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190 Jackson Septic to Sewer 2015 11 SS\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-610 Job Type: PLUMBING ONLY Description: SEWER CONNECTION Estimated Value: Issue Date: 4/3/2015 Expiration Date: 9/30/2015 PROPERTY ADDRESS: Address: 190 JACKSON RD RE Number: 172135-0000 PROPERTY OWNER: Name: FREEMAN ET AL, JOYCE Address: 174 JACKSON RD 174 JACKSON RD FEES: WATER SDC-SYSTEM DEV CHG $1,250.00 Total Payments: $1,250.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 11 SS\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-610 Job Type: PLUMBING ONLY Description: SEWER CONNECTION Estimated Value: Issue Date: 4/3/2015 Expiration Date: 9/30/2015 PROPERTY ADDRESS: Address: 190 JACKSON RD RE Number: 172135-0000 PROPERTY OWNER: Name: FREEMAN ET AL, JOYCE Address: 174 JACKSON RD 174 JACKSON RD FEES: WATER SDC-SYSTEM DEV CHG $1,250.00 Total Payments: $1,250.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0-7 1' ATLANTIC BEACH -�-A PERMIT RECEIPT PERMIT DESCRIPTION: CONNECT TO CITY SEWER PERMIT NUMBER: 15-PLBG-430 ADDRESS: 190 JACKSON RD OWNER: FEES DUE: SEWER SDC-SYSTEIVI DEV CHG $4,050.00 Totals: $4,050.00 CITY OF ATLANTIC BEACH PUBLIC UTILITIES 1200 Sandpiper Lane ATLANTIC BEACH, FL 32233 (904) 270-2535 or (904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: 2-2–(S— ProjectAddress: /FQ j?;�enrso't') lee. No. of Units: Commercial Residential X Multi-Family New Water Tap(s) & Meter(s) Meter Size(s)_ 3/c/ New Irrigation Meter Upgrade Existing Meter from to (size) New Connection to City Sewer t- � Name: 'A< . Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# Water System Development Charge $ 0,41 IT/ war-&—e Sewer System Development Charge $ it.0 5-d. 00 Water Meter Only s '4631, Water Meter Tap $ Sewer Tap $ (notes) Cross Connection Other TOTAL APPROVED: Donna Kaluzniak (Utility Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CANBEASSESSED ............... f rw A 4-i �J% i� C, S1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 PHONE(904)247-5834 January 5,2015 CERTIFIED MAIL RETURN RECEIPT REQUES 70112000000203466848 JOYCE FREEMAN,ET AL 174 Jackson Road ATLANTIC BEACH, FL 32233 RE: Notice of Violation—City of Atlantic Beach Code of Ordinances ti Section 22-74.Installation of toilet facilities required:connection of facilities to public sewer.Sep c to Sewer Conversion- 190 Jackson Road,Atlantic Beach,Florida Real Estate#172135-0000 CASE NUMBER: 14-1340 Dear Property Owner: This letter is to inform you that Florida State Statutes and the City of Atlantic Beach,Code of Ordinances Section 22-74,Installation of toilet facilities required;connection of facilities to public sewer, requires property owners with septic tanks to convert to public sewer systems. To ease the burden of the costs of conversion,the City of Jacksonville may be able to assist in the cost for those who qualify thru Community Development Block Grant funds for those,who qualify and meet the federal income availability requirements. For information on this program,please contact Mr.Rob Gillrup,Housing Rehabilitation Manager in the Neighborhoods Department of the City of Jacksonville at 255-8224 or by email at rgillrup@coDq9- th Homeowners who do not convert or make provisions to convert to the City sewer system by June 5 2015,will be referred to the Code Enforcement Board which may levy fines up to two hundred fifty ($250.00)per day until the conversion is completed. For more information on connecting to the City's sewer system,please contact Chris Walker at 247-5834 or ewalker@cophiga. Septic tanks are a major source of pollution in our creeks,rivers and groundwater. You help in approving our environment will be appreciated. Sincerely, Donna Kaluznia Utilities Director Attachment: Additional Information(FAQ's) \J TIC BEACH CITY OF ATLAN I SS PUBLIC WORKS 1200 Sandpiper Lane ATLANTIC BEACH,FL 32233 (904) 247-5834 NEW WATER/SEWER TAP REQUEST Date: 3/17/15 Project Address: 190 Jackson Rd- No. of Units: I Commercial Residential X 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 I Name: Applicant Address: 190 Jackson Rd. Zip: City: Atlantic Beach State: FL Phone Number: Cell Number: -631-0098 Email Address -Fax: - Signature: (Applicant) CITY STAFF USE ONLY Application# When residents were notified about the connection requirement and upcoming fee'change prior to m 7 jdn t rec, Water System Development Charge $ r2008,Ms.Freeman did not receive a letter. Sewer System Development Charge $ 1 0 �25 Water Meter Only $ City manager approved charging the pre-2008 water Meter Tap (relocate) impact fee of$1,250 Sewer Tap Cross Connection Other $ $ 1250 TOTAL APPROVED: J�� (Deputy Public Works Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED By PUBLIC WORKS BEFORE FEES CAN BE ASSESSED CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 E PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-840 Job Type: PLUMBING ONLY Description: SEPTIC TO SEWER Estimated Value: Issue Date: 4/13/2015 Expiration Date: 10/10/2015 PROPERTY ADDRESS: Address: 190 JACKSON RD RE Number: 172135-0000 PROPERTY OWNER: Name: FREEMAN ET AL, JOYCE Address: 174 JACKSON RD 174 JACKSON RD GENERAL CONTRACTOR INFORMATION: Name: ADVANTAGE PLUMBING Address: 880 MAYPORT RD QA GREG GAUSE Phone: FEES: State PLMG DBPR Surcharge $2.00 Plumbing Fixtures $7.00 Trade Permit Base Fee $55.00 State PLMG DCA Surcharge $2.00 Total Payments: $66.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 900 Seminole Rd Atlantic Beach,FL 3223)3) Ph(904)247-5826 Fax (904) 247-5845 I',— JoB ADDRESS: J)4/, - PERAHT# NEW OR REPLACEMENT INSTALLATION: '[3roject Value$ TYPE OF FixTuRE QTY TYPE OF FixTuRE OTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartinent Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FJXTURE OTY TYPE OF FixTuRE Or-y Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs 'Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: 0 Sewer Replacement E:1 Back Flow Preventer Grease Interceptor (Trap) gallons(Requires 3 sets of plans) E:, Lawn Sprinkler System-Number of Heads -L--,, Well SJRWD Well Completion Form. CompleteZf—form to be submitted to tFe—Building Department for final inspection.' 4e Other is suspended or abandoned for six months.I hereby certify that I have read Permit becomes void if work does not commence within a six month period or work h th s fi this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with iv e er peci ed mf stru or not. The permit does not give authorit),to violate the provisions of any other state or local law regulation construction or the p ormance of con ction. Property Owners Name Phone Number 6 -Office Phone.,�LaLL__ ��Fax2�i7� Plumbing Compan.y F ?,f Statea Zip a2Z_L3 Co. Address: r_Q C i t y 4a Ll 4: S Certificafion/Registration# License Holder(Print): Notarized Signature of License Holder 206 Sworn.and subscribed e ore me s day of Notery Public Staft of FWWo Kkn Swd*% Sipature of NotarY Publi MY CQMMWGW FF 18074 EYVMKOW3012018 -A��&----