Permit 1611 Main (vault) t
ti i�
`' w CITY OF ATLANTIC BEACH
i" gill s1 800 SEMINOLE ROAD
�; .�� ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 08- 00000878 Date 6/27/08
Property Address 1611 MAIN ST
Application type description SWIMMING POOL /SPA
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
above ground pool okay m griffen
Owner Contractor
PARRISH, NANCY OWNER
ATLANTIC BEACH FL 32233
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 12/24/08
Fee summary Charged Paid Credited Due
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.00 35.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
os 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 08- 1 I I
3 1 OFFICE: (904)247-5826 • FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
•
rl' BUILDING PERMIT APPLICATION DUVAL COUNTY
r/Pl Atlantic Beach, FL 32233
kLEG • -57 :CLASS . OE:WORK1MaNUMW';:KW:V‘V:ZNI;: 6 USE OF STRUCTIJRE
0 NEW BUILDING 0 DEMOLITION 0 RESIDENTIAL
LOT BLOCK SUB DIVISION 0 ADDITION 0 CONVERTING USE 0 COMMERCIAL
7 DESCRIPTON OF WORK 0 ALTERATION 0 ACCESSORY BLDG. .8:
NA (Nth P 0 REPAIR
0 POOL / SPA
0 OTHER 0 YES 0 N/A
• N )C. Cr-•S 0 MOVE
0 NO
PR TY OWNER:t::: ARCHITECT /
9. NAME: 15. COMPANY NAME: 23. COMPANY NAME:
16. NAME: 24. LICENSEE NAME:
10. ADDRESS: 17, STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
18. ADDRESS: 26. ADDRESS:
11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE:
14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
• . COMPANY1 MO.ftTG
31. NAME: 33. NAME: 35. NAME:
32. ADDRESS: 34. ADDRESS: 36. ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law.
*** WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWN ER or AGENT f„,*40'44:1::;Ag'j1?.■IF401ia;jPi: gONTRACTOROMOW00044::::::::
'AjltAgetir Powerof -tneY orAgency Leper' Required),:?;:N4:::;;5:i0V,
A if
Signed: I li, dA Dat. 0 igned: Date:
I/
I" I
Before me this day of , 2 IA in th county of Before me this day of , 2007 in the county of
Duval, State of Florida, hasArsonally appepred Duval, State of Florida, has personally appeared
Aictirleti rarrts A
herin by himself / hefself and affirms that all statements and declarations ar( herin by himself / herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large, State of , County o, Notary Public at Large, State of , County of
0 Personal • 0 Personally Known
Produce ■.;,•A 0 Produced Identification -
Notary Sig 40 Notary Signature:
s - • .;■. i;4411
4 8
COAB FORM BLDG01: REVISED: 11/6/2007
- qy `!, CITY OF ATLANTIC BEACH
'. "` .0 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
' j .19F`' INSPECTION EMAIL REQUEST:
Building-dept@coab.us
Application Number 07- 00000855 Date 6/19/07
Property Address 1611 MAIN ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
PARRISH, NANCY BROOKS & LIMBAUGH ELECTRIC CO
Q/A BROOKS, CHRISTY
ATLANTIC BEACH FL 32233 42 WEST 8TH ST.
ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 12/16/07
Fee summary Charged Paid Credited Due
Permit Fee Total 70.00 70.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 70.00 70.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
J YS '�
CITY OF ATLANTIC BEACH
4 lid
- 4. r ' ' ELECTRIC H
,, r � AL PERMIT APPLICATION It
Date: • 0
Property Address: • ,,C
Owner: Lc K
Telephone #:
Contractor:
L - 4/1 - � / Telephone #,
Contractor Address: 4 dir4,40 . r T Cs "t • Fax #: ' "C 17
Contractor Si l . atn •'f n r %mg In for doing th
n of permit given f
consideratiooe work
accordance with the attached plans and spec . described to the above statement, we hereby agree to
ordinance and standards of :ood . he which are a part hereof and in accordance with the Ciperform ti nuwork g ��
Building: ractice listed therein
Building Type: O Trailer
O New Residence
0 Temp.
Service: other �;� is
Do( Old Commercial 0 S ❑ New being done on this building
O Re -wire 0 Addition Increase Or site, list th building
Sq. Ft. 0 Repair Permit number.
