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Book 10&03 page 246:31
MIN. RETURN.
�-O C F COMMENCEMENT
PHONE# -12-A NOTI G
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property, and In
accordance with'Section 713 of the Florida Statutes, the following Information Is stated In this NOTICE OF
COMMENCEMENT,
Legal de 'on o I pm' pert b nproved: f- f
Ca) Yow,—V k c
Addres I Wpr pe being I proved:
ti
s:
Gen ral d of improvemen s:
Q/-
OwnerA,', J .
Address e-
Owner s inter st in site of the improvement
Fee Si pie itle old r other an vyner)
Name
Address C:�R?0) -A
Contractor Z�?
Address
Phone No. Fax No.
Surety(if any)
Address A o-untotbond $
Phone No. Fax No.
Name and address of any person making a loan for the construction of the Improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida, other than himself, designated by oyvner upon,whom notices or other
docurne Is M be served:
Name
Address
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lianor's Notice as provided In,
Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option).
Name
Addiess
Phone No. Fax No.
Expiration date of,,,Nolice of Commencement-(the expiration date 'is one (1) year from the da(6 of recording unless a
different date is specified):
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address B.AF.4 C H de lozeea
0'r,,P DrcK)
Date
Heated Square Footage $_per sq ft = $
Garage/Shed @ $_per sq ft =
Carport/Porch L @ $_per sq ft =
Deck @ $_per sq ft = $
Patio @ $_per sq ft = $,_
TOTAL VALUATION: s 000
$
Total Valuation 1st $ /0 64
8! n(5 0 q_r --- $
Remaihing Value per thousand
0 portion thereof
TOTAL BUILDING FEE 0
+ 1/2 Filing Fee $ I?
Fireplaces @ $15 .00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP
) RADON (HRS) . 0050 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION .>
( ) SURCHARGE . 0050 Sa
OTHER 0
GRAND TOTAL DUE 90-00
ADDITIONAL PERMITS OR FEES: Mechanical-; Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank-; Well Sign Finish Floor Elevation
Survey ; Other
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
--nON
�A- �N 04FORIVA
-Oe- Number: 24558 Address: 2060 BEACH AVENUE
Permit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: NORTH ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: 9,000.00
Date Issued: 8/16/2002 Name: CALLOWAY, BECKY
Total Fees: 90.00 2060 BEACH AVENUE
Amount Paid: 90.00 NTIC BEACH, FL 32233
Date Paid: 8/16/2002 P 0 000
E-
L Work Desc: REP
90.00
PROPERTY OWNER
4A ......
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OF
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777-77,�,,,:
NOTICE- VPECTIOI4eM'LIST BE REQUESTED AT LEAST 2�_#QVR IOR TO 1. ---ECTION
F
BUILDING MATERIAL, R*, BISH AND IS,FROM THIS WORK MUST BE PLACED PUBLIC SPACE,AND
iAULED~' ITHER CONT
MUST BE CLEARED UP A104
"FAILURE TO COMPLY WI H SULT IN THE
PROPERTY OWNER PAYING TS#f
ISSUED ACCORDING TO APPROVED PLANS I WH'I6H A�RTOF'THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Oper: CHERYLE Type: OC Drawer: I
Date: 8/16192 01 Receipt no: 81844
14 PERMITS-BVILDING I 0%.i
ATLANTIC BEACH BUVLDING--DE4�T-.,-, 091OW322100
2060 BEACH
CK CHECKS 2029 $90.00
Trans date: 8/16/02 Time: 16:15:43
0
U�,y oj� Aflan'Jc 13-ac!i
City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 FAX (904)247-5805 - hftp://www/ci.atlantic-beach.fl.us
BUILDING PERMIT APPLICATION �
FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION
(INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS
AND ALTERATIONS, MOVING OR DEMOLITION)
DATE
JOB ADDRESS- ZX>dvb a2ce—gahp if , JQ_9.4Ae27r_
APPLICANT' 92 4%..-100
it - _ -
ADDRESS
LEGAL DESCRIPTION: BLOCK NUMBER LOTNUMBER ZONING DISTRICT
CONTRACTOR STATE LICENSE NUMBER
ADDRESS PHONE
CITY STATE ZIP FAX
DESCRIBE PROPOSED USE AND WORK TO BE DONE 9"WA S&0Z1JCr_— 4��C�CW
640" 9&69&,W4_ r&ft;mid )w 640ftQ&
PRESENT USE OF LAND OR BUILDING(S)
VALUATION OF PROPOSED CONSTRUCTION IW9506
Is this an addition? —NO - If yes,what are the dimensions of the added space: Jeet by feet
Will the added area be heated and cooled? New electrical or increase in service?
