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287 S Nautical Blvd DWAY21-0048 Paver Driveway, WalkwayOWNER:ADDRESS:CITY:STATE:ZIP: BJERKE CAMERON 287 S. NAUTICAL BLVD ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: PERFECT PAVERS P.O. Box 16001 Jacksonville FL 32245 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170703 0371 SEASPRAY JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 287 S NAUTICAL BLVD DRIVEWAY SINGLE OR TWO FAMILY DRIVEWAY paver driveway and walkway $6130.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL Notes: Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5878. 2 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL Notes: Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 1 of 2Issued Date: 11/23/2021 PERMIT NUMBER DWAY21-0048 ISSUED: 11/23/2021 EXPIRES: 5/22/2022 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $150.00 3 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL Notes: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247- 5814) to request an Erosion and Sediment Control Inspection prior to start of construction. 4 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 5 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container cannot be placed on City right-of-way. 6 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 7 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 8 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL Notes: Maximum driveway width within the City right-of-way is 20 feet. 9 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 10 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking and debris must be removed from job site by Contractor. 11 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 2 of 2Issued Date: 11/23/2021 PERMIT NUMBER DWAY21-0048 ISSUED: 11/23/2021 EXPIRES: 5/22/2022 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION PUBLIC UTILITIES PLAN REVIEW COMMENTS APPLICATION TRACKING COMMENTS Check Box to Add Comment Check Box to Print Underground Water Sewer Utilities Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5878. x x Meter Boxes Sewer Cleanout Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. x x RT1 Sewer Cleanout A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. x x RPZ Backflow A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities.   Sensus Touch-Read Meter Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities.   Fire Sprinkler Backflow Requirement If fire sprinkler system is provided, call 247-5878 for backflow requirements. At a minimum, will require a double check backflow preventer.   Fire Line Meter Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2” must be installed in a vault as noted in JEA specifications.   Utility Map See attached Utility Map.   Disconnect & Cap Disconnect and cap water and sewer lines at City Right of Way.   Inspection Prior MUST call the Inspection Line at 247-5814 to request an inspection of the disconnected and capped water and sewer lines PRIOR to demolition.   Utility Inspections All water & sewer utility connections must be inspected prior to cover up. Please call the inspection line at 247-5814 to schedule inspections 24 hours in advance. Failure to schedule utility connections may result in failed inspections and additional fees, and delays in utility services. x x System Development Fees All fees must be paid for water & sewer connections before meters will be set. Please call the finance department customer service line 247-5816 to coordinate payment of fees.     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- 031ValuationofWork(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 olName ' 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 hfi4/,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 ulej doll tutu papuoe 4,a lb ZOZ'9 tienJgoJ saildx3 • EYP JUNE CODNER-KONGQUEE Si nature o 441Signatureof . ) 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 13,2025PfFOISP`.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 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-7r g'{'''ie yQ• '` 01y `a C°/ O© 2 i° slot QST' 0 0 nP.." C4 ry Loi.0• s6;(Q 4. 84. 47 hg yVVVJ 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 II 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 SFOa 0=e\ 696. ALINETABLE: 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 directrCb 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. ,EXACTAwpursuanttosection472.027,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 sustateaFirmaPrdassaarl 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 groundhereon.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 patty3. 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 onlythelocationdepictedhereonwaseithershowntothedocumentisprominentlydisplayedontheinvoicefurthis 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 SpikeCLE-Chain Link FenceOHOverhang SEP-Septic Tank Easement aaggii 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 BankBrickorTileAE-Access Easement Easement POC-Point of Commencement Concrete LME-Lakeilandscape TUE-Technological Utility E-Anchor Easement ELEV-Elevation Maintenancee Easementt 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: IN428820:866.735.1916 i C66.8744.2882 PAGE 2 OF 2-NOT VALID WITHOUT ALL PAGES 3846 Banding Boulevard,Jacksonville,FL 32210 Ij r „ IN22o4136E74.91 (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' PCVISIONSwooQI „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 NOTICE OF COMMENCEMENT State of I-IOr&A Tax Folio No. 1 010 - 031 J County of U` To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information istated iciithis NOTICE OF COMMEN EMENT. Legal Description of property being improved: /3 -G 17 -as - as t , 6 sp( \It Lit a (Ex Sly s4) CALK. { ttt Address of property being improved:a8-7 sSu)c\CR\ al\ogy,0Generaldescriptionofimprovements: Demo a v e(NA\( d` l)'e, ,Stall Owner: (Q, IN Va e' 1.osvercn er1e Address:7 .S , U1 4 1 • Owner's interest in site of the improvement: Jf C ROW k Fee Simple Titleholder(if other than owner): Namit: Contractor: Witil fDvrl2) Address: lti( 37!(HHa*/ f,Z ML/,!It&/1-6. 3))YI sh/ ?d0TelephoneNo.: 7r Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No:Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from tate is specified): Y^' ., JUNE CODNER-KONGQUEE commission#Gti 2/9/8/ Expires February 8,2023THISSPACEFORRECORDER'S USE ONLY OWNER ff?!-;F Bonded Div Troy Fain Insurance 38 7019 Doc#2021298091,OR BK" ' Page 911, Number Pages: 1 Signed: rL Date: Recorded 11/09/2021 08:21 AM, Before me this i-{ y • - irTt 1e County of Duval,State JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Of Florida,has personally appeared - 1 COUNTY Notary Public at Large,State of FI rids,County of Duval. RECORDING $10.00 My commission expires: -G 41111111 Personally Known: or Produced Identification: 11-1---b(-- XD , ./6/2-4, Revision Request/Correction to Comments **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________ Revision to Issued Permit OR Corrections to Comments Date: ________________ Project Address: ____________________________________________________________________________________ Contractor/Contact Name: ____________________________________________________________________________ Contact Phone: ______________________________ Email: _________________________________________________ Description of Proposed Revision / Corrections: __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ I_______________________________ affirm the revision/correction to comments is inclusive of the proposed changes. (printed name)  Will proposed revision/corrections add additional square footage to original submittal? No Yes (additional s.f. to be added: _____________________________)  Will proposed revision/corrections add additional increase in building value to original submittal? No *Yes (additional increase in building value: $____________________) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: _______________________________________________________ __________________________________________________________________________________________________ (Office Use Only) Approved Denied Not Applicable to Department Permit Fee Due $_______________ Revision/Plan Review Comments_______________________________________________________________________ __________________________________________________________________________________________________ Department Review Required: Building _____________________________________________ Planning & Zoning Reviewed By Tree Administrator Public Works Public Utilities _____________________________________________ Public Safety Date Fire Services Updated 10/17/18 287 S Nautical Blvd DWAY21-0048 Perfect Pavers 238-292-8746 lee@swellpainting.com Revocable Encroachment Y'-AN REVOCABLE ENCROACHMENT AGREEMENT City of Atlantic Beach ALL INFORMATION A';•;:e HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED. 1 :4 REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, erein fter referred to as"CITY"and Qz7 S A14Utk(CiAtof Atlantic Beach, Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as PQv-Qf Orit,)eL)a\I tS- YL•0Q.• Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days'notice by CITY to USER,said notice to USER shall be giv n by certified mail,return receipt requested,to the following address g--7 5 tU(f (a\ tilt.) In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of easements, public right-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. L c\ c3 cc w • Date 1 11 1-1' a\ Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL The foregoing instrument was acknowledged this 11 day of WV fAn(1b 20 21 , by C1/LV1 S h Gt.G1 61 I lv who personally appeared before me and printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. C .. 'rr l'bri CHRISTIANGILES Department Approval:r "r My COMMISSION AG HH 117153SignatureofNotaryPublic,State of Florida E'e' EXPIRSS:Apri113,2025o.... o BondedPersonallyKnown NotaryP --___ .. roduced Identification(Type) FI-- LI L• I Williams, Public Works Director H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18