Permit 2021 Mayport (vault) `IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Air .
Application Number 05-00029762
Property Address . . Date 2/22/05
Tenant nbr, name � � 2021 MAYPORT RD
CONNECT TO CITY WATER
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
HABICHT, ED CITY OF ATLANTIC BEACH
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 537-4623
----------------------------------------
ermit . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee
Issue Date 2/22/05 Valuation . 00
Expiration Date . . 8/21/05 0
--------------------- ---------------------
Other Fees . . . . . . . . . CAPITAL IMPROVEMENT 325 . 00
TER IMPACT FEE 130 . 00
WATER CONNECT/TAP & METER 525 . 00
WATER CROSS CONNECTION 35 . 00
Fee summary Charged Paid Credited Due
--- -------
Permit Fee Total . 00 . 00 . 00 . 00. 00 . 00
Plan Check Total . 00 . 00
Other Fee Total 1015 . 00 1015 . 00 . 00 00
Grand Total 1015 . 00 1015 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUILDING OFFICIAL
F"t,4
CITY OFATLANTIC BEACH
J .y 800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX: (904)247-5805
w.- SUNCOM: 852-5800
http://ci.atiantic-beach.fl.us
Date: 5
Name: d\ Gl l�1 (,�� C e[ j 5-3--)
Address: n/1 A�g va�� Q�Q
The cost to connect to the City sewer and/or water syste are as follows: /4 Ujj
Sewer Tap –Labor and Materials to tap into sewer main
(Estimate from Public Utilities) $ d
Water Tap –Labor and Materials to tap into water main
(From Ord. 22-28) $ 2
Water Meter-Cost of Meter (85.00)
Cross Connection Inspection -Inspection by Public Works
to insure backflow prevention
(35.00 '/4"–Ord. 22-28(a)) $ 35'
Sewer Impact Fees–Funds future expansion of the sewer
plant
(1250.00 each living unit–Ord. 22-17-0)
Water Impact Fee–Funds future expansion of the water
plant
(From Building Dept. – Ord. 22-29 FLA. Plumbing Code) $ ( 3 Q
Capital Improvement–.Funds for improvements, expansion
or replacement to water system
(325.00–Ord. 22-28) $ 3 �2 J—
TOTAL COSTS $ O I
DCF/js
PSC 2000 Series 2410 Log for
Personal Printer/Fax/Copier/Scanner City of Atlantic Beach Bui
904-247-5845
Feb 16 2005 9:31AM
Last Tran&vjijQfl
Dae Time T= Identification Duration Paged Resin
Feb 16 9:30AM Fax Sent 92239593 0:25 1 OK
\NTIC BEACH
s `J C - )0 Seminole Road
j h, FL 32233-5445
..
.07
"~ e: (904) 247-5800
ry x: (904) 247-5845
www.coab.us
Date:
_ �wr-�a2D -i Zo Z f ►'—t+ VER)WATER
Name JOTE SHEET
Address v ZO I 1 >�D IS
Telephone#
�V�q I
The costs to connect your building to city: and/or system are:
SEWER ATER
%
Sewer Tap Labor and materials to tap into sewer main $
Water Tap Labor and materials to tap into water main =525.00 560.00
Water Meter Cost of Meter $
Cross Connection Inspection by Public Works to ensure
$ :500)
35.00
Inspection backflow prevention
Sewer Impact Funds future expansion of the sewer plant $
Fees
Water Impact Funds future expansion of the water plants $
Fee
Capital Funds for improvements, expansion or $ 325.00 550.00
Improvement replacement to water system
TOTAL COSTS 85.00 1145.00
Homeowner must hire a plumber to install a backflow preventer and make the connection from the private
property.
WATER IMPACT FEE WORKSHEET
ADDRESS: 2017 H,4YOD& i A v T o SA,c 6- S
DRAINAGE
FIXTURE TYPE FIXTURE UNIT
VALUE AS LOAD FIXTURES UNITS
Automatic clothes washers,commercial 3
Automatic clothes washers, residential 2
Bathroom group consisting of water closet, lavatory,
Bidet, and bathtub or shower 6
Bathtub(with or without overhead shower or whirlpool
attachments 2
Bidet 2
Combination sink and tray 2
Dental lavatory
Dishwashin machine,domestic 2
Drinking fountaiNlcemaker Yz
. S
Floor drains 2
Hose bib 1
Kitchen sink, domestic 2
Edishwasher
n.sink, domestic with food waste grinder and/or
2
y tray(1 or 2 compartments) 2
Lavato 1 � I
Shower compartment domestic 2
Sink
2
Urinal
4
Urinal, 1 allon per flush or less
2
Wash sink(circular or multiple)each set of faucets 2
Water closet,flushometer tank, public or private 4 J
Water closet,private installation 4
-------------
Water closet,public installation G
TOTAL NUMBER OF UNIT S--
MULTIPLIED X 20
TOTAL$ 3 6
�T
WATER / SEWER
CAPACITY FEE BREAKDI
CUSTOMER NAME: r r� , , ' 1d14 j
SERVICE ADDRESS : A0 j 1V j 4)f2 j !fib M�U/� Tjl�
CITY: 'QFC Sd.v;.o� /W STATE: f 6
SUBDIVISION : CL�,fjC�1/l��' LOT# : 7'r
CONTACT PERSON : ,FNJA/zb /��jC�l- tryry i AV i v
LIST ALL FIXTURES OR OUTLETS FOR THE PREMISE
FIXTURE E- JQUANTITY WATER WATER ::��EER
UNITS TOTAL SEWER TOTAL
BAPTISMAL 2 2
BATHTUB/SHOWER 2 2
BIDET 1
CAN WASH 3 5
DISPOSAL, COMMERCIAL 0 6
DISPOSAL, RESIDENTIAL 0 1
DISHWASHER, COMMERCIAL 6 6
DISHWASHER, RESIDENTIAL 2 2
DRINKING FOUNTAIN 1 0.5
FLOOR DRAIN 0 3
HOSEBIB 2 0
HUb DRAIN 0 1
ICEMAKER 0.5 0
LAUNDRY,TRAY 3 2
SINK, BAR 1 1
SINK, BATHROOM 1 1 /
SINK,KITCHEN 2 2
SINK, RESTAURANT 4 4
SINK SERVICE 2 3
TOILET TANK TYPE 1.5 1,5 2 /
TOILET TANK TYPE 3 4
TOILET VALVE TYPE 6 6
URNIAL 3 4
WASHING MACHINE,
COMMERICAL 10 10
WASHING MACHINE,
RESIDENTIAL 3 4
TOTAL UNITS :
APPLICANTS SIGNATURE :
WATER CAPACITY FEE SEWER CAPACITY FEE
Minimum Base Fee $140 Minimum Base Fee $1,025.50
Fixture Unit Value x 13.9 gpd x $0.40 = $ Fixture Unit Value x 13.9 gpd x$2.93 = $
Effective 10/1/04
WATER/SEWER METER
INSTALLATION • N - COMMERCIAL
CUSTOMER NAME 6 Ie4r ACCOUNT#:
SERVICE ADDRESS : 'Zp(`7 /1/1,4 p -- /Z/� PREMISE CODE:
CITY: f SON U/ //,F- STATE: ZIP CODE :
SUBDIVISION : CL,CA-1Zrrj ,,'� fi!Z LOT: y COUNTY: tJL
PAYER OF FEES : E;j 16J }" k446 7--
q0/ PHONE : '?p4 5 -7_ cf(a 2,3 CONTACT PERSON : jf bAJ4/v) 61 ff-
�'/r SERVICE NEED DATE : ASAP
lll((( *** Please note: In accordance with Section 104 of JEA's Rates and Tariffs, JEA reserves the right to
charge fees in addition to the standard fee depending upon the complexity of the installation, including
full-tap service installations in newly paved roads or DOT ri hts-of-wa .
COST INFORMATION
INDICATE METER
SIZE REQUESTED I ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
METER SIZE 3/4" 1" 1 1/2" 2" 3" 4" 6" a" 10" +
WATER FULL TAP *$444,00 *$475.00 *$776.00 $2,200.00 Special Special Special Special Special
(Includes Meter) Estimate Estimate Estimate Estimate Estimate
WATER PREPAVE $90.00. $106.00 $279.00 $400.00 $5,532.00 $8,830.00 Special Special Special
Estimate Estimate Estimate
SEWER PREPAVE _—_— »»-- *$422,00 *$422.00 -
SEWER UNPAVED __. _____»» » .»._»» _»__»_ »..»_- *$740,00 Special Special
Estimate Estimate
SEWER PAVED -- -------» _..»»_ »»».__ ».»». __»_»» *$1.373.00 Special Special
Estimate Estimate
SERVICE INFORMATION
FEE CATEGORY : PREPAVE ❑ STANDARD ❑ INDICATED BY STAKES YES ❑ NO ❑
SERVICE TYPE : WATER ❑ WATER/SEWER SEWER ❑ OTHER ❑
WATER DETAILS
LOCATION :
SERVICE SIZE : TAP SIZE :
SEWER
LOCATION :
SERVICE SIZE : TAP SIZE :
COST DETAILS
WATER WATER WATER SEWER SEWER SEWER SEWER
FULL TAP PRE PAVE CAPACITY PRE PAVED UN PAVED PAVED CAPACITY TOTAL COST
APPLICANTS SIGNATURE : DATE:
Effective 10/1/2004
PSC 2000 Series 2410 Log for
Personal Printer/Fax/Copier/Scanner City of Atlantic Beach Bui
904-247-5845
Feb 09 2005 12:38PM
Last Transaction
DW-e, Time
nsaction
g TXI Identificatio DUE i PAW Result
Feb 9 12:38PM Fax Sent 92475872 0:34 3 OK
o — — — — LOT
0
108.2'
SIGN i.o'•
FOUND 2" IRON SIGN J1 I
PIPE (N READ
0.3' CONCRETE 0.4 ONE STORY FRAI
PWOOD
ER
POLE S8J•VO'OON
I (S89'04'06"W 140,0:
FOUND NAIL d�
DISK (LB 1674)
FOUND 1/2- IRON
PIPE (LB 6645) — — LOT 8
S89'30'00"W 140.00' LOT 9
NOTES:
1. THIS IS A BOUNDARY SURVEY.
2. BEARINGS BASED ON THE SOUTHERLY LINE OF LOT 8
BEING SOUTH 89'30'00" WEST AS PER PLAT.
3. NO BUILDING RESTRICTION LINES AS PER PLAT.
4. CLEARVIEW LANE IS A 12 FOOT INGRESS AND EGRESS
EASEMENT DESCRIBED IN DEED BOOK 1056, PAGE 88 AND
IN DEED BOOK 1269, PAGE 71, ALL OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, BEING THE SOUTH 6
FEET OF LOT 6 AND THE NORTH 6 FEET OF LOT 7.
THE PROPERTY SHOWN HEREON LIES IN FLOOD ,A
ZONE 'Y' (AREA OUTSIDE 500 YEAR FLOOD
PLAIN) AS DETERMINED FROM THE FLOOD k
INSURANCE RATE MAP, COMMUNITY PANEL
NUMBER 120077 0242 E, REVISED AUGUST 15,
1989 FOR CITY OF" JACKSONVILLE, DUVAL
COUNTY, FLORIDA.
VALID WITHOUT THE SIGNATURE AND THE
f
MAP SHOWING
A PART OF LOTS 7 AND 8, CLEARVIEW
AS RECORDED IN PLAT BOOK 16, PAGE
DUVAL COUNTY, FLORIDA, MORE PARTICI
BEGINNING AT THE INTERSECTION OF TH
WITH THE PRESENT EAST RIGHT OF WAI
RUN NORTH 89' 30' 00" EAST ALONG S
140.72 FEET; THENCE RUN SOUTH 0' X
N A POINT; THENCE RUN SOUTH 89' 30'
SOUTH OF ,AND PARALLEL TO THE NORT
it DISTANCE OF 140.00 FEET, TO THE AFOI
LINE OF THE NEW MAYPORT ROAD; THEI'
a SAID PRESENT EAST RIGHT OF WAY LINE
N OF 83.00 FEET TO THE POINT OF BEGINI
6.00 FEET OF THE AFOREMENTIONED LO'
LESS.
w
z
J
} W
Q z
3
I J
W O}
O Q
2 �OO
W O
POINT OF BEGINNING o
CNCRE` (N89'28'39"E 1
TE
LIGHT POLE FOUND IRON I N89'30'00'
ROD (ACM 6702)
SET i 2' IRON CLE L01
PIPE L8 3672)
SET M 0 NAIL ,; 12' EASEMENT LQT
DISK ( 6 3672)
ASPHALT ROAD
0 � O
QJ
0 W
Li M
} 0 3 109.8'
a o
3
I � �
I"- w a0 c)01 _ .
I M c O
�. I O !k
N
22.1'
4' CHAIN LINK I-ENCF -0.5, 01.
GARAGE 0 I t:Nt,C r, nr FI NCE
0.1' FOUND 1/2" IRnN
11
140.00' PPE (NO CAP)
1.0' NORTHERI
' IRON TO IRON)
0 0
a� o
In
i rn rlf .,�A UPON
,'„f INS-i f'nf l
THIS SURVEY WAS MADE FOR THE BENEFIT OF
JOE NEDEAU; EDWARD H. HABICHT;
ATTORNEYS' TITLE INSURANCE FUND, INC.; AND
LAWRENCE E. HAYDEN, JR., ESQUIRE.
DONN W. BOATWRIGHT, P.S.M.
SURVEY OF:
"ARK, ACCORDING TO THE PLAT THEREOF,
1, OF THE CURRENT PUBLIC RECORDS OF
CARL DESCRIBED AS FOLLOWS:
NORTH BOUNDARY LINE OF SAID LOT 7
LINE OF THE NEW MAYPORT ROAD; THENCE
kID NORTH LINE OF LOT 7, A DISTANCE OF
00" EAST, A DISTANCE OF 83.00 FEET TO
0" WEST ALONG A LINE LYING 17.00 FEET
q LINE OF THE AFOREMENTIONED LOT 8, A
EMENTIONED PRESENT EAST RIGHT OF WAY
CE RUN NORTH 1' 00' 00" WEST ALONG
OF THE NEW MAYPORT ROAD, A DISTANCE
ING, EXCEPTING THEREFROM THE NORTH
7, CONTAINING 0.25 ACRES, MORE OR
0.00' FIELD)
140.72'
— _ SET MAG NAIL &
DISK. (LB 1672)
6
7 ASPHALT ROAD SET MAG NAIL &
DISV ('LB 3672)
FENCE 10 LIHI
Lcirn
N vi
N O
O c�
• J
W
22.1' 8.6' 00
O
LIJ
N
:.i 00
0 W
LL1 O
rev 10 U, UJ: ala 4.1 bz UT n .aea.a .. acoa. uv aa+'* �� • •+ + � r• +
r 4. . .,. CITY OFATLAINTIC BEACH.
800 SEMINOLE ROAD
�3. ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247.5805
SUNCOM:852-5300
http://ci.atlantic-beacli.fl.us
Date:
Name: - N(,k�\ + C
Address:
The cost to connect to the City sewer and/or water syste are as follows: /ct
Sewer Tap --Labor and Materials to tap into sewer main
(Estimate from Public Utilities)
Water Tap—Labor and Materials to tap into water main
(From Ord. 22-28)
Water Meter—Cost of Meter(85.00)
Cross Connection Inspection -Inspection by Public Works
to insure backflow prevention
(35.00'/4"—Ord. 22-28(a)) S 3
Sewer Impact Fees—Funds future expansion of the sewer
pmt
(1250.00 each living unit—Ord. 22-17-0) $
Water Impact Fee—Funds future expansion of the water
plant
(From Building Dept.—Ord-22-29 FLA. Plumbing Code) S ! -� C
Capital Improvement—Funds for improvements, expansion
or replacement to water system .-
(325.00—Ord. 22-28) S 3 2
TOTAL COSTS S 0
DCF/Js