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287 S Nautical Blvd Paver Submittal rt-.''' Building Permit Application Updated 10/9/18 AA% City of Atlantic Beach Building Department **ALL INFORMATION \ ''' 800 Seminole- Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Oj;1t~ IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: '18-7 S l�U . 1CDA`II Ua Permit Number: Legal Description Lot a U � DV S kci ( t\ RE# 110103- 031Valuation of Work(Replacement Cost)$ a 1 �U, Heated/Cooled SF Non-He E. u.. • Class of Work: New ❑Addition Alteration Mepair ❑Move ❑Demo ❑Pool ❑Win /IrV 0 5 2021 • Use of existing/proposed structure(s): ❑Commercial ❑Residential • If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No BY: • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No Describe in detail the type of work to be performed: Oe v10 a- O SPo�. CO(\C(e\C . -T\Scct\1 urs Florida Product Approval# for multiple products use product approval form Property Owner I formation (� ol Name ' GAG e- I ° •.(\ {Jj��'�(e Address o 8 7 S i1/4k4 ccil V v City g �.i1. State �. Zi Phone _ ' :� – • E-Mail LEE e... S A' P TA -Com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) t C(,) Contractor Infor . ion 1��y/ / , y� Name of Com{�a y �- ''r ���j Qualifying Agent vtT/-AA/ "I''�d Address 10/ `/ Ke 4,✓ (, City hf�i4/,ihi,,,G/ State F - Zip,i2 y>( Office Phone it ,f( f' t,., Job Site Contact Number�j '1(' State Certifica ion/Registration# I 0� E-Mail CcAo -uck.cf',Z. U& I IBJ , .(.CIM Architect Name& Phone# _ Engineer's Name&Phone# Workers Compensation Insurer _OR Exemp011 Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P:OPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND ' OR AN , ORNEY BEFORE RECORDI=Ull N TIC OF COMMENCEMENT/ (Signature of wner or Ag ) r r (Signature of Contractor) Si:ned and sworn to(or affirmed)before me this U�day of Signed and sworn to(or affirmed)before me this t'Q day of - . 7`-)- _ e .– - <1 �-�. 1.'1,4v , ?-�'.LI ,by lv..a.... G- ,...5.4---,-_ '� . 6 w-sB6.009 eauwnsul ule j doll tutu papuoe 4, ;;;•�,- �a • � . lb £ZOZ'9 tienJgoJ saildx3 • 'EYP JUNE CODNER-KONGQUEE Si nature o 441 (Signature of . ) ;:; .!i,•. ( g L8L6LZ OJ#uolssluiwo� '3 =z. "= Commission#GG 279787 33f1o9NON-1i3N0003Nflf •l�Zd""J'•` ' :-:.T.-,-,_77R Expires February 8,2023 l 7.'er onaiiyitnown OR •;'`{6°,Peik°8 1 Op twance 800.385-7019 Produced Identification [ oduced Identification / Type of Identification: �f/-•L....-, 1: 11617,6 Type f Identification: ' L— 1— �.. - I 27 17 I ' 4*,,, RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION **ALL INFORMATION ;n VO- .1 City of Atlantic Beach HIGHLIGHTED IN GRAY IS 800 Seminole Road, Atlantic Beach, FL 32233 REQUIRED. PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address C),81 5 Nauvcc.),\ @'J d Permit Number Contractor Information �1 Company Pec cQc\. C(�'�lVpf" S Qualifying Agent SUCH\6(k nZ. Address 10 ` S \ kr1 (4O(\ RA City 3C(( Sone ► \Q State r 1, Zip 6.Y C Phone v10Qt - S6o�- : c3\ Email ( AAp\po �-z N \'ue e(OPM State Certification/Registration # t q 3-S VD Architect Phone Email Engineer Phone Email Workers Compensation Insurer OR Exempt Expiration Date • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. • Whenever necessary for the construction, repair, improvement, maintenance,safe and efficient operation,alteration or relocation of all,or any portion of said street or easement as determined by the Public Works Director,any or all said poles, wires, pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Project Superintendent) with(Company Name) Phone • All materials and equipment shall be subject to inspection by the Public Works Director. • All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the manner satisfactory to the City. • A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with this application. • The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder,and the holder will,at all times,assume all risk of and indemnify,defend and save harmless the City of Atlantic Beach from and against any and all loss,damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Public orks irector shall be notified 24 hours prior to starting work and again immediately upon completion. r ,_ Date Ili 16. Permittee(signed in presen of FId ar Public) g Y STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this S 11-\ day of NNOMOCr ,20 .