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Permits 260 Camelia St CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025986 Date 5/02/03 Property Address . . . . . . 260 CAMELIA ST Tenant nbr, name . . . . . . REMOVE, RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2500 Owner Contractor ------------------------ ------------------------ NEAL, JOYCE L. JAMES A. NEILL 260 CAMELIA STREET P.O. BOX 351404 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 322351404 (904) 247-0493 (904) 220-2584 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2500 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 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, j BUILDING OFFICIAL CIT'Y OF ATLANTIC BEACH PERMIT - CALCULATION- SHEET Address 4;2-(.o(o _Lavtr-_� D a t e— Heated square Footage @ iper sq f -Garage/sh,ed per .sq ft Carport/Parch @ $I per sq ft .= Deck @ $ er sq ft S -Patio per sq ft $ TOTAL VALUATION : Total Valuation 1st i Got� t sz)o $ Remaining Value $S. c,) Per thousand or ..portion thereof TOTAL BUILDING FEE 1/2 Filing Fee P 15 Fireplaces -IT FEE BUILDING PERM WATER IMPACT .FEE SEWER IMPACT FEE WATER' METER/TAP CAPITAL -IMPROVEMENT. $ .SEWER TAP $ -RADON (HRS) 0 05(y. $ SECTION H PAVING HYDRAUL.IC SHARES CROSS CONNECTION SURCHARGE .0050 $ OTHER GRAND TOTAL DUE ADDITIONAL PERMITS OR F E E S Mechanipa ..Plumbincl Z I e c t r i c/N ew—Z I e c t r i c/L T emp_ ;Swimmirigpool Septic Tank Well_; Sign Finish Floor Elevati.an Survey CALCULATIONS and/or NOTES : bxrr� 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 PLAN REVIEW COMMENTS Permit Application # ?a Applicant: C.�rnq Address: Project: a ony ' a/your application is approved 0 your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by—IL, Signed —Date Contractor Notified Date_________� CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: - JobAddress: - n" erty: Owner of Prop Address: gl, 5"t &Za X FL Telephone: f , - Contractor: State License Number: ee,6-0 S 7 9.3 7 Contractor's Address: 1JAk9,-r1,'4 Z Z- SIZ Telephone: f ,�q- 9,*V->-L c>--113 7-6 .:4,;Lp-xS V41 Fax: 4WO-701'--7 cCPY Ave "7 Scope of Work: /2"nbvc, 4V 1 0� IV &12, 30 41, /-J L-71— Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example:Tj' .b6r Manufacturer(Exa e: GAF): ASTM Design on(s): D3 3f4 47 Required Inspecti ipa lExae, GAO, 0 tl n(s) w Signature of Owner: Date: 0 tr r. Signature of Contractor: VA' S TO OWNER: Sworn to and subscribed before me this day of 15�9pllll 2 0_,�9 State of Florida,County of Duval rl) otary's Siguature: j/�E�A& SHERRE L.DAG Ey o My COMMISSION# DO 118000 Ul/Personally known Of EXPIRES;June 7,2ooe Produced identification 1-80"NOTARY FLN0UvySwwce&ft,0,gj,,. *ft Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of .20 State of Florida,County of Duval Notary's Signature: Heron R Whon E34�ersonally known my Convnission DD142431 Produced identification Ex res August 16,2006 Type of identification produced 6Y I 4ZA CX, 7 10 U"-3 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page I Revised 2/21103 Book Page 2137 RE-TUJ NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom it may concern: The undersigned here by 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. Aegal description of property being improved: 4/Address of property being improved: &�et4.: an'�p zvE/� eA-- -1� General description of improvements: ie--Omo 1-1�w ner VA-/ddress e- �-6wner's interest in site of the improvement,��/' Fee Simple Titleholder (if other than owner) Name Address Contractor LZq-/n eS Address Azz FaxNo. PhoneNo. Surety(if any) Address Amount of bond 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 oWner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes, (Fill in at Owner's option). Name Address Phone No. Fax No, Expiration date of, Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): C CITY OF IT, 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 October 18 . 1995 Douglas & Mary Williams 260 Camelia Street Atlantic Beach . FL 32233 Dear Mr . and Mrs . Williams : our records indicate that vou are the owner of the followinq property in the City of Atlan-uic Beach . Florida : 260 Camelia Street a/k/a Lot 6 , Block 100 , Section H RE#170865-0000 An investiaation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach ordinance Section 12-1-3 (high weeds and grass) . You are hereby notified that unless the condition above described is remedied within fifteen ( 15) days from the date hereof , the Citv will remedv this condition at a cost of the work plus a charae eaual to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty ( 30 ) days after receipt of billing ' the invoice amount plus advertising costs . will be posted as a lien an the property . Within tifteen � 15 ) days from the date hereot , you may make written reauest to the City Commission of the City of Atlantic Beach for a hearina before that. body , for the. purpose of showing a Dublic that the above listed condition does not consti nuisance . Sincerely . "AA-e I--- --�0. �' Code Enforcement Officer KWG/pah cc : City Manager VIA CERTIFIED 14AIL RETURN RECEIPT REQUESTED DEPARTMENT OF BUILDING 9064 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO.- PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Pi6,24i T #1 2 5 cl,,,(T Date August 31 f 1i 19--Y -5 63 1 1A 1/01/8 Valuation$ 29,869.70 Fees XXXXXIN 216. 5 9064 *00CACI 5�331 1A 91C 1/8 U This permit not vaW until above fee has been paid to City Treasurer,and is I 00U subject to revocation for violation of applicable Provisions Of law. This is to certify that Reuben Bermett has permission to remodellrenovate Classification Residnetial —Zone Owned by Reuben Beimett Lot 6 Block 100 s/D_!tgti%n_H House No. 260 Camelia Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 _01 0 Building material, rubbish and debris Z-4 from this work must not be placed in public space, and must be cleared up IiAd hauled away by either con- on, ctor or wner., B I Official. _;7FOR OFFICE PERMIT DATE CONTRACTO USE ONLY NUMBER PLUMBING ELECTRICAL SE ER WATER C Addres 4 lq�� 1+ 116ated Square Footage per sq ft s C� 3,�) Garage/Shed er sq ft $ Carporl�FP6�chi -ell per sq ft = $ Deck —Per sq ft = $ Patio @ $ per. sq ft = $ TOTAL VALUATION: $ �q, To 4ta Valuation lst j7?. ,5r Ranainder