Sewer Assessment Agree 92 W. 3rd St 2012 CITY OF ATLANTIC BE, FLORIDA
VOLUNTARY ASSESSMENT AGREEMENT
PROPERTY DESCRIPTION:
OWNER: Christian E. J. Jorgensen
92 W. 3rd St.
Atlantic Beach, Florida 32233
PROPERTY ADDRESS: 92 W. 3`d St.
RE#: 170832-0040
LEGAL DESCRIPTION: 18-34 17-2S-29E
Sec H Atlantic Beach
Lot 4 BLK 80
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
Contractor 3,150.00
Filing Fees 35.50
TOTAL CHARGES FINANCED: $7,235.50
TOTAL INTEREST OVER LOAN TERM: $1,555.21
TOTAL AMOUNT OF AGREEMENT/LIEN: $8,790.71
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 $73.26 per month
Total Interest over term of loan $1,555.21
Interest Rate 4.00%
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.
REORDER 905•U.S.PATENT NO.5538290,5575508,5641183,5785353,5984364,6030000
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233 4445
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD NO. 107769
ATLANTIC BEACH,FLORIDA 32233-4445
INVOICE INVOICE. PURCHASE PROJECT ACCOUNT AMOUNT
NUMBER DATE ORDER NO. NUMBER NUMBER
RE# 170832-0040 11/13/2012 410-5506-535.34-07 4, 050.00
GROSS RETAINAGE DISCOUNT NET
$******4, 050 . 00 $******4,050.00
City of Atlantic Beach
C115TQMER RECEIPT **
Qper: BASH1EYo ypeipt�n awiL404
Date: 11/15/1� � A�,ount
Descrivtion Quantity
2010 870
BP BUILDING 00PERMITS ;4050.00
Tender detail 107759 Y4050.00
CK CHECK (OF%z0
Total tendered (4050.00
Total payeent
11/15/11 Tiae: 11:50:x1
Trans date: