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Permit 2003 Park St (vault) M '"„a.. Custom Construction by Harris General Offices: 648 East Union Street • Jacksonville, Florida 32206 • (904) 353 -5623 8 -9 -89 To: City of Atlantic Beach Re: Permit # 1072 -1073, 2001 -3 Park Street To Whom it May Concern; Due to the fact that we will have to take out several trees to build the driveway for the above referenced building, we are reguesting permission to move the driveway to the left of the lot and turn the building around so that the front doors face North instead of South. Thank you for your cooperation in this matter. Sincerely, J oshua H. Wooten For the Firm E glEasyq AUG lad Building and Zoning 0 iii N iit5 . ., r1 i 1 , - ' i 1: V;1*/*)P Q r--- -- r- - 1 -; In , 3 . • 0 , k_ -. f.") h... v. .0* wip - , et IPtil O // 1:7 9 --� - -.--... • le la...4'.- I- '-' --- ,-,,.,.. \ l S 1 N Di1A80D1 [--- 0 . .. .„ .____ _, ..v. g c--/z-, _-___-__ _ ,- - 4 -------.:_-_-2,.- _. - g -:- .,........±.. _ . „,,,, i •voidQ13 ',41M/103 tallkill3 3H1 30 '89 39Y4 `SZ 1008 mild ti3Mtta0 't X1070 4 1 i 101 30 A3A2MS 311 p 42 , , _ i *Iii.‘ ,. .c.:, _. ,,, _, taa 0 3 1 1 liIQ E ----- A--- , . — - , wa ,..... 6 I . ' *Lgrit ". . ' ° . , ' ' , • . t �� .fir _- T r ,_ i .. r' _ ,..,. .1�. L�1 • t �t t I t 1i • t r A • t t r r % �, " I ; / t �J , 4 '. • AIN %/t i J • . /� t r/ f ' 1 / t ` ` • t / j ! I 4 1.-.. _ ,, - ... f r , , sks j / .0 t i. ■ .� , • ST" }- , Vi r ,1 l Li Y T ,, EJNIOlIflB � ., 1 Imo ....,,,L11. -'-"-7 4 r r •4, 8 ‘...„ td :. 7 ..../ - 7 4 ‘ .° - ' " - -- -1 r , c:::-.. 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I VI; = ■ j= .=:'d,t, ; . .101 A.: 001..: PARE L.1E1E7 :.-x't r.-1 flUSLDING ATLANT1 CLACN, 1 -t.f,Jlii.)A LU.,AL E..:i'ClFT1.Cii WOOD PRPIME L.L.A., 11 11!.c.,h; i''.._. 14...c-1 DUPLEN Owg 0 C,..)d: (..:f ;...Lcii 1.)ONNEW.1; RERLAT E,tiw,.1/- 'Imps ,_-; i . L■ '..i.., 1.1 , f,..: .;.: ti,m1,--; 1 U&N ;-ARVINEW::41 L EA',...,T UNIO1 U..L% ! Pid: ':ie.:".=c ..LAI P..:Itt. eatd Plic.14. ( CONSMUCT NEW DUPLUN 1 Eh 1-1., :',Z044'i CITY OF Atte& Vead - 94 pepartment tif xiiin inptctitrn This Certificate issued pursuant to the requirements of Section A103 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. -- , / 2 - ' , , \ , By: - _, t,, , 4 j /,11' / - , ..-,, C,... 1 Date: V ;,,,.., c /f POST IN A CONSPICUOUS PLACE 4 BUILDING, PLANNING AND ZOING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: Building Permit Number: 044-6-1 Ltd 114 Address: 0 1003 it,1- 56Le,t7 r 4 a__e5L 5j Legal Description: 4_14 it - 46)14 - r4j: * Improvements to the above described property have been completed in accordance with the term of the permit and is certified to be ready for occupancy as .. Lowest Floor Elevation: required as built n/a Sales Tax Certificate: date submitted * * * * * BEFORE ISSUING CERTIFICATE OF OCCUPANCY,lHE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: ' BY: Fire Chief Public Works riA/2 -1t27"/' Planning Director Building Inspector Certifirate of Mrcupaurg PERMIT INFORMATION LOCATION INFORMATION - -- Permit Numb 1072 Addiess: 2001 PARK STREET Permit_ Type: BUILDING ATLANTIC BEACH, FLORIDA 3223,1, Class of Work: NEW --- LEGAL DESCRIPTION - - - Constr. Type: WOOD FRAME Lot: 11 Block; 1 Section: Proposed Use: DUPLEX Township: RHO: 0 Dwellings: 0 Code: 0 Subdivision: DONNERS REPEAT E,,timated Value: Ii40378.50 - OWNER INFORMATION - Improv. Cost: $0.00 Name: F O&M PARTNERSHIP Total Fees: 131576.46 Addiess: 648 EAST UNION STREET Amount Paid JACKSONVILLE, FLORIDA 32206 Date Paid: Phone: (904)35-5223 Work Dec.: CONSTRUCT NEW DUPLEX PER PLANS 120448 CITY OF Vead - 96Pr4la p epartmen of p'uibittg ttopertion This Certificate issued pursuant to the requirements of Section A103 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. 0 Date. L. 4 POST IN A CONSPICUOUS PLACE BUILDING. PLANNING AND ZOAING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, CERTIFICATE OF OCCUPANCY WORK Date Requeste 6`. yti,,,g,11.cji-a /4ed1"1(- eik1 Building Contractor: * Building Building Permit Number: Address: Y � (? ��`� Legal De scription : C, / i � have been completed property to be to the above described ermit and is certified / ‘; oitrri.g4,42-* )6/020-. in the term f the p in accordance with 6 ready for occupancy as ,-___ Elevation: - - - -- -as built - - -- - Lowest Floor + r equired Sales Tax Certificate - -- - d a t e submitted _ • * * * * * BEFORE ISSUING CERTIFICATE OF OCCUPANCY,iNE FOLLOWING MUST BE COMPLETE DATE NOTIFIED: DATE APPROVED:- BY: DEPARTMENT _ -____ Fire Chief - - - - -- - 7�/ ; - -- -_ � Planning , c Works Public ! % /��g 6 ___ Director _/ - - - - Building Inspector __L 24/41f___' a . • • • UTILITY SERVICE AGREEMENT • (Water and Sewer) THIS AGREEMENT entered into this 19 day of JULY 198_, between the City of Atlantic Beach , a • Municipal corporation, hereinafter called "City ", and • •k Ilk P ., ! - �''I� FLORIDA corporation, its successors and assigns, hereinafter called "Developer ". W ITNBSSETIl : WHEREAS, Developer owns land in Duval , County, Florida, more particularly described as LOT 11 BLOCK1 DONNER'S RFPT,AT refer to acreage, plat engineering 2001 .. 2003 PARK STREET drawings, or legal description as Exhibit A • and WHEREAS, Developer plans to develop said land by constructing ' ONE buildings,'•TWO residences and /or other improvements thereon consisting of • . DUPLEX • and WHEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection systems in the vicinity of the property described above; and WHEREAS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; . • and WHEREAS, City is willing to operate •such , water and sewage collection and treatment systems so that all buildings constructed on Developer's property by developer or by any person, firm, joint venture or corporation holding by, through or under Developer may have furnished • • to them and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and WHEREAS, in order to provide water and sewer services to Developer • it has been or will be necessary for City .to enlarge and expand its offsite water and sewer plants and facilities and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plants and facilities and to reserve capacity in City's water and sewage treatment plants ,so that City can provide service to the Development without imposing a burden on its existing customers; NOW, THEREFORE, in consideration of the premises and other good and. valuable considerations and in consideration of the mutual covenants and conditions hereinafter. contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is.agreed by the parties hereto as follows: 1. Developer agrees that City shall have the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City ,this exclusive right..to provide water and sewer service for all uses within all structures now or hereafter constructed on the real property described above. 2. City agrees that after Developer has connected to the systems • r of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of public or governmental agencies or parties having jurisdiction over City's water and sewer operations; provided, however, that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete construction of all improvements required to be. built by Developer and • fails to pay all plant and service availability and other fees listed in this Agreement within six months from. date of execution of this Agreement, for any reason whatsoever, but .through: no act or fault of • City, this Agreement shall terminate and City shall be relieved of its obligation to perform under'this Agreement. Upon termination of this . • Agreement under this provision, City reserves the right to negotiate with Developer a new agreement for any additional sums to be paid by Developer to City as plant capacity and service availability charges, • fees or other charges based upon increases in the cost of living and /or such other factors as relate to the cost of supplying water and sewer service. 4. All taxes or charges unposed upon the property described above by any governmental entity or agency shall be paid•by Developer except such part thereof that has been deeded to the City in accordance with tho terms of this agreement. 5. 1Iie• rates charged by City for water and sewer service shall be in accordance with its rate schedule which shall be subject to change from time to tune. City shall have the right to deteriniiie reasonable meter size and location. G. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements shall be transferable. Developer will also furnish title evidence satisfactory to the City that said easements are superior to mortgages or other interest in the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Easements will also be furnished to provide for onsite water distribution lines, • including meters and sewage collection lines. • Sites for lift stations . and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Developer. to City. 'Developer will furnish City a warranty deed, title evidence satisfactory to City and any releases from lien holders for any sewage pumping station and water station sites as required by City. Developer Hereby grants to City the right to utilize any onsite water and sewage lines and systems to • provide services to properties other than Developer's property, provided this does not unreasonably interfere with ',service to Developer's project.' IViiere Developer's property is adjacent to any state road right -of -way, City will be granted a 25 -foot easement: along and adjacent • • to said stale road right -of -way. Developer shall further grant to the City, its successors and assigns, the exclusive, perpetual right, privilege and easement to construct, reconstruct, operate, maintain, repair, replace, improve, alter, remove, relocate and inspect water transmissions and distribution mains, sewer collection mains, sewer lift stations, pipe lines, lateral lines, valves, connections and appurtenant equipment over, across and under the Developer's property, including the right to ingress and egress to each of the building sites on Developer's property which are served by City. All such easements sliall have a .width which is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at ally particular pressure, and reserves the right to shut off the water in its main at any time for the purpose of making repairs or extensions of for providing temporary or emergency water supply. City will not be responsible for any damage caused by low pressure or interruption of service, Neither Developer nor any of successors or purchasers shall discharge into the sanitary sewer system water from " non- domestic" drains including without limitation swimming pools, air . conditioning condensation lines, cooling lines or other discharge from any type of equipment, •City shall not be obligated to furnish any water or sewer service to any building which is built on Developer's property to which the City does not have access, l'he Developer Hereby agrees and warrants that the City will not be held responsible for flooding problems which may result from the failure of sewer line back flow preventur valves on Developer's p hereby 1 property, The Developer liereb agrees .• to hold 1►azmless and indemnify City for all costs and damages resulting from flooding due to,back flow preventor valve failure. 8. TI►e construction and design of all facilities to be transferred to and to be owned and operated by the City shall at all times be subject to prior approval by the City and its engineers, City will provide assistance to Developer's .engineers as to design and construction requirements and must approve all plans, documents, and construction requirements in writing prior to any construction being conunenced. Construction of all facilities will be ,performed by • Developer or its contractor. Developer will pay the cost of all such construction. The Developer's engineer shall incorporate into the Developer's engineering design, plans and specifications the applicable standards and specifications of the City. 9. A. If the Developer modifies his development plans for Developer's property which would require greater water usage, greater fire flows, additional water facilities, greater sewage flows, or additional sewage facilities than the water and sewer demands previously approved by the City, them the Developer must obtain approval by the City for the construction of such additional water or sewer facilities which shall meet all City and governmental design requirements. 'lhe Developer shall pay all additional contributions and fees as may be authorized by the City's'service availability policy which is in effect on the date said new agreement is executed. 13. In addition to paragraph 9A above, any other change order between Developer and its utility contractor issued after City approval of original plans must be approved by the City before the change order • is put into effect.. • C. City shall have the right to review the systems design drawing and specifications to ensure that they meet the requirements of . the City. Tl►e systems design drawing and specifications are to be in accordance with the City of Atlantic Beach requirements unless otherwise . specified by City or its engineer, • D. The City also reserves the right to approve the utility contractors to which construction bids are sent by Developer as well as the contractor to which the award is made. E. A representative of City or its engineers will be the ,inspector of the project along with the Developer's engineer, but City reserves the right to final acceptance of the work and materials. , Neither the City or its engineers shall be deemed the agent of any other person in making such inspections. 10. AfLcr installation of Lho water distribution and sewage collection systems serving the property described above and acceptance thereof by the City, the City or its assigns shall then be the sole, absolute and exclusive owner of the facilities of said water and sewer systems whether located on, under, above or outside of the property described and regardless of who may have installed or constructed same to the extent described below: 0 A. All water mains, pipes, valves and fittings and appurtenances up to and including all meters shall be dedicated to and will be owned, operated and maintained by City. All water pipes on the customer's side of the meter shall be owned, operated and maintained by the customer or its assigns. B. All sewer stains, manholes, pumping_stations, force mains and appurtenances, including service pipes in public right of ways and dedicated easements, shall be owned, operated and maintained by the City. Except as provided in paragraph 9C, all sewer lines on the customer's side of the property line shall be owned, operated and maintained by the customer or its assigns. C. With reference to any blanket easements for multi-family projects such as apartments, mobile home developments, condominiums and l'UU's or for commercial developments, all water mains to and including the water meter, all sewer mains, force mains and manholes in such • blanket easements over private - property allowing utility operations shall be dedicated to and shall be owned, operated and maintained by the City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. All such City lines shall terminate with a manhole. • U. By these presents, Developer hereby transfers to the City, the title to the water distribution and sewer collection systems to be installed pursuant to this Agreement, such ,conveyance to take effect without further action upon the completion and acceptance by City • of said installation. As further evidence of said transfer of title, upon completion of the installation and acceptance by the City, Developer will provide City 'with • a Bill of Sale or Warranty Deed describing all properties transferred and dedicated to the City by the Agreement. • • • • 11. Developer shall pay the City upon, execution.of this Agreement .• •the sum of •10¢ per water connection per equivalent residential connection (E12C) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative • expenses of City in connection with this Agreement. Developer shall also pay to City upon execution of this Agreement the sum of .10f per sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection with this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plan review• fee for non - residential units shall be based upon estimated cost to City; Actual cost will be determined and a refund or • additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. City agrees to .provide water and sewer service to the Developer's property in consideration for plant capacity charges, fees and other charges to be paid by Developer as follows: A. A water plant capacity charge at the rate of $20,00 per fixture unit. Such charges shall be due and payable as provided in paragraph 12. 11. A sewer plant capacity charge at, the rate of onethousand thirty five dollars rt 1,035.00 ), per single family unit. Such charges shall be due and payable as provided in • paragraph 12. C. A sewer plant capacity charge for any commercial customers on the land as described above at. the rate of Such charges shall be due and payable as provided in paragraph 12. . • • • • • 7 • • • V. A meter installation fee to. cover meter cost and meter installation (but not including curb stop or meter box) according to the City's service availability policy at the time of installation which currently is $85.00 per 3/4" x 5/8" meter • • E. If available, construction •water will' be charged to • building based on metered usage in accordance with current rates. C. hydraulic share of main extensions - payment or refund. • 1. Developer recognizes that water or sewer utility service to the Developer's property., is provided by the use of a mp.in extension and other improvements constructed by a prior developer and that Developer is obligated to refund a said prior developer Developer's share of the cost of said main oxtoa►sao►t or other Lnpzovements. Accordingly, Developer shall pay its pro rata share of the cost of said' main extension or other improvements to City. Said pro rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ payable upon execution of this Agreement. 2. With respect to utility facilities installed by Developer to which future developers connect directly, and an consideration for monies expended by Developer toward said facilities, City shall refund to Developer, or Developer's 'successors or assigns, solely from monies collected from said future developers, said future • developer's pro rata share of the cost of said facilities. Said refunds shall be calculated on the basis of the hydraulic capacity and demand of said future developer whenever•feasible. The refund obligation of City hereunder and the benefits to Developer related thereto shall expire• • • five (5) years from the date of execution of this Agreement. Said refund shall be made to Developer within sixty (60) days•of the receipt of payment by City from .a• future developer. Refer to 'addendum if • applicable. • • G. Payment of service availability, charges and other additional aids in construction for '' ' ' • at a cost of $ 12. All charges to Developer shall be paid by Developer to the City in accordance with the following formula and procedures: A. The advance dohos,i,t : fo►' engineering, r►tlinIn.IaLr►1t.lvu and legal fees and the inspection and plan review fee upon the execution of this Agreement, a total of and 11. Water plant capacity charge upon the execution of this Agreement, a total of ' 520.00 and C. Sewer plant capacity charge upon the execution of this Agreement, a total of '• 2070.00 and D. deter installation . fee according to the City's service availability policy at time of installation which currently is . 170.00 _ upon . application for hook -up of individual lots, apartments, multi-family lots or units; and L. Construction water based on meter readings in accordance with City's rate schedule; and F. Hydraulic share payment, in accordance with paragraph 111 - of this Agreement upon execution of this Agreement, in a total amount of $ ; and G. Service availability charges and other additional aids in construction in accordance with paragraph IIG of this Agreement in a total amount of $ payable • 11. Any plant capacity charges, fees, or other charges due to City are intended to assist.in defraying costs as to offsite facilities and in no way are to be considered a payment toward the cost of onsite water distribution and onsite sewage collection systems,which costs are • • to be borne by Developer. • • • 13. City agrees to connect individual buildings and structures on the developed property upon application by the builders, plumbers or individual owners subject to the operating rules and regulations of the City and payment of fees and charges. in effect on date of ' • ' application and compliance by Developer with all provisions of this Agreement. • 14. The charges, costs and fees for any separate emergency fire protection water systems, for subject project will be . subject to negotiations between City and .Developer. If buildings of more than two stories are a part of the project, Developer shall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. • 15. All plant capacity and service availability charges, fees and • other charges as outlined above are based on normal domestic sewage defined herein as containing not more than three hundred (300) parts p er million biochemical oxygen demand or three hundred (300) parts per • million suspended solids. Whenever water which contains more • than these amounts is to be admitted to the sewers, both the City and the pollution control agencies must specifically •' agree to the connection. An additional charge will be calculated in direct proportion to strength at ,seventy -five cents ($0.75) for each part per million of either biochemical oxygen demand or suspended solids over three hundred (3UU) parts per million. All such connections shall provide for a suitable point for the waste to be sampled by the City or the regulatory • agencies. An additional charge equal to the•pro rata share of any additional sewage treatment plant costs above ninety percent (90%) treatment, and of the cost of any additional required outfall pipes to may be required by City. Developer shall have the right at all reasonable times to inspect the • invoices of the City in order to detezminethat said funds have been properly expended by City pursuant to this paragraph. 16. Developer warrants that it is the owner of or the holder of a binding contract to purchase the fee simple title of the real estate • described herein and further agrees to have all mortgages or other liens • • . subordinated to the terms of the Agreeme,tt and easements required herein prior to any acceptance of the facilities by ',the City. 17. Upon application by owners, builders or their authorized representatives, the City agrees to connect ..the requested dwellings or structures on the said property at no, additional connection fee (i.e., • in addition to those provided for above in : this Agreement), but subject to the continuing operating rules and regulations of the City including, without limitation, the periodic payment of ' .the water usage and sewer 1 usage charges in effect on the date of such. application or thereafter reflected in the City's rate schedule. 18. 'lltis Agreement shall be binding • upon and ..shall inure to the benefit of the Developer, City and their ,:successors and assigns. llowever, in the event the Developer has not paid and delivered to the . City the plant capacity and service availability charges, fees and of her charges provided to be paid to. the City by Developer under fire terms of .. this Agreement, and all easement and conveyances required b l by this Agreement, then this Agreement 'shall not inure to the 'benefit of the successors or assigns of the Developer. 19. It shall be the responsibility of Developer to locate • � . 1 ,•. for builders any water and sewer taps or lines necessary in conjunction with residential or commercial constxuctiott. 20. Unless the damage to any onsite improvements are the result of • the negligence or willful act of the City, its officers, or employees or authorized agents, the owner or Developer „vf; such property upon • Y p which the damage occurs shall be responsible for the payment to the City of such damage to City's property ;including ; all necessary and reasonable sable . repairs which must be made by thte ' City or independent contractors • engaged by the City to effect such .repairs. If the owner or developer . , of the real property shall fail of refuse to pay costs of .ruck necessary and reasonable repairs to cure said damage within thirty' (30) days from the submission to the owner of a' statement' for such charges, the City . ''shall have a lien against such owner's or Developer's propert • Y • subordinate to those liens created by. or ' under. , agreements of record ie . .. • prior hereto, for the payment of such necessary and reasonable costs a • ,nd expenses for effecting such repairs and restoration to such onsite. facilities located upon the owner's or Developer's property. Notice of • such lien or claim on lien describing•the real property and the amount owed may be filed within ninety (9U) days of the date from the last date upon which any such repairs or restoration were made by the City or its • authorized representatives. 'thereafter, the' City shall be entitled to • bring an action for the foxeciosed under the laws of Florida. u Zl. Prior to final acceptance of . the utility and other public . s facilities improvements by the City the following requirements must be met at Developer's expenses A. If the property is platted one ,copy py of the recorded plat shall be furnished to the City.' •. 11. "As built" drawings of utility improvement shall be furnished one week prior to final " »A irnspodtion.. ,s built drawings gs shall be certified by a registered engineer with the cost being . • g borne by the Developer. Two mylar and three .printed copies'of said drawing shall be furnished to City, C. All lot coxrrers, slrali be properly marked so that u • J .: tility company or its engineer cart, upon receipt of "as :built" drawings, verify the marked water and /or sewer services as to location , tivn and depth. In addition, for purposes of locating ! and ;protecting installed service lines and valves Developer or his contractorsJnall mark each ' service line and ail valves with an eight (8) foot pressure treated wooden 'f ' • post • in the manner as shown on the design drawings and : specifications. p ications, Developer's contractor is required to install curb stop, et valve box on each water service and valve as shown • � er box and . on design drawings. U. All water and sewer services and valves shall be marked , on the street curb by etching into the concrete or If no curbing is available, a two (2) incl, square metal tag is to be nailed to the street's pavement and painted as specified on design drawings, rawings, , U. Developer's contractor shall furnish a one O 1 maintenance bond in the amount of l00% of the cost year st of the facilities ' installed. l he bend may be in the form of ca In , ;. , surety bond, or • • M irrevocable letter of credit, the terns of which will indemnil an •1 Y d save • ltalmless the City from any loss, damages, costs, claims, suits, debts or demands by reason of defects in the workmanship or materials used in the • facilities discovered within a period of one year from and after the date of acceptance by the City of the facilities, F. A Bill of Sale for facilities from the Developer to City. , G. Conveyance of easements as required under this Agreement. • 11. A deed for .any anti all land on which lift .stations or water stations or other improvements if required by City. 1 . 7'lle title evidence, mortgage`. releases and mortgage subordlllatio as required in this Agreement... J. For oltsite and offsite construction provide City an ' accounting of the actual costs (schedule of 'values) and releases of • liens from utility contractors in such detail as the City requires. K. City shall have the right to refuse to accept title to Developer's construction until Developer's �' ers construction has passed certain tests, including, without limitation, closed circuit television inspection of vision the gravity sewer lines, witnessed by a City representative, to determine tvltetlter the Developer's construction i5 constructed in accordance with the approved engineering plans and specifications. Said tests may be performed at'least three (3) times: the first test upon completion of the system; the second test upon 1 on completion of all building, roads, ..paving, drainage, • g , and all construction within the right -of -way easement area of adjacent areas. A • third Lest shall be required if the City deems it necessary within a one (1) year period after acceptance. L. Letters of acceptance from the appropriate regulatory agency for the water and/or sewer system, Are xecuixed. prior t g ry 1 o final inspection. ' N. A copy of the certified Crater pressure ' test and main test as applicable, force U. The certification by the design engineer that the was constructed as designed is required prior to final acceptance, system , If ptance, 0. Pump ;rexfozmance test on pumping stations if applicable fits ' . , • • 3 • 4• • .. , % i ..r ■ • • • 22. All notices that may or .must be given Under this Agreement i shall I be in writing and shall_ be valid if mailed by United States • ; registered or certified mail postage and charges prepaid from addressed " • as follows:' • • To Developer • • • To City of Atlantic Beach ' • City Manager • 716 Ocean Boulevard • , • • Post Office Box •25 Atlantic Beach, Florida 32233 ' ' ' • IN {YI'I'NESS {Y11G1tEOF, the parties hereto have executed this Utility • Agreement the day and year first written above. • • • Signed, sealed and delivered • , in the presence of: • Ulip...Loper .--15c41•• k`I Witness / I� �i • ity of Atlantic Beach ...A....-4..... . Witness ,. • • • . • • ; • ; • • • • • • • • r , • 1 • ; , •, ' • ' • i { l • . • . �- •(•' • 4 I 1 ► •,� r. 4 •li!•;',i' `�. ,,,-,%... 1. •:• -_ a,, ;, . - CITY OF 716OCEAN BOULEVARD _ _ P. 0. BOX 25 t44# � — ATLANTIC BEACH, FLORIDA 32233 �� ' TELEPHONE (904) 249 -2395 DATE:_ /1/5/62___ PRE - SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET . -. JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION (S) HAVE BEEN JADE AND ARE SATISFACTORY: 736- I -- SP_ZiL/2Ilr /y_le.,..4 6re2,-- 67 7_1 ISE/_ -,a . ( ?`- W ____I .L____Se,q_e_14e.4,21 A Ule-i-4-1 L/2ezilk_._ l_1(442_1 _S___2,___A4161i2g. _______Lgii) (AL 1 _.s_y 4,,,,,,u2( L-e / /4 c _ 0 /4/60 y a oo I z , SINCERELY, `/2 B NG INSPECTION DIVISI cc:FILE - •- 4,6-- . CITY OF i ,s:k forieuttee vead - 9eopiatet 716 OCEAN BOULEVARD __________-_3• -----------___ P. O. BOX 25 ATLANTIC BEACH, FLORIDA 32233 ■.' 11',.4i : 4 TELEPHONE (904) 249-2395 PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN JIAVE AND ARE SATISFACTORY: 5(0- 1 -S3Y7424 .&..,0( 6te2i-- 6 7 7 1 IS? / 404-eaz,, al_ 1 2)2A:C24,42,41ai, I 4/Cap 1 _*'2, k-- - . , p76 c - a 003 (# tv2-L-t f /e/ a 001 fdt, ..t SINCERELY, 4 /a C12114 BUILD N INSPECTION DIVISION cc:FILE ailik AID s,,, ,,w,, Aft Alk Al* aft, v. 4 <7, t7 0 i_ p, w c)7 a w w o , 0W N aq=A j p CI CI y •• w O 0 z 0 y a 3 0 %<5 0 LL w 1_ j al O d e 0 ¢ m = a c a v a V O V Egt w O ¢ a w 03 W cc F. •1 0 a p a Z U na ma id. ILI Z ap a z W p P) N A. g� N a w a Q Z W CI i C A. .. a ,� LLGVa T W U 0 � z e m M O A. Q V -1 co Z 0 '-4 Lt. Ed M H F * f" EV= a M w CC I C. U a cc o 6 X -, o Z a "� >- A; _, p F m . H A. H X o, E. = 0 0 11 Qge F. 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" . ,.# OA4. TiPsCN FTSON ,. _ : +. Type* "NA Vie$ t 114 us r B z P Uses"DU'B P, kt `$ * 0 i sr�e if9 a t t 0 fl d ' V i�i a " S'ECT IH E*ti t9 °. ' a l 8 ' ' , + ;, # . , . ,... i OW N R XNSRUATON ill" C . `. ;*0 - * - ' ', CU B CONSTRUCTION Total *38 00 Add r $ ' ". � P ARK STREET Asour , � ' 'E "#'' $T C BEAC.N F`L 40RX DA '32233' t iat ,,;- ` � 1r": t � ;8 - 0 1. W . • . N1 ? " LI 8 O B' 1 REB »w e. w , w $ t . bry 4.-': ifi -' g � .rF w 4 Y� ., 2k, " d �a'^59M E ° �NI i_3. - ...:38. � / 0 '+l w. 3g r , ' fi ,'" 4, ,, , ' � se ' p � :: rt §� `"' , ' ✓J'vC a t + w ` t,. da' �y ' � , ,r " ;,. ���p � e at �,. � . e . 4 . S. . 00 ` t y M � 00 a. " . � "� ? k ' • 4 �! , . ` - TAP - *0.00 !;'A Ox Ott ' ) 0*Z)t. 'r o r t :` F *Q. N e J A NOTES. NOTICE 7 ALL CONCRETE FORMS AND FOOTINGS MUST BE:. BEFORE POURING " PERMIT VO SIX MONTHS AFTER DAT OF I BUILDING MATERIAL; RUBBI AND 1EBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE - CLEARED UF" AND HA AWAY B Y E11.HER CONTRACTOR OR OWNER. ' ' "FAILURE TO COMPLY WITH THE MECHANICS' LIE, N LAW CAN RESULT IN THE PR O OPERTY'WNER PAYING TWICE FOR BUILDING IMPROVEMENTS." 'ISSUED ACCORDING TO' AP PROVE D PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ' VIOLATION OF APPLICABLE" PFRQV�IS1ONS OF LAW. ' At LANITic BE A.; BUILDING DE PIT ,.._,,, _� ,r , t,. �, .. „ . . CITY OF ATLANTIC BEACH 'APPLICATION FOR PLUMBING PERMIT JOB LOCATION: TAk PLUMBING COHTRACTORs 4:: .(4/ ('0O LICENSE NUMBERS: 6" 9 OWNERS C/D fl cows r, BUILDING CONTRACTOR Cas.5-1°./n Co IV 52 TYPE OF BUILDING: / SINKS SHOWERS " 2-- LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT IHSTALLATIOH OF PLUMBING AHD FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECEHT EDITION OF THE SOUTHERN STANDARD PLUMHBING CODE. 001198 DEPAFRTMENT OF BUILDING.. - CITY OF - ATLANTIC' BEAOH '' . -� P Eft IN1�'0RL�LAtz. , � �., .. --.- -.- .,''"' L OCATXOHi IN `ORtlATZ0H P x° mi t .N : t . 1 L'. A.ddx **s * , 20Ot PARE STREET L e *it Type t UL C , .4A►N CAL. ATLANTIC BEACH rL,O , RSDA 32233 Clasp of Work t NEW --,- -- .a" -,.. LEGAL ESCRIPTTOtt .:° -- _ — , Coas tit Type N/A L.ot4 'Block S t xr4s Pr+ P° 4E'd I.iilr�: DUP PJ.Ist Book's P e t' 0 L� 1.1,1rt s 0 . Code . 0 . Ub d i eion t NCT`XQN H E ti*ated ' VU3.ue 0. 00 ,» ,. - ,.,'.+,-.,'P. OWNER TNF'ORfIATXON pr°ov. Cr t.t *0.00 H* me* 'CU T0H CONSTRUC f N 1!Y HARRZS Tc t,: ►3 I�r t'� =, , 8. Adcfr. *sits ' Z 1 PARK STREET A mite �'. - °w' ;: ? � • � *38. 00 �� AT'L.AN"L' BBrACR, FLORIDA 32233 OPT ` octet 1 904)12 -2412 ` !', , it ..ate �- _ LL' B � �; ' ; , 1''i *38. 0 00 t t� NATNR XNPA T FEE , ;:*PrInClet(I'l. r p a � � o p , t N CC� sr , it , ' ' " _ -, ` . f i . � � X1 4 f ,, a '' o rfi r �p s e I t ', v °' 4 t „af RAC + A — . L : l R B .. C . I A 8/16, , 1, 0 ; . BA - . 5X *4.00 1 f 1 41j ''.:1..,: I,I WA'T�t T`A ` *0. 00 4��,,. ' , . ', . >III WIR `AF" .0.- 00 ,,,,,..,.,,,,v.4,-e#, HYDRAUL.ZC SHARE x. '00 ' , R — XN PST PRE . 00 . �� y E NO N ER NC; f 4 �" a 'u'�,?e�rx Y� . ��Iry►J��{i , `. p t C wY^""}F.?F�pacr +`4" atl lir't" S1 ,.ek,ar . R NOTES: f NOTICE -- ALL CONCRETE FORMS AND FOOTINGS MUSY 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?, EITHER CONTRACTOR OR OWNER, "F T O CO WITH THE MECHANICS LIEN LAW CAN RESULT IN THE PROPERTY OWNER RAYING TWICE FOR BUILDING IMPROVEMENTS." ;ISSUED ACCORDING TO APPROVED ,PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION :FOR '<VIt LATION OFAPPLICABLE PROVISIONS OF LAW. '" ATLANTIC BEACH, BUILDING E'PARTMENT ay, c ° � K 1199 flE y. " ;, DEPARTME 'OF RBEC�I € CITY OF A i TLANTIO, BEACH p w I''Ii RN T NFO tA OI! .. - ' . A AN , IHF'ORt TZON I PeF ►i... Nu L A • .7 $ 2003 P', RN `tRE T P r r�.i t Tarp+ r r il ECI#AN CA . **LAN ZC BEACH, c ., (AI * C,, _ p 'wc�i 3 NII I� . .. - - -� l a t,. �AL DE RZPTIOH ; sTDA F coil et.z. T rper: A� L-0-t-"' ot :. NL ock ti $, P s s ►d Il e s DU t plat I react Pages 0 k tyw 'ling" e 0 Ce � x 0 Gubi ,.. 4 . n x SEC1 X0H H E. t ' A..tx :: 40.0 -- , 1 OW R NF"O NaI't' ON ' -;•-A;;;..- a In r c'a oa t, 00 Ifs e CU 3TOM C I C "'I'FtU TJ ON B _ T 4 00 A 0 0ATRT , ATLA !I' ► rnet* (9043 .{t°''4 . a �,� ` 1'W TON ' Hi ACS "',' '} g 0 ° ' W � u °..� a .. '"" d ,„tr�ar1 y Yee + yet w r • a(t .., - a.,...,-.1 ',q a #. $' S , a �+ . i; �a .�.. ;+. * ,i y �t y it A.r.T i i QN ` ieF+i ... n ...., ., .^.i � � " y , WATER 1 � PEE ,! ro { as „,T,” $� 6 °� ^*" 4 vowfv, rz "'�. a,. ,9%` spy ., • *t `� *S . x rf ' , , $ ii n'" ki' R� "i) �* ` % igiU i xw � v, 9 , ;5� �} ; ' RA"'" i GA.- H. R '. i . i$0. /B y 4 s u'r { � I ,y � r,P, R *D0N GA r.7IM 7 aT Y E t ff 4 Tr h x �l 3 ; *0. 00 I CI... SEWER T 7-3,,a0' '� ro „� � "yr "i , :i1,4,,,,,:.. 0, "? RE- {yg�y.ryy+A .T FEE t , .. YYi . 90 . � �at� fi MRa w�. .. R3� t r V NOTES: NOT - CONCRETE FORM AND FOOTINGS MU BE INS PECTED BEF POURIN PERMIT VOID SIX MONTH AFT BATE O F ISSUE BU ILDING MATER RUBBISH AND DEBR FROM THIS WORK MU NOT BE PL ACED IN PUB LIC S PACE, A ND MUST BE CLEARED UP AND HAULED AWAY BY E ITHER CONT RACTOR OR OWNER. ' "FAILURE Tv. COMPLY WITH THE MECHANIC L IEN L Cr N RE IN THE PROPERTY OWNER PAYING TWICE FUR BUILDING tMPROVEMENTS." SSII It AC C ROt TO APPROVED P LANS WHICH ARE PAR OF THIS PERMIT' AND SUBJEC T O REVOC FOR.. 1 ATION.OF APPUCABLB PROVISIONS OF LAW. ATLANTIC = ` CH BUILDING D 'A RTMENT By: E ; — _______ __(___ t sb‘ /(P BUILDING AND ZONING INSPECTION DIVISION 7 ((- avi CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82233 APPLICATION FOR MECHANICAL PERMIT CALL -IN NUMBER IMPORTANT Applicant to complete all items in section , II, 'Ill, and IV. LOCATION Street Address: C a,c/ 3 ® F/7 e K S t_ OF Intersecting Streets: Between And / BUILDING Sub- division II. IDENTIFICATION - To be completed by all applicants In consideration of permit given for doing the work as described in the above statement 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 City of Jacksonville ordinances and standards of good practice listed therein. Nme of Mechical _ Cn r'/ `�j Cen (Prinant) v<e r �ir G Master ipor,e,3� l�/// Name of Property Owner 7 / Si of Owner . Si of o► Authoined A Architec or Engineer III:. GENERAL INFO ON A, Type heating fun: B. IS OTHER CONSTRUCTION BEING DONE ON Gr if Electric THIS BUILDING OR SITE? ,49 S Q Sell — O LP ❑ Natural ❑ Central Utility IF YES, GIVE B R OF CONSTRUCTION Q Oil PERMIT Q? 'f /G J Cl Other — Specify 1V. MECHANICAL EQUIPMENT TO IIE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) I Residential or ❑ Commercial [Meat 0 - Spec. ❑ Recessed er Centnl 0 Floor New Building ❑ Existing Building er-Air Conditioning: Q Room rCeatml // Duet System: Material s r /- P yrhickn ess / _ ❑ Replacement of existing system Maximum capacity lies c. f New installation (No system previously installed) 0 Refrigeration ❑ Extension or add -on to existing system ❑ Other — Specify O Cooling tower: Capacity q.p.m. Q Fire sprinklers: Number of heads O Bevetor ❑ Manlift ❑ Escalator, (number) THIS SPACE POE OFFICE USE ONLY Q Gasoline pump ( number) (Received{ A . Tanks (number) Remarks Q LPG containers` (number) Q Unfired pressure vessel Q 'Ieikltrs Permit Approved by Dote O "Oth — Specify Permit Few LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT spadty A Number Units Description ![odes Number ]Manufacturer C (�Ifns) , . -.. , • i y 0 �� -Ass• r M HEATING • FURNACES, BOILERS, FIREPLACES Number' Vnite Deecrip Model Number ]anufacturor (BTU) A 7 g 2 c oe roay , .,, / � epee re. 6. TANKS Now Many Nam(nal Capacity Type Liquid Name at Serial Approving sad Dimensions Contained Manufacturer No. A 001451 DEPARTMENT OF BIJJI.DING CITY OF ATLANTIC BEACH ,� P sXt IIWO ` A 1 , .. - -. L0cATION INF`CII `!#ATzoti ,iidefros 2001 PARE StREET t 2003) P+ r us t T` "` 1/ UTIL T ZEES ATLANTIC NEACH, F'LORI13A 32233 CJ l Wo °k* .ICI ' ; .,,,, - -- -- LEGAL, DE RT PTZO C t>°te # T pei. tV t - Lots 11 Blacks 1 Be tJarss w Pz'opar rd U es` TWO $'AIIILY 1411 ? Play Brink* Page; 0 I r J i1,ng s O C *2 0 ;S+r btliv tsiors s L.EWIB E,�et#� V I.u* *0;.00 �- .,. --;. ,._- - �, OWNER I NFG)RfATIQN .� , Impresv Clrut, *0.00 N : CUBTI� CONOTRJ.1 TION ' r *424 5 Ad T a l 2001 PAR STREET .. ( 2003 Tt�ae,, '` A � *424. �1T.ANTIC REACH, F`Iw,ORJ IAA' 11/89 i Wo N ANO BEER TAPS FE EB" IflAT'E «s „,,,...,_,,„„, ' C k . .,.r w...,... - ,... 46 , x , 4 + � - ,4ut'" 1 F, �� � � J"'LICATIO FE - ��.» �; ' F _'�. � P t. OO WATER IiipAcT FEE *0 a £ A )� F t'il cult �4' ;, . , fir an � p , . RADON OAS 5 1 t, ' WATER TAP a� � r SEWER TAP *38.OE iYDRA1 LZC Bf ,A .Ot RE „IN$FEcT FEE 0.00 4 t / E y A NO # ItiEER`INI 00 y rt '° I 141. 42 r; f Y , y� § N” , — '-' , ' 4 Sr �[.d L 33I'd Jf3 n I i4 1'�.Y .tL. NOTES: I` ! A; i/ l I Iw Q H7 I A 111/ 1E1011 NOTICE --ALL CONCRETE FOR AND FOOTINGS MUST BE INSPECTED BEFORE POURING a 33..* ?. PERMIT VOID SIX MONTHS ' AFTER DATE OF ISSUE 60 Ct. 141I I14 lfl/ BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST B C � CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. 61 10 , I A 9 /11 I �I "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT I THE PROPERTY OWNER PAYING TWICE FOR BUILDING " 1MPROVEMENTS " ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOP VIOLATION OF APPLICABLE PROVISIONS OF LAW. f ATLA a 14 : a: J . ING DEPARTMEN By. ., 1 CUSTOM CONSTRUCTION L:GRRECTED COPY 353 -5623 WATER & SEWER TIE INTOR DUPLEX • LOT 11 BLOCK 1 DONNER'S * • REPLAT USE THIS FORM FOR ESTIMATES ONLY �r \IA . DESCRIPTION CITY. 1 MATEFIIALS LADOR TOTAL 6" X 1" TAPPING SADDLE 1 f I $13125 • • PVC • 1" CORP STOP 1 $22 36 • 1" CURB STOP 1 $22 36 1" MALE ADAPTER PVC 1 $0 77 1" X 3/4" MALE ADAPTER 2 $0 46 — — PVC 1" 90 L PVC 1 $0,87 — 3/4" METER ENDS 4 $13 20 _ 3/4" RUBBER WASHERS 4 $1.1`2 _ . 1" GALV. PIPE 21' $19 32 3/4" X 5/8" METER 2 $170,00 — _ 1" S TO T COUPLING • 1 $0 80 1" SCH 40 PVC PIPE 10' $2,80 CONCRETE METER BOX /LID _ 2 $24 00 • SUB TOTAL $291 31 — 10% 0.H. $29 ... __.. — TOTAL $320 45 2 MEN ($27.45/HR) FOR 3 HRS. $16 • • 30% 0.H. _ YAIERIAIs— $1AIf 1 $ tAL 1 TOTAL $320145 $214.111 5534156 MISC. JOB EXPENSES AMOUNT O)NER JOB ExPINSES $60.00 1 TRUCK ($10 .00 /HRH FOR 6 H . TOTAL COST i $594,56 $60.00 TOTAL SEIZING PRICE LESS 101AL COST . CROSS Pnor" "T ITSS Ov(NII(AD COST •. Or SLUING PRIG( • TOTAL $60.00 • NET PROFIT $594.56 A PPROV E A \JUN 21989 CITY OF ATLANTIC ACM PUBLIC WORKS DEPARTMENT . • • i ` WATER AND SEWER TIE IN FOR DUPLEX CUSTOM CONSTRUCTION , + 353 -5623 LOT 11 BLOCK 1 DONNER'S • • USE TIIIS FORM FOR ESTIMATES ONLY REPLAT • • • • . DESCRIPTION • QTY. 1 MATERIALS LADOR T OTAL 6" X 1" TAPPING SADDLE 1 $13 • . • PVC • 1" CORP STOP 1 $22.36 1" CURB STOP 1 $22.36 • 1 " MALE.ADAPTER PVC 1 $Q.77 _ „ 1” X 3/4" MALE ADAPTER 1 $0._23 - _ PVC 1" 90 L PVC 1 $0.87 - , 3/4" METER ENDS 2 $6.60 3/4" RUBBER WASHERS 2 $0.56 - _ • 1" GAJ, ''E 21' $19.32 4" 5/8" METER 1 $85.00 _ • r 1" S TO T LNG 1 _ $0,80 _ : .1 SCH 40 PVC PIPE • • 10' $2.80 - CONCRETE METER BOX /`LID 1 $12.00 _ 1/ �i • r SUB TOTAL $186.92 - i 10% O.H. $18,70 _..