New plumbing fixtures? A&> New fireplace? New heating/air conditioning?
Is approval or Homeowner's Association or other private entity required? )V-6 If yes,please submit with this application.
9 0
4,*46 "Aov
WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL
MA,TgRIAL?
XNO. Applicant certifies that no change in site grade or fill material will be used on this project.
nYES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all
information as appropriate.)
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the
Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's
Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical
survey or grading plan is required. (If n6t required, written verification must be provided with this application.) The Department of
6/18/02 Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete
sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic
Beach,FL 32233 Telephone:(904)247-5826
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any
existing structures and uses.
3. Existing and/or proposed driveways.
4. If required by the Department of Public Works,a pre-construction topographical survey.
5. Any significant ehvironmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.)
7. Other information as may be appropriate for individual applications.
I HEREBY CERTI THAT AL ORMATION PR D WITH THIS APPLICATION IS CORRECT.
C
SIGNATURE OF 0 E -,z U DATE,,_SI�04_7 LD
Lo
,.I, TI.,
I HEREBY CERT I IFY THAT I HAVE READ AND EXAMINED THIS TION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH,WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR
LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF
THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION
BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS
REQUIRED.
SIGNATURE OF CONTRACTOR DATE
ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME
MAILING ADDRESS
PHONE FAX E-MAIEL
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF
STATE OF FLORIDA,COUNTY OF DUVAL
NOTARY'S SIGNATURE
AS T R: JENNIFER SCHWETER Personally known
My COMMISSION#DD 121301 Nr Produced identification
EXPIRES:May 27,2006 _13
Bonded Thru Notary Pub4c UnderwHiers -70
Type of identification producedEL,
AS TO CONTRACTOR: El Personally known
F1 Produced identification
Type of identification produced
6/18/02
NEW IMPERVIOUS SURFACE REGULATIONS
On January 01, 2002, the City of Atlantic Beach enacted new regulations
limiting the amount of Impervious Surface that can be developed on
property.
Within all residential Zoning Districts, the maximum amount of
Impervious Surface area allowed is fifty percent (50%). Within all
commercial and industrial Zoning Districts, the maximum amount of
Impervious Surface area allowed is seventy percent (70%). The Zoning
regulations define Impervious Surface as follows:
Impervious Surface shall mean those. surfaces thatprevent the
entry of water into the soil. Common Impervious Surfaces
include, but are not limited to, rooftops, sidewalks, patio
areas, driveways, parking Lots, and other surfaces made of
concrete, asphalt, brick, plastic, or any surfacing material
with a base or lining of an impervious material. Wood
decking elevated two or more inches above grade shall not be
considered impervious provided that the ground surface
beneath the decking is not impervious. Pervious areas
beneath roof or balcony overhangs that are subject to
inundation by stormwater and which allow the percolation of
that stormwater shall not be considered impervious areas.
Swimming pools shall not be considered as Impervious
Surfaces because o their ability to retain additional rain
)f
water, however, decking around a pool may be considered
impervious depending upon materials used.
Information verif
ying Impervious Surface must .be provided prior to
issuance of Building Permits whenever new construction, includin2
building renovations or additions, new driveways, decks or porches
involves any increase in Impervious Surface area.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX: (904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
'4
CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE
APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE
OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—
OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A
COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE
BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME
THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF TIES EXEMPTION. YOU MAY NOT HIRE
AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONS113ELITY TO MAKE SURE THAT
PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. TTIE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE
POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND
SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS
NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR
THE FLORIDA"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR.
TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR CE OF AN OWNER-BUILDER PERMIT.
CE 01
JENNIFER SCHLUETER Ty 0 4r
OMMISSION#DD 121301 P PERTY OWNER/B ER
my C R PER
EXPIRES:May 27,2006
Bonded Thru Notary Public Underwriters
cz�o 4�;n
Af)DRES`S —
SWORN TO AND SUBSCRI13ED BEFORE ME THIS V DAY OF 614 4 S+ 20 0.2—
UA,
PUBMC
MY COMMISSION EXPIRES:
NnTF.- PH-RAP%Fq 1FNTDF.RI.1N_F.D AROVIR M6'UT 9:_7, ��00(0
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, F1 32233 - Tel. (904) 247-5826
ROOFING PERMIT
LANTIC BEACH, FL 32233
Range: Book:
Block: Section:
Square Feet: Su division: NORTH ATLANTIC BEACH
Est. Value: el Number:
Improv. Cost:
Date Issued: 3/19/2002 L;ALLUVVAT, btUKT
Total Fees: 35.00 Address: 2060 BEACH AVENUE
Amount Paid: 35.00 ATLANTIC BEACH, FL 32233
Date Paid: 3/19/2002 Phone: (000)000-0000
Work Desc: RE-HOOF
am
MUNANAN KUL)FINU tRM I �3b.uu
IN
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
P A I D
MAR 19-,*2
C OC Draver: I
ae'epejpt no: 43396
14 PEN17 BUILDINS 1 $35.88
Trans nos 797643
ITY 0 TLANTI B H CA CASH $186.08
Tiefts datet u19182- live% isaullfi
p P A 0
RA
19
MAR 19
�AR C4
CITY OF ATLANTIC BEACH
ECK*nl�5
"ROOFING .PERMrr APPLICATION — '
JOS LOCATION:_26&O
OWNER OF PROPERTY: Zee-,ALI
_TELEPHONE.
CONTRACTOR:-....Alrnl(1'4�
CONTRACTOR'S ADDRESS:
ZIP:
STATE LICENSE NUMBER: Tye-
2 _JELEPHONF__,2,�/�,) �-9
DESCRIBE WORK TO BE PERFORMED,.
. ....................
VALUATION OF PROPOSED CONSTRUCTION -7-3. S3
MATERIALS TO BE USED:
SIGNATURE OF OWNER:
SiGNATURE OF CONTRACTOR:
TRACTOR
SWORN TO AND SUBSC BED BEFORE ME TH14� Cl OF c c-\
13 h:� i
ah,
Thomas L Monahan
Ar ,7 '
mIs ccq
Ex0es February 02,2004
R: My ComnWssion CC907385
AS TO OWNE r—NOTTARY
4, p, Su -
i3WORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF
AS TO CONTRACTOR
NOTARY PUBLIC
Uabft Irmwance SWp96d__t::L_ GEORGIA A.HM
My COMMISSiON#DO ON526
EXPIRES:June 3,2005
waitem canpeim*m inwranm Suppkd__t��. un&Mrhers
ewded Tbru Wary Pt""
Conbactorl.kww I.Iftlaftl Suppliled
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CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax:247-5877
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number 21404 Address: 2060 BEACH AVENUE
Permft Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot($): Block: Section:
Square Feet: Subdivision: NORTH ATLANTIC BEACH
EsL Value: Parcel Number
Improv. Cost: OWNER INFORMATION
Date Issued: 2105/2001 Name: CALLOWAY, BECKY
Total Fees: 25.00 Address: 2060 BEACH AVENUE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 2/05/2001 Phone: (OW000-0000
Work Desc: WIRE FOR SUMP PUMP
CQNTR�A �S AWLICAMN FEES
BIVINS ELECTRIC GO. PERMIT 25.00
jo
tns Required
J
FINAL ELECTRIC
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY VVITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.8814
ATLANTIC BEACH BUILDING DEPT. Date: 2/95/91 It Receipt U31683
CHECKS 6732
estollemim
CITY OF ATLANTIC BEACH, FLORIDA
Appro i !by APPLICATION FOR ELECTRICAL PERMIT
- 1 9*10
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:J� fv—
NAPORTANT NOTICE:
I c
rf 01111DERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
B AGREE TO PERFORM SAID ORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
M161 1!0 R
H RE A PART HEREOF,AND I� -,ORDAN E WI TH THE E TRICAL REGULATION DES AND Cl
ATLA IC BEACH OR A CE
I CONS"
B AGREI ZOR RD NCE HE AT-'A"
CH RE A p
ILIA IC BEAC !D* N C 0 W, T WT" T T I
ORDAN E H HEE R CAL 11
IC G 'M
(KECTRIC L FIRM: FA ELECTRfCI IgNA-Tr RFF
- Lot" RFD—BOX
NAME ALM:. 'd 1A
BLDG.SIZ BETWEEN-
RM:tt,4/ APT. COMM.( PUBLIC( INDUS.( NEW OLD t�� REW.
ADDITION TRAILER TEMP.( SIGNS ( —SCI FT.
SERVICE: NEW I INCREASE REPAIR FEE
C014DUCTOR SIZE AMPS COPPER ( ALUM.
SWITCH OR BREAKER AMPS � PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS ! PH W VOLT RACEWAY ,
FEEDERS No. SIZE– IND. SIZE NO. SIZE
UGHTING OUTLETS CONCEALED OPEN TOTAL
RECEfrTACLES -30 AMPS CIONCEALFD OPEN TOTAL
3 1.100 AMPS.
SWITCHF-5
INCANDESCENT
FLUORESCENT&M.V.
FLXF-13 0.100 AMPS.
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING ICOMP.MOTOR OTHER MOTORS AMPS JCEIL HEAT:� ICW-HEAT
MOTORS H.P. I VOLTAGE PHS NO. IQ VILEPR VOLTAGE P"S
t C2�L o (- /
MISCELLANEOUS, j�jjfhZaac* &h oQ A&2U�a
TRANSF40RMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA
NC.NEON TRANSF. NO. VA.__ IMA. MOTOR SIZE SWITCH I 4FLASHE
EAC34 SIGN
FORWARDED
TOTAL FE!!;
Prepared by and return to:
Maureen King, City Clerk
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
REAL PROPERTY LIEN
The parties have agreed that this LIEN be filed against the real property owned by
Rebecca V. Callaway, and shall be recorded in the official public records of Duval County,
Florida.
This LIEN is for financed costs associated with the conversion of a private septic system
to public sewer system and including sewer impact fees on the following real property located in
Duval County, Florida, more particularly described as follows:
RE#: 1697130020
LEGAL DESCRIPTION: 15-93 09-2S-29E N Atlantic Beach Unit No 3 PT N
2.6 FT Lot 72-A & S V2Lot 73-SA
OWNER NAME &
PROPERTY ADDRESS: Rebecca V. Callaway
2060 Beach Avenue
Atlantic Beach, Florida 32233
This LIEN is to secure payment from Rebecca V. Callaway to the City of Atlantic Beach
I
an,,Agre5ment attached.
in the amount of$ 7,377.95, pursuant to Utility Payment P"
J"
Witness (Sign Nq OWN -- R�bec�c-�V.-t aflaway
,ke)
Witness (Print Name)
CITY OF ATLANTIC BEACH
&k
Witness (Sign Nan�e))' B a�-"
A Maureen King
Witness (Print Name) Certified Municipal Clerk
Page I of 2 Callaway Lien
STATE OF FLORIDA
COUNTY OF DUVAL
Sworn to and subscribed before me this&il- dayofN;�e&��, 2001, by C-4
64 4,1_19W4 who are personally known tome or produced Fr.�-OCi400-738- -W-1 )-6
7L
as identification, and who did/did not take an oath.
Nota�y Public, StateiooF rida at Large
My Commission expir
- - - - - - - - - - -
MAUREEN rJNG
Notary Public-State of Florkjo
My Commission EJOres Mcr 31,2002
commission#CC720781
Page 2 of 2 Callaway lien
CITY OF ATLANTIC BEACH, FLORIDA
UTILITY PAYMENT PLAN AGREEMENT
PROPERTY DESCRIPTION:
OWNER: Rebecca V. Callaway
2060 Beach Avenue
Atlantic Beach, Florida 32233
RE# 1697130020
LEGAL DESCRIPTION 15-93 09-2S-29E N Atlantic Beach Unit No 3 PT N
2.6 FT Lot 72-A & S 1/2Lot 73-SA
TOTAL AMOUNT OF AGREEMENT: $7,377.95
This document shall serve as an extended payment agreement between you and the City of
Atlantic Beach, Florida for the above listed total amount and for which said amount will be filed
as a lien with the Court of the Circuit Court for Duval County, Florida until the entire balance is
paid.
CHARGES: Sewer Impact Fee $1,250.00
Contractor 350.00
Contractor 3,974.00
TOTAL CHARGES: 5,574.00
Less 5% Down Payment 278.70
Payment of lien filing fee 19.50
TOTAL DOWN PAYMENT: $298.20
TOTAL AMOUNT FINANCED $5,295.30
TOTAL AMOUNT OF LIEN $7,377.95
TERMS: Number of Monthly Payments 120
Due Date: Due monthly with your utility bill
Billing Included on utility bill
Late Charges 10%
Failure to pay all charges will result in the water services being cut-off.
Payment Amount $61.48 per month
Total Interest over term of loan $2,082.65
LIEN: A lien in the amount of the TOTAL AGREEMENT above shall be executed and
recorded against the above referenced property. The owner hereby agrees to pay all
recording fees and costs involved with the execution of the lien. Upon payment being
made in full, the lien shall be released of record.
Please indicate your acceptance of the provisions of this agreement by signing in the place
indicated. Your signature signifies your agreement to indemnify and hold harmless the City of
Atlantic Beach, Fl., from any and all damages resulting from your failure to timely make the
above payments, including reasonable attorneys fees and court costs.
The City of Atlantic Beach looks forward to cooperating with you under this agreement.
PROPtR�Y OWNER
_By
4�2z� Date
7��e�ecca V. Ca6way
City of Atlantic Bea
By: <� 7
Date:
Jim 11�9—on—, City Manager