Conductor Size: • AMPS: 7 COPPER A L
Switch or 51111111111111111.0.1111111111111
AMPS ��C/ PH
EMI Existing Service ,~� VOLT RACE
Size AMPS (J!/ WAY ✓ cs :'
Breaker i
Meter PH VOL 0 .RACE / A . � • •
e2-7 bb5 WAY � �
Feeders: NO. SIZE NO
Lighting Outlets SIZE NO SIZE IIIIIIIIIIIII
CONCEALED
aIIIIIIIII OPEN
Rece.tacles CONCEALED
n vn eT _ OPEN IIIIIIIIIIIIIIII
Switches
Incandescent
Fluorescent &
M.V.
Fixed 0.100 AMPS
A.. fiances �.� ... BE LL
Air H.P. • t G " - -� TRANSFER
F
Conditaonin: COMP. MOTOR H H.P. RATING CEILING KW -HEAT
OTHER MOTORS AMPS HEAT
Motors 0 -1 H.P. VOLTAGE
PH NO. O- _ PHS
iiND.E8
Transformers NO. KVA
No.Neon_Transf NO. KVA
Ea. Si
M
IIIIIIIIIIIIIIIIM
iscellaneous Ii`��L, MIIII IS
lariERWArar allillIMMIllmim
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Phone: (9Q4) 247 -5800 • Fax: (904) 247 -5845 • htt ://vvvnv.ci.atlantic-beach.fl.us
Revised 1 /04
fr °f' r ✓r' , 411V �' <�' CITY OF ATLANTIC BEACH
'' - • 800 SEMINOLE ROAD
T3 V =� ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247 -5826
1 Js31>
Application Number . . . . . 05- 00030306 Date 5/11/05
Property Address 1611 MAIN ST
Tenant nbr, name REROOF
Application description . . ROOF
Property Zoning TO BE UPDATED
Application valuation . . . 2500
Owner Contractor
PARRISH, NANCY ROMANO ROOFING SERVICES
P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246 -5649
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. ..:,
44
BUILbING OFFICIAL .
' e`l'l,, CITY OF ATLANTIC BEACH Cc:
f ,,, Osy D. F
.=. d > ? BUILDING / ZONING DEPARTMENT . Higgins
J ". " ) 800 Seminole Road err
-' Atlantic Beach, Florida 32233
4.�0131 > (904) 247 -5800
(904) 247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # n _A (p ,
Property Address: /O// /7/-) as n [e +-
Applicant: ,e_O /77arm £)Oi'9f7 -er V / Ce
Project: ei
This p it application has been:
Approved
VIS iewed and the following items need attention:
Please re- submit your application when these items have been completed.
Reviewed By: 1..(4- Date: Slte/dt5
Date Contractor Notified:
l J2
fty ly. 4�1
•' i Si d
`t • CITY OF ATLANTIC BEACH MAY .# 20
ROOFING PERMIT APPLICATION
Date: 'J/ S 03
Job Address: 1 (Q \ r(n'
Owner of Property: N3„ r
Address: I `o' ` nrun Telephone: 1C }- 2]�j - a3-n
Contractor: Rom An/ n Roo f/ n/q .s v�CP State License Number: CC -C 2j - R' / b 3
Contractor's Address: _3 L f .,f j'% e z �" 7 4./Tie_ . 3 eI , 7/ S.2 a 33
Telephone: 9O iJ a 4fb 49 ' Fax: 90 y '� y� -/z `?.2
Scope of Work: - �� �.� 1 r �� C • ,
Deck Slope: Greater than 2:12 Less than 2:12
Valuation of work: It C -"L`)-J'
Product Name (Example: Timberline): --- 5tY1`C'er `�+ne,
Manufacturer (Example: GAF):
ASTM Designation(s):
Required Inspections: Sheathing a „inal s
Signature of Owner: 6 ,S
', ill h Date:
Signature of Contractor: 1 Date: S7 5/
AS TO OWNER:
ar
'„ i Sworn to and subscribed before me this/ day of , 20
State of Florida, County of Duval
Notary's Signature:
ELAINA ROMANO ❑personally known
MY COMMISSION #DD357393
tI1u s seQ 23.2°08 ❑ Produced identification
1-800-3-NOTARY �' "" aryDo0000t °` r° ' 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: 1 ! e A P 4/ ‘ Y lkaut. P `N-. . ELAINA ROMANO
MY COMMISSION # DD357393 ❑ Personally known
d pIRFS: September 23, 2008 ❑ Produced identification
as Fl . Notary Discount A ssoc Co
1-800-3-NOTARY .. Type of identification produced
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us
Page 1
Revised 221/03
fit.,
E '
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address (. kni,ort.
Date 31 0 /05 (o (o5 --
Heated Square Footage @ $ per sq ft = $
Garage / Shed @ $ per sq ft = $
Carport / Porch @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $
2-s70 3S $ 35
Total Valuation 1 st $ i
t $ LID
Remaining Value $ per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 1{ S
ZONING: + Filing Fee $ A g
FLOOD ZONE: () Fireplaces @ $35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $ ° `n
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
C ( ) RADON .0050 $
SECTION 1-1 PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $ G g „c'
i CITY OF
r4t zat e &eacd - '7wrida
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233 -5445
TELEPHONE (904) 247-5800
,44+. FAX (904) 247 -5805
Date: �'� 7 aZ-`
r S
Dear Property Owner:
The costs to connect your building to the City sewer and /or
water system are as follows:
Sewer Tap - Labor and Materials to tap into O
sewer main - $
Water Tap - Labor and Materials to tap into
water main $ C�
Water Meter. Cost of Meter $ a7 --
Cross Connection Inspection - Inspection by
Public Works to ensure backflow
prevention
Sewer Impact Fees - Funds future expansion
of the sewer plant $('
Water Impact Fee - Funds future expansion
of the water plant $ . C,
Capital Improvement - Funds for improvements,
expansion or replacement to
water system $ ;13
Wfi7E2
TOTAL COSTS $
If you have any questions concerning these charges please call
the building department at 247 -5826.
Sincerely,
Don C. Ford
Building Official
DCF /pah
WATER IMPACT •FEE WORK SHEET
A D D R E S S : 6.;.*: 't't _ :a + `
DRAINAGE
FIXTURE UNIT
FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS
Automatic clothes washers, commercial 3 G C�
Automatic clothes washers, residential 2 Z
Bathroom group consisting of water closet, lavatory,
bidet, and bathtub or shower 6
Bathtub (with or without overhead shower or whirlpool
o
attachments) 2
Bidet 2
Combination sink and tray 2
Dental lavatory 1
Dishwashing machine, domestic 2
Drinking fountain 1/2
Floor drains 2
Kitchen sink, domestic 2 / Z
Kitchen sink, domestic with food waste grinder and /or
dishwasher 2
Laundry tray (1 or 2 compartments) 2
Lavatory 1
Shower compartment, domestic 2
Sink 2
Urinal 4
Urinal, 1 gallon per flush or less 2
Wash sink (circular or multiple) each set of faucets 2
Water closet, flushometer tank, public or private 4
Water closet, private installation 4
Water closet, public installation 6
TOTAL NUMBER OF UNITS =
MULTIPLIED x 20
TOTAL $ 0
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address /6t( /1,4 „1„)
Date
Heated Square Footage @ $ per sq ft = $
Garage /Shed @ $ per sq ft = $
Carport /Porch @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $
Total Valuation 1st $
Remaining Value $ , per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $
( ) 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 $
OTHER $
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES: Mechanical ; Plumbing
Electric /New Electric /Temp ;SwimmingPool
Septic Tank ; Well ; Sign Finish Floor Elevation
Survey ; Other
CALCULATIONS and /or NOTES:
n1' - / CITY OF '�-�,_,:�,�/,�,
4 /3�- 42(�'tfu�s
Office of Building Official
REQUEST FOR INSPECTION
(T — 1 ( — / n ,67)
�/ . Permit No. r;7 T 4
Date ( / `� ` �+
Time 2 0 A.M.
Received �'+ 3 trc I
/ lJ Y /�/ 1 i &i Y( Local'.
Job Address
Owner's Contractor
Name
CONCRETE ELECTRICAL. = !! . MECHANI • , L
BUILDING
Framing ❑ Footing ❑ Rough Wiring ❑ Rough [1 Air C & ❑
❑ Aa Cond.
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out fl F i ace ❑
Lintel ❑ Final ❑ Sewer
Insulation ❑ Pre Fab
READY FOR INSPECTION
Mon. Tues. ` ACP Thurs. Friday • •
�" ��"� A.M.
P.M.
Inspection Made r
\ x\ Final Inspection ❑
Inspector Certificate of Occupancy ❑
Date
,
Duval County Property Appraiser - Parcel Summary Page 1 of 1
'Parcel Summary - Values from the 2001 Certified Tax Roll
'RE No.: 172327 0010
(Owner's Name: MULLIS , LESTER G ESTATE
(Property Address: 1611 MAIN ST N 'Unit No.
ATLANTIC BEACH 132233
'Mailing Address: C/O NANCY PARRISH
'ATLANTIC BEACH , FL 132233 -1940
Property Use: 1292 RES /COMM ZONING
'Legal description: 17- 2S -29E PT GOVT LOT 4 RECD O/R BK 4637 -99
(Neighborhood: 129241 1292'S MAYPORT Sec -Twn- Range: 17 -2S -29E
OR BK & Page: 05312 -0897 Map Panel: 556A2
Sale Date: 4/6/1981 'No. Buildings: 1
Sale Price: $100.00
Land Value: $21,250.00 Heated Area: 864
Class Value: $0.00 Exterior Wall: CONCRETE BLOCK
Improvements: $26,300.00 Taxing Authority: USD3
Market Value: $47,550.00 County Tax: $130.30
Assessed Value: $43,967.00 School Tax: $152.94
Exempt Value: $25,500.00 District Tax: $56.00
Taxable Value: $18,467.00 Other Tax: $9.24
Sr. Exempt: $0.00 Voted Tax: $11.29
'Sr. Tafxable: $0.00 Total Tax: $359.77
This page displays values from the 2001 Certified Tax Roll with weekly updates of
ownership & sales.
Map -It maps & data are updated & maintained by COJ -GIS, not the Property Appraisers
. Office.
Please direct inquiries regarding the maps & data to Map -It Feedback (below), not the
Property Appraisers Office.
[n. a-- VI Map -It Feedback
Home PRC Map -IT Taxes Payment Feedback
Appraisal Feedback
http: / /pawww. coj . net /pub /property/RENO. asplkFNUM= 172327 +0010 05/20/2002
— CITY OF ATLANTIC BEACH
--- -
f
DEPARTMENT OF BUILDING
i 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247-5826 - FAX: 247-5877
- PERMIT INFORMATION
L.I.ATIOta' INFORM STREET
Permit Number: 23950
Address:
Permit Type: UTILITIES
Township: 0
ATLANTIC FLORIDA 32233
Class of Work: NEW
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision:
• ,
,-,
Est. Value: Parcel Number:
lmprov. Cost:
F W
IN
Date Issued: 4/25/2002 , -- Nam: °LESNTEERR LI
Total Fees: 1,250.00 (UNDER AGREEMEN
Etr , ) LA
Address: A1T611NMTAIC B EACH, , FLORIDA 32233
STREET
Amount Paid: 1,250.00 (uND ER AGREEMN
Date Paid: 4/25/2002 1
,
Phone:
Cl
- FEE i SEE AGREEMEN PAYMENT OF SEWER IMPA 1
i
Work Desc: ,
(°°°)°° 4/19/02
---- — CONTRACTOR(S) ___. ______
' ----- .7. - : -, :,-1:. :',:s.'ii 'i--.-.., : QT FEE
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h- STEEG PLUMBING
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ATLANTIC BEACH BUILb1NG DEPT.
CITY OF ATLANTIC BEACH, FLORIDA
UTILITY PAYMENT PLAN AGREEMENT
PROPERTY DESCRIPTION:
OWNER: Lester G. Mullis
1611 Main Street
Atlantic Beach, Florida 32233
RE# 172327 0010
LEGAL DESCRIPTION 17- 2S -29E Pt Govt Lot 4 Recd O/R Bk 4637 -99
TOTAL AMOUNT OF AGREEMENT: $4,179.97
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 3,000.00
TOTAL CHARGES: $4,250.00
AMOUNT TO BE FINANCED: 3,157.90
Less Down Payment 157.90
Payment of lien filing fee 10.50
TOTAL DOWN PAYMENT: $168.40
TOTAL AMOUNT FINANCED $3,000.00
LESS: Sewer Impact Fee 1,250.00
AMOUNT TO BE PAID TO PROPERTY OWNER $1,750.00
TOTAL AMOUNT OF LIEN $4,179.91
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 $34.83 per month
Total Interest over term of loan $1,179.91
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.