__. 11 .4 i\i\y: , �l TOTAL $205 62 - • �' - • 2 MEN ($27.45/HR) FOR 6 HRS. _ $16 .701, $214.11 30� �•H• — . mAhhn1Ats-- IABOII— IOTA. i f • TOTAL $20516 214.11 _ .419 73 MISC. JOEL EXPENSES AMOUNT o"IEq Joe ExrrusES • % \rs 1 TRUCK ($10.00 /HR) FOR 6 HRS_. TOTAL COST , sir $60.00 TOTAL SELLING PRICE w LESS TOTAL COST 1 OnOSS vnorIT Less Ov(N11EAO COSI •• Or St uING ►nICE • TOTAL $60.00 • NET PROF! $479 7 3 . APPROVED • y U t9)"---- • Y OF ATLANTEACH • . PUBLIC WORKS DEPARTMENT- 7 S �� Luzsd T PIZICE QUCTS APPLICATION FOR WATER AND /OR SEWER TAP d APPLICANT 14 AM _Z -�� 9' ---- �' C - -J MAILING ADDRESS PHONE NUMBER .5 — DATE , SERVICE REQUESTED j JeL 2- � - " SERVICE LOCATION-7Z // 263 ,V 0 C • 4 1 DATE SENT TO 4. � DATE RETURNED PUBLIC WORKS TO BUILD. DPT. WW DATE OWNER NOTIFIED • wb6 T6 02.ICE COL1CY'"M' APPLICATION FOR WATER AND /OR SEWER TAP APPLICANT HAILING ADDRESS PHONE NUMBER 3S • SERVICE REOUESTED2LLL - i--- i l 2, SERVICE LOCATION :��'f 17 „� ./ 7 •ZQ/LQJ / (.."4/(616 r f DATE SENT TO �'6 DATE RETURNED PUBLIC WORKS ° TO BUILD.DPT. • DATE OWNER • NOTIFIED • • • • .1 • • • r . J y 1' • -~ , ,_ CITY OF ATLANTIC BEACH, FLORIDA 10-7c3 . by APPLICATION FOR ELECTRICAL PERMIT i ...., `t' O THE CHIEF ELECTRICAL INSPECTOR: DATE: \'''' 19 I 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. 30 -war .E .G/ .Cpl ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Otis '`-,?% ADDRESS: olUO3 R c` RFD BOX BLDG. SIZE BETWEEN: RES. ( Lim APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ► NEW PI OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. 1 ) SIGNS ( ► SO. FT. SERVICE: NEW (LY INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE goi, AMPS CIO COPPER ( ) ALUM. ("} FOR BREAKER 1Q 0 AMPS l PH a W . VO T ' RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31•100 AMPS, SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT 0.1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO KVA NO KVA ' NO. NEON TRANSF. - NO. VA. MA. — MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES' CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT /4 !1 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: \ - k 16 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 REGULATION, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. - /? 7 J �. , A. ` a,.' 1 ■ ®1 ELECTRICAL - RM: MASTER ELECTRICIAN SIGNATURE cy JOURNEYMAN NAME . C_J ) +c C A.t ADDRESS: OO \ .0 J \ RFD BOX BLDG. SIZE BETWEEN: RES. 1 1 1 APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( ) NEWT -! . OLD ( 1 REW. ( ) ADDITION ( 1 TRAILER ( ) TEMP. '1 1 SIGNS ( ) SO. FT. SERVICE: NEW ( 14" INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS QD COPPER ( ) ALUM. SWITFF OOR BREAKER AMPS \ PH 1' • • V S L. RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS IEE SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES 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. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS g r VEA OR111 ERS: UNDER 600 V. III • V.E - 600 V. _.w .. _ NO. KVA III NO. KVA NO. NEON TRANSF. NO. VA. MA. 1 MOTOR SIZE SWITCH FLASHE EACH SIGN FORWARDED $ TOTAL FEE 1 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 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 ELECT I AL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ,'C DeD ©9 /Co/ '.f 4 -/27 / 1 c —, _ 9 404 ,4 - ELECTRIC FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME''— \ S» ADDRESS: ' at \ \ ,. C-,. RFD BOX BLDG. SIZE. BETWEEN: RES. ( APT. ( 1 COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW it--r OLD ( 1 REW. ( 1 ADDITION (' ) TRAILER ( ) TEMP. 11.4" SIGNS ( 1 SQ. FT. SERVICE: NEW (tit' INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE \` AMPS 40 COPPER ( 1 ALUM. (1- �c • R BREAKER /2Q AMPS PH V W T RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZ LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 1 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES I BELL TRANSF. i AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT 0.1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. T VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 0 eo 'F 0010 € DEPARTMENT OF BUILD NG CITY OF ATLANTIC BEACH - --- F RRtiIt .INFCR.IMTICIN - -. -- .. t.t ATI0f4 ItiFC0RnATxoN r A r J * ' ; 200? PARK STREET PP rwt .t Type's sui LDitici ,. C�Pr�s� of IAo N I ATLANTIC BEACH, FL..t3RIDA 32233 _---. :.._- -.- .LEGAL . DESCRIPTIQ.N y WOOD FRANi Lot ; 11 BX k s 1 section : Px'OPo d' i.tee�: DUPLEX P2 t Back s Pa e s 0 Owe,I1tago 0 Coda It, 0, Rst�,�r�rteal Ve�ti+�: $4�'I. 50 Sul�d�v�s�.�, a 1?ON�CiMR�i RI�PLAT __ .. . �. ,.- -• --_ .'OWNER INFQRNATIOH Improy. Comrt: *0. lislimet 0. O &M PARTNRRSNXF. I 7 • 4 C r Tot r.I fa*ell► s ; *1'578.46 Addr *wits 640 ' EAST U14,10$ ST T I e 7/ C4/ s t y ; *t . 00 Deg A F A G • OtICII. t . Ph+oe t t �) 353 -5223 " f '' W Tk 4 :f `)t om 'DUPLEX PER PLAN` 120449 `'ms d ,° 5 _ , 5' C - LIC TZ01 FEES GUST , , ,a � . H,AR ] s'Eiiii I "' *IBS. 00 I' ."..."' WA RPACT FFE , � a � � '' S,R i T81 • I I`1- F,4';',,, * O , �y �'�sI�N� � d�� � �. �� x^ { r4 b Y y C k . � ? "P .R W �a 4 Y r 'y ■ � ed � «r la d J 3 dr 3 1 J �r Y� y �j t ��, �^* �^ � � , � e� �� �� � ,. �� ! �' a sr� a� � "°�ia« �¢ � ^r i 0 ' k a RA 13A "O. R. S. ,P *9. / y � '' 44 144 ht 49 4 4 , RADON OAS 5 *O E �' s WATER TAP. *0.00 a rM.∎ " F T ,t,. HYD*AULIC S,RARR *0.00 kg - $E- I NSPECT . FEE *0.00 Encl1 DEER X NQ NOTES: ! i l,,i,/ ,' NOTICE -- ALL CO FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING • PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBB1SH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER, "FAILURE' TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." 'IS$UED' ACCORDING ;TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OFAPPLICABLE P OF LAW. ATLAN, - .- :Et' H BUILPING DEPARTMENT . , , =:« � , ,iiiX , ; , .;.11 4., ':::: ' , ', , , , v . . . h , .. ;.; . ,,k..