELLY J STACY 1445 SEMINOLE RD ATLANTIC BEACH FL 32233-5501 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. - FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT CROSS CONNECTION 400-0000-343-3701 0.75 $50.00 WATER METER AND TAP 400-0000-343-3302 0 $800.00 WATER SYSTEM DEVELOPMENT IMPACT CHARGE 415-0000-324-0301 0.75 $1140.00 TOTAL:$1,990.00 Issued Date: 11/6/2019 1 of 1 0,-1. L- I I -004J- City of Atlantic Beach PUBLIC UTILITIES DEPARTMENT -.. - 902 Assisi Lane Jacksonville, FL 32233 (904) 247-5834 NEW WATER / SEWER TAP REQUEST Date 10/24/2019 Service Address 1445 Seminole Road Number of Units 1 Commercial I J Residential n Multi-Family n // New Water Tap(s) & Meter(s) r7r Meter Size(s) New Irrigation Meter V Upgrade Existing Meter from to (size) New Reclaim Water Meter I I Size New Connection to City Sewer Applicant Name Kelly& Sue Stacy Billing Address 1445 Seminole Road City Atlantic Beach State FL FEC2E \/ED Phone (508)816-1482 OCT 29 2019 Email kellyjstacy©gmail.com Applicant Signature / i7 Building Department pp g �1- �� _ ),,,,,� . s - . 'c Beach, FL .....r CITY ST, - USE ONLY Application tt WU. iq4-0065- Water System Development Charge $ /, I L)0 , di