Property Owner
By __ ' ' ' Date:
Lester G. Mullis
City of Atlantic Beach
By: - 4411 111* Date: 1 - 1/ /9/0
- anon, ity Manager
4 .,,c k
r
p � BARBARA DIANE STEEL
y e MY COMMISSION # CC 735478
0 f�0� E XP IR ES: 052002
I - 800 -3- NOTARY Fla Notu Servtc @ Bondin Co
Prepared by and return to:
Debra A. Ramsay, Accountant
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 Lester
G. Mullis, 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 #: 172327 0010
LEGAL DESCRIPTION: 17- 2S -29E Pt Govt Lot 4 Recd O/R Bk 4637 -99
OWNER NAME &
PROPERTY ADDRESS: Lester G. Mullis
1611 Main Street
ATLANTIC BEACH, FLORIDA, 32233
This LIEN is to secure payment from LestG. Mullis to the City of Atlantic Beach in the
amount of $4,179.91.
4 '
$ itness (Sign Name) j OWNER: Lester G. Mullis
/-/) r, c-c I - AI,ilk -
Witness (Print Name)
CITY OF ATLANTIC BEACH
V
tness (Sign Name) By Olgatittart-.1
J14 / iM. f'randt Maureen King
Witness (Print Name) Certified Municipal Clerk
, Page 1 of 2 Mullis Lien
y Dcout
��� PN, BARBARA BARBARA DIANE STEEG
1 P MY COMMISSION # CC 735478
� �ECI i� � EXPIRES: 05/22(200_
I- 800.3- NOTARY Fla Notary Services & Bonding Co
STATE OF FLORIDA
COUNTY OF DUVAL
Sworn to and subscribed before me this day of C " / , 20QZ, by
and by Lester G. Mullis
who are personally known,to me or produced
as identification, and who did/did not take an oath.
Notary Public, State of Florida
My Commission expires: . — X2 0e.�
*a''° BARBARA DIANE STEED
MY COMMISSION *CC 735478
frtOi 01 EXPIRES: 05/22/2002
1- 800 -3- NOTARY Fla Notary Servwes & Bondtnl Co
Page 2 of 2 Mullis Lien
„ a
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 23880 Address: 1611 MAIN STREET
Permit Type: PLUMBING A TLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section :
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
j Date Issued: 4/16/2002 Name: LESTER MULLIS
' Total Fees: 50.00 Address: 1611 STREET
Amount Paid: 50.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/16/2002 Phone: (000)000 -0000
Work Desc: CONNECT TO CITY SEWER
CONTRACTOR(S) APPLICATION FEES
STEEL PLUMBING ''' 50.00
n
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PECTION
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BUILDING MATERIAL, s` - 3 i ! +� K t� 5 m: �' DIN. PUBLIC
- . - �_ zz��;:, ' OR OWNER
SPACE, AND MUS B ; , Wiz _ , . - .,. - - _ 4� -, • , E - 4 �
"FAILURE TO COMPLY x �' T IN THE
PROPERTY OWNER PAYIN t"`' : � ,5r
ISSUED ACCORDING TO APPROVED PLA *4', � < =w - .? IT AND SUBJECT TO REVOCATION
w.
- FOR VIOLATION OF APPLICABLE PROVISIONS e°
Oper: DSMITH Type: OC Drawer: 1
Date: 4/2542 81 Receipt no: 53137
•
0..—...... 14 PERMITS- BUILDING 1 858.88
1611 MAIN ST
AT NTIC BEAC BUILD G-DEPT. CK CHECKS 5833 858.:
Trans date: 4/25/82- Tine: 15:54:19
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: /o/l /O S
OWNER OF PROPERTY: /t'?4 44/ S TELEPHONE NO.
PLUMBING CONTRACTOR cS ' t /14 ( 2 G
CONTRACTOR'S ADDRESS: 4L)/ if,,J -, 5t 4
STATE LICENSE NUMBER: (W1)371 TELEPHONE:,429? S /
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 1
TOTAL FIXTURES: x $3.50 + $15.00
MINIMUM PERMIT FEE — $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
;;.'
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
CITY OF ATLANTIC BEACH
DEPARTM OF BUILDING
800 SEMINOLE RO - ATLANTIC BEACH, FL 32233 -T EL : 247 - 58 26 - FAX 247 -5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 23893 Address: 1691 IC- itlFAIN STREET
Permit Type: UTILITIES ATLANT FLORIDA 32233
Class of Work: NEW T ownshi p: 0 Range: 0 Book:
ProposedUse: Lot(s): Block: Section: 0
Square Feet.
Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 4/19/20 Name: LESTER MULLIS
Total Fees: 645.00 Address: 1611 MAIN STREET
Amount Paid: 645.00 ATLANTIC BEA FLORIDA 32233
Date Paid: 4/19/2002 Phone: (000)000 -0000
Work Desc: INSTALL 3/4" WAT SERVICE
CONTRACTORS . �� - • -. _ APPLICATION FEES
STEEL PLUMBING � S EE 200.00
85.00
- 4 at - 325.00
r r ° - 35.00
' + fi , '" � + _ . 'Z-- - Wit
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NOTI s_ ��1 ° ECTION 1 .
BUILDING M ATER a ti �a z , :AA BLtC SPACE AND
MUSTBE'CLEARE[. ", „ aka � fi F ' �x;,z z c'
. -. ,, ...�� .ems _ . -
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"FAILURE TO COM y
�
�� ... � ,��. ,-.� , ,-!.• . ,- e1 ;�.' �.. � T IN THE
PROPERTY OWNER . f i I w 3 , �
may.. ~ 7! - _
ISSUED ACCORDING TO APPR -� — AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE ' _. , ;
• •
•
Oiler: D' IITH TYPe: OC
Draw 53139
Date: 4/c''5/82 81 Receipt no:
.--� 54 i�TBR C CT. 1 •M
A NTiC B � C BUIL EPT. CK DECKS 1494 $645.811
Trans + " •
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247-5826 - FAX: 247-5877
' — — PERMIT INFORMATION
-[ LOCATION INFORMATION
_
Permit Number: 23950
I Address: 1611 MAIN STREET
Permit Type: UTILITIES
ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: 1
Lot(s): Block: Section: 0
Subdivision:
Square Feet:
Est. Value:
Improv. Cost: O
[ Parcel Number: •
,
WNR E INFORMATION --- '1
Date Issued: 4125/2002
Name: LESTER MULLIS
Total Fees: • 1,250.00 (UNDER AGREEMENtU) Address: 1611 MAIN STREET
Amount Paid: 1,250.00 (UNDER AGREEMEN) ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/25/2002 i Phone: (000)000-0000
L r
I — Work Desc: PAYMENT OF SEWER IMPACT FEE / SEE AGREEMENT DATED 4/19/C2
r
,
L CONTRACTOR/S) APPLICATION FEES
_,, - -:::::::.,::: , :' , . - - - : - 7. - 0. . :' : im A CT FEE 1,250.00
_ _
- STEEG PLUMBING 4
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OM " . 'Y'VANP TW0- 9* UEN- LAW C ,11.":titX":"
"FAILURE TO C ....,_. •=t ,7:1 , . -: ...,:.-,....: + CONS C
,.- . - ,,• !--- ' - ' 3.:
I
PROPERTy OWNER " -, -1 . ...140: - ‘, : '':: ;. .„2,,..... ,....._ -
_
_
. ,
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ISSUED ACCORDING TO APP % 14 ...,_,....,..--..--', -:::- ._Nser .S ';-:.',',;•':.,-". 1 L -=-;*.-,:--;:,,:, '-
OR VIOLATION OF APPLICABL --' " A., . : :A 4 : 1;.0 1,...,4" . .
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,
I
■
,1
( , \ '
ATLANTIC BEACH BUILbING DEPT.
CITY OF ATLANTIC BEACH, FLORIDA
UTILITY PAYMENT PLAN AGREEMENT
PROPERTY DESCRIPTION:
OWNER: Lester G. Mullis
1611 Main Street
Atlantic Beach, Florida 32233
RE# 172327 0010
LEGAL DESCRIPTION 17- 2S -29E Pt Govt Lot 4 Recd O/R Bk 4637 -99
TOTAL AMOUNT OF AGREEMENT: $4,179.97
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 3,000.00
TOTAL CHARGES: $4,250.00
AMOUNT TO BE FINANCED: 3,157.90
Less Down Payment 157.90
Payment of lien filing fee 10.50
TOTAL DOWN PAYMENT: $168.40
TOTAL AMOUNT FINANCED $3,000.00
LESS: Sewer Impact Fee 1,250.00
AMOUNT TO BE PAID TO PROPERTY OWNER $1750.00
TOTAL AMOUNT OF LIEN $4,179.91
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 $34.83 per month
Total Interest over term of loan $1,179.91
LIEN: A Iien in the amount of the TOTAL AGREEMENT above shall be executed and
recorded a ainst the above referenced roe . The owner all recording fees and costs involved with the execution f the lien. agrees Un to pay
payment being made in full, the lien shall be released of record. po
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 timel make the
above payments, including reasonable attorneys fees and court costs. y
The City of Atlantic Beach looks forward to cooperating with you under this agreement.
Property Owner
�--� — ' Date:
Lester G. Mullis
City of Atlantic Beach
By : Date: 4 1/ i1/ 2
- an on, City Manager
3 et la ( —CV f
ry
+', BARBARA DIANE STEEG
P ! MY COMMISSION A+ CC 735478
1.4 OP EX'PIR=
�- SOQ -3. .S 05/7272002 NOTARY Fla Notary Sw,Ces & BC,M ro
Prepared by and return to:
Debra A. Ramsay, Accountant
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 Lester
G. Mullis, 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 #: 172327 0010
LEGAL DESCRIPTION: 17- 2S -29E Pt Govt Lot 4 Recd O/R Bk 4637 -99
OWNER NAME &
PROPERTY ADDRESS: Lester G. Mullis
1611 Main Street
ATLANTIC BEACH, FLORIDA, 32233
This LIEN is to secure payment from Lestti\ G. Mullis to the City of Atlantic Beach in the
amount of $4,179.91.
i fitness (Sign Name)
OWNER: Lester G. Mullis
/ -/o r % cc /
Witness (Print Name)
/-/- t. CITY OF ATLANTIC BEACH
mess (Sign Name) By
Judie frt. >SratLd t Maureen King 411
Witness (Print Name) Certified Municipal Clerk
/6/14 C� j u /_ Page 1 of 2 Mullis Lien
4 ,%, BARBARA DIANE STEEG
V
.,. MY COMMISSION # CC 735478
STATE OF FLORIDA
COUNTY OF DUVAL
Sworn to and subscribed before me this
_a d a y o f ,( 20 by
and by Lester G. Mullis --- ---- --
who are Dersonajj „ to me or produced
as identification, and who didldid not take an oath.
Notary Public, State of Florida
My Commission expires: -- //
,V BARBARA DIANE STEED
,n MY COMMISSION * CC '3$478
io
OF E�� EXPIRES: OS/222OO2
I-800-3-NOTARY Fla Notary y Scrnces at Bonding Ca
.ew.
Page 2 of 2 Mullis Lien
CITY OF
>it/x itc'c bead wtidet
iti _ 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233 -5445
*"ft ,: TELEPHONE (904) 243.5800
. FAX (904) 247-5805
Date: y -/ 0e--
/ 6 // i¢jN .5 7,
Dear Property Owner:
The costs to connect your building to the City sewer and /or
water system are as follows:
Sewer Tap - Labor and Materials to tap into
sewer main - $ Q
Water Tap — Labor and Materials to tap into
water main $ C)
Water Meter.- Cost of Meter $
Cross Connection Inspection - Inspection by
Public Works to ensure backflow
prevention $ 3
Sewer Impact Fees - Funds future expansion
of the sewer plant $ /
Water Impact Fee - Funds future expansion
of the water plant $ 1-
Capital Improvement - Funds for improvements,
expansion or replacement to .--
water system $ 3 ,-S
TOTAL COSTS $
If you have any questions concerning these charges please call
the building department at 247 -5826.
