426 E SAILFISH DR RFNC22-0050 . ii.'i>" % n PermitUirdtstk�tyi9J'9'�'/1
i 7'''''',E.,41( City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach,
FL 32233 HIGHLIGHTED IN GRAY
`•.•Lnfsv'� IS REQUIRED.
`P�hone:c(904)) 247-5826 Email: Building-Dept@coab.us t ` �)
Job Address: —C20 ^<<"S1'1 bY• Permit Number: RF 1�1 C Z 2 vU
4 O Y21 cit �0. IV) Lift 1+- 2 RE# f 13 is --000 0
Legal Description l0"'fi Li- �Q4�- I
Valuation of Work(Replacement Cost)$V%;1%dt Heated/Cooled SF Non-Heated/Cooled
• Class of Work: gNew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool OWindow/Door
• Use of existing/,proposed structure(s): OCommerciai OResidential
• Iffaf eagigtiefg9trttienuxe;,its mlire wihrH tn-swittemniim lixtiP.: ENifees 111pim
• Will tree(s)be removed in association with proposed proiecf?DYes(must sUbnilt seprate'Tree'Removvl Permit) )No
Describe in detail the type of work to be performed:
fJ t-uo toy 5-40c lc c..svocF--c-c
FA Sari du Prandial:it 40,1113 atall* flaw;mdtfivite pm®diusit6 usze period tura augurrimall firm I—
INtsttbu o aaatmr I►oemrtelliimn
Name w\(,\ Mc- f\0_ 1 Address *2-t.0 QS «S 1n Dr. r- V
'�G
City tP-A-A.c v\ t-- Cato c State Ft-. Zip ' 1- -a; Phoneq9.. • VS• '�(115_____ 41.0
E-Mail 2Jnn i\\. .«1 e vve't,--&\•c.)
Owner or Agent(I Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 1Pt•rmC & C-o• Qualifying Agent ja A) fr.,. (t tr
Address 3Z'1-Lp ` -oaks Yo-Y-LIt .- City 1Jo.s„..'F-fohO•(\ - State 'Pt, Zip 1Z-14:)\0
Office Phone'W-1' 'act* •-7-VN Job Site Contact Number Rom{•VILA•11993
State Certification/Registration# 1 3L26 Y E-Mail ha l 1 " O41P 1.1_--ktnce.•C rr n
A
Architect Name&Phone# /V/4
Engineer's Name&Phone# rt/.4•0v
Workers Compensation Insurer j"{4.,u,4,y etc_ _‘,Mp.,,.y X'ur• OR Exempt ci Expiration Date 00/.
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,
rt
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 entitles 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 RECORDA NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 9R AN17FRNEY BEFORE ?-
RECORDING YOUR NOTICE OF T LA 4
j '(Signature&Ovn7er oT 7i J (SeftrCmttrattiad)
Signed and sworn to(or affirmed)before me this S day of Signed and sworn to(or affirmed)before me this 4 day of
. . . • C.-CA.:k C, r tk, h't,,y- ,)p 27 ,by T)c a1 W4 1(re
*n".' JENNIFER JOHNSTON Pf � i% ��f
,.• .1. MY COMMISSION N HH 057579 .ig re of Notary) .„l t` � a
,•-J -'s' EXPIRES:October 27,2024 -74Y"r%t•"•,- ROBERT G HALL
.`a.'i�?. gpq�Thu Pup K �ygq Notary Public.State of Florida
'er . o^ •- (�Personally Known OR . Commission d GO 254695
(Vroduced Identification N ( I Produced Identification \tar. My Comm.Expires Oct 24,2022
iType of Identification: r V U t, Type of Identification: Bonded thr..eh N. .. • . . Assn.
e
1
i MAP SHOWING SURVEY U1-
LOT FOUR (4), BLOCK TEN (10), REPLAT OF PART OF ROYAL PALMS UNIT TWO A,
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 31, PAGES 16, 16A,
168, 16C AND 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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stir f ** za .y3 i -... FOUND 1/2'IRON
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NOTES: __
TRITON -�- A .