Valuation ,)Cper thousanT or portion thereof --- -------------------------------------------- Total Building Fee A& ADDITIONAL PMLLTS and/or EM"S FEQUIM, I +'k Filing Fee $ Mechanical ' Fireplac.es @ 15�0 s Pluibing BUILDING I PEITaT/IE, Electric/No%y ------------------- --:--------------------------- Electric/Taiip Septic Tank BUILDING-PE14 T Well WATER M1E[ER IARGE T W RdmrrL!ng Pool SEWE R IMP ACT 1EE WATER IMPACT ME Sign z, $ Water Connection MISCELLANEOUS $ Sewer Connection Alf Water Meter Elevation Certificate ' MM TOTAL DUE, $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CITY OF ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owne�= Address 21,- f Y 6' Ph,,el; 2' Architect Address Phone Contractor Address Phone Contractors Ucens e/Certification Nimbers Expiration Date Property Address--,�,,� 0 L-Iff -c-lq ex Zoning Lo t # Blcok or bb±t7 Subdivision Cz 77 Valuation of Construction $ Type of Construction Describe Work to be Perfonmd Materials to be Used Present Use of Buil Proposed Use of Buil Flood Zone Dimensions of New Area: 'JUL i BEATED and Zonir— GARAGE OR STORAGE CARPORT OR PORCH DECK PATIO 'YES NO NUIBER Will there be an increase in number .of units? W ill there be a decrease in nurber of units? Any additional pluabing fixtures? Any new fireplaces? SUBIUT TWO COW= SETS OF PLANS INCLUDING SITE PIAN Signature MIER Date Signature CONMCIOR Date Ilb IL cl 'i,,V and Zoniv 002056 ................. 010 5 T V iil T [-A�HA�Tj HAT ---- --- ATXOj4 P4Wr'o ....................................... W, Add � 44bll;I 11i . 4- 'T Ogg$1, 260 CAMELTA, STREET 'Pery".1 t T 4-, T ATLANTIC, BEACH, FL Y , af 441' Class ORIDA 32233 ------ LEGAL DESCitiptrom, Co Lott Block 1, P V FAMILY T awnshipt 02 SUbdiVi ,io RHO I wect:ton 00 "Cout I A *0.00. Feel$I 0245. 00 unt 3 *245.00 Work J)", 'SERVICE To, EX IS 7,11111 HOME O'el 7/ Name i APPLICATIOV FEES if Ift)ORMIT IT 00.00 STREL $1610.00 A if,, Al - OAA 322, Ph PACT 4 "40'.GO A ETER 0 kN FV # �00 Td ATIf)#j 0 Y'i: AV AS 0 `11i—, 34ollIi 7, e*u 4� WATER TAP A 2/1:3/70 Add '41, $0.:9. SEWl TAP E � 'P, 31ll �HYVRA;Ut-ZC-SMAR9 -0 1p/""b set kP FEE 0 41- OTIM �O.po 01ill-,"w NOTES: _k"- Qoii NOTICE:�,ALL CONCRETE)FORMSAND FOOTINGS MUST BE 1-NSPECTE DB E FORE 00 URING PERMIT VOID SIX MONTHS AFTER D ATE OF ISSUE' BUILDING MATERIAL,RU14BISH AND DEBRIS FROM THIS WORK MUS I TNOT CLEARED UP AND HAULED AWAY E3 BE PLACED IN PUBLIC SPACE,AND M Y EITHER CONTRACTOR OR OWNER USTBE "FAILURE TO'COMPLY WtTl TH E- MECHANICSY LIEN LAW C AN- RESULT I THE PROPERTY OWNER, PAW N NG.TWICE FOR, LD1JN,Q,IMPROVEMENTSyy N PLANS WHICfi PART OF THIS P RMIT A D' rA"lAW. SMECT TO REVOCATION FOR 100. 0 wo-00 1:0-A rr--- ............... AM City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. --LBATHROOM GROUP CONSISTING OF -----SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH TUB OR SHOWER STALL (6) WATER CLOSET VALVE ---4-WATER CLOSET, TANK OPERATED (I). VALVE OPERATED (8) BATHTUB/SHOWER (2) r -----URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) -----FLOOR DRAIN ( 1 ) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) ----- ----- I LAVATORY ( 1 ) -----COMBINATION SINK AND TRAY (3,' WASHING MACHINE (3) -----POT, SCULLERY SINK (4) DISHWASHER (2) -----WASH SINK EACH SET OF __I--KITCHEN SINK (2) FAUCETS (2) DENTAL LAVATORY ( 1 ) KITCHEN SINK WITH WASTE GRINDER (3) -----DENTAL UNIT OR CUSPIDOR ( I BIDGET (3) -----URINAL STALL, WASHOUT (4 FLUSHING RIM SINK (8) -----COMBINATION SINK AND TRA' FOOD DISPOS. (4) -----URINAL, PEDESTAL, SYPHOH JET BLOWOUT (8) -----DRINKING FOUNTAIN ( 1/2) -----LAVATORY, BARBER/BEAUTY SHOP (2) -----LAVATORY, SURGEONS (2) SURGEONS SINK (3) -----ICE MAKER (1/2) WET BAR (2) TOTAL FIXTURE UNITS @ $20. 00 EACH JOB INFORMATION -------- C�"2 CITY OF /*&44-6 Vead - 57&UW4 800 SFIKINOLE ROAD ATLANTIC BEACH,FLORMA 32233-.WS TELEPHONE(904)247-SM FAX(904)247-505 October 18. 1995 Douglas & Mary Williams 260 Camelia Street Atlantic Beach, FL 32233 Dear Mr . and Mrs . Williams : our records indicate that you are the owner of the followina property in the City of Atlantic Beach , Florida : 260 Camelia Street a/k/a Lot 6 , Block 100 , Section K RE#170865-0000 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach Ordinance Section 12-1-3 (high weeds and grass) . You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date hereof , the city will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty ( 30) days after receipt of billing , the invoice amount plus advertising costs , will be posted as a lien on the property . Within fifteen ( 15 ) days from the date hereof , you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body , for the purpose of showing that the above listed condition does not constitute a public nuisance Sincerely , Code Enforcement Officer KWG/pah cc: City Manager VIA CERTIFIED 14AIL RETURN RECEIPT REQUESTED CITY OF ATLANTIC BEACH COMPLAINT MANAGEMENT SYSTER TARRE (dat*/tiim) : _No: COMPLAINANT: �Fa�l 0 y L,7 - La If. F�tsit Name 111AI-i ADDRIN _. _ CITY/sTATZ/Zlp.- AL4< TZLEPRoma: COMPLAINT: J--o 7�4 106 ON: LOCATI 47 REAL XSTATIK #: eF;-,ff- L-� 6Q0 PROPzx" owns MANX: PRopzm vamms Powax: OCCUPAM: DXPARTNm TO: COKPLaINT TARSE BY: OFFICE USX ONLY INVMIGATSO: (dat*/tl�) Assial M vnpr./DIVIBION: PRIORITY: ZINVZSTIGAT01t: CONDITIONS FOUN ACTION TAM: Al- Ze� 42 COKPLIANCZ: NOTII93: 4167 CITY OF ALTANTIC BEACH 14, COMP4AINT MANAGEMENT SYSTEM JAN 241992 . Building and. Zoning TAKEN (date/time) : COMPLAINANT: -7 —LI Last Name First Name MI ADDRESS: CITY/STATE/ZIP: 4rt �2 2....j'� TELEPHONE: I'ZZ COMPLAINT: r" lk' d IL, (7� ,Cov 5 il,, C C f J,< 7- LOCATION: /4 PROPERTY OWITE-RS PHONE: yTjcjt,L L C PROPERTY OWNERS NAME: DEPARTMENT FORWARDED TO: COMPLAINT TAKEN BY: DATEMME: T I I C H-i G C' OFFICE USE ONLY INVESTIGATED: (date/time) ASSIGNED DEPT./DIVISION: PRIORITY: INVESTIGATOR: CONDITIONS FOUND: ACTION TAKEN: COMPLIANCE: NOTES: CITY OF 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 CERTIFIED MAIL March 19, 1990 F. Rueben Bennett 280 Camelia Street Atlantic Beach, Florida 32233 Dear Sir, Enclosed is an estimate for work performed at 260 Camelia Street, Atlantic Beach. A 3/4" water meter and tap were installed on February 14, 1990. As the records show, impact fees and the water meter were paid for in full, however, payment has not yet been received for the water tap. Please remit the full amount of $286.05 as soon as possible or services to the above address will be terminated within (15) fifteen days of today's date. We would appreciate your immediate attention to this matter. Sincerely Brenda Dockery Building Clerk cc: Enclosure City Manager Harry McNally File AMUTIC BEACH No. 2156 DATE OF ORDER FEBRUARY 14, 1990 CUSTOMER'S ORDER NO. PHONE ECHANIC HELPER STARTING DATE BILL TO F. REUBEN BENNETT ORDER TAKEN BY ADDRESS 0 DAY WORK 260 CAMELIA STREET OqONTRACT 0 EkT RA CITY ATLANTIC BEACH, FLA. 32233 -- -1 JOB NAME AND LOCATION 260 CAMELIA STREET 7PONE DESCRIPTION .1 ..R. ACCOUNT # METER # READING 120471 606 TO TIE IN WATER SERVICE TO EXISTING HOMM PAID FOR 2/13/90 RECEIPT #2056 ****METER AND IMPACT FEES ONLY**** TOTAL MATERMLS TOTAL LABOR TAX DATE COMPLETED RK ORDERED BY I TOTAL AMOUNT $ 0 No one home 0 Total amount due 0 Total billing to Signature r 6 for above work:or be mailed after completion of work I hereby acknowledge the satisfactory completion of the v.described work. JWO 860-3 0�, -3/4' WATER TAP FQR ESTIMATE ONLY RUEBEN BENNETT 260 CAMELIA STREET 246-1822 11 'J JOB -COST RECORD DESCRIPTION QTY. MATERIALS LABOR TOTAL 1 $13-25 611 X 1" T.S. PVC I" CORP STOP' I Z2.3 6 1" X 3/4" MALE ADAPTER 1 $0.23 Pvc I" MALE ADAPTER PVC 1 $0.77 3/4" CURB STOP 1 $11 .60 1" 90 L PVC $01.87� ill Pvc PIPE 15' �3 .30 3 52 SUB TOTAL r$52 .38 10% O.H. $5 .24 TOTAL $57 .62 3 MEN ($27.4 /HR) FOR 5 HRS. $137 25 30% O.H. 1 41 TOTAL $178. 43 MATERIALS LAVUti TOTAL TOTAL $57162 �178J43 $21(,_Q� MISC. JOB EXPENSES AtOUNT OTHER JOB EXPENSES $5C .00 TOTAL COST ($10 .00/HR) F LR I TRUCK $28( .05 TC7 , SELLING PRICE. LESS TOTAL COS; GROSS PROFiT LESS OVERHEAD COST % OF SELLING PRICE TOTAL NET PROFIT $286 .05 APPROVED PER 8 199b CITY OF A110TIC BEACH PUBUC VV�')P%K ")T ""IT 0 20 Q 5 6 DEPARTMENT OF BUILDING CITY OF,ATLANTIC BEACH FIERHIT INFORHAT1014 LOCATI011 114FORHAT1011 Per mi t 14 u Iffber 1 2-056 Addresat 260 -CAttELIA STREET Permit Type; UTILITIES ATLANT.TC BEACH, FLORIDA 32233 Cle I as of Workz NEW LEGAL DESCRIPTIOtl Constr, Type, II/A Lot t Block . Proposed UEze: SINGL,F, FAHTLY Townvhip: P1401 0 Dw.-Ilingel (3 C subdivifjiont Eatimated V�Fsl"e z 00 1-mPT-r->v. cost 1 00 ' TotaA peeaz 245. 00 Amoont 0"st i Dat 9 v Work SrRVICE TO LY- 11311,1114(i flotlE 'ATION FEES APPLIf, -itfir,09ti A I'l OU R 1:11 T flatne. WATER 1HPACT FEE �Z-t Go. 00 Jd A Ff.l3RTf)A 3 SEWER IIIPAC'r rE(-' V AT E T E Q its. Q0 j A,liv ?A Sl� 4 r P.A DON GA.-, A 2/13/110 Ow i 11,f, W A TER TAP -r for S'EWER 'FAP P E C T I?E I HS -T FEF L i c e i i rn.e Efici T"F Ulf?I 11(i 5 Ot 0 OT)iEll NOTES: NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.39 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING.DEPARTMENT By: 0002134 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ------- - -------- LO*cATIOH INFORMATION --- 1f4;;m:ct umber: 2134 Addresez 260 CA4fTt=U STREET�',;,. Permit Type: UTILI TIESL ATLAMTIC.__BEACH, FLORIDA 32233 I r- _� .� I I - Class of Work% NEW ---------- LEGAL%t DESCRIPT10k Constr., Type: H/A Lotl Block*. Section: Proposed Use% SINGLE FAMILY Town�;hip: RHO: 0 Dwellings: 0 Code: 0 Subdivision: section h Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: 01035. 00 Amount. faid: $1035. 00 Date Paid: 2/28/90 Work Desc. :,� 'IMPACT ,FEES FOR TIE IN -, OWNER INFORMATION ------- APPLICATION FEES ----- Name:-RUBEN BENNETT -PERMIT $0.00 Addre93331. 260 CAMILLIA STREET WATER IMPACT FEE $0.00 ATLANTIC BEACH, FLORIDA 3223Z SEWEIt'IMPACT FEE $1035.00 Phone: (904)246-1882 WATER- METER�, $0. 00 , RADON GAS-H.'R. S. $0 ,00 ------- CONTRACTOR INFORMATION ------- RADON GAS - 5% $0:00 Namet PUBLIC" WORKS DEPARTMENT WATER TAP *10.00 Addrenst SEWER TAP $0.100 HYDRAULIC SHARE $0.00 Licenset Type: 0 RE-INSPECT FEE $0.00 ENGINEERING *0.00 , OTHER NOTES: lip k.0-35e00*_ TL IIP,35000CKTD 11'A 2/.26/� 90 '9 Occ�Y !I A 2125190 .I- NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. T S FOR ATLA UILDIN GD P RT EN�T� By: Co JOB CO MVICE AGREEMENT UTILITY SE (Water and Sewer),"... t"'11 II!,it i- THIS AGREEMENT entered into this 28th day 'of " March 198 8 , between the City of Atlantic Beach a r-f Municipal corporation, hereinafter called "City" and lit: Bennett Construction a corporation, its successors and assigns, hereinafter called "Developer". W I T N E S S E T IL WHEREAS, Developer owns land in Doval Coun Ly, Florida, k 1 more particularly described as Lot 2 Bloc 06i'Sje.ction H refer to a.creage, plat,engineering 260 Camelia Street U—rawlngs, or legal description as Exhibit A and WHEREAS, Developer plans to_develop said land�jby. constructing buildings,' residences and/or 1'�other improvements thereon consisting of —Sin�le Famliy and WHEREAS, City is the owner. of wa,terand sewage treatment plants and water distribution and sewage collection -systems.jii theivicinity of the property described above; and, SO WHEREAS, Developer desires !that City,j.provide X water ,and ? sewage collection service to said property, and Cit ,,-des1res,,jt6, furnish ,same; and WHEREAS, City . is willing to operate ,,,,suq.h,�-j,water and sewage j! IQ ev EPARTMENT OF BUILDING J. CITY OF ATLANTIC BEACH P ER H XT,�AH FOR HATr L 19ATTON 111FORIfIATION' , - 94 I',4ddiwan 2f% CAtIELL.IA s'rRcET , F1.0111DA '32233 Permit N ATI.A11TIC BEACH, T� LEGAI. DESCRIPTION ---------- J1 T;1 1A! onlitr*,;,'.Ty p'i�!s 1�':W[3 � FRAME:l C !��L C ." B1 ock.3 10.1 Sections Books c2TNr �!4`'k" � I Usti i ,J Page 3 0 LE;�,'FAMXL Ubdiv a I IS 4 i6n SECT1011 If E13tilliated e 6 5 4 ON"!,, i; mprol - ,c t 0 013 1 *0�`001(,. me T011,,WEST 110H13S -;SM 'rREET Tcitel'. it�!�380' AIIFRN s ATI.AUTIC BEACH, FLORTDA� 32233 , e"I��' (904)246 2320 14 �14 PFRI pf Pw Iw, T ff 53 rt 120445 CONTRACT 1CATTO11 - FEES . ---- 13RICKi BRAN P t $252. 75 c3so. po ELAIRMt RQ+ !;'I'WATERiTHPACT rec Uk T 035. 00 TER,14,C, A4 -Al ' 9 1 A". Ek HE'"' RADOWCAS-II. R. S. 01.4. 8 I"I ft r i $0. 7, �RADON;�,riAS 5% IAW 144,j-F. 1WATER -IT Iz A P so ,ad I fit 4 T 7 7; 7,SEWER�.'TAR $0. 00 SHARE; 6 1 335. 50 '!�`JIYDRAUL1C: V E411,11SPECT FEE N('3* HEERrNa 0' 0 7,77 _0 IP NOTItS". IV 1. .......... ObTI'h'd§VU§T BE:INSPECTtD BEFORE POURING NOTICE-1-*,*ALL bbhC"RETE'0bhMS!TN: D,F" ' `;"`PERMIT:VO D I' 'SIX MbNTHS'AFTER DATE OF ISSUE 'cBUILDING MATERIA2,�ROBBISH AND- FDAIS FROa'TH`iS WbRK1M6Si-N'O:T:B' EPLACED IN PUBLIC SPACE,AND MUST BE ,�',"CLEARED UP AND HAULED AWAY BY EITHER�,CONTRACTOR OR OWNER, FAIL'URE ,tO COMPLY WITW HE'MECHANIbs , LIEN LAW CAN RESULT IN JHE PROPERTY OWNER,PAYING TWICE FOR: BUILDING IMPROVEMENTS." ISSUED ACCORDING'TO-APPROVED,PLANS�WHfCH�ARE':PAR! OF THIS PERMIT AND SUBJECT TO REVOCATION FOR 00 r ,�w 0 0 0 h, M OF APPLICABLE PROVISIONS OF'LAW"-�, Y� _pUILD-ING DEPARTN I 'ATLANTIC.BEACH [ENT rEST FOR CHECK Date July 17, 19 89 Payable To F. Reuben Bennett, Sr. ayab Tc Address— 280 Camelia Street C j Atlantic Beach, Flordia ity State Zip Code 32233 mou t $ Amount $ 1,335.50 —Charge To Account No. Or Charge To Hydraulic Share Account For Hydraulic share reimbursement for fees paid by Tom West on Lot 5,B1 101,Sec H: 265 Camelia Street 7eY APPROVED BY PROVED BY., R ne - gers %-/ FINANCE DIRECTOR CITY MANAI T0PS9w FORM 1218 JF ATLANTIC BE&CH XIAL INVESTIGATION ZO BE FILLED OUT BY COMPLAINTANT DATE ZL- 22 z- � 0 ADDRESS 266 c 6 LOCATION 5 COMPLAINT 1A,71f A f V/"L) IA�l L),s IV6 w4re�l�-2 4,,f-(f 7 OWNER OF PROPERTY SIGNATURE OF COMPLAINTANT 0 PHONE (cl ig cf c ----------------------------------- FOR OFFICE USE ONLY DATE OF INVESTIGATION INVESTIGATOR CONDITIONS FOUND ,j -v ACTION TAKEN COMPLIANCE u NOTES: Ot IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA CASE NO. 91-05434 CA Div. CV-K OU' OR CASI Home Savings of America, F.A. Plaintiff, VS. Mickey W. Kuhl, a single man, et al. , Defendants. PLAINTIFF,IS MOTION FOR DEFAIW AND DE Plaintiff, Home Savings of America, F.A. , moves for entry of a Default by the Clerk against the Defendant, Antoitte Austill (Tenant) for failure to serve any papers on the undersigned or file any papers as required by law. I HEREBY CERTIFY that no copy of an Answer or other pleading of Antoitte Austill (Tenant) in the above-styled action has been served on the Plaintiff's attorney to the time of filing the above Motion For Default. HOLLAND & KNIGHT Attorneys for the Plaintiff One East Broward Boulevard 13th Floor Post Office Box 14070 Fort Lauderdale, FL 33302-4070 75) 525-1000 Fort Lauderdale Y_ Dated: By: 4C( M k Hughes Florida Bar No. 0827096 Q E F A U L A default is entered in this action as against Antoitte Austill (Tenant) named in the foregoing Motion for failure t6 serve or file any papers as required by law. Henry W. Cook Clerk of Court JUL Dated: By: AP Deputy Clerk Copies furnished to: All parties on the attached service list MF.Pl8-17324-3643-H 6/10/91 2 SERVICE LIST Whitney L. Schmidt, Esq. Attorney for U.S.A. 500 Zack Street #400 Tampa, FL 33602 Robert Aguilar, Esq. Attorney for Holmes Lumber Co. P.O. Box 855 Orange Park, FL 32067-0855 Mickey W. Kuhl 627 lith Street N Jacksonville, FL 32250 Chevron, U.S.A. c/o C.T. Corporation 8751 W. Broward Blvd. Plantation, FL 33324 Eagerton Plumbing c/o Hilda Eagerton 1618 Blair Road Jacksonville, FL Antoitte Austill (Tenant) 260 Camelia St. Atlantic Beach, FL 32233 TMark L. Hughes, Esq. Attorney for the Plaintiff I P P.0. Box 14070 Ft. Laud. , FL 33302-4070