Sincerely,
Don C. Ford _ \�
Building Official
DCF /pah
r , • , CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
i .
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247-5826 - FAX: 247-5877
I
1 — PERMIT INFORMATION •
LOCATION INFORMATION _1
;
1 Pemit Number: 23950 Address: • 1611 MAIN STREET
I
Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 1
I Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use:
Lot(s): Block: Section: 0
Square Feet:
Subdivision:
Est. Value: Parcel Number: •
_
Improv. Cost:
OWNER INFORMATION 7 i
Date Issued: 4/25/2002 Name: LESTER MULLIS i
1
; Total Fees: 1,250.00 (UNDER AGREEMEN ) Address: 1611 MAIN STREET 1
Amount Paid: 1,250.00 (UNDER AGREEMEN ) ATLANTIC BEACH, FLORIDA 32233
I
Date Paid: 4/25/2002 Phone: (000)000-0000
Work Desc: PAYMENT OF SEWER IMPACT FEE / SEE AGREEMENT DATED 4/19/02
CONTRACTOR'S)
APPLICATION FEES . 1
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P - OR' - 14.0 . 0 TION
NOTICM'Its4AREO, i',:f. , ' ''..:,,=*;: :': ..., BM - RttltfEscrACtqkT,,Letksfr24,,figsuR _Rt . :: ,
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MU BUILDING MATERIA -.. '..f:1;tiLIBEtit: :-'-:; 7,V...74,1 ..';'-k...,,,..,'.‘-.,',I' ' .°1:::.' . c 4. :-.03:IW .,..'' IC SPACE, AND •
ST BE CLEARED' .-..:AtstrX - ''t - -- - ve' - ',1-=' , ",-.'",--',-- -. - , - - ' - '-, t - ._ , ..:! - Olf - 01 , : . ” ..:::.
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"FAILURE TO COM — VIIIVW ,:. ` - i r:.: CONSTRIXTPIIIIK MEN-•LAW C ' Jilt. ES- W. • ,,, THE
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PROPERTY OWNER - -: --; "=:.: -',..=': . o";:lit'''' littia- IMPRO - . 44.4:017.'ilgr':'' • _I
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ISSUED ACCORDING TO APP .....,,,,,,:. ,.. N Fit :,:::::T-.. .. T .. . .. : ' : _ ::: ' 1 i ....:' 4,:::-..:. .-4:...:...-..:,-,--- - - . ■
- ' 4 3 i'ri' '.....--‘41', - % - * ...! ' '• ''''4 7.: : 1 ,T : : . : i'- ■ SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABL ' '" :-: 4 . "'4_ : ;'4 .- :::ik: - 4 , ''''';IA'::'-::' .. i. ,k-„,
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ATLANTIC BEACH BUIL ING DEPT.
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CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32283 -5445
TELEPHONE (904) 247 -5800
FAX (904) 247 -5805
SUNCOM 852 -5800
January 15, 1997
Mr. Lester Mullis
1611 Main Street
Atlantic Beach, Fl 32233
Dear Mr. Mullis:
Our records indicate that you are the owner of the following property in the City of Atlantic
Beach, Florida:
Re : 1611 Main Street
a/k/a : PT Govt, Lot 3, Recd, O/R Bik 4637-99
Re# : 172327 -0010
Investigation of this property discloses that I have found and determined that you are in violation
of City of Atlantic Beach Ordinance Chapter 17, Section 17 -8 8t 17 -31.
Unpermitted sign (17 -31)
Sign fastened to tree (17 -8)
You are hereby notified that unless the conditions above described are remedied within 5 days
from the date of your receipt hereof this case will be turned over to the Code Enforcement Board.
Under Florida State Statute 162.09, the Code Enforcement Board may impose fines of up to
$250.00 per day for a first violation and $500.00 per day for a repeat violation.
Sincerely,
xarl Gr� a �---.�
Code Enforcement Officer
KWG /gah
cc: Public Safety Director
Certified MaiVRettun Receipt Requested
c.e.c. 7162
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i , : Corn �Reme 1 and 2 when additional services are desired, and complete items
Put Per ss in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this 3 and
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es an a ax ee for additional tiorvi celst requested.
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Certified ❑ COD
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Always obtain signature of eddreeses
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6• Signature — Address S. Addressee's Address (ONLY (/
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