2020 Vela Norte POOL20-0012 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Deparsnent.)
>' 800 tic Seminole Road A _�/J vn _
Atlantic Beach, Florida 32233-5415 �(�q(.
Phone(904)2475826' Fax(904)247-5645 �
,.og pY E-mail: buildingdept@wab.us Date routed.
Z in
Cityweb-site'. hftp:l/w�coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: eel
� Department review r ulred Yea No
Building
Applicant: Planning&Zoning
y TreeA tar
Project: ,L Public Works
sties
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Reviewor Receipt Date
of Pena Verified e
Florida Dept.of Environmental Protection Go V I
Florida Dept of Transportation
St.Johns River Water Management District A�
Army Corps of Engineers
Division of Hotels Restaurants
Division of Alcoholic
Bevereges and Tobago
Other.
APPLICATION STATUS
Reviewing Department First Review: [—]Approved. Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by. Date: J '�
TREE ADMIN. second Review: []Approved as revised. ❑Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Raviud W1912017
nn PUBLIC WORKS PLAN REVIEW COMMENTS
Date Application p:
Project Address• 9� Y�� y � ,8 `iz
CORRECtoselecct
TION ITEMS e
to Se
ox
CSMP Provide construction site management plan including location of silt fence,dumpster, portable toilet. ❑
Right-of-Way Permit is required If using right-of-way for construction parking. /
DPLN Provide drainage plans showing site topography(flow arrows,etc.). ffY
ESCP Provide erosion and sediment control plans with Installation details. ❑
IMPS Provide impervious surface calculations for entire lot(existing and post construction). ❑
Section 24-66(b)of the Land Development Regulations requires on-site storage for increased run-off
LDCS if adding 250 SF or more impervious surface. Provide Delta volume calculations and on-site retention
required per Section 24-66(b).
REPM A Revocable Encroachment Agreement must be submitted. ❑
RMRO All runoff must remain on-site. Cannot raise lot elevation. ❑
RWPM A Right-of-Way Permit must be obtained. ❑
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land
Surveyor,showing V contours.
CUT Provide manufacturer cut sheets for 50%credit on Turf Block pavers. ❑
DW Maximum driveway width within the City right-of-way Is 20' (circular driveway width is 12'maximum). ❑
PAV Provide paver installation method (must meet I.C.P.I.). ❑
WRA Provide a detailed plan of water retention area and how water runoff gets to water retention
areas and then to street.
WR Provide detailed plans showing proposed water retention. ❑
SID Concrete sidewalk must continue through driveway. ❑
45 Documentation shows impervious areas are over the 45%allowed by City code. ❑
Revised 2/26/19
rVDI-It, VVUKKb PLAN REVIEW COMMENTS (Revised 3/6/20)
Date: T; a ' /� Application#: Aft/
Prosect Ad rens: 79 W & / �� ///
CONDITIONS OF APPROVAL TO PRINT ON PERMIT Check Box
to Select
Driveway All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of pavement
Apron to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. ❑
(Commercial driveways-6"thick).
Erosion Full erosion control measures must be installed and approved prior to beginning any earth
Control disturbing activities. Contact the Inspection Line(247-5814)to request an Erosion and Sediment
Control Inspection prior to start of construction.
Onsite
Runoff All runoff must remain on-site during construction.
Post const, If on-site storage is required,a past construction topographic survey documenting proper
TOPO construction will be required. All water runoff must go to retention area and retention overflow
Survey must run to street.
Pool Pool—Wellpoint(if used)must discharge into vegetated area 10'minimum from street or drainage
Wellpoim feature(swale,structure or lagoon).
Roll off Roll off container company must be on City approved list. List can be obtained at the Building
Container Department at City Hall. Roll off container cannot be placed on City right-of-way.
ROW Full right-of-way restoration, including sod, is required.
Restoration 8 y 8
Utility Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid
Road Cut 10'in each direction from the center of the cut. Repair must be shown on the plans. ❑
Construction Provide construction site management plan, including location of silt fence,dumpster,portable
Site Mgmt. toilet. Right-of-Way Permit is required if using right-of-way for construction parking.
Runoff All runoff must remain on-site. Cannot raise lot elevation.
Document
trongly suggest thorough documentation of Impervious areas be recorded.
Impervious ❑
Slab Slab and driveway to be fully removed.
Driveway ❑
Maximum Maximum driveway width within the City right-of-way is 20.
Driveway ❑
Circular
Driveway Maximum circular driveway width within the City right-of-way is 12'. ❑
Grass Full site to be grassed. ❑
SuOPO
aveY Must provide a topographic(TOPO)survey with water retention for final CO Inspection.
Revision Any plan change must be submitted as a Revision to the Building Department. ❑
Fencing
Removed All old fencing and debris must be removed from job site by Contractor. E3
Decking
Removed All old decking and debris must be removed from job site by Contractor.
Infra-
structure Any damage done to infrastructure must be repaired by Contractor. ❑
As-Built Contractor must submit As-Built plans to City within 30 days after completion of project. ❑
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-' Comp. By:
rJ
.1 Date: 61112020
Jif
Public Works Department
City of Atlantic Beach
Permit No POOL20-0012
Address: 2020 Vela Norte Cir
Reouired Storaae Volume
Criteria,
Section 24-06 of the City of Atlantic Beach's Zoning,Subdivsion,and Land Development Regulations requires
that stormwater runoff from impervious areas be stored onsite. Volume to be retained is as follows:
V=CARI12 which is the Modified Rational Method for estimating stormwater runoff
Where: V=Volume of Runoff to be stored(cubic feet)
C=Runoff Coefficient,0.92,the difference between impervious area(C=1.0)
and undeveloped conditions(C=0.08).
A=Impervious Area(square feet)
R=25-yr I24-hr rainfall depth(9.3 inches for Atlantic Beach)
Onsite Storage Volume Reouired for Impervious Area:
Lot Area= 15,696 ft'
Impervious Area(A) = 623 ft' = 4.0%
V= 0.92 z 623.0 z 9.3 / 12
V= 444 ft'
Provided Storage:
Area 1 -Relative Elev. Area Storage Sideslope: 2 :1
(ft) (ft) (ft)
0.0 176 238 BOTTOM size: 16 X 11
1.0 300 TOB size: 20 X 15
Area 2-Relative Elev. Area Storage
(ft) (ft) (ft)
0.0 0 0 BOTTOM size: 0 X 0
0.0 0 TOB size: 0 X 0
Area 3-Relative Elev. Area Storage
(ft) (ft) (ft)
0.0 0 0 BOTTOM size: 0 X 0
0.0 0 TOB size: 0 X 0
Inground Storage: =A•dlpf
Total Storage Area at TOB(A)= 300.0 ft�
Depth to ESHWT from BOTTOM(d)= 2.0 ft,default is 2.0 ft,verify onsite ESHWT
Pore Factor(pf)= 0.4 default is 0.4
Inground Storage Provided= 240.0 ft'
Required Treatment Volume= 444 ft'
Supplied Treatment Volume= 478 fP
Retenton WR.CogbrSwdiig-RevisW04-16-19-Coq WIM20
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RECEIVED
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ANSI/APSPt 7,2013 Specifies three methods for.determining the maximum sysem flow rate.
The following simplified TDH calculation is one of the methods specified.
Simplified Total Dynamic Head (TDH) Calculation orksheet
RECEIVED
Determine Maximum system Flow Rate
By Jennifer Johnston at 1:46 pm, Apr 24, 2020
Minimum Flow Rate Required:35gpm per skimmer(required:1 skimmer per 800 sq t of surf.area)
1. Calculate Pool Volume X X 7.48 (gal./cubic foot) = q 65
(swfa.4aa) (A,Depih) d e colons)
2. Determine preferred Turnover Time in Hours: ` X60 (min/hour)= o -
ours) verNmipl
3. Determine Max Flow Raten9 / + 6�= 11
(V IumeN Gdnmu) 61 ;; eria Min) (Pool Flpw Naw) (S Flnwfiaw)
4. Spa Jets: X GPM per jet= flow rate
(Nootleu) net Flow) rrowllet Flow Naw)
(For Single Pump poollspa combo,use the higher of No.3 or No.4 in the following calculations f r the pool 8 Spa)
Determine Pipe Sizes:
Branch Piping to be L inch to keep velocity @ 6 fps max.at L14,,gpm Maximum Sy m Flow Rau
Suction Piping to be 2�5 inch to keep velocity 9 8 fps man.at 1l gpm Maximum Sy to Flow Raze
Return Piping m be 2's inch to keep velocity @ 8 fps max.at 111 gpm Maximum Sy m Flow Rate
Determine SimplilOW TDH:
L Distance from pool,to pump in Ft 10
2. Friction loss(in suction pipe)in 2.5 inch pipe per i C @ gpm=from pipe flo friction loss chart)
3. Friction loss(in return pipe)in 2.5 inch pipe per 1 t./@ gpm= •�(fmm pipe flo riction loss chart)
4. 30 X rCS – rZa T
(ImgmdSuaim Flpe) (P dheWlhdPipe) rmils-d®Flee)
5. X a. y'
(tangihdsu Rpe) (radN lhd Pip) (IDH Sucdm Flpe)
Flow and Friction foss Per Foot
(Schedule 40 pvc Pipe) TDH in Pipin 4.8
Filter loss in TDH (from filter data shee 'I.&
Heater loss in TDH (from heater data sheet
Vv ToW all other los 0
Total Dynamic He (TD
ar
Selected Pump and Main Drain Cover.
Pumpselection �p'k�-M'1�—(Q4•L using pump curve for TDH&System Flow Re
(Pump model and size m HP)
Main Drain Cover 32C V5 CAI (System Flow Rate must not exceed approved cover flow rates)
(PumpmodelandsN in HP)
Notes:Minimum system flow based on minimum flow per skimmer of 35 gpm.
Determine the Number and Type of Required In-floor Suction Outlets:
(Check all that apply)
❑ O — 3' — O suction outlets @ qpm max. flow(se note 2)
❑ e O O suction outlets @ qpm max. flow(se note 3)
gi O channel drain @ .314 qpm w/ . .po is (see note 4)
RECEIVED
By Jennifer Johnston at 1:46 pm,Apr 24, 2020
TDH Calculation Options ANSI/APSP/ICC Wor ksheet
(For each Pump) Swimming Pool Energy Efficiency Coi apliaime Information
Check one Note:These Requirements Apply ONLY to the Filtration Pump
Simplified Total Dynamic Head(STDH) Maximum Filtration Flow Rat Calcutlations
Complete STDH Worksheet-Fill in all blanks pool water Voume�.360=—All--
g m=filtmtiov Flow rate
❑ Total Dynamic Head(TDH)
Complete Program or other calx.Fill in Is there an Auxiliaryload on the filuatiovp p?Yes_NO ✓
required blanks on worksheet&attach If so,what is the auxiliary flow rate pm
calculations Maximum Flow Rate a__6 gpm(.im in auxiliary pool loads or
❑ Maximum Flow Capacity the filtradov flow one,whichever is greaser.
Notes:
of the new or replacement pump Dm pool filtrationflow rare shall rest be gre er than rhe rare needed
1. If a variable speed pump is used,use the max m mm over ,the pool water volume in 6 ho or 36 gpm whichever is
pump low in calculations greater. This means rhm for pools ofkm r 13000 gallon;rhe
2. For side wall drains,use appropriate side wall
drain flow as published by manufacturer pump shall be rind to have allow rare of gpm or less.
3. Insert manufacturer's name and approved Suction Pipe size w 6 fps I.5 inch
maximum flow Return Pipe size @ 8 FPS 1.3 inch
4. See installation instructions for number of Filler Factors:(Camidge 375)or(DE 2)or Sand 15)
Pam to be used �6 - •3'75
S. In-Floor suction oudet cover/grate must _
conform to most ecent edition ofASME/ANSI (Flow mm) (files factor) (minim fdtmsim)
Al 12.19.8 and be embossed with that edition Filter Make/Size •zkd� 1
approval Backwash valve?Y. Na_ ✓ (if y ,must he 2 inch min)
6. Pump,Filter and Heater make and model
cannot change,and equipment location cannot Pump Selection from APSP database on C e A(less than 17000
be move closer the pool without submitting a gallons)m C(greater than 17000 8f1lons) ' cla one)
revised plan and TDH calculation worksheet for mdd?krA
approval
Flow Rate(low speed) Rpm 0, rpm
va. .Feet PersemM Flow Rate(high speed)_fpm @ —rpm(not required
Pipe ssm 6 Fes ems if no auxiliary load on filtration pump
1.5" B534�
S0 m .14' Pump Controls
3' 83 .30"
3.5" 117 m AB' .Standard Lime dock/2 speed time dock or other_
* 181 A)' Heeler Model
1• 313 a5'
6' nl .m' Notes:auction piping in front of pump inlet ust be 4 pipe diameters
I.length. Must have 18"of straight pipe aft the filter for solar.
3//c/zoo
—T seta Swimming Pool Specifics tons for:
Owner: O ✓d' MrS. 9.JSe
�/ c�no-aaorz sgnarma Address? " L. Wor+P—
lsliaw t T Al AW4,n . city,State,zip AjjcNb-c PL 3AA.53
Pr ut Name
GPI tc S39o(
Unficadw Humber
cJo 21 --) b? - d$ 9Y
Telephone Number
Total Head In Feet Conversion Chart '
Inches Mercury(Vacuum Gauge)
0 2 4 6 8 10 12 14 18 18
0 0 2.3 4.5 8.8 9 11.3 13.6 154 18.1 20.3
1 2.3 4.8 5.8 9.1 11.4 13.6 15.8 18.1 20A 227
2 42 6.9 6.1 11.4 13.7 15.9 182 20.4 227 25
3 8.9 9.2 11.5 13.7 18 182 20.5 228 25 27.3
4 9.2 11.5 13.8 16 18.3 20.5 228 281 27.3 29.8
5 11.5 13.8 16.1 18.3 20.6 22.8 25.1 27.4 29.6 31.9
6 13.9 16.1 18.4 20.8 22.9 25.2 27.4 28.7 31.9 34.2
7 18.2 18.4 20.7 23 25.2 274 29.7 32 34.3 38.5
8 165 20.7 23 25.3 27.5 29.8 W 34A 304 8&8
9 208 23.1 25.3 27.6 29.8 321 34.3 386 38.9 41.1
10 23.1 25.4 27.6 29.9 32.1 34.4 361 389 412 43.4
P 11 25.4 27.7 299 32.2 34.6 38.7 39 41.2 43.5 45.8
S 12 T).7 W 32.2 34.5 We 39 41.3 43.5 46.8 481
1 13 30 32.3 34.5 36.6 39.1 41.3 43.6 45.9 48.1 50.4
14 923 34.8 36.9 39.1 41.4 43.8 45.8 162 SOA 527
18 34.8 384 39.2 41.4 43.7 45.9 40.2 50.5 52.7 55
16 37 392 41.5 43.] 46 48.3 50.5 528 55 57.3
17 39.3 414 43.6 46.1 48.3 50.6 528 WA 5]A 59.6
18 41.6 43.8 48.1 18.4 We 52.9 65.1 VA W 61.9
19 43.9 482 48.4 W.7 529 55.2 57.4 59.7 82 642
2048.2 48.5 W.7 W 55.2 57.5 59.8 62 84.3 88.6
21 48.5 50.e 53 56.3 5].6 59.8 621 04.3 W4 0.9
22 50.8 0.1 55.3 57.6 59.9 821 64.4 86.6 W.9 712
23 53.1 $5.4 57.7 73.
59.9 62.2 81.4 W.7 69 712 6
L 55.4 67.7 W 62.5 64.5 65.7 69 71.3 73.5 752
25 57.8 80 823 64.5 We 69.1 71.3 73.8 75.8 76
28 00.1 62.3 84.6 66.8 69.1 71.4 73.8 75.9 T8.1 WA
37 824 84.8 W.9 0.2 71.4 73.7 75.9 78.2 984 82.7
28 84.7 W.9 W.2 71.5 ]3.7 78 782 80.5 82.8 65
29 67 69.3 71.5 ]A8 75 78.3 50.5 82.6 85.1 87.3
30 69.3 71.6 ]94 76.1 78.3 80.6 82.9 85.1 87.4 89.6
31 ]1.6 73.9 78.1 TBA W] Us 852 87.4 89] 92
32 73.9 782 78.4 W.7 83.1 86.2 67.5 89.7 92 94.3
33 78.2 78.5 80.7 83 W.3 87.5 a9.8 W 94.3 96.8
U78.6 SDA 80.1 85.3 87.6 89.8 921 94.4 We 88.9
36 80.9 83.1 85,1 87.6 89.9 922 94A 96.7 98.9 101.2
NOTE: FIELD TDH MUST BE EQUAL TO OR HIGHER
THAN THE CALCULATED TDH.
"GAGES TO BE INSTALLED AT THE TIME OF FINAL
INSPECTION FOR VERIFICATION.
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1 SuperMax Pump ..
