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103 W 3rd St SEPTIC TO SEWER PERMIT CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00001206 Date 4/10/13 Property Address . . . . . . 103 W 3RD ST Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------- Application desc septic to sewer system dev charge -------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MARKHAM, WESLEY K JR OWNER 103 W 3RD ST ATLANTIC BEACH FL 32233 ------------------------------------------------------------------- Permit . . . . . . UTILITIES PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 4/10/13 Valuation . . . . 0 Expiration Date . . 4/10/13 ----------------------------------------------------------- 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, FLORIDA VOLUNTARY ASSESSMENT AGREEMENT PROPERTY DESCRIPTION: OWNER: Wesley K. Markham Jr. 103 W 3rd Street Atlantic Beach, Florida 32233 PROPERTY ADDRESS: 103 W 3`d Street RE'#: 170869-0060 LEGAL DESCRIPTION: 18-34 17-2S-29E, Sec 1-1 Atlantic Beach Lot 6, Lot 5 Blk 104 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 3,275.00 Filing Fees .35.50 TOTAL CHARGES FINANCED: $7,360.50 TOTAL INTEREST OVER LOAN TERM: $1,582.08 TOTAL AMOUNT OF AGREEMENT/LIEN: $8,942.58 TERMS: Ntunber 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 $74.52 per month Total Interest over term of loan $1,582.08 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 frill, the lien shall be released of record. Page 1 of 2 Markham Agreement