1509 LINKSIDE DR DWAY22-0022 <,•-• '''' ' Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
j 9� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: v��oq L.r ,NI 61-/- .j j .b0..... Permit Number: O A PL( Z z.- 002 Z.
Legal Description �j�_v` ,'l, �4Jy„5ibS ;4:;1".g. Lo-c cog RE# i -K i-q - 6;vtf 0
Valuation of Work(Replacement Cost)$ ( 700._Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo DPool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• 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:
f&i .'AC i;JC-�-f, (.f:Ik.'+:r;. taZ•i—A/ L.-,:t " 1 ki=+-1,S.
Florida Product Approval# for multiple products use product approval form
Pro ert Owner Information- rn _
Name I 't'i� , .. Address 16-0 61 Li f•if S:iaG 3Q j Z 1.-'-a2.33
City Pd-t-rso.r7C g CCtk State cL- Zip 323.--) Phone qV -I - 1-141% --?�j'.� -
E-Mail ( J1'-)' C,aif$.A.
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information -�
Name of Company-1-41--(x. j0;,SC,'�� a Qualifying Agent �'�G�:\, �f.;.S. *1
Address q. 4, fl,.S (:c�::e.Cr City �,l l State c{,.- Zip c3. .9..,c;.:1--
Office
x,,j '1--
Office Phone 1�c4) �-� .E( Job Site Contact Number (?,;•r) 4��:, _.2 .l<ic;
State Certification/Registration)/ i 00C . t! .).(;- E-Mail QI Li:. .ii:((C CAC. C.G-.'.4
Architect Name&Phone# /k f
Engineer's Name&Phone# 14A
Workers Compensation Insurer O r/1).S tQ.c �Q.s � OR Exempt❑ Expiration Date 0 i f L ( /,213
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 PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDFrR-OR ATTORNEY'BEFORE
RECOR6ING YOUR NOTICE F COMMENCEMENT. / / `
(Signature of Owner or Agent) (Signature o ntra or)
' ned an
sworn to(or a 'rm d)before me thi J I day of ' ned andworn to(o affir —)bef re ••- thi 3 lay of
Z0Z Z, • /:- .-=/-4,-:"& 1.£r€ c C�.'t ZO 7 by CD!� ' �1-e, a KSS
[77:;',.,:.:Ac TONI GINDLESPERGER .� rT.natu )�/ •• .f N• .ry)
MY COMMISSION#GG 35. _ '��
.....
,, EXPIRES:October 6,2023
.'"'[ ]Bonded ThruNotaryPublicUnderwriters
y ®�
[ ]Personally Known OR ;.`!' c, TONI GINDLESPERGER
[ ]Produced Identification [ ]Produced Identificatio
, " MY COMMISSION#GG 353178
Type of Identification: L Type of Identification: I '' _ _.
FoF ,,•g• Bonded Thru Notary Public Underwriters
• ,Ojr) REVOCABLE ENCROACHMENT AGREEMENT
es Nci. City of Atlantic Beach **ALL INFORMATION
'� 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
`rJJf s
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing under the laws of the State of Florida, hereinafter referred to as "CITY" and
1 tk' 41- { tNSP42 ��� of 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 A„pict; (u CoACAE'. IN-Lt.tawA/ ( ,TIf PA�clR.c
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 given by certified mail,return
receipt requested,to the following address
• 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.
Date C2. —
Property Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL hh
The foregoing instrument was acknowledged this J( day of IN\. ' ,202 Z
by FrPAett Vecb'e ,who personally appeared before me and
inted name of Si er)
ack • ledged tha /s signed t e instrument voluntarily for the purpose expressed in it.
TONI GINDLESPERGER
* ,�� %.1 MY COMMISSION#GG 353178 Department Approval:
'MO
Signre of Notary Public,Stat f lorida r. - EXPIRES:October 6,2023
%F Or FI�PBonded Thni Nota
[ ]Personally Known ryPublic Underwriters
[ ] Produced Identification(Type) cott Williams, Public Works Director
H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
FIELD WORK DATE: 14 ems REVISION DIATE(Sk otEv• •)9ricrsl
FL1501.0446
BOUNDARY SURVEY
DUVAL COUNTY
TABLE: C-i
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I hereby certify a)t nd�Pf+ of teens/eon
NOTE` described probPrtyPias bade ruder ray deecion
FENCE OWNERSHIP NOT DETERMINED. and to the besVof fCr10 end belkf.it is a true
JEA-E. = JACKSONVILLE ELECTRIC AUTHORITY EASEMENT. '
and accurate reprp ofa survythat meets fie
standards of�ram6ce E4le -. Board of
Professional veyors kj�pprs in P 5J-17 of
` the Florida A. r.:s.trativ@ ' �7
3a 2a 7 0 15' 30' r/ 6
�'IL SURVEYOR
• ' GRAPHIC SCALE Wesley B.Haas
,'0O1u0i' Slate of Florida Professional Surveyor and Mppet
I inch = 30 feet License No.3700
Use of This Survey for Purposes other than Intended,Without Written Verification,will be at the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION: POINTS OF INTEREST
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING (1)CONCRETE DRIVEWAY OVER 7.5'JACKSONVILLE ELECTRIC AUTHORITY EASEMENT 2
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE STEPS OVER MAINTENANCE&DETENTION EASEMENT.(3)6'WOOD FENCE OVER
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF MAINTENANCE&DETENTION EASEMENT.
ATLANTIC BEACH,COMMUNITY NUMBER 120075, DATED 06/03/13.
CAROL VEAL SHIMON NEIN
R•
REALTORFJIl1�'
CLIENT NUMBER:RS14-2597 DATE: 1/9/2015 SI 114*, . ::. ,
ll
BUYER:RUTH W BEEBE&FREDRICK ARTHUR BEEBE •ter- ■• •-
904.57111l1 904.962.9011 A
- CGI IGD. NANfY F RATFC CAROLYEALMATSO11REALTYCORI.0001 SENIRIATSOr1EALTITOtttrl
NOTICE OF COMMENCEMENT
State of '11.09...1 Tax Folio No. a2 +4 U D
County of rkl•SQct
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 is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 5 .\-k L�51 ;� IJi.:17,1— 3
Address of property being improved: t So9 Q_ ) �_ 2 a.(Q. 3
General description of improvements: Q cC —k ;--i. 61 C4.21-:3(42‘..G11
7
Owner: 1`�,C, 3- `"1�5 fZee\o e - /1/44)7-Address: Go'
t
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Pic&.. c ✓�-s`�%�- tC,J-'ec603
r ` l !�
Address: �� 411 ` J 603>� L • j J �K' z o�ac q _
Telephone No.: ( o i) ( �aggq 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 re,"'Ll,u re"? P!IUB RGER ate is
specified): - MY COMMISSION#00353178 —
a;
', �•PQ•' EXPIRES:October 6,2023
•THIS SPACE FOR RECORDER'S USE ONLY OWNER 1 °FOr,�,`,•°• Bonded ThruNotary Public UnderwTNers
Signed:'/ '"'�t1 - Date: /26'- 3 r —7�
Doc#2022080543,OR BK 20203 Page 674, lefore me this ? ( day of Cyt-QA- in the County pf Duv State
As)Number Pages:1 )f Florida,has personally appeare. . Z rrO d [►tS ��e_
Recorded 03/31/2022 10:51 AM, Jotary Public at Large,State of Flo • Coun,Z; •.veI.
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
Ay commission expires:
COUNTDING $10.00 'ersonally Known: ` or
RECOR 'roduced Identification: Fy