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Permit Plbg Septic to Sewer 56 W Dutton Isl 2012 ly-�►.��1r`1r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 N INSPECTION PHONE LINE 247-5814 .rJit Application Number . . . . . 12-00000889 Date 7/16/12 Property Address . . . . . . 56 W DUTTON ISLAND RD Application type description PLUMBING ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc NEW CONNECTION TO CITY SEWER ---j------------------------------------------------------------------------ Owner Contractor QUEST, JOSEPH T DAVID GRAY PLUMBING INC. 960 HAGLER DR 6491 POWERS AVENUE NEPTUNE BEACH FL 322663754 JACKSONVILLE FL 32217 (904) 246-3343 (904) 724-7211 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . NEW SEWER CONNECTION Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/12/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 08 10 12:54p Information SystemsClTY 0 904-247-5845 p,1 PLUMBING PERMIT APPLICATION CITY OF AT3LANT YC BEACH 800 Seminole Rd Atlantic Be" FL 32233 Ph(904) 247-5$26 Fax(9044) 247-5845 JoB ADDRESS: �tG� ! Z'TO�1 TS L�+� err V'G PERYErr# R1 'FPLAMAEN'u INSTALLATION: Project Value$ OTY 7'ypE o F FixTuRE orY Bathtub Septic Tank cob Pit Clothes Washer Shower Dishwasher Shower lean Drinking Fountain Slop Sink Floor Thain Three Compartment Sink Floor Sink Toilet Alose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances r Water Heater -Lavatnt`�ihe -F%tures ft VtO.Q �— Water Treafing System RE-PIPE: T'YPE OF FEUVIZE Q77 TYPE of F=RE QTY ]Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinldn-Fountain Stop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers U311ndry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ewer Replacement ❑ Basic Flow Preventer ❑ Grease Interceptor(Trap) _gallons(Requires 3 sets of p1=5) ❑ '.Sprinkler System Number of Heads ❑ Well ** ** S.TRWD 'F%e11 Completi®n Form. Completed form to be submitted to the Building Department for final inspection.=* ❑ Other. . Permit becomes roid 77 77 does not continence within a six month period or work is suspended or abandoned for six months.I hereby certifv that I have read this sppiicarioxi and know the same to be true and correct. Al provisions of laws and ordinances governing this wofx will be complied with whether specified or not The pe;nmt does not give authority �.ttoo-violate �the rpro si of an athcr state or local law regulation construction or the perfo ,( e offcoonnsw/c on, Property Owners Name F�r�H � Y'�V 1�� �'l-1�� Phone Number�W''L�►�'"r � Phnnbing Company D��t�� ?'�_�N 2�i��bi914�, Inc. OfEce Phone Co. Address: ,_ _ ,• City State Zip License Halder(Print): �/,Gf�d�4 � 't��C19� State Certification/Registration# G c/f 0;'2 A T Notarized Signature of License Holder .100, ..// Sworn and subscribed before me this sy of ;�UL Y 204 Z Signature of Notary Public - 1'+ Jul 02 12 08:43a DAVID GRAY PLUMBING 904 723 5668 P.1 Mar 08 10 12:54p inforrnaton Systerie. Y C 904-247-5345 01 PT U-NMI TG PERMITPLICA1�YON TTY OF ATIGAN'T3[C ]BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904)247-5845 9 .REPLAMMENI`INSTALLA'TON: Project Vela e S 7'1PEo1�F.rxz2rx O ?'rTi OF UTv Bathtub Septic Tank&Pit Clothes Washer Sbower ,Dishwasher •Shaver Drinking Fountain Slop Sink Floor Drain Three CompartmEnt Sink Floor Sulo Toilet 14-05e$ii:s '.9rin4i Kitchen Sink Vacuum Breakers Laundry Tray Nater Connected Appliances Lavatory Water l�+eater Mer xxtures S'tve,04 Water Treafiing System TYPE of F3X rwE Qr3' TYPE OF FDcry izE' $athtub Sepdc Tank&P--t: Clothes Wasber Shower Nshwasher Shower Pan Ddaldn-Founta� " SIoQ S.inlc k 3.oer Drain _....__ Threv Compazt ent.Sink Floor Sink ur;xa Tose Bibs �,;rza.[ Kitchen Sink Vacuum Br--4.4= 151X Laundxy Tray" WatcT Connerted Appliances Lavatory Wates Hepter Other Figures Weer Treating Systern AUSCELL,ANIEGUS: .ewer Rqplacement ❑ Back Flow Preventer © Grease Fnterceptor r m,,D) gallons(�es:res 3 suis of p ws) ❑ Lawn Sp n'4er System NT-=ber of Heads G �Te *� S.�WD Well Ccrnpletior�o pleted Gran to be s tied te Buildix� Depastrxaerd fcr Emil impection.�� ❑ Other.- . Porrlit becomes void if works does not comrnrxce within a six month period or work is suspcndec or ab.^_ndoncd for six months.:hereby certify that:have rem this application=d]mow the same to be true and=rccr. All provisions of laws and ordinances governing this warty veil:be corapiicc wwth whethrr ifiad or nvt. :be pr nit does not give autbcrity too Aclatc the Prov'i o€an e'tbcr staza or local]a^w se sPc- ,,��,��..,, � � � � gul�on c�n.�cinn or Ihc-�crf(a�,�.�ancc�c-f�c��strs:/�oG. Pro erty Owners?`Tezne 1kr b� 1(lC� Phone Plumber -+�5P6l ' Plumbing Company Davj� �4bing Inc. Office Phare ��t�•r�.�.s wax�-� -.��;� . Co. •.,, ■��` bll {,:[,t 1�_�'p.,�.r• : ar curt �- ...I—�. .. y J '12,22, v c1 � state F Zip License Holder Store CertifcaricfReg:strarson e-_C p11 a%2.��� Notarazed Sk,Aatare of-License.Hodder Sworn and subscribed before m e tl2is � a,�o f ,r--��L Y 2p ,� 2- Signature ofNM)Iary Public �, (lei `J J 1 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000504 Date 7/11/12 Property Address . . . . . . 56 W DUTTON ISLAND RD Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SDC ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ QUEST, JOSEPH T OWNER 960 HAGLER DR NEPTUNE BEACH FL 322663754 (904) 246-3343 ---------------------------------------------------------------------------- Permit . . . . . . UTILITIES PERMIT Additional desc . . SDC Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 7/11/12 Valuation . . . . 0 Expiration Date . . 7/11/12 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER SDC-SYSTEM DEV CHG 4050 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4050 . 00 4050 . 00 . 00 . 00 Grand Total 4050 . 00 4050 . 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 m ' PUBLIC UTILITIES 1200 Sandpiper Lane ATLANTIC BEACH,FL 32233 (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date:-,r-Z3-1?- Project Address: ,5�oPj-:Tis/ , (2 W No. of Units: Commercial Residential - Multi-Family New Water Tap(s) & Meter(s) Meter Size(s) New Irrigation Meter Upgrade Existing Meter from to (size) New Connection to City Sewer ,tom Name: �7"�I� O } F-^Z-- Applicant Address: City:Atlantic Beach State: Zip: Phone Number: L5 Ga.$-/_f —Cell Number: Email Addressor mah lnooeS�0 and eorr7 Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# Water System Development Charge $ 7 f c t ,E�7- t,, P E, } UAIF Sewer System Development Charge $ 5d,06 O Water Meter Only $ „0- Water Meter Tap $ Sewer Tap $ (notes) Cross Connection $ Other $ TOTAL APPROVED: (Utili Director r Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CANBEASSESSED SCa CITY OF ATLANTIC BEACH, FLORIDA PAYMENT PLAN AGREEMENT PROPERTY DESCRIPTION: OWNER: Joseph T. Quest Day or Night Moves 1501 Atlantic Boulevard Neptune Beach, Florida 32266 PROPERTY ADDRESS: 56 West Dutton Island Road RE#: 172095-0000 LEGAL DESCRIPTION: 17-2S-29E .241 PT Govt Lot 3 Recd O/R 9463-558 TOTAL AMOUNT OF AGREEMENT: $5,199.97 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: System Development Charge $4,050.00 Filing Fees 35.50 TOTAL CHARGES: $4,085.50 TOTAL AMOUNT FINANCED $4,085.50 TOTAL AMOUNT OF LIEN $5,199.97 TERMS: Number of Monthly Payments 120 Due Date Due monthly Billing Monthly statement Payment Amount $43.33 per month Total Interest over term of loan $1,114.47 Interest Rate 5.00% LIEN: A lien in the amount of the TOTAL AGREEMENT above shall be executed and recorded against the above referenced properties. 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: Joseph T. Quest City of Atlantic Beach By: Date: Jim Hanson, City Manager 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 Joseph T. Quest, 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 system development charges on the following real property located in Duval County, Florida, more particularly described as follows: RE#: 172095-0000 LEGAL DESCRIPTION: 17-2S-29E .241 PT Govt Lot 3 Recd O/R 9463-558 OWNER NAME & ADDRESS: Joseph T. Quest Day or Night Moves 1501 Atlantic Boulevard Neptune Beach, Florida 32266 PROPERTY ADDRESS: 56 West Dutton Island Road This LIEN is to secure payment from Joseph T. Quest to the City of Atlantic Beach in the amount of$5,199.97. Witness (Sign Name) OWNER: Joseph T. Quest Witness (Print Name) CITY OF ATLANTIC BEACH Witness (Sign Name) By Donna L. Bartle City Clerk Witness (Print Name) Page 1 of 2 Quest lien STATE OF FLORIDA COUNTY OF DUVAL Sworn to and subscribed before me this day of , 2012, by , who is personally known to me or produced as identification, and who did/did not take an oath. Notary Public, State of Florida My Commission expires: Page 2 of 2 Quest lien Joseph T. Quest 56 West Dutton Island Road RE# 172095-0000 Loan 4,085.50 Total Payments 5,199.97 Rate 5.00% Total Interest 1,114.47 Mos 120 Total Principal 4,085.50 Principal Interest Payment Payment# Amount Amount Amount Balance 4,085.50 1 26.31 17.02 43.33 4,059.19 2 26.42 16.91 43.33 4,032.77 3 26.53 16.80 43.33 4,006.24 4 26.64 16.69 43.33 3,979.60 5 26.75 16.58 43.33 3,952.85 6 26.86 16.47 43.33 3,925.99 7 26.97 16.36 43.33 3,899.01 8 27.09 16.25 43.33 3,871.92 9 27.20 16.13 43.33 3,844.72 10 27.31 16.02 43.33 3,817.41 11 27.43 15.91 43.33 3,789.98 12 27.54 15.79 43.33 3,762.44 13 27.66 15.68 43.33 3,734.79 14 27.77 15.56 43.33 3,707.01 15 27.89 15.45 43.33 3,679.13 16 28.00 15.33 43.33 3,651.12 17 28.12 15.21 43.33 3,623.00 18 28.24 15.10 43.33 3,594.77 19 28.35 14.98 43.33 3,566.41 20! 28.47 14.86 43.33 3,537.94 21 28.59 14.74 43.33 3,509.35 22' 28.71 14.62 43.33 3,480.64 23 28.83 14.50 43.33 3,451.81 24I 28.95 14.38 43.33 3,422.85 25 29.07 14.26 43.33 3,393.78 26, 29.19 14.14 43.33 3,364.59 27 29.31 14.02 43.33 3,335.28 28' 29.44 13.90 43.33 3,305.84 29' 29.56 13.77 43.33 3,276.28 30 29.68 13.65 43.33 3,246.60 31 29.81 13.53 43.33 3,216.79 32 29.93 13.40 43.33 3,186.87 33 30.05 13.28 43.33 3,156.81 34 30.18 13.15 43.33 3,126.63 35 30.31 13.03 43.33 3,096.33 36 30.43 12.90 43.33 3,065.89 37 30.56 12.77 43.33 3,035.34 38 30.69 12.65 43.33 3,004.65 39 30.81 12.52 43.33 2,973.84 40' 30.94 12.39 43.33 2,942.89 41 31.07 12.26 43.33 2,911.82 42 31.20 12.13 43.33 2,880.62 431 31.33 12.00 43.33 2,849.29 44 31.46 11.87 43.33 2,817.83 45' 31.59 11.74 43.33 2,786.24 46 31.72 11.61 43.33 2,754.52 47 ! 31.86 11.48 43.33 2,722.66 48 ' 31.99 11.34 43.33 2,690.67 49 ! 32.12 11.21 43.33 2,658.55 Joseph T. Quest 56 West Dutton Island Road RE# 172095-0000 Loan 4,085.50 Total Payments 5,199.97 Rate 5.00% Total Interest 1,114.47 Mos 120 Total Principal 4,085.50 Principal Interest Payment Payment# Amount Amount Amount Balance 50 32.26 11.08 43.33 2,626.29 51 32.39 10.94 43.33 2,593.90 52 32.53 10.81 43.33 2,561.38 53 32.66 10.67 43.33 2,528.72 54 32.80 10.54 43.33 2,495.92 55 32.93 10.40 43.33 2,462.99 56 33.07 10.26 43.33 2,429.92 57 33.21 10.12 43.33 2,396.71 58 33.35 9.99 43.33 2,363.36 59 33.49 9.85 43.33 2,329.88 60 33.63 9.71 43.33 2,296.25 61 33.77 9.57 43.33 2,262.48 62 33.91 9.43 43.33 2,228.58 63 34.05 9.29 43.33 2,194.53 64 34.19 9.14 43.33 2,160.34 65 34.33 9.00 43.33 2,126.01 66 34.47 8.86 43.33 2,091.54 67 34.62 8.71 43.33 2,056.92 68 34.76 8.57 43.33 2,022.15 69 34.91 8.43 43.33 1,987.25 70 35.05 8.28 43.33 1,952.19 71 35.20 8.13 43.33 1,917.00 72 35.35 7.99 43.33 1,881.65 73 35.49 7.84 43.33 1,846.16 74 35.64 7.69 43.33 1,810.52 75 35.79 7.54 43.33 1,774.73 76 35.94 7.39 43.33 1,738.79 77 36.09 7.24 43.33 1,702.70 78 36.24 7.09 43.33 1,666.46 79 36.39 6.94 43.33 1,630.07 80 36.54 6.79 43.33 1,593.53 81 36.69 6.64 43.33 1,556.84 82 36.85 6.49 43.33 1,519.99 83 37.00 6.33 43.33 1,482.99 84 37.15 6.18 43.33 1,445.84 85 37.31 6.02 43.33 1,408.53 86 37.46 5.87 43.33 1,371.07 87 37.62 5.71 43.33 1,333.44 88 37.78 5.56 43.33 1,295.67 89 37.93 5.40 43.33 1,257.73 90 38.09 5.24 43.33 1,219.64 91, 38.25 5.08 43.33 1,181.39 92 38.41 4.92 43.33 1,142.98 93, 38.57 4.76 43.33 1,104.41 94 38.73 4.60 43.33 1,065.68 9511 38.89 4.44 43.33 1,026.78 96; 39.05 4.28 43.33 987.73 97 39.22 4.12 43.33 948.51 98' 39.38 3.95 43.33 909.13 99! 39.55 3.79 43.33 869.59 Joseph T. Quest 56 West Dutton Island Road RE# 172095-0000 Loan 4,085.50 Total Payments 5,199.97 Rate 5.00% Total interest 1,114.47 Mos 120 Total Principal 4,085.50 Principal Interest Payment Payment# Amount Amount Amount Balance 100 39.71 3.62 43.33 829.88 101 39.88 3.46 43.33 790.00 102 40.04 3.29 43.33 749.96 103 40.21 3.12 43.33 709.75 104 40.38 2.96 43.33 669.38 105 40.54 2.79 43.33 628.83 106 40.71 2.62 43.33 588.12 107 40.88 2.45 43.33 547.24 108 41.05 2.28 43.33 506.18 109 41.22 2.11 43.33 464.96 110 41.40 1.94 43.33 423.56 111 41.57 1.76 43.33 382.00 112 41.74 1.59 43.33 340.25 113 41.92 1.42 43.33 298.34 114 42.09 1.24 43.33 256.25 115 42.27 1.07 43.33 213.98 116 42.44 0.89 43.33 171.54 117 42.62 0.71 43.33 128.92 118 42.80 0.54 43.33 86.13 119 42.97 0.36 43.33 43.15 120 43.15 0.18 43.33 0.00 H:\SepticTank\[amort schedule.xls]amort 5%