91 STANLEY RD DEMO22-0025 - .i fio Building Permit Application Updotedl0/9/18
�). ' , Cityof Atlantic Beach BuildingDepartment
p **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
`�'s'�� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us J 7
L
Job Address: 91 Stanley Rd.Atlantic Bch, FL 32233 Permit Number: _JEImO C.— ' od w
Legal Description 19-16 17-2S-29E.23 Donners R/P PT GOVT Lot2,3 Lot 5 Blk 19 RE# 172188-0000
Valuation of Work(Replacement Cost)$ 7000.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition DAlteration ❑Repair ❑Move NDemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): OCommercial ❑Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed proiect?❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed:
Complete Demo of building
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name K&D Mactavish LLC Address 12313 Arbor Dr.
City Ponte Vedra State FL Zip 32082 Phone 904-254-0597
E-Mail modirnbergerna,gmail.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Classic American Construction LLC Qualifying Agent Paul Axtell
Address 12851 Sounthern Hills Cir E City Jacksonville State FL Zip 32225
Office Phone 904-591-2555 Job Site Contact Number 904-591-2555
State Certification/Registration# CGC60445 E-Mail axtell216@Bmail.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer Exempt OR Exempt X Expiration Date 10/11/2024
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 'TTORNEY BEFORE
RE 1•47% N �'OU OTICE OF COMMENCE I ' . �_II
4.
'ignature of Owner or Agent) (Signature of Contractor)
-!a\ -f�
Signed and sworn to(or affirmed)before me this 2S day of Signed and sworn to(or affirmed)before me this.2S day of
Ocko ,r ,'2o12- ,by Mork Z. Cef4'`ar A QC , DityZZ , A;;Lo 1Ni- f 11
,�nir A� D0r-A. '- tta.n.r�. . ti '1Z.✓
`"41,,p' BRIAN NA WALKER (Signature of Nota (Signature of Notary)
=Mnp a Notary Public-State of Florida ��GLV�� COkt
oT :_ Commission# HH 189938
T��A,' My Commission Expires
'"i��"`‘ pk Dnp IfQ ['Personally Known OR
aha��k W�1��r [ ]Produced Identification j"..."—..'".6'
Type """"' BRIANNA WALKER
yp �h�y-S Li Cer\S2 Type of Identification: � °.'"1"-':
/s �Notary Public State of Florida
A -olDG — 5�1 -GAP— 38-1-0 - F = Commission# HH 189936
'�x11ii."I` My Commission Expires
", "s October 21, 2025
vi...............
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. 172188-0000
County of Duval
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: 19-16 17-2S-29E.23 Donners R/P PT GOVT Lot 2,3 Lot 5 Blk 19
RE# 172188-0000
Address of property being improved: 91 Stanley Rd.Atlantic Bch,FL 32233
General description of improvements: Demolition of exisiting building
Owner: K&D Mactavish LLC Address: 12313 Arbor Dr.Ponte Vedra,FL 32082
Owner's interest in site of the improvement: 100%
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Classic American Construction LLC
Address: 12851 Southern Hills Cir E.Jacksonville,FL 32225
Telephone No.: 904-591-2555 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
X1'1/,r,n%II-1 /r:iI:... ..a n........J,._..f....1
Doc#2022269733,OR BK 20479 Page 1918,
Number Pages: 1
Recorded 10/27/2022 11 18 AM,
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY ax No:
RECORDING $10.00
ite is one(1)year from the date of recording unless a different date is
THIS SPACE FOR RECORDER'S USE ONLY OWNER
fr
Signed:_/ �i ./I Date: ID I Z SJ Z 2
.--- Before me this 7 SYh d y of oC\1 .X in the County of Du al,State
`����!','�y.,, BRIANNA WALKER Of Florida,has personally appeared•
NlOrii z Cefhctrd 1I �'�rr�
/ill 4g;Notary Public-State of Florida Notary Public at Large,State of Florida,County of Duval.
r: •_ Commission#HH 189930
.T1I1'�,? My Commission Expires My commission expires: Ibl211202. 5
4,41:111W
'+��III�``` October 21, 2025 • Personally Known: or
Produced Identification:FL—Dr�v�rS L\c2:r\ .P PO i -5`'fl' —?81-1
yy/��j
MAP SHOWING SURVEY OF
LOT 5, BLOCK 19, DONNER'S REPLAT, AS RECORDED IN PLAT BOOK 19, PAGE
16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
LOT 6
? 1.0........y 41
SCALE 1" = 20' 88.22' (Figio)
FOUND I/2"NON
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Highlighted areas indicates silt fence STANLEY ROAD
30' RIGHT-OF-WAY (PAVED PUBLIC ROAD) 0
To yr 00,1'
BENCH MARK: SET MAC PIPE,
NO CAP
NAIL&DISK,L83672 I
IN EDGE OF PAVEMENT
LOT 11 ELEVATION_ 10.31' I
(RAM 1988 DATUM) I
SURVEY NOTESI a I
I. THIS IS A BOUNDARY AND TOPOGRAPHIC I '\ I
SURVEY.
2. INTERIOR ANGLES AS PER FIELD DATA AND `/
AS LISTED BELOW: r
A-90'19'37- G
B-89'40'23" LE GEND:_
C-90'19.37" 0 coo DENOTES CLEAN OUT
D-89'40'23' I LOT 12
3. NO BUILDING RESTRICTION LINES PER PLAT. Ca 4 DENOTES POWER POLE
4. NORTH PROTRACTED FROM PLAT. V
5. BENCHMARK WAS ESTABLISHED BY GPS WA'- DENOTES GUY ANCHOR
OBSERVATION USING SPECTRA PRECISION SP80
L1/L2 AND TRIMBLE VRS SOFTWARE. SET MAO CRO DENOTES CABLE RISER
NAIL &DISK, LB3672. ELEVATION = 10.31'
(N.A.V.D. 1988 DATUM). SITE BENCHMARK DENOTES SON,...p„-
SHOWN HEREON. ANk1,1'. -
' qr---�
THIS SURVEY IS CERTIFIED TO: ,-
.'.:"..4.1`,-.4 ' - \ ,
THE PROPERTY DESCRIBED HEREON LIES IN FLOOD MORITZ DIRNBERGER -•.> 8 14
ZONE "X” (AREA OF MINIMAL FLOOD HAZARD) AS WELL
:::-'ll2: II Fj 1''iT
AS CAN BE DETERMINED FROM THE FLOOD INSURANCE :of.k ,
RATE MAP No. 12031C0408J, REVISED NOVEMBER 2, :•
2018 FOR DUVAL COUNTY, FLORIDA. 1 HS �,�':'
JASON D. BOATWRIGHT, P.S.M. `';1 'r vb-, '
'NOT VALID VATHOUT THE SIGNATURE AND 1
THE ORIGINAL SEAL OFA FLORIDA FLORIDA LICENSED SURVEYOR and MAPPER"la'lLS 7292
LICENSED SURVEYOR AND MAPPER' FLORIDA UCENSED SURVEYING and MAPPING BUSINESS No.LB 3872
CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE:
DRAWN BY KJC-P SEPTEMBER 8, 2022
FILE: 2022-1199 1500 ROBERTS DRIVE. JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1