The new SuperMasta pump from SW-Rita features a commercial grade,56 square flange motor for top p Hormance In
residential swimming pools.SuperMax IF a superior drcp-In replacement for Super Pump.The adwnv for consumers U hs
quiet operation and economical performance.The benefit to pool professionals is Its ease of Installation nd reliability.Union
�- fittings are Included and the pump easily drops in place.
$4 .
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buperMaxl Pumps
High Performance Pumps
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Features The Unblockable!
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single or mulct-pump connections)
single
soon 316 GPM at 3.9 bs
11208 GPM at 2.6 to.
Floor/wag:122 GPM at 1.5 fps
2s.9 square Inch opening
8316 stainless steal Crows xs�
Mxnarasxured from superior ^>.
W-resistant engineeredyedpollymers
2nna 0artl:mttam NK d00,
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two s'tnreaded set or eismad �R
All componenm meet F50 2 dd ANSI/
APSP16-sant and NSF 54Mt national
Standardsexposure and ASTM GI 54 W testing
" exposure �
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Orange disposable ppre-partite/
Pl
plaster insert keeps debris out and
nGlns sump he,dutlng wnztrutlign
Must use tmnsINoaM gWe when
.11.61,to PVC pipe
Naw available wkh PJC sump
—
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a per case - With sump(concrete pools)
Part#320FLxxz Two dra ns in one!
STANMRDCOLORs 5
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N-: 821&32—
5 -
N102N13�1
102 og /,sa
9
103 p
1
I =2Nn
2i12 apd
Also avallaMe as sump only 1.32'thlee-port manufactured sump t uckst
p/n32Cp5atum4pergse 2.37 channel drain,Cover,flat
3.2'NPT plug,qty 2
VGB2008Com Compliant 4.32-Channel drain,plaster shield
p 5.910 x 3/4'flat head Phillips typa-a s ,316 W.City 16
SECTION 4. TECEMCAL DATA
NMMawe b.s
I A. Filter Pressure s Char[.
I
3 ,
i 1
I
I
e..na`mwi I
B. Flow Rate Table.
n«mmmai cwmamex
Mupnun GWWpe Mulmum 2dpa
clone shm nI ema 3,4
Mmxe vmnua w.rt avM ave enm. enov svM avu exw, emar
Pde lm 190%1 IN
Ipp 4000 %,W9 i9,00p % Q.9% 19,890 149W
PCflG t% 160%'L 1fY 190 e,pq W,WO Tl,WO 69 sM 'N,190 Y4K0 5
PGPv]Go I90ffi0 3W 1% o.a00 91.am T{Np 7s 4NQ n.000 %.000
(t) R«ammrndad nvw..la fmmidcndil is 3 GPM pay.R
(3) Ca.avmial floe labuamuim�m a(375 aPM pa eq.ftof filvz•«•
N01£ Aamal aYarrm tlory will dglmd mplumtay a¢eaml aWu lYa¢m r®Wamw 6
7
C. Replacement Parts. s
ftem PartNumber Description
8.9
1 88209800 High Flow manual air relief valve
2 53003201 Pressure Gauge
3 59053001 Lid, 100 sq.ft filter
4 178745 Lid, 150,200 sq.ft.filler
5 59052900 Locking Ring easy. 10, 1 I, 12
5 87300400 Body bring
7 59016200 Air Bleed Sock Kit
8 59053700 Center Core,100 sq.ft.filter
9 59053600 Center Care, 150,200 sq.ft.filter
10 R173215 Cartridge Element,100 sq.ft.fitter
11 R173216 Cartridge Element 150 sq.ft.filter ❑ I 13
12 R173217 Cartridge Element,200 sq.1L filter
13 178743 Tank Bottom
14 164712 Drain Cap Assembly 14
15 178732 Union Nut"C"Clip
16 Ull-200PS Union Nut
17 178746 Union Diamond Seat 15
18 178733 Union,Threaded Half
17
�IS
SAVE THESE INSTRUCTIONS! ° ��If pppLLLyyyyyy
16
7
Building Permit ApplicationRECEIVED
City of Atlantic Beach Building Departm By Jennifer Johnston at 1:42 pm,Apr 24, 2020
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-De t�_��c_oab��us
Job Address: ��t �s L
Legal Descrip-tii'on t.iv�5e-(,/&- #' I, �-oyuL SCGq RE# ISD ag - 104'4
Valuation of WorkV�(R a .vent Cost0-A9 Heated/Cooled SF 0243.0 Non-Heate / led 52
1
• Classof Work: fs"1New OAdditlon OAheration ❑Repair []Move []Demo ❑Pool OWindo Door
• Use of existing/proposed structure(s): ❑Commercial Likesidential
• If an existing structure,is afire sprinkler system installed?: Oyes GA.