1, THIS IS A BOUNDARY SURVEY. h .1
2. BEARINGS BASED ON THE EAST LINE OF LOT 4, R1aNT of wAY(PA OPUNIC ROAp) ;`
BLOCK 10, BEING SOUTH 07'16'02" EAST,AS PER PLAT44.: R "'t 'i l 1P„�z
3. BUILDING RESTRICTION LINE AS PER PLAT. }F
S'p �Sa139M��- SJn TRIS SURVEY WAS MADE FOR THE B£eiFfi--..t.*:7'0c-:''
� � LAWRENCE E. HAYDEN, JR.; OLD REPUBLIC
THE PROPERTY SHOWN HEREON LIES IN FLOOD Q> E. NATIONAL TITLE INSURANCE COMPANY AND
i. ZONE "X" (AREA OUTSIDE 0.2% ANNUAL CHANCE �'� '- WILLIAM JOHN LOVE k MARY WRIGHT LOVE
FLOODPt.,giN t *��. ,�
FROM THE ) AS WELL AS CAN BE DETERMINED . °:.�:w
FLOOD INSURANCE RATE MAP £ .' ,A-'1 m� .' ` '''-47-4-'4V:''
7- '4V
12031C0408H REVISED JUNE 3, NUMBER ? ,_` a r `cs } s r
COUNTY, FLORIDA 2013 FOR DUVAL `Y��. - ' :� : ', r''6'-4 eLSF43``
I1407 wit!,vnn r __,�7.''s-# --r-:.r+s.-sv ,-• r x '?�-.3s .:s: 'x y3i<=~'J.2`: j:1iY+:'� -.-`fir_--' ... , sh al.....a x{,3i#? --"k-
JS';'''
,''r/J'' ' Fence Addendum Updated 1/14/2021
f f� City of Atlantic Beach Building Department
,..fig J;i�, ~ 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT #
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
`+2- So. \-fiW-\ DY• .E S •S •22
Property Type: Lot Type/ Features:
,ZLResidential 'One Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage (corner lot, through lot,
etc.)
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
Wood ❑ Four Foot (4ft)
❑ Chain Link 'l Six Foot (6ft)
❑ Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
❑ Other
Fence Location:
Please submit an accurate and current boundary survey showing all existing improvements (including building footprint,
driveway, swimming pool, etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or
retaining walls and any portion or fencing above 6ft in height.
Will the fence be built in an easement?
❑ Yes (must submit separate Revocable Encroachment Agreement)
No
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
y
7 No
Conditions of Approval:
• Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way.
• All old fencing and debris must be removed from job site by contractor or homeowner.
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 ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE OF COMMENCEMENT
State of FA%Vl C Tax Folio No.
County of bVVCk.k
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: L.o4- (-/ bigC-K I0 0,0�.1 pi.t,-S (A. i4
Address of property being improved: L}�-'P SC IfSS‘A Dv% .
General description of improvements: Fes^C Q-
Owner: F.4-0(1 MCNG1/4. j Address: 1-V2- Sc VI DV.
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: IM S ) C•
Address: ""2-2--4 To. 3C1..)(30.)C. EL 2 t LP
Telephone No.:9Ck-k 3Slo • 73 Fax No: `[ '35k. '233'4
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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: ' ZZ—
Doc#2022123160,OR BK 20268 Page 1851, Before me this :t day of A.j t b a b 1fL•-, in the County of Duval,State
co.:umber Pages:1 Of Florida,has personally appeared c .t%4 r`C.. N et y
Recorded 05/09/2022 11:36 AM, Notary Public at Large,Stao lorida,Count of -v
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL My commission expires: �\ �Q;�''•'!4t.� JENNIFER JOHNSTON
COUNTY Personally Known: f.: ! :al MYCOMMISSION1HH0W579
RECORDING $10.00 Produced Identification: F L 41L- EXPIRES:Oc ber27,2024
A o:r.? Bonded Thu Notary Pudic Urdawriats