Permits 165 Donner Rd iqlf r
CITY OF ATLANTIC BEACH FLOFKK`! '*7 11 1'! ".1C
CDBG UTILITY TAP-IN AGREEMENT
,I -1 9
J01
PROPERTY DESCRIPTION:
OWNER: Mary L. Ogletree
165 Donner Road
Atlantic Beach,Florida 32233
RE#: 1721430010
LEGAL DESCRIPTION: 8-4 17-2S-29E .159 Donners S/D PT Lot 15 RECD
O/R 3679-192
This document shall serve as a Community Development Block Grant septic tank abandonment
and sewer connection agreement between you and the City of Atlantic Beach, Florida for the
above listed property. This agreement acknowledges your understanding that the costs of the
connection of your home to the City sewer system are:
CHARGES: Sewer Impact Fee $1,250-00
Tap Fee 988.00
Contractor 1,200.00
TOTAL $3,438.00
TERMS: All costs related to the septic tank abandonment and sewer
connection will be paid through CDBG fimds,by the City of
Atlantic Beach, Florida. The undersigned property owner
understands and agrees that they will be responsible for any
monthly sewer service charges provided by the City.
Your signature acknowledges your agreement to accept the funding of the above connection
under the Community Development Block Grant program.
PROPERTY OWNER:
By:�2n a Date:
Mary L. Ogletree
City
By Date:
Don Ford, CDBG Administrator
y:- Date: 17-014ni
ji anson, City Manager
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax 247-5877
PLUMBING PERMIT
Permit Number. 22291 Address: 165 DONNER ROAD
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Logs): Block: Section:0
Square Feet: Subdivision: DONNER
Est. Value: Parcel Number
Improv. Cost: !�W�4��40WNM:IN�FFOA
Date Issued: 7/09/2001 Name: OGLETREE
Total Fees: 1,250.00 Address: 165 DONNER ROAD
Amount Paid: ATLANTIC BEACH, FLORIDA 32233
Date Paid: Phone: (000)00"000
Work Desc: IMPACT FEE
.... .......
'7 'IV
JAX PLUMBING &SEPTIC TANK""..L.'-�1- SEWER IMPAQTF� 1,2,%.00
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NOTICE- INSPECTIO �4'17'13E REQUESTED AT LEAST 24,HOURSP OR TO 10SPECTION
BUILDING MATERIAL'�RUBBISH XOD DEBRIS FROM THIS WORK MUS r BE PLAtED IN PUBLIC
SPACE, AND MUST BEE Lr,,LEARED Ok6ND HAULED AWAY BY ErrH NTRAC7;6R OR OWNER
"FAILURE TO COMPLY Vff.H4ht C"NST I WULT IN THE
F U I TE T9-
PROPERTY OWNER PAYIW� IN
.00F
ISSUED ACCORDING TO APPROVED PLAN PAR PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF
ATLANTIC BEAC14 BUILDNQ_DEPT-
-7e
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877
PLUMBING PERMIT
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Permit Number: 22291 Address: 165 DONNER ROAD
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision: DONNER
Est. Value: Parcel Number:
Improv. Cost: NER-1NIF071-k-M,
Date Issued: 7/09/2001 Name: OGLETREE
Total Fees: 1,250.00 Address: 165 DONNER ROAD
Amount Paid: ATLANTIC BEACH, FLORIDA 32233
Date Paid: Phone: (000)000-0000
Work Desc: IMPACT FEE
JAX PLUMBING & SEPTIC TANK SEWER IMPA97�FEE 1,250.00
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NOTICE - INSPECTIO rBE REQUESTED AT LEAST 24 HOURSIR , OR TO lhfSPECTION
BUILDING MATERIAL,%RUBBI',SvHA$D DEBRIS FROM THIS WORK,MUST T BE PL�PjbEl) IN PUBLIC
SPACE, AND MUST BEtj-EARED UfqND HAULED AWAY BY EITH ONTRACT4R OR OWNER
'N
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ar
LILT IN THE
"FAILURE TO COMPLY C6NST 5AS'
-*ICI�FPRg, U I�L
PROPERTY OWNER IPAYINb� tru fil I
ISSUED ACCORDING TO APPROVED PLANS AR9 PAR' PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LA
$1511.116 59
Date: 7/11/9101 Rweipt: 9971723
DECKS 43225
ATLANTIC BEACH'BUILDNQ-.DEPT
02/23/01 10:03 BRUHN MAY 4 904 247 5843 NO.366 003
GRUHN MAY9 I
WWW& sevw"ftef
7 Phillips Porkwav Drive.North Jac fie,Florldo 32256
Telephone 262-9544 I=. 79
2/6/2001
MM Lee Qg-.1tr
165 Donner
Atlantic Bc ac h, 32233
246-4058
Re: Septic re rtk andonmrnt
Dear Ms. C 1p 4
we propos,�t and abandon the existing septic run a new sewer line fTom te
tank to the s4 b on Francis A-ve.
For the suti k c f.. ..................................$1,200,
Our work a k and connections fees can be fi ed thronh the City's finance
department ft r d 'Is contact Debbie Ramsey at 247-5 1.
Note.No se,%5r or sewer connection fees arc i I in tWs quote.They can be
obtained fren ity and they will have to be paid to City directly.
Best regard 9,
Gordon Gn Lh I.
VATE OF FLORIDA
LICENSED COWRACToRs
CU C043134 CU CO UM CB CO3M CS C041665
@2/23/01 10:03 GRUHN MAY 4 904 247 5843 N0.366 W4
GRUHN MAY9 I
0
W610 ftwer C'm
7 Phillips Pokwoy DrIve,North Joc vMe,Florida 32256
Telephone 262-95WM Fox. 79
2/6/2001
Ernie Bead
e
cityof Atl ic h
1200S d iI or
an t�'h
Atlantic B a(
RE- 165 Den wwr ad Sewer Tap
Den Ernie
We am pie im d uote the following price for the in ation of 6"sewer tap into the
existing mnlole the inetersection.of Donner and F i s. We will provide and install a!
new 6"PV:: ew line firom the 'existing umhoic to properly line along Francis A ve.:
for the Sun o .... ..............
Best Regan Is:
Gofdon Gr th i
I/JC,C
*0
STATE OF FLORIDA
LICENSED CONTRACTORS
CUC043734 CUCO246M C00039= C0004IMS
D A T E
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
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Enclosed are the blue copies of the permits.
SlNC�REL
BUILDING INSPECTION DIVISION
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CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
owner(s) : 1
Address : ilk I
Phone: 1 '4
Lot # Block or Unit Subdivision:
Contractor:
Address :_Ll c_e,+,� 'Do o �V _1111 Phone No: 7
Describe work to be done: X A;_"
4,4 _J'f�t>4'q L�c-t! C 0 15 S:7--k -r, �-A-
4, [c2c tq-t,.6
Present use of building:
Valuation of Proposed Construction: 4 -7, -Ff'/
Proposed use:
Is this an addition? If yes, what are the dimensions of
the added space: -ft . X ft. Will the added area
be heated and cooled?� New electrical (or increase)?
New plumbing fixtures? New fireplace? New Heat/AC?
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR. -
Signature OWNER.,�)' Date:
22 ___aa
Signature CONTRACTOR: Date:_2 -/G
CITY OF ATLANTIC BEACH, FLORIDA
Appro"d by - -- APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 '7
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME--- ADDRESS: RFD-BOX-
BLDG.SIZE 60 4L� BETWEEN:
RES. APT.( COMM. ( PUBLIC INDUS. NEW( OLD (11' REW. I
ADDITION ) TRAILER ( TEMP.( ) SIGNS ( ) SQ. FT.
SERVICE: NEW( INCREASE " REPAIR ( FEE
CONDUCTOR SIZE AMPS COPPER I ALUM. ( 4'
r-- C/ zi-
SWITCH OR BREAKER /oo AMPS PH 13 W 2�14 VOLT /gRACEWAY
EXIST.SERV.SIZE AMPS PH 2w �2,0 VOLT '�4'/AACEWAY
FEEDERS NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN TOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL
SWITCHES 0.30 AMPS, 3 1.100 AMPS.
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPUANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHSI
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DEPARTMENT
CITYOf ATLANTIC-k**
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NOTICE
PERMIT VOID,SIX MONTHS AFTER DATE 0
(JIL0,00 MATERIAL,Auiiii§H'AND OEBRIS FROM THIS WORK MU$TN*TSE��
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CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: Y-6-:L j a- 6f, -,I_- &
OWNER OF PRDPERTY :_____2_s,,p�v---oj e-------------------
BUILDING CONTRACTOR:
..........
PLUMBING CONTRACTOR
AND 'ADDRESS: -------
3.2216
--------------------
TELEPHONE NUMBER:
STATE LICENSE NO:
TYPE OF BUILDING:
------ --SINKS ------L,_�_SHOWERS
------ -LAVATORY -------------WATER HEATERS
------ --BATH TUBS -------------DISHWASHERS
------------URINALS DISPOSALS
1,1� --CLOSETS -------------WASHING MACHINE
------------FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURE � IUNT: x $3. 50 + $15. 00
----------------------------------------- -----------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
NOTICE TO THE OWNER AND ALL PERSONS
INTERESTED IN THE ATTACHED PROPERTY
This property, to wit: To-r-0 ez,-7-'�'0 cK-1 4�jj*�"r- Ivo
6 7 5 V A 3Lk)y--Q 0 0
located at: /RO - d?Cf-l. )=C�
0 3
is improperly stored and is in violation of the Ordinance Code of
the City of Atlantic Beach, Florida; Chapter 21, Article II, Div- k
ision 1, Section 21-24 (a) and must be removed within ten (10)
days otherwise it shall be presumed to be abandoned property and
may be removed and destroyed by order of the City of Atlantic
Beach. If the property is a motor vehicle, the owner will be or
liable for the costs of removal and destruction.
Dated: "51 C)
Signed..—zz:>,'�_� '_
Police Officer
Atlantic Beach Police Department
850 Seminole Road
Atlantic Beach, Florida 32233
(904) 249-5606
"Imig
nix
01
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
..,u beminole Road -Atlantic Beach, FL 32233-Tel: 247-5826 - Fax. 247-5877
PLUMBING PERMIT
P 1-TIwo
Address: 165 L)0NNI=K ROAD
Permit Number: 21996 ATLANTIC BEACH, FLORIDA 32233
Permit Type: PLUMBING
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision: DONNER
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 5/18/2001 Name: 0GLLIKI=E
Total Fees: 25-00 Address: 165 DONNER ROAD
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
OW)OOO-0000
Date Paid: 5118/2001
Work Desc: SEW-ER 77,
ES;
C0fN 25.00
JAX PLUMBING & SEPTIC TA
A
r-FINAL
L�T�24 HOURS" inR TO,, SPECTION
NOTICE- INS CTION
BUILDING MATERIAL BISH AN BRIS F R OM,THIS WORK M OT BE ED IN PUBLIC
SPACE, AND MUST C' RED �UAULtD AWAY B ON R OR OWNER
"FAILURE TO COMPLY IT E, NIS N SULT IN THE
PROPERTY OWNER PAY1 S"
ISSUED ACCORDING TO APPROVED PLANS WHIC THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date: 5/18/01 81
ATLANTIC BEACH BUILDING DEPT. Receipt: 0058?01
CHECKS
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: CS- /D 0 A r
OWNER OF PROPERTY: c b re, —TELEPHONE NO.�-' YC
PLUMBING CONTRACTOR
CONTRACTOR' S ADDRESS :
STATE LICENSE NUMBER: CF-ca-215- yy TELEPHONE: 2 S"6- 13 RY)
HOW MANY OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER,
RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES : x $3 . 50 + $15 .00
MINIMUM PERMIT FEE - $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR
zz AL I
- 144' Y 1'.p. 47 --f- ------
---------------------------------------- ----- -�V'
INSTALLATION OF PLUMBING AND FIXTURES MUST46Ab IN FCORDANCE WITH
7
THE MOST RECENT EDITION OF THE SOUTHERN STANDA'W*4LUMBING CODE.
CALL A ,DAY AHEAD TO SCHEDULE INSPECTIONS (904) 247-5826