• Will It n associat on with proposed prolect?
OYes(must submit se UILowd!P o
Describe in detail the type of work to be performed: GQytbT t'-L4C+Ce1X4-Q
0I Ia 'rOua.00-4ait Ot rvA wu. 4a U 1
Florida Product Approval# for multiple products u e i1roduct approval form
Prooartv Owner Information / t ,,
Name Q.LLt,�- Address 299-20 `
� ve-10-�,' o tr'
City11.11 I State=Zip 2XCA--5Z) Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information (� '�� I `
Name of amp ny f 001 fJLcL Ak4' A, �{p ✓-l'Lyt.-
Address "I J L CityZip 5
Office Phone a -oZ lob Site Contact umber S
State Certification/Registration# G Sc)O E-Mail
Architect Name&Phone#
Engineer's Name&Phone It
Workers Compensation Insurer OR Exempt O Expiration Dat
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 Il the laws regulating
construction in this jurisdiction.l 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 he requirements of this
permit,there maybe additional restrictions applicable to this property that maybe found in the publicdsof this county,and
there maybe additional permits required from other governmental entities such as water management disi ricts,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 PROPERTYI IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REC,.PRDING,y/OUR NOTICE OF COMMENCEMENT.
INgnatureof Ownerw Agent) ( igruture of Wnoa or)
5 ed ap worn to(or affirmedbef re me this day of Si ed and swam to(or affirmed befor me th da of
Y
fill r
(Signature of Notary) (Signa ab"Iltlea Lye
Dom.Rle•tan NOTARY PUBUC
NOTARY PUBLIC STATE OF FLORIDA
[ JP "sanally Known OR STATE �ORADA ersonally Known OR COW"G0&R917
reduced ldentificatio Cp1ne GGaS291T ( I Produced ldentifrcation Expires 519/2023
Type of ld;ntifi.. 1 : Type of ldentfratian:
G �} NOTICE OF COMMENCEMENT
Steteof • �'s. —�1 Taaio FolNo.
Coumyof VL4I /W
To whom It May Concern:
the undersigned hereby infome you that Imp twements will be made to amein real property,and In as rdnnm with Secdon 733
of the Florida Stands,the following Informadon Is stated in thin NOTICE OF COMMENCEMENT.
Legal DesclRm,l
of1f property being improved: n
nddresaofpropembel io,ors.ed: 'WAO Vf� &VLDr G. L
+i
General desmiption 0lmprommansw �
tJ
owner: CXb(bC.Y' Address:20AO.V (fir.
Owners interest In site ofthe lmpnows end,
Fee Simple Titleholder(N other than caner):
Name:
Cnonastar: / YACU 00 L.,1.AJl0
Address: a 1O 57
Telephone No.:—IOT� /��'tJ$Li Faz No: �OT�Do� V r10
Smety(ifany)
Address: Amourrcafgond 6
Telephone No: Fee No:
Name and address of any pereon making a ban for the construction of the improvements
Name:
Address:
Phone No: Fan No:
Name of person wimin the Sate of Plan&,other than himself,designated by owner upon whom eotlas or�Jsardwoumenta may
be served:Name:
Address:
Telephone No: Fee No:
In adtlhbn to himself, owner designems the following person to rtxNe is copy A the lien.Notice az proulded in Section
713.06(1)(b),Florida Statues, lflll in N Owners olNbnl
Name:
Address:
Telephone No: Fee No:
ARy
Expiration date of Nada of Commenoemem ltheeylretlon dN
a[eone 111 War from are date o gdp(Oft
ItNMfa[e is
specified): a31ID11--
se,
54grm10
TMLfi spACE FON aECOROFR'S USEONLv OWNER
X Signed: D /�•��
SBelcre metM1b aYef IAN faumyplWnl,Pete
:,m rwmbprtanalF/appnred
my sr,mmintion ratV ares: of FlwitlaCwmy NOVAI.
My ranmlKmmn: )res:
Prolucftoomllderwn:
produred ldeirtiPwnon: