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275 Sailfish Dr CFNC23-0003 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: MARSHPOINT MULTI FAMILY ONE LLC 2300 MARSH POINT NEPTUNE BEACH FL 32266 COMPANY:ADDRESS:CITY:STATE:ZIP: ANDESCO CONSTRUCTION, INC.7484 SCARLET IBIS LANE JACKSONVILLE FL 32256 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170579 0000 SALTAIR SEC 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 275 SAILFISH DR COMMERCIAL FENCE 6' FENCE $7500.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50 FENCE 455-0000-322-1000 0 $35.00 PU REVIEW COMMERCIAL BLDG 001-0000-329-1007 0 $75.00 PW REVIEW COMMERCIAL BLDG 001-0000-329-1004 0 $150.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 1 of 2Issued Date: 5/5/2023 PERMIT NUMBER CFNC23-0003 ISSUED: 5/5/2023 EXPIRES: 11/1/2023 COMMERCIAL FENCE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00 TOTAL: $316.50 2 of 2Issued Date: 5/5/2023 PERMIT NUMBER CFNC23-0003 ISSUED: 5/5/2023 EXPIRES: 11/1/2023 COMMERCIAL FENCE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 rf='''% Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY o9 IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 275 Sailfish Drive East Permit Number: DOCJT- 7Z 10-8 17-2S-29E 2.0 SALTAIR SEC 1 LOTS 580,587 TO 592,NW 1/2 ST CLOSED BY UR BCH ORDS 65-86-13, O ooU Legal Description RS-RQ-2f1 '11-1 Row,' PAI MS I NIT 112A I f1T 17 RI K 27 PT SFC 1R-2S-29F RFCf mil 4RAR-9Q RE# 170579 Valuation of Work(Replacement Cost)$ 7500.00 Heated/Cooled SF Non-Heated/Cooled Class of Work: New Addition ®Alteration Repair Move Demo 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 project? Yes(must submit separate Tree Removal Permit) {1No Describe in detail the type of work to be performed: Existing Fence Repair & Alteration Florida Product Approval# for multiple products use product approval form Property Owner Information Name Marshpoint Multi Family One LLC Address 2300 Marsh Point Rd. Suite#301 City Neptune Beach State FL Zip 32266 Phone (904) 853 -6801 E-Mail roman@marshpointproperties.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Andesco Constuction Inc Qualifying Agent Marco A. Guerrero Address 7643 Gate Parkway Suite 102-192 City Jacksonville State Florida Zip 32696 Office Phone Job Site Contact Number 904 563-2611 State Certification/Registration# CGC 1505860 E-Mail marco@andescoconstruction.com Architect Name& Phone# Engineer's Name& Phone# Workers Compensation Insurer Method Incline OR Exempt Expiration Date 12/2023 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 TTORNE : . FORE R RDING Y. i/ OTICE OF COMMENCEMENT. Signature of Owner or Agent) c S:nature of Contractor) ned and sworn to(or affir -•) before me this& rI day of Signed and sworn to(or affirmed) before me this i day of kQ 20 . LI f **ail 7. MaYOL , bykto,C , ,yy 'n yo w PU 4Signaturv• T..:••••I resb,re of No f' lnja WetzelX04 1P....,UB i Comm.:HH 239586 Comm.:HH 239586 Expires:Juty 1,2026 Personally Known Ofd'%,7iiii,dF.` Personally Known OR ;,+,F•... 0° Expires:July 1,2026 roduced Identification"/p-` Notary Public State of Florida 4-Produced Identification -"ii,,, Notary Public- tate of Florida Type of Identification: ,J '' V$ UI (,eflt Type of Identification: Oy1 ve,,- LA r,:,'Ij'-----"-:I r%Fence Addendum City of Atlantic Beach Building Department A-4 Updated 1/14/2021 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# CEK\C Z3 Phone: (904) 247-5826 Email: Building-Dept@coab.us CCC 3 Job Address:Date: 275 Sailfish Drive East February 16,2023 Property Type: Lot Type/ Features: Residential One Street frontage (interior lot) Commercial More than one street frontage(corner lot,through lot, etc.) x Existing Fence Repair&Alteration Swimming Pool Fence Material: Fence Height (select all that apply): Wood Four Foot(4ft) Chain Link Six Foot(6ft) Vinyl D Other D 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) 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. MAP SHOWING SURVEY OF LOTS 580,587,588,589.590.591,AND 592.SECTOR No.1.SALTNR,AS RECORDED IN PUT BOOK 10, PAGE 8 OF THE CURRENT PUBUC RECORDS OF DUVAL COUNTY.FLORIDA AND LOT 17.BLOCK 27,ROYAL PALMS UNIT TWO A,AS RECORDED IN PLAT BOON 30.PAGES 1,1A,IB.1C.AND 10 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY.FLORIDA; TOGETHER NTH A PORTION OF THE CASTRO-Y-FERRER GRANT.SECTION 38.TOWNSHIP 2 SOUTH,RANGE 29 EAST•DUVAL COUNTY.FLORIDA.MORE PARTICULARLY DESCRIBED AS FOLLOWS:FOR A PONT OF BEGINNING, COMMENCE AT THE SOUTHEAST CORNER OF LOT 17.BLOCK 27.ROYAL PALMS UNIT TWO A,AS RECORDED IN PUT BOOK PAGES 1.1A,19,IC,ON AND 1D OF THE CURRENT ASTR RECORDS OF GRANT.STY, OF1I 165. 57 SOUTHET; S'EAST,A13 5B THE EAST ITE OF SAID 9FEET TO TH R ASTNR•A DISTANCEFWAU1185.57 FEET;THENCE SOUTH T RIGHT-OF-WAY),NEST.A DISTANCE OF 119.27 FEET TO THE EAST RICHT-OF-WAY UNEOFSAILFISHDRIVE(A 60 FOOT RIGHT-OF-WAY),,THENCE NORTH 01'05'30'NEST.ALONG SAID EAST T RIGHT-OF-WAY UNE,A DISTANCE OF 173.65 FEET TO THE SOUTHWEST CORNER OF SAID LOT 17,BLOCK 27; 1 THENCE SOUTH 8517.27-EAST,ALONG THE SOUTH UNE OF SAID LOT 17.BLOCK 27,A DISTANCE OF 101.92 FEET TO THE POINT OF BEGINNING.1 I I I TOGETHER WITH A PORTON OF BELVEDERE STREET,AS CLOSED BY CITY ORDINANCE No.85-86-13. I L 0 T 1 1 I TOGETHER ROTH A PORTION OF BELVEDERE STREET,AS CLOSED BY CITY ORDINANCE N.85-89-20. 11 1 RIE 10 CAP C r p1tiii%ga''T32. A R fg31b4bS S rnlf rr SoIa; Tk, TgrdR f£ I It2q f t T 1R g LOT JN s°19a pM I O N82'0'1.3"E wE :Y 99.82 R/ V'', E. glitiiionallIWN82' 4358 E O E N T aftlee111111w, 9lilt* 4. 111 i O SBS'3T27'E cA- 1 1. /t/, D 101.92'-- 0% •'i, I L 0 fr3^ r in I? , 111 T r Bs N y( d 1R pa io 3 • 'fig L `\f ! B /l GENERAL SURVEY NUTTY: 1. THIS IS A BOUNDARY SURVEY. n OI BAT' w 3.< 1 41 ..NTS' O T 8 a p II 3 / 2. BOUNDARY AND LEGAL DESCRIPTOR AS PER M.A. BNB$S N, 078.1 OURDEN&ASSOCIATES SURVEY FRE No.0-133,DATED2. Ol to y^fl/ i I 4°0 MARCH 5,19851'MTI PORTIONS OF BELVEDERE STREET YGy O CLOSED BY CITY ORDINANCES. E% v I Yr Ar 3. BEARINGS BASED ON THE EASTERLY RIGHT OF WAY 01 x O UNE OF SAILFISH DRIVE,BEING NORTH 01'05'30'NEST. Y AS PER SURVEY. M d y r 4. 5 FOOT EASELIENT OVER LOT 17 OF ROYAL PALMS UNIT u. e_ TWO A IS PER PLAT. r0 5. 10 FOOT EASEMENT OVER THE CLOSED PORTON OF f O 2-STORY MASONRY / O 2 / 2vS,/T V,, Q2+ BELVEDERE STREET IS PERPETUAL.UNOBSTRUCTED,AND y APARTMENT BUILDING o. U C FOR THE PURPOSE OF DRAINAGE.UTILITIES,SEWERS 1 f a / AND PEDESTRIAN PURPOSES,ACCORDING TO THE OTY co 1 m r ORDINANCEDINANCE 0Loa T 3 a / A,YS /T 1 ,, Iii, 1- J 5\ I r yli Inrdl. e4 / Ler,FNn. iY+ / * MOTES DR:Hm..w1 N A m Ud0195 110.1140111.101 PAD a1 C0 er II nOn Ucx1 o0 11: 1 PF / o m,OTES OaFopTE 5 9 2 N. Wr. vulB IOSEL F 1 N / 5 VALVE S89'1358'W 119.2 pP / C010.5 MIER POLE Bro E010TES/1001-0011 PRE,.TEN F Id/IRI 509'15'l]'W 119.29'(FIELD) Z ' l // GUY AN01011 PENOTES 00.01101 GR 0 DENOTES O.OMER G h * a TES® DENOTES Su.1 x MANHOLE I pry' a/, u/.. .* A / oomu t, T co T C / En HANDICAPPED PPM I I ii / ry x N Rg' Pc't evn `'. 1/O N68'04'02'W d 25.00' 4:7 p / I120 THIS SURVEY WAS MADE FOR THE BENEFITY, LEOF 1 / FISHER.TOUSEAS&BNL I THE PROPERTY DESCRIBE HEREON UES IN FLOOD ZONE K'(AREA O 1 UMINIMAL CO HAZARD)AS WELL AS CAN BE DETERMINED BY THE GOD INSURANCE RATE MAP NUMBER 12031C040BJ ArD T2031C0409J,BOTH REVISED 1 /NOVEMBER 2.2018 FOR AL lOUIIaY.revisor - .-- - T 101 ISA NNW • EAN 9111'41111 DOWN W. BOATWRIGHT, P.S.M. FLORIDA LIC.SURVEYOR and NAPPER No.LS 3295CRIGNALSEALCfMiouwrEx.FLORIDA UC.SURVERNG&MAPPING BUSINESS No.LB 3672 CHECKED or Flee 2021-0022 1 DRAM Br JOB1 BOATWRIGHT LAND SURVEYORS, Inc. 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 DAZE FEBRUARY 5,2021 1 DFS AAAA-- MAP SHOWING SURVEY OF LOIS 560,587.SBC 5M.500 501,AND 592.SECTION NR.I.SAL TAIR.AS RECORDED IN NUT BOOK 10, PAGE I Of TIE 0019ENT PUBLIC RECORDS Of DUVAL COUNTY,RONDA AND LOT 17,BLOCK 27,ROYAL PALMS UNIT TWO A.A5 RECORDED IN PLAT BOOK 30 PAGES I.IA,19.IC,MC ID Of THE CURRENT PURUC RECORDS Of DUVAL COUNTY,FLORIDA. TOGETHER NTH A PORTION Of THE CASTRO-7-FERRER(RANT.SECTION 3B,TORN9NP 2 SOUTH.RANGE 29 EAST.DUVAL COUNTY.FLQeOA MORE PARTICULARLY DESCRIBED AS FO,LOR$:FON A POINT 0f BEGINNING. COMMENCE AT TIE SOUTHEAST CORNER OF LOT 17,BLOCK 27,ROYAL PALMS UNIT IMO A AS RECORDED IN PUT BOOK DI PAGES I, .B.EN AND 10 ST UN CURRENT PUBLIC RECORDS 6 WV1. DISTANCERONDA1------ -\ 18557E SOLIDI I N E S 0EAST. 0 ALONG THE EAST LYE CE SAID 9,27 EET TO HE GRANT.ARIGHT-OF-WAY Q1 165 57 FEET,THENCE SWM T01Y50-*ESL- 9 A DISTANCE C 11901 FEET i0 T, EAST 36*EST UNE 1 Q SAILFISH DRIVE . 60 FOOT RI 07 73.5 FE THENCE NQiM OW']0•NEST,ALONG SAD EAST1CNE.A pSTMQ Q 1]3.65,EFT TD TIE SAID OT CORMFA Q SAO LOi I],BIOCN 2),1 05 07 EAST,ALONG TINE SOU1N UNE Q 590 LOl I],BLOCN 2].A pSTMGE Q 1°1.921l R: 9rittre:-104.. 0,...,: n7A6,../NI Q BECWNING 1 I ER 9618 A PORTKN Q BELVEDERE STREET,AS QO5E0 BY CITY 0107047E N° 65-06-1]. I.0l 1 7 1 ER NM A PORTION Q BELVEDERE STREET,AS CLOSED BY CITY ORDINANCE No 05-5-20. 11 1 I C P g.:': q.a,, s f o', f l \E O, I si.,,. a e0 t.. IS J T! Y ,l VNIAYir\l'e,t 1 1 , PSA / 882.47'58'5 s., + ar 4ti R HE ,, w 1> 562 w"m I 6 y 1 1 4° Fh r 4, 1,(---/--4,, v 01 0;:.- 2 L CDT 1c. c J 4,h /// moo VT... y 3 N I mt.In o-” I 1 tUOI'- E_ P•T I yy yND{ A Lu 1 i ettp,.„....3 6.. ,1"...4'. 4,'-'.- Y y O i - l- . iQj U y • GENE6N RAE/NOTES U H L9 • C1 / I RR5 IS A BOUNDARY 5UNY0Y, 0 O 5.7 -. •• 1. A' I 2 BWNDARY AND LEGAL DESCRIPTION AS PER H.A. 9pj W DLROEN t ASSOCIATES SURVEY FEE Ne.0-133.DATED TE y f AY j4 MARCH 5.1965.0511 PORTION5 Q BELYEOERE STREET p( 9, RY / CLOSED 01 CITY OMMANQS. I I # '. E /I 3 BEARINGS BASED ON THE EASTERLY RIGHT Q WAY A x e I UNE orASPER S SI ORILE,BONG NORTH ODS'30•WEST, PI d F. / ' / 5 FOOT GYMENT OVER LOT 17 OF ROYAL PALMS UNIT TWO A IS PER PLAT. I eb 5 10 FOOT EASEMENT OVER THE CL05E0 PORTON OF Z-STORY MASONRY 1 S 2.5.1n1.^.4 Q71- BELVEDERE STREET IS PERPETUAL,UNOBSTRUCTED.AND APARTMENT WADING ' E /I / VV• fOR 1K PURPOSE OF 003NAQ,UTILITIES,SEWERS I AND PEDESTRIAN PURPOSES ACCSO0'S IC HF CITYJ f / Y / 4 CITONANCEg n I 0 is I IR BI 'U P / v IIIIIII y IF( NG W 1 4/! / U 6 wnn,Mt HYDRANT S... 1 til ten. ANWp. 9 c ITS CCIYLISIT1 O, 3 T 1® 0 / rcanIl7nsArNe 1 0 j A Warr fI MIXIM..SIOMINN IPR, d ;, / mom NMT.-1P•8...01. Il Ns °.• T W• W 119x9 II,._, 1 ifd, , / Flbm WV,.10,a IL1l 1 * PDTP,,QM13.EE.o H hIYA A 1 1 1 i n aw of[USW•wne G •p lu 60 alee. l ' r (Do ID a,aT.n9 T. . NRR. El. T 0 1/S / 1 O T1 1 4i,i. 7 (9 * xi 1 MIS 0 '6 1 m N68W N. 25.00 rl ! I I VI'/ j I / 11111C9165co07WASMADETORTHE BENE7• Q. ITS-lER,TOUSEY LEAS 6 BALI. THE PROPERTY DESCRIBE{HEREON LIES IN I1000 ZONE c I/ K (MEA N YBY THE HAZARD)AS RETE AS CAN Fl./M ,BE 0157112031 BY THE pD13 850640 RATE MMNIN9Ei 0 1016, 1 I /At SMARTY.905 6E+15Ep 1 /NOVEMBER 2.2016 FOR /A 90185,1,6651:.. a ... RA. DONN W. BOATWRIGHT, P.S.M. YM""'°•"'°"IIc SPAT.NR TK FLORIDA L1C. SURVEYOR and MAPPER No. LS 3295W.M•.1.,La. m KD A U' )5}Ab WPM,I.,RICA,.; SIRYLnNG h YAPPING B.:S'NESS No LB 3672 CHEMED Br. RYE 2021-0027 DRAW BY: BOATWRIGHT LAND SURVEYORS, Inc. 1500 ROBERTS DRIVE. JACKSONVILLE BEACH. FLORIDA 241-8550 DAZE_-_FE0011A0T 5 102I_. LS(\ (e. \f \ or l c jJ i " 1`"• Rc n'e Fence Addendum Updated 1/14/2021 City of Atlantic Beach Building DepartmentTL 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT # CEI\,\CZ , Phone: (904) 247-5826 Email: Building-Deptgcoab.us Job Address:Date: 275 Sailfish Drive East February 16,2023 Property Type: Lot Type/ Features: Residential One Street frontage (interior lot) lid Commercial More than one street frontage (corner lot,through lot, etc.) EExisting Fence Repair& Alteration 0 Swimming Pool Fence Material: Fence Height (select all that apply): J1 Wood lg Four Foot (4ft) wtT"hl(' MCI tLX l O Chain Link Six Foot(6ft) Dr OVDP' O Vinyl Other O Block/Stone (Plan details required for footings and/or C retaining walls) 61' V\ O 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? O Yes (must submit separate Revocable Encroachment Agreement) E No Will tree(s) be removed in association with proposed project? O Yes (must submit separate Tree Removal Permit) 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 Florida Tax Folio No. 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. 1:9-°27M,`47::°""'e DecS5,S rl M bn.p,ope,ry t04I6uss 14=73)::5ALTA1R SEG 1 LOM 580.587 p NeDlu7562,NW a Boa 1 172 FL SI 32286 CLOSED B U/RWCM 0085 05.8613,Legal Description of property being improved:2. R YALRAL,.SUN ozAL, Address of property being improved: 275 Sailfish Drive East General description of improvements:Existing Fence and Alteration Owner: Marshpoint Multi Family One LLC Address:2300 Marsh Point Rd,Suite 301,Neptune Beach,FL 32266 Owner's interest in site of the improvement:Owner Fee Simple Titleholder(if other than owner): Name: Contractor:Andesco Construction Inc Address:7643 Gate Parkway, Suite 102-192,Jacksonville, FL 32266 Telephone No.:904-563-2611 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): 04/30/2023 THIS SPACE FOR RECORDER'S USE ONLY OWNER ned: Date: 5l Z"12 3 Before me this '1_Z"'-- in the County of Duval,State F orDfiiida,has personally appeared e‘ ' I Doc#2023073937,OR BK 20645 Page 905,Notary Public at Large,State of Florida,County of Duval. Number Pages: 1 My commission expires: l! Recorded 04/14/2023 12.55 PM, Personally Known: JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Produced Identification: 44/S (.-C,2, ` 0 Pui/ Virginia Wetzel COUNTY a •.= Comm.:HH 239586 RECORDING $10.00 e 4 =oma, Expires:July 1,2026 0111\0 Notary Public-State of Florida