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1820 N SHERRY DR DWAY22-0026 r(v'1yr� 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 IS REQUIRED. Phone: (904,,)247-55826 Email: Building-Dept@coab.us 7 Job Address: 18 Za /V. ShCry y ,v2 Permit Number: �17 — 2 G Legal Description LOTI 3 e I\f '1 A,,i, , n Urf,� &v lV iS RE# Valuation of Work(Replacement Cost)$ 'Dc , Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration 1epair ❑Move 6emo ❑Pool ❑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 protect? ❑Yes(must submit separate Tree Removal Permit),No Describe in detail the type of work to be performed: f C`©neOak„-� Florida Product Approval# / for multiple products use product approval form Property Owner Information Name 6r9 Ily M 42 V— Y„, Address 15 24) N- s D City n(-L4- L e-4- State f?_- Zip 3'2-2.33 Phone 9or AV? 2327 E-Mail SP-)((ye_//Ao -e 6.5.4n , (4,,/1.. Owner or Agent(If Agent, Power of A' torney or Agency Letter Required) Contractor Information Y1 ��tt f / n Name of Company 6,..,G- ,r [t7. ii1tL,ic Qualifying Agent (14,1744-- t ie , 41�C- Address ')561) ASI?'.f 51- City J4.0 State FE.. Zip 32-2-SC Office Phone 3i 1.338 So/ Job Site Contact Number coi( 839 6S0( State Certification/Registration# I el q27 Si-66.16i-Mail 44/4"992/7. 3 Architect Name&Phone# R M G 'f 2 Z g rrva Engineer's Name&Phone# Workers Compensation Insurer _ OR Exempt% Expiration Date 2/ l p/Z y 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 LENDER OR AN ATTOR ' EFORE RECORD G Y. - • J•TICE • COMMENCEMENT. / S I, tom (Sir of Ow 'r Agent) ��// (Signature of Contractor) Signed and sworn to(or affi • •afore me this2�7►-.day of Signed and sworn to(or affirmed)beforeme this2JI'^day of /�0 , 2,927 ,by APn) , 2o2z ,bye Qobo+ �6��6a1�► � ••,"':� n avis �.f" reW D. Davis ' =COMMISSION#0141220 ;2, fe'l COMMISSION#0241220 Personally Known OR -;A •r15 `�� EXPIRES. Sept. 17, 2022 [ 1 Personally Known OR `j !► ``�� EXPIRES: Sept 17, 2022 [ I Produced Identification 1,i,, 1W Bonded lulu Aaron Notary produced Identification L :yf,%fi„p' Bonded Thru Aaron Notary Type of Identification: Type of Identification: L. 1 m ° m m ORIGINAL FIELD WORK OR,GINAT GN DENG?MAR.K ��� COMPLETED BY: DUVAL COUNTY BRASS DISK TARGET SURVEYING,LLC GRAPHIC SCALE(In Feet) DATED:04/04/2017 'R 888 DL5741' 1 Inch- Ism SURVEY ii286413 NA.V.D.1988 ELEVATION 4.12 J SITE z ,� I.OI N a ON 2 SET 1/2" 0 2go RING BASIS �, N BEA ) IRO ROD ,1 FOUND 1/2" L.c)I ? LB#74ss N89°10'22"E 94.62' � IRONPIPE ato w n 2 0.1'N - � = 0.8'N o X 30.0' LOCATION n I,�0 • ,ryX n,�X p^X gyp. I ° '�' M q �4 Y Itio •10.0'.., ^ti. ti ^ mac° ^ .. AI oh V.: r „ ny LEGAL 0r5GPIIfiION; cs ^�. 11. AIC 18.6' czi w 1454NEW 47A j 0~1�/ m aZ LOT 7,SELVA MARINA UNIT NO.10-B,ACCORDING TO 9 ' -'+ ,ttiryv F. (ADDITION SII)eNCe N A: ) W THE PLAT THEREOF RECORDED IN PLAT BOOK 36,PAGE .^, X F. #S2O R oR__ivvEE�l rn - 61,OF THE CURRENT PUBLIC RECORDS OF DUVAL O : I ..4 ..• I.. COUNTY,FLORIDA. Ch ® FINISH FLOOR - Sf ( 12.0' IMIEVAINIMIN O 3 ELEVATION_Ft 0, �" 0 14.12 NA.V.D. 18.6' 'a - p,Q FLOOD ZONE:X pY X COMMUNITY NUMBER:120075 NEXT HIGHEST ti R 14.53 N,A.V.D. e, ' ' O" O PANEL:12031C0407 & m O : p0' a , SUFFIX:H IFoha .. • •76' "'r•� X O • C-16687 LOT 2 OLD BUILDING b • o' °, - I W Me 7,2 ` 11-02-2018 Ch ?9 2.T __LINE(TYPICAL) ADDREV/ATION 0E5GPIPTiON 1". A.21.7 ,,.v o.s WINDOW W' ^ 1°F 1 J ii �O A/C AIR CONDITIONER O . (h 14.54 co , C/L CENTERLINE Z ^ry. . 14.54 - CV co' e X b b 0(04 > �XOj�• ' a• I F.F. FINISH FLOOR S o-y DINEWTION 14.9' ,3•'•1 ''5,0' ' ' �" I.D. IDENTIFICATION ^ ,r--J_ 00 0 LB LICENSED BUSINESS O li '' ...‘. \ x ,3B43'' CO 1 I Z N.A.V.D. NORTH AMERICAN VERTICAL DATUM y Z' X 13 80 1 i 3 LOT P. �0 I P PLAT -S G¢ 5'UTILITY 1. X7a X X R/W RIGHT OF WAY ;u] a `76. I X TOPOGRAPHIC ELEVATION on B (D G EASEMENT 19.5' .7 �.2 8 �/ c ^T / aye h., -'.,i--/ �% r.c � ^;? 30.0' 441". + t 0.5'S ~1.6 N oo ,\)<.