87, 89, 93, 95 W 2nd St water and sewer tap fee sheetsCity of Atlantic Beach
PUBLIC UTILITIES DEPARTMENT
902 Assisi Lame
Jacksonville, FL 32233
=piirtly" (904) 247-5934
NEW WATER / SEWER TAP REQUEST
Date —14—Ig- Service Address
Number of Units Commercial_ Residential ✓ Mufti -Family_
New Water Tap(s) & Meter(s) _ Meter Sizes)
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaim Water Meter Size New Connection to City Sewer
Applicant Name
Billing Address
City State Zip
Phone
Email
Applicant Signature
CITYSTAFFUSEONLY
Application# a--�; l9 - no y3
Water System Development Charge $ /' /yO 06
Sewer System Development Charge $
Water Meter Only
$
Reclaim Meter Only
$
Water Meter Tap
$ ROO•04)
Sewer Tap$
3.L8/_re2
Cross Connection
$ S;:OCC7
Other
$
TOTAL
APPROVED
Pubf Utilities Director or Authorized Signoture
Date 2�-/ 9
ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
\ilr
City of Atlantic Beach
n PUBLIC UTILITIES DEPARTMENT
902 Assisi Lane
Jacksonville. FL 32233
(904)247-5934
NEW WATER / SEWER TAP REQUEST
Date 3-/Y'i 9 Service Address 99 1ki 2^-.0 5f—
Number of Units Commercial_ Residential ✓ Multi -Family_
New Water Tap(s) & Meter(s) _ Meter Size(s)
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaim Water Meter Size New Connection to City Sewer/
Applicant Name _
Billing Address
City
Phone
Email
Applicant Signature
Application N C. 77 — OCAY 2_
State Zip
CITYSTAFFUSEONLY
Water System Development Charge
$11144U. /jCJ
Sewer System Development Charge
$ ,n
Water Meter Only
$
Reclaim Meter Only
Water Meter Tap
Sewer Tap
5
$ 'GOOi Chi
$ '5. 6 8 / . 6 2
Cross Connection
s SD, on
Other
$
TOTAL
s
APPROVED1xi
--_-/✓"`-
blic Utilities Director or Authorized Signature
Date ✓—
ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
'�Es(9-c>Egs
City of Atlantic Beach
PUBLIC UTILITIES DEPARTMENT
i
� ' y 902 Assisi Lane
Jacksonville, FL 32233
7-7)
v'� (904) 247-5834
NEW WATER / SEWER TAP REQUEST
Date 3-/r-1.1 / Service Address 73 0 20-)O 5l
Number of Units Commercial_ Residential Multi -Family_
3 "
New Water Tap(s) & Meter(s) _ Meter Size(s)
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaim Water Meter Size New Connection to City Sewer
Applicant Name
Billing Address
City
Phone
Email
Applicant Signature
State Zip
CITY STAFF USE ONLY
Application # PCS 9 – d 0 y C7
Water System Development Charge $
Sewer System Development Charge $ moi. O S� CSp
Water Meter Only $
Reclaim Meter Only $
Water Meter Tap $
Sewer Tap $
Cross Connection $ SD. UO
Other $
11L.u_n
r_12utriarl
$ .syzs oy
P'y6fil UnNties Director orAuthorized signature
Date 13—Is--1 9
ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
fr
City of Atlantic Beach
PUBLIC UTILITIES DEPARTMENT
902 Assisi Lane
Jacksonville, FL 32233
(904)247-5834
NEW WATER / SEWER TAP REQUEST
Date 5-1Y -1`17 Service Address—c? J (A) G^ -'o 'ST—
Number
S%
Number of Units / Commercial_ Residential ✓ Multi -Family_
New Water Tap3/us) & Meter(s) Meter Size(s) �
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaim Water Meter _ Size New Connection to City Sewer _
Applicant Name
Billing Address
City
Phone
Email
Applicant Signature
Application # 2C5 ! q - 00 q
Water System Development Charge $
Sewer System Development Charge $
State Zip
CITY STAFF USE ONLY
Water Meter Only
$
Reclaim Meter Only
$
Water Meter Tap
$
Sewer Tap
$
Cross Connection
$
Other
$
TOTAL $ SO. (b
C;(ISJ I!U!f
APPROVED �Z- �`-�'� Date
P lic Utilities Director or Authorized Signature
ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED