1721 Atlantic Beach Dr RES19-0244 Form Board FORM BOARD ELEVATION CERTIFICATE
DATE: Z r •
PERMIT
NUMBER: IZ r-t-OZ -
ADDRESS: f 12 t ".t c
REQUIRED FINISH FLOOR ELEVATION ON CITY
APPROVED SITE PLAN: 12,0
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE:
SURVEY COMPANY
NAME: MELROSE SURVEYING AND MAPPING, INC.
11437 CENTRAL PARKWAY#107, JACKSONVILLE, FL 32224
SIGNATURE OF SURVEYOR:
MAP SHOWING SURVEY OF
LOT 28 OF ATLANTIC BEACH COUNTRY CLUB, UNIT TWO
AS RECORDED IN PLAT BOOK 67, PAGES 132, 133, 134, 135, 136, & 137
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED TO:
> Gregory Nelson and Marcy DeWalt Nelson
Ameris Bank
Gibraltar Title Services
Old Republic National Title Insurance Company
LOT 27
EXIST. RESIDENCE
F.F.EL.=(11.2)P
S32'41'16"E 75.00' in
up
(10.1)P (8.6)P• 0 CATVaa
(9.1)E (8.5)E
10' BRL
F --LOT 28
32.3'
co
O 51
`' -
16.4' PORCH
(�2 _�_.__.... 0 CC
70) 0 D }-
— — — 10.1'
0)
0 t.7' 0
In
1...
ON
o W 0 0
Cs W F—
(9.5)p CO
CO 0
LOT 29
(9.4)E 0
5 5. 9.2' CONC. STEMWALL 1.7
EXIST. RESIDENCE LU FOUNDATION _, Z O
F.F.EL.=(12.3)P Z m F.F.EL.=(12.0)P a m Z J v
o I—
Q
CO 1.7
r m -a)
in ui ro
Z 1.7' 10.0'
.\\1
`1,. o w
L b 14.0'
5.6' 21.5' N �l?08J N
cd m
_ N-
W
I 20' BRL ai � —_�___._.__...._. cci
PORCH
22.4'
Tr N
Cs -, (v
N
7.5' J.E.A.-E (8.9)P
(8.9)E
R WV
NI S32'41'16"E 50.00'(8.7)E
TBM-
WV P.C.P. (PI)
WM
v� -o EL.=(9.05)
(s.ss)Bc (8.72)ec CA=90'00'00"
ATLANTICrBEACH DRIVE R=25.00'
NOVEMBER 10, 2019; FOUNDATION SURVEY(2016-361-4)AAE 1422-79 (50' RIGHT OF WAY) L=39.27'
NOVEMBER 1, 2019; LOT& HOUSE STAKEOUT(2016-361-3) DEW 1422-9 CB=N77•416
'1 "W
JULY 24, 2019; TOPOGRAPHIC SURVEY/SITE PLAN (2016-361-2) WJM 1408-61 IV Z'7 V
UNLESS IT BEARS THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER, THIS DRAWING, SKETCH. CH=35.36'
PLAT OR MAP IS FOR INFORMATIONAL PURPOSES ONLY, AND IS NOT VALID.
NOTES LEGEND DATE 9-3-16
I. Bearings are based on the centerline PCP's of the Atlantic Beach Drive (S14'27'257)
SCALE 1'=20'
2. This is a BOUNDARY SURVEY. O DENOTES CONCRETE MONUMENT
3. Elevations shown thus (15.0)refer to North American Vertical Datum JOB No. 2016-361
of 1988, (NAND 88). A'—X DENOTES FENCE
4. By Graphic plotting only, the property shown hereon lies within Zone X" 0
DENOTES I/2'IRON PIPE SET Fa —
INTH CAP, R. MILLER&ASSOC. page
as shown on the Federal Emergency Management Agency(F.E.M.A.), National Flood Insurance • DENOTES IRON PIPE FOUND
Program, Flood Insurance Rate Map (FIRM.) Community—Panel Number 12031C-0406) W/CAP, R. MILLER&ASSOC. Comp. File ABCC_Lot_28.dwq
Map Revised date : 11/2/2018 Drawn by WJM
5. Unless otherwise noted, any portion of the parcel that may be deemed as Wetlands
by State or Governmental Agencies, hos not been determined and any liability resulting
therefrom is not the responsibility of the undersigned. RICHARD A. MILLER & ASSOCIATES
6. There may be Restrictions or Easements of Record evidenced by title examination that PROFESSIONAL LAND SURVEYORS
have not been shown hereon. 11437 CENTRAL PARKWAY, SUITE 107 Fox (904) 721-5758
ABBREVIADONS THAT MAY BE USED IN THIS SURVEY JACKSONVILLE, FLORIDA-32224 - Tele. (904) 721-1226
ABBREVIADON DEFINI RON ABBREVIATION DEFINITION
P.C.P. Permanent Control Point L.B. Licensed Business
P.R.M. Permanent Reference Monument R.L.S. Registered Land Surveyor 1HIS IS TO CERTIFY IHAT THIS SURVEY/S A TRUE REPRESEN TA RON O"AN ACTUAL
P.O.B. Point of Beginning IELD SURVEY,MADE UNDER MY SUPERVISION AND IN ACCORDANCE WIN THE
J.E.A.AJacksonville Electric Authority MINIMUM TECHNICAL STANDARDS.AS"DUTUNED AND SET FORTH BY DIE FLORIDA
P.C. Point of Curvature EQUIP Equipment BOARD OF PROFESSIONAL LAND SURVEYORS 4ND MAPPEIRS,IN CHAPTER 5J-17,
P.T Point of Tangency A/C Air Conditioner (formerly CHAPTER 61017-6),FLORIDA ADMINISIRA Ri£CODE;PURSUANT TO
P.R.C. Point of Reverse Curvature C.A.T V. Cable Television SECTION 472.027.FLORIDA-STATUTES
P.I. Point of Intersection OHL Overhead Lines
R/W Right of Way (FM.) Field Measured 1
O.R.V. Official Records Volume R= Radius equals ` i` A
D. . Deed Book L= Arc Lenth equals '. , .',------
Pg
age Ch.= Chord Bearing & Distance equals BY'
B.R.L. Building Restriction Line p= Delta or Cenral Angle equals WILLIAM J. MELROSTATE OF FLORIDA, REGISTERED
Esmt Easement l.P. Iron Pipe
Conc. Concrete LAND SURVEYOR, CERTIFICATE No. 5843
3,4,....,,, , 9556 Historic Kings Road • Suite 201
Jacksonville, FL 32257
�
1.�1 �
Phone: (904) 886-0766 FIELD DENSITY TEST REPORT
OFJAX,INC. Email: twheeler@agesofjax.com
AGES JOB NO.: 19 !O DATE TESTED :
JOB NAME: 7,21 ,4U4 [, c Uc-tic4 OV, REPORT DATE:
CLIENT : .,,I,)crI,ne Cov15/ TECHNICIAN :
LOCATION: ` REPORT NO. :
Test ;Moi**Ure Wet Dry Proctor proctiit:' RelativeComitpactioh
No. Content Density DensityNumber Density Achieved Required Pass/Fait Test Location Elevation Test Datum
(%) (Pcf) (Pcf) (Pcf)_ (%) VA) (Feet)
PROCTOR INFORMATION SUMMARY: The relative compaction results are a quality control measure of the This report shall NOT be reproduced,
Proctor Max. Dry Optimum adequacy of the fill and/or sub-grade compaction effort. The data shown Except in Full, without written approval of
Type Number Density Moisture Soil Type herein is representative of compaction achieved at the specified test AGES OF JAX, Inc.
location and depth. Passing density tests should not be construed to be a
Proct (pcf) (%) "certification" of suitability of the "subsurface soil conditions" and/or an
�� evaluation of the ability of the subsurface soils to adequately support the
1'`V/�D planned construction. REPORTED BY:
AGES OF JAX, Inc. agrees to keep confidential any and all matters
/P/1.4tt related to these test results and understands that unauthorized disclosure
Remarks P/1.4� P((i( !-r ;���d r, r-,- , ,,,:t 1e513
of these test results to anyone other than our clients, or their designated TIMOTHY R. WHEELER, P.E.
MOD-Modified Proctor D representative, without thfee client'slaexpressed permission,ois in violation of Registered Fla No. 42802
Density (ASTM1557) AGES OF JAX, Inc. professional ethics and company policy. g
„,,,, , , :
t,
9556 Historic Kings Road • Suite 201
aop8 Jacksonville, FL 32257
FIELD DENSITY TEST REPORT
Phone: (904) 886-0766
OFJAX,INC. Email: twheeler@agesofjax.com
AGES JOB NO.: DATE TESTED :
JOB NAME: REPORT DATE:
•
CLIENT : TECHNICIAN :
LOCATION: REPORT NO. :
Test Mot$tUre` 'Wet Dry Proctor Proctor' ' RelativeCammpeetion i.,.;.
No. Content Density Density Number Density Achieved Required Pass/Pail w Test Location Elevation Test Datum
(%) (KO (Pa) _ (Pcf) (%) (%) (Feet)
PROCTOR INFORMATION SUMMARY: The relative compaction results are a quality control measure of the This report shall NOT be reproduced,
Proctor Max. Dry Optimum adequacy of the fill and/or sub-grade compaction effort. The data shown Except in Full, without written approval of
Type Number Density Moisture Soil Type herein is representative of compaction achieved at the specified test AGES OF JAX, Inc.
location and depth. Passing density tests should not be construed to be a
Proct (pcf) (%) "certification” of suitability of the "subsurface soil conditions" and/or an
evaluation of the ability of the subsurface soils to adequately support the REPORTED BY:
planned construction.
AGES OF JAX, Inc. agrees to keep confidential any and all matters
related to these test results and understands that unauthorized disclosure
Remarks ►7- !f f f) roct, tr — i - ' , r. -I--P 5r S of these test results to anyone other than our clients, or their designated TIMOTHY R. WHEELER, P.E.
representative, without the client's expressed permission, is in violation of
MOD=Modified Proctor Density (ASTM D 1557) AGES OF JAX, Inc. professional ethics and company policy. Registered Fla No. 42802
1' CORPORATE HEADQUARTERS
P 0. BOX 5369
116 N.W. 16TH AVENUE (352)376-2661
FLORIDA GAINESVILLE: FL 32627-5369 FAX(352)376-2791
. .
FOUNDED 1949 PEST 0 SCIENTIFIC PEST CONTROL DIRECTED BY GRADUATE ENTOMOLOGISTS
CONTROL Complete Pest Control Service
8 CHEMICAL CO. Member Florida&National Pest Control Associations
Since 1949
Reply to:2820 Spring Glen Rd
P 14159 Jacksonville, FL 32207
Phone (904) 396-5805 Fax (904) 396-9233
PARTIAL TERMITE TREATMENT CERTIFICATION
Owner_ Permit Number
19-0244
Lot: Block:
Subdivision Street Address:
1721 Atlantic Beach Dr
Citi' County:
Atlantic Beach Duval
General Contractor Date
Timberline Contractors 12/12/2019
L Method of Termite Prevention Treatment: Soil Treatment
The above noted structure has received the initial required treatment for the prevention of subterranean termites. If a soil
treatment was performed,the perimeter of the above structure must be treated after the final grade has been established in
accordance with the pesticide label and Florida Statute.
This form should not be accepted as proof of complete treatment for Certificate of Occupancy or Closing.
This form is for inspection,construction,and financial draw purposes only.
Notice to Builder
if a soil treatment was performed, it is the responsibility of the builder to notify Florida Pest Control&Chemical Co. prior to the
pouring of any slab that abuts the above structure so that treatment can be completed and the required paperwork for closing be
submitted. Such slabs might be, but are not limited to: patios,porches,entryways. A/C pads, stoops, additions, bay windows.
driveway aprons,etc.
Other areas that would require treatment would be:
I. Areas within the foundation fill that were disturbed after the initial treatment.
2.The foundation perimeter after final grade has been established.
THIS IS NOT PROOF OF WARRANTY
Warranty and treatment certification will be issued upon completion of final treatment only.
' Authorized Signatu e: /---'" .7- Date:
y__ -- - `LAC/0
BRANCHES:
•Crystal River• Daytona Beach • Ft. Walton Beach • Jacksonville South • Jacksonville West • Lake City • Milton • Ocala •
Orlando • Palatka • Panama City • Pensacola • Starke • St. Augustine • Tallahassee • Winter Haven • Leesburg • Kissimmee •