\ , by L12.1 Or\cj ( .,Cf Q. ,who personally app �rw (printe name of Permittee) .44.;'. ,.. CHRISTIAN GILES 1.acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. ;;,- MYCOMMISSION HH 1171; ':+; . -:�: EXPIRGS:April 13,2025 .'Pf FOISP`. Banded Thru Notary Public Und•rwrt )////71/("54; ./ ./t/6( [ j Personally Known D.Signature of otary Public,State of Florida [ roduced Identification (Type) FL- H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 I j r „ ,� , I N22o4136 E 74.91 (M) Ei� N22 °32'OO" E 75100 '1(D) ill— 1A 1e' - z C NEW O I`) O p/lvE2 - t>R►v E- C3 Q f C 9 . 7' 20155. L. H 2 .8' �" �' N 23 .0' ,..... r7.10:1. .. _, 04 .0, 0 O N N —� F -1 , (D � x n 1- —I To ? REvloVED 2441,S 11i Tu gE 4ame--312Uc.tED 021vc ' o4 fit'" Vel AL KW AN/ e'5 f T i NI-,\Ki ii/IPE2v110US 7-141,5 TT i /t- NEW DQtvEVJA'! t=,thOE TO MP,-'TcH CX►5r1Nc, ' (VEwA ' erLC- vR'1 got' PCVISIONSwoo QI „E 1Q7VA . 1C, _ ENGINEERING 8 SURVEYING , LLC. w_ 234514HAVi.UITE#3 "mw' DR1v W(r\f it. i. 5 PHONE-(772)569-605 �wc re T- , FBPE C.0 A.#33705 s1 IIItI Fidelity' Nationa_ . - „`= . , s V \'L"p;' of FIonda Ing.. '� '' f PROPERTY ADDRESS:287 S NAUTICAL BOULEVARD, ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL2109.5581 FL21 09.5581 BOUNDARY SURVEY DUVAL COUNTY /�2' 8 ciN SCUANY 1)F �• wf 8 ...z- /7 r � g'{''' ., ..ie ,,, yQ• '`01y `a , ,,, C°��/� O© 2 �i° slot QST' 0 0�nP.." C4 _ ry Loi. �, �� / 0• s6;�(Q 4. 84.47 hg yVVV�J ' /: / , /�V c��.6 Y 17?ryF'�OF 3 2 OFf d// 0 4c /4. °l z l '8 O 25 'Q '�'ri 90 O.^$ ti� 3o . o: \r .';t I �\ ` ` �. /I ..moi G 0�.2'Of $e C. NO3-47, co T j ZOr2"te '6b�y,..I,' . e / °'a. ",g 8 a /(vOr �Kq ,Or /*�L 3 ( �'., .� /NLLUp 9TK4 -,747-,... ��L-6 0 CL s S FOa 0=e\ 696. A LINE TABLE: 's L1 S 22°32'00'W 7500'(0) S 22`36'01•W 7517'(M) SURVEYORS NOTES: 30 0 15 30 FENCE OWNERSHIP NOT DETERMINED. D.U.E.-DRAINAGE AND UTILITY EASEMENT Iwi 1=1 GRAPHIC SCALE(In Fed) I Inch=30'11 SURVEYORS CERTIFICATION: POINTS OF INTEREST: 1 6'WF OVER 10'DRAINAGE AND UTILITY EASEMENT -asD 2 3Cy- I hereby certify that this Survey of the lands '"IN�1SE MI qPp described hereon was made under my direct �r�Cb ''to '.P supervision,and to the best of my knowledge 6132 and belief is a true and accurate representation of said lands and meets the Standards of Practice set forth in Chapter Si-15_050 through . 0", f -2d--74 SJ-15.053,Florida Administrative Code. ,EXACTA w pursuant to section 472.027,Florida Statutes. e..rr.rend wr.eywr,uc •COs. y This survey is not valid without the signature and V Lend S,:nerors.LLC WW1 s, STATED: .7 or.ginal raised seal of a Florida licensed surveyor _ ..;..FL322 o ,P'164' FLoRDA b and mapper,except when the electronic -1L st1RYE'f9, signature and seal of a Florida licensed surveyor (AY�okkiL3 J.SCHALi'L and mapper is affixed hereto. Florida Land su state a Firma Prdassaarl wyor and Mapper AFFILIATE Loconso Mxnbor 6132 {_. FL`TA Title Association MEMBERS .i2' r2' S. , .vayore,LC 1 l.sa owl DATE SIGNED:09/29/21 FIELD WORK DATE:9/25/2021 SEE PAGE 2 OF 2 FOR LEGAL DESCRIPTION PAGE 1 OF 2-NOT VALID WITHOUT ALL PAGES REVISION DATEIS):(RENO 9/29/2021) PROPERTY ADDRESS:287 S NAUTICAL.BOULEVARD, ATI ANTIC BEACH,FI ORIDA 32233 SURVEY NUMBER: FI2109.5581 JOB SPECIFIC SURVEYOR NOTES: THE BEARING REFERENCE OF NORTH 22 DEGREES 32 MINUTES 00 SECONDS EAST IS BASED ON THE EASTERLY RIGHT-OF-WAY LINE OF S NAUTICAL BOULEVARD,LOCATED WITHIN SEASPRAY,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 35,PAGE 64,OF THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. LEGAL DESCRIPTION: LOT 2(EXCEPT THE SOUTHERLY 5 FEET),BLOCK 4,SEASPRAY,ACCORDING TO THE MAP OR FIAT THEREOF,AS RECORDED IN PLAT BOOK 35,PAGE (5)64 AND 64A,OF THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. GENERAL SURVEYOR NOTES: I The Legal Description used to perform this survey was 5. Alterations to this survey map and report by other than the the field location and may not represent the actual shape supplied by others.This survey does not determine sgnmg surveyor are prohibited or size of the feature. nor imply ownership of the lands or any fences shown 6 Dimensions are In feel and decimas thlereol. 11.Points of Interest 01101s,are select above ground hereon.Unless otherwise noted.an examination of the abstract of title was NOT performed by the signing 7 Any FEMA Rood zone data contained on this survey Is for enprosumetbacnts.which may appear in conflict with boundary. surveyor to determine which instruments.if any.are informational purposes only Research to obtain said data parameterspasetback of thissr sureasvey These hoes.as defined not represent the affecting this property was performed at www Tema gov and may not reflect the temsof of survey There may most recent information. all nems interest to the viewer There ms De additional 2. The purpose of this survey is to establish the boundary of POI's which are not shown Cr colied.out as POFs.or which the lands described by the legal description provided and 8 Unless otherwise noted'SIRC-indicates a Set Iron Rebar are otherwise unknown to the surveyor. to depict the visible improvements thereon for a pending with a Cap stamped LBa8291,a minimum half inch in financial transaction.Underground footings.utilities,or diameter and eighteen Inches long. 12 Utilities he exn stothe ofrecorded subject property may or may not other service lines.Including roof eave overhangs were not indicate the existence of or unrecorded located as part of this survey Unless specificasy staled 9 If you are reading this survey in an electronic format.the utility easements. otherwise the purpose and intent of this survey is not for information contained on this document is only valid if this 13 The information contained on this survey has been performed any construction activities or future planningdocument is electronically signed as specified in Chapter exclusively by and is the sole responsibility of Exacta Land 5J17.062(3)of the Florida Admmistratne Code and Florida Surveyors.LLC.Additional logos or references to Third patty 3. tf there is a septic tank or drain field shown on this survey. Statute 472.025.The Electronic Signature File related to this firms are for informational purposes only the location depicted hereon was either shown to the document is prominently displayed on the invoice fur this surveyor by a third party or it was estimated by visual survey which is sent under separate cover.Manually signed 14 Pursuant to F.S 558 0035 an individual employee or above ground inspection.No excavation was performed to and sealed logs of all survey signature files are kept in the agent may not De held individually liable for negligence. determine its locationoffice of the performing surveyor 15.Due to varying construction standard&house dimensions 4 This survey is exclinvery for a pending financial transaction and 10.The symbols reflected in the legend and on this survey are approximate and are not intended to be used for new only to be used by the parties to whin It is certifiedmay have been enlarged or reduced for clarity The construction or planning. symbols have been plotted at the approximate center of • SURVEYOR'S LEGEND ..(Filet Mr: '1/4.-, Elevsbon Cts-Concrete Slab FIR-Found Iron Rod ORB-Official Records Book 5/W-Sidewaik CATV-Cable TV Riser F1RC-Found Iron Rod&Cap ORR-Official Record Volume 5111.-Setback Line —Boundary oneVP Fite Hydrant CB-Concrete Block FN-Found Nan 0/A-Overall SCL-Survey Closure L-,. -"'-'Centerline 0 Finder Set CN-Chord Bearing FANO-Found Nail&Disc 0/5-Offset SCR-Screen -o<saas.v Chain Link a'Wre Fence F— Guywke or Mawr CHIN-Chimney FR RSPB-Found Rail Road OFF'Outside Subject Property SEC-Section Spike CLE-Chain Link FenceOHOverhang SEP-Septic Tank Easement aag�gii ManholeGAR-Canal Maintenance GAR-Garage OHL-Overhead Utility Lines SEW-Sewer ---�_.— S:/Edge of Water Tree Easement GM-Gas Meter ON'Inside Subject Property SIRC-Set Iron Rod&Cap —0—O—Iron Fence I:1 Utility or Ugh,Pole CO-Clean Out ID-Identification P/E-Pool Equipment SMWE-Storm Water —CRL—Overhead Lines Qa Wel, CONC-Concrete IE/EE-tngresrEgress Easement PC.Plat Boos Management Easement Structure COR-Corner ILL-Illegible PC-Feint of Curvature SN11D-Set Nail and Disc ABBREVIATIONS CS/W-Concrete Sidewalk INST-InstrumentSQFT-Square Feet Survey •Ter Line ICI-Calculated ICC of Compound CUE-Control Utility Easement INT-Intersection Curvature STL-Survey Tie Line Vinyl Fence 101-Deed CVG-Concrete Valley Gutter IRRE-Irrigation Easement PCP-Permanent Control Point STY-Story viff Waller Party Was IFt-Field D/W-Driveway L-Length PI-Point of Intersection SV-Sewer Valve —t^—'a'—Wood Fence (NI-Measured DE-Drainage Easement LAE-Limited Access Easement PLs-Professional Land SWE-Sidewalk Easement 5-IMAMTYP:S IPI Plat OF-Drain Field LBO-License No.(Business) Surveyor TIM-Temporary Bench Mars Aspha,t 151-Survey OH-Drill Hole LIE-Limited Buffer Easement PLT Planter TEL-Telephone Facilities A/C-Air Conditioning DUE-Drainage&Utility LE-Landscape Easement P01-Peint of Beginning TOB-Top of Bank Brick or Tile AE-Access Easement Easement POC-Point of Commencement Concrete LME-Lakeilandscape TUE-Technological Utility E-Anchor Easement ELEV-Elevation Maintenancee Easement t PRC-Point of Reverse Easement Covered Area ASB(-Accessory Setback Line EM-Electnc Meter LSO-License No.(Surveyor) Curvature TWP-Township Water B/W-gay/Box Window ENCL-Enclosure MB-Map Book PRM-Permanent Reference Ta-Transformer Wood BC-Block Corner ENT-Entrance ME-Maintenance Easement Monument TY► Typical PSM'Professional Surveyor SYMBOLS IFP-Backflow Preventer EOP-Edge of Pavement MIS-Mitered End Section 8 Mapper UE-Utility Easement BLDG-Building EOW-Edge of Water NF-Metal Fence PT-Point of Tangency UG-Underground ® Beric'yrrurk ILK-Block ESMT-Easement MH-ManholePVE-Public Utility Easement UP Wilily Pole f Center Line BM-Benchmark PUB-Elect ric Utility Box NA-Non Radial C'Radius or Radial UN-Utility Riser Q Central Angle or BR-Beano Reference Dena 9 PIM-Found Drill Hole NTS-Not to Scale R/W-Right of Way Vi-Vinyl Fence �f Common BRL-Budding Restriction Line FCM-Found Concrete NAVOBI-North American RES-Resdenlul WIC-Witness Comer v OwnenMp ISMT-Basement Monument Vertical Datum 1988 pGE Range W/F-Waltt Filter Q Control Point C-Curve FF-Finished Floor NGVD29-National Geodetic WF-Wood Fence CIL-Center Line FIP-Found Iron Pipe Mitical Datum 1929 ROE-Roof Overhang Easement IIICatch Basin OG-On Ground RP-Radius Point WM-Water Meter.Nalve Boit C/P-Covered Porth FIPC-Fourd Iron Pipe&Cao WV-Water valve CERTIFIED TO: FLOOD ZONE INFORMATION: CAMERON BJERKE AND LE-LAND BJERKE;FIDELITY NATIONAL TITLE OF L.; BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING FIDELITY NATIONAL TITLE INSURANCE COMPANY;UNITED WHOLESALE MUNICIPALITY OR WWW.FEMA.GOV,,THE PROPERTY APPEARS TO BE MORTGAGE LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF ATLANTIC BEACH,COMMUNITY NUMBER 120075,PANEL NUMBER 0409 DATED 11/02/18. DATE SIGNED: 09/29/21 BUYER:CAMERON 3JERKF AND I ELAND BJERKE LENDER: UNITED WHOLESALE MORTGAGE TITLE COMPANY: FIDELITY NATIONAL TITLE OF F'L A TITLE COMMITMENT: I CLIENT FILE NO:52-21-0598 •EXACTA Eract,Land Surveyors,Ur SEE PAGE 1 OF 2 FOR MAP OF PROPERTY . LAr10 Surveyors,LJ-L: IN42882 0:866.735.1916 i C66. 8744.2882 PAGE 2 OF 2-NOT VALID WITHOUT ALL PAGES 3846 Banding Boulevard,Jacksonville,FL 32210