-1, q REVISIONS: i >44 g S89°10'34"W 86.93' FOUND 1/2" A I v p 1. ADDED FINISH FLOOR ELEVATION...12-04-2018 Z �F+� LOT I FOUND 1/2" IRON PIPE a ' Z, 2. UPDATED SURVEY-NEW ADDITION ...03-15-2019 i. LOT 8 m¢ 3. LOCATED SLAB FOR NEW SHED ...03-22-2019 �� n! I w 4. REVISED FENCE ...03-26-2019 ,`,. w ..LIJ Z CORNER NOTES - LP) --c.4 1. LEGAL DESCRIPTION PROVIDED BY CLIENT 2. NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE Kenneth J.Osborne PSM#6415 , 3. NO SUBSURFACE IMPROVEMENTS WERE LOCATED AS PART OF THIS SURVEY THIS SURVEY IS NOT VALID WITHOUT + a 4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED THE SIGNATURE AND THE ORIGINAL RAISED SEAL 5. THE BEARINGS SHOWN HEREON ARE BASED ON THE NORTHERLY PROPERTY LINE,ASSUMED TO BEAR N89°10'22"E. OF A FLORIDA LICENSED SURVEYOR AND MAPPER �,�� , RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION **ALL INFORMATION 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 )2.Z M .4\ S . r7 'OIL Permit Number Contractor Information I (� Company (./� C O'le �L O€- cj" `DQ_ t1L—ItQualifying Agent Cof3'ue- &04-t2-, At4c-4 Address 660 �}/« City J"4StatePc... Zip 3zz5-C Phone -IDtk GSO\ Email IF-te'' 4941. -�� M41C. . C—o.n State Certification/Registration# /9492-, /gt-1;056 Architect Phone Email Engineer Phone Email Workers Compensation Insurer OR Exempt Expiration Date 21/5/2 Y • 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 f2-4(5rcfL� c (Project Superintendent) with(Company Name) Ca-n CrcT— tcir OZ- 19fa-tic Phone 441-1 933$ g.5•01 • 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 30 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 Pus ,"irks p' ect• shal notified 24 hours prior to starting work and again immediately upon completion. Date Permittee(s':ned in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this a 5 day of /qtgRt t— ,20 2 by ��2� `a 2 t <�( /C �� C� V-5,ho personally appAnraw re before e a (printed name of Permittee) .+°q 1 i« aYs acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. � = • �� • =COMMISSION#0241220 '',► se EXPIRES: Sept. 17, 2022 '*14 *14 aT S� N` Bolded Thru Aaron Notary [ ]Personally Known Si nature of Notary Public,State of Florida 1.4roduced Identification(Type) FL 1 H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 1+!_torr), REVOCABLE ENCROACHMENT AGREEMENT . �4� City of Atlantic Beach **ALL INFORMATION ii HIGHLIGHTED IN GRAY 'i 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED. 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 (Y)f12 1-C yc9.)-1 4 •fi- SA tLy yQ j'v ei 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 gia I L)i. (1.4,Ot_ CA.-•• 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 I 0 Zo (\i• S\)e_(L(L') -p2 I ATL ' - (5 '4 C • 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 hereb assumed by •- USER. re ��� Date VZ� Property Owner/• :ent (signe, •resence of Notary Public) STATE OF FLORIDA,COUN % s DUVAL The foregoing instrument was acknowledged this UC-)V\ day of A-ncl , 20 ZZ , by /"lark Y(yIA i6 ,who personally appeared before me and (printed name of/Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. 14-?,.. ' j ' , '6 ��7,y: Andrew D. Dam', DepartmentPP ' Approval: `'� COMMISSION#GG241220 Signature of Notary Public,State of Florida '� , � ar` (-lersonally Known V.r760. EXPIRES: Sept. 17, 2022 ,,,°1110 Bolded Thry Aaron Note [ ] Produced Identification(Type) ry Scott Williams, Public Works Director H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 NOTICE OF COMMENCEMENT State of NL041/404 Tax Folio No. County of 0044, 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: (,T- I) .SGivq MA(LA/74 Vi,(- PUJ. 1D-13 4cco-,c, e1,47-1- flex c.. cC (tee o lL o eo )1 et,; Q o04_ 3(�, ()A b vF POrkc... 9ccnIL, Address of property being improved: )?2D N. ,S(') re- 0`Z- p}4-1 144-C 'e. (j-eitA} f L General description of improvements: r2 _Q(, - .c_ Ej<1.5r vl Q-1-1)4.1 Owner: Se)1(1 V949'134 ►`'(a(7{ . ycx-,— Address: I g U- Sti G��7 O'L Ar i cn--? 14 Owner's interest in site of the improvement: 32233 Fee Simple Titleholder(if other than owner): Name: �+ 1-e-- - Contractor: ` c c re-T'k0-65k F �tL, " k - Address: '76 7v 'A at- re f -TC CL .3225 6 Telephone No.: g0 f 3g CSo( 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 the date of recording unless a different date is specified): Doc#2022104170,OR BK 20239 Page 300, OWNER Number Pages:1 Recorded 04/25/202211:56 AM, //, ff51/0Z JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Signed: •0 Date:COUNTY Before me this .ay of A ling CO in the Col,State RECORDING $10.00 Df Florida,has personallyappear Mr./IC VO Votary Public at Large,State of • = da,County of Duv a"41:1���' Andrew D. Davis expires:My commission f(*1ZZ Personally Known: I,1 COMMISSION#GC1241220 Produced Identification: c-..1 j17ik EXPIRES:SSept17.2022