379 4th St DWAY23-0044 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
KAUFMAN BRUCE
EDWARD 379 4TH ST ATLANTIC BEACH FL 32233-5343
COMPANY:ADDRESS:CITY:STATE:ZIP:
KETTELL INC.1860 MAYPORT RD ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169846 0010 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
379 4TH ST DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY
Remove concrete driveway,
replace w/ shells. Turf blocks $9500.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is
needed, call 247-5878. State Law requires calling Sunshine 811 to have ALL public utilities located BEFORE beginning the work.
2 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL
Notes:
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
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 3Issued Date: 8/24/2023
PERMIT NUMBER
DWAY23-0044
ISSUED: 8/24/2023
EXPIRES: 2/20/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
3 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL
Notes:
See Revocable Encroachment Agreement regarding driveways/pavers and public utilities in the ROW
4 PUBLIC WORKS DRIVEWAY APRON INFORMATIONAL
Notes:
All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh are
not allowed in the City right-of-way.
5 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247-
5814) to request an Erosion and Sediment Control Inspection prior to start of construction.
6 PUBLIC WORKS DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL
Notes:
Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code.
7 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
8 PUBLIC WORKS CONSTRUCTION SITE MANAGEMENT INFORMATIONAL
Notes:
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.
9 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL
Notes:
Driveway to be fully removed.
10 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
11 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
12 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
13 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
2 of 3Issued Date: 8/24/2023
PERMIT NUMBER
DWAY23-0044
ISSUED: 8/24/2023
EXPIRES: 2/20/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $150.00
14 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
15 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
See attached approved plans for driveway transition.
3 of 3Issued Date: 8/24/2023
PERMIT NUMBER
DWAY23-0044
ISSUED: 8/24/2023
EXPIRES: 2/20/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
Remove concrete driveway, replace w/ shells. Turf blocks
379 4TH ST
KETTELL INC.
DWAY23-0044
Building Permit Application
Updated 10/ 9/18 ALL INFORMATION
City of Atlantic Beach Building Department HIGHLIGHTED IN GRAY
IS REQUIRED.
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 3-7 / Permit Number: Dk.A.)PA(2-13
Legal Description 5-6(1 I,-Z5.. 7,C1 .(fig-6 46 1 Lt L t'30 1 UR MS ARE# /lam r CJ 4-60/V
Valuation of Work Replacement Cost)
G pLi
P I Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition VAlteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): ECommercial ;,Residential
If an existing structure, is a fire sprinkler system installed?: Yes No 1
Will tree(s) be removed in association with proposed project? es_(must submit separate/ Tree Removal Permit) No
Describe in detail the type of work to be performed: e ,. de ( 41 ,
ti , 1
p o
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y
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Florida
L r
Product Approval# for multiple products use product approval form
Property Owner Information
1,Name vC1 14.1 lY r Address 3-1 Lt,`
City `"rJ State Zip 3Z2i3 3 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company KU/ a/, Qualifying Agent 120(1-e--- Am
Address •C Q,J City ! State / ( Zip 32., 3,3
Office Phone C i/ 1 Z —12_24 Job Site Contact Number ',y/.e cji7t/3 J 7 /cog-
State Certification/Registration# E-Mail ;(-1/ (e)
s. . - { 401/4
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer Aw•--.../f,f- OR
f/Exempt o Expiration Date 51?/Z
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 ATTORNEY BEFORE
ECORDING • R l OF COMMENCEMENT.
Signature of owner or Agent)
Signed an sworn Ajjo2rr affirmed) before - this/O day of
aAN011;51A s
Sig :ture of Notary)M
0.
0'r Notary Public State of Florida
Jennifer Deery Lagner
My Commission GG 986240
efsonally Known OR
1a Re
Expires 05/10/2024
Produced Identification-
Type of Identificati n:
1 4-j)
Signature of Contractor)
f •-i-h
Signed and sworn to(or affirmed) before me this f" day of
t)1,1 a3 , by - ^ 'ti
c_,a,...1....011 k...r.....
t•IP,, TABITHA MESHAW
ety Notary Public-State of Florida
Commission ff. HH 22744
14Personally Known OR •'.,':;'.'A My Commission Expires
July 22, 2024
Produced Identificatio
Type of Identification:
r1
y1r
ri
REVOCABLE ENCROACHMENT AGREEMENT
ALL INFORMATION
J City of Atlantic Beach HIGHLIGHTED IN GRAY
Jy 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED.
max't.)it
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation organized and existing under
the laws of the State o Florida, hereinafter referred to as"CITY"and
git tl v-7 (-1 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 1")1
t/L1 )2j2/*(i 4 A Any facility
maintained, repaired, erected, and/or installed in th(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 3-79 7 *( 541-1,,,,i-
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 furt er agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the
V
w. herein Arte the terms of this permit and that all of said liabilities are hereby assumed by the USER.
F / 3Date51/(D/01Property
Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
I I
The foregoing instrument was acknowledged this V day of 20 2--,
by a-)(-12 \CCU3-rak0 `w
who personally appeared before me and
printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the
pur•. expressed in i .
lii a • De pa A
Sig e o' otary Public, Stateof Florida
p pproval:
er•onally Known
roduced Identification(Type) t"
r
1. b(-4ii) II(.Q' Scott Williams, Public Works Director
Avg, Notary Public State of Florida
Jennifer Dewy Lagner
My Commission GG 986240V.,1WP Expires 05/10/2024
r, RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION
ALL INFORMATION
r iittto
of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED.
in nr PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
1JobAddress311n/ 5+ree.4 Permit Number Dvu Pif 23 OC
t
Contractor Information
Company/1 :-_vL- Qualifying Agent /'l J -"1eC
Address /15('0 PI pa-ii— Q I City , StateFt- Zip 3Z2-33
Phone r`
Email
State Certification/Registration#
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurer Ayva6./it— OR Exempt o Expiration Date ft,dyz.3
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 AtiltBeach or Florida Department of Transportation Standards and be performed under the
supervision of Vj k_ Project Superintendent)
with(Company Nanie) 011=.f, 4i.e1 t Phone fey 71 .7 /t9O,9-
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(i7 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.
T ublic s Director shall be notified 24 hours prior to starting work and again immediately upon corn letion.
9' Date //172 3
Per ittee(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL t l
The foregoing instrument was acknowledged this day of
J f "
20
by 44,le._4-t.,,// who personally appeared before me and
printed name of Permittee)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
a"—./1`--r... J Per onall Known Signature of Notary Public,State
of Florida Produced Identification(Type) 1.1,
ESHAWp° {i, Yi.:Notary Pubi;c_State of FloridaCommission # HH 227447a,,j,°s MY Commission Expires
Jufy 22, 2024
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5. SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLIC
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O / CERTIFlCA7E OF AUTHORIZATION NO. LB 0005488 COVENANTS. B.R.L'S RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC.SSVTHERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL.
6 UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY
LEOEItlD/A JREVIATIOW:sDIRECTSUPERVISIONANDMEETSTHEMINIMUMTECHNICAL0SETIRONPIPEORREBARP.C. . POINT OF CURVE CH = CHORDSTANDARDSFORLAND, SURVEYING •URS)IANT TO CHAPTER "ASSOC.SURVEY" OR LB 5488 P.T. = PONT OF TANGENCY (R) m RECORD61017-...41 FLORIDA TINI TR VE ;ODE, HRAPIER 472, F.S. • FOUND IRON PIN OR PIPE (IP) O.LL-•OVER MEAD UITJ11E5 (M) a MEASURED
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P.R.M=PERMANENT REFERENCE MONUMENT X-X INK FENCE
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Spurting P.R.C. . POINT OF REVERSE CURVE (E.T.) = EAVE TIE E. S-ELECTRIC BOA
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
PA PART OF LOT 30. BLOCK 6, PLAT NO. 1, SUBDIVISION`q`iV
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OF BEGINNING COMMENCEBAT THE SOFHDUST CORNER OF SAID LOT 30; THENCE
5, PAGE 69,SAID LOT PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINTWESTADISTANCEOF25.1 FEET; TH
FACE OF AN EXISTING BUILDING AND ITS SOUTHERLY PROJECTION, A DISTANCE OF 55.9 FEET. THENCEENCENORTHERLYPARALLELWITHTHEEASTLINEOFSAIDLOTAND ALONG THEWESTERLYALONGTHESOUTHUNEOF0.1 FEET TO THE CENTER OF A COMMON WALL DIVIDING TWO DWELLING UNITS WITHIN SAID BUILDING;'THENCE RLY
ALONG THE CENTER OF SAID COMMON WALL, A DISTANCE OF 33.2 FEET; THENCE EASTERLY 0.1 FEET; THEN
EASTERLY
ALONG AN EAST FACE OF SAID BUILDING AND ITS NORTHERLY PROJECTION THE SAME BEING PARALLEL WITH THE EAST LINEOFSAIDLOT30, A DISTANCE OF 60.9 FEET MORE OR LESS TO THE NORTH LINE OF SAID LOT; THENCE EASTERLY
THEOLG
SAID NORTH LINE, A DISTANCE OF 24.9 FEET TO THE NORTHEAST CORNER OF SAID LOT; THENCE SOUTHERLY ALONGEASTLINEOFSAIDLOT, A DISTANCE OF 150 FEET TO THE POINT OF BEGINNING.
EAST LINE
ALONG
CERTIFIED THETO: BONITA CARTER PATTESON, ATTORNEYS' TITLE INSURANCE FUND,B B & T AND MILLER & WILLIAMS, PLC.
LOT 29 I LOT 27BLOCK6R4STBRLYBLOCK61/2" 24. 9'(R)
DURDEN 23.62' (M) LB 1048 N1.0' OF
1.P. i0 /.P. I 1/2"
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LB 1704
UNDER RO• . 25.0@' (Af)
EDGE OF
4'5./0'/R) PAVEMENT
KES7SRLY
FOURTH STREET
4:7' r%/i47
FLOOD ZONE-')"- AREAS DETERMINED TO BE OUTSIDE THE 0.2%ANNUAL CHANCE FLOOD CLAN/FLOOD ZONE"A(SHADED). .AREAS Of 02X ANNUAL CHANCE FLOOD, AREAS OF IX ANNUALCHANCENMAVERAGEDEPTHSDFLESSTHAN1FOOTORNTHDRAINAGEAREASLf5$MAN 1 SQUARE NILE- AND AREAS PROTECTED BY LEVEES FROM IX ANNUAL CHANCE ROOD
IEY0R
v % s GENERAL NOTES:
1 ANGLES AS SHOWN ON THIS SURVEY
2.STRUCTURE NO. 379 SHOWN HEREON UES WITHIN FLOOD ZONE X ASBESTASSOCIATEDSURVEYORSINC. 3.THIS ISdARSUR
AMINED
CE SURVEY
OM AONL THE
EXTENTS
LOF UNDERGROUND F1OOTINGS,A LAND Qc ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED.
3846 BANDING BOULEVARD 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT
JACKSONVILLE, FLORIDA 32210
LOCATED BY THIS SUR Y.
904-771-6468 5.7HIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLICRECORDSWERENOTSEARCHEDBYTHISSURVEYORFOREASEMENTS, TITLE,J
O j rJ
COVENANTS, B.R.L'S RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC.S V
CERTIFiCATE OF AUTHORIZATION NO. LB 0005488
THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL.
6.UNLESS OTHER MSE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MYDIRECTSUPERVISIONANDMEETSTHEMINIMUMTECHNICALLEGEND/A
POINT OF CURVESTANIAR'S FOR LANs S RVEYING URS!IANT TO CHAPTER
o "
ASSOC IRONVEr OR L 8.5488 P.T. =POINT OF TANGENCY (R)=RECORD61G17frFLORIDA •ry IN.TR VE DE.H.AP'FER 472, F.S FOUND IRON PIN OR PIPE (IP) -O.U.-=OVER HEAD DBMS (M) - MEASUREDFOUNDCONCRETEMONUMENT(C.M) • - FIRE HYDRANT (C)-COMPUTED DATABY: /
y
X= CROSS CUT OR DRILL HOLE CONC. - CONCRETE
O.R.B.-OFFICIAL RECORD BOOK A\
WATERMIE
TERN
R -RADIUS
CH:- S B. HAT Hr0'' FLORIDA CERTIFICATE NO. 3771 O.R.V.=OFFICIAL RECORD
VOLUMEL - ARC LENGTH
C -LES L. STAR 'G FLORID4 CERTIFICATE N0. 4579
P.R.M.-PERMANENT REFERENCE MONUMENT P.EO. -POOL EQUIPMENT - PHONE RISER
B.R.L-BUILDING RESTRICTION LINE X-X CHAIN LINK FENCE R/W=RIGHT OF WAYRAYMONDJ. SCHAEFER FLORIDA CERTIFICATE NO. 6132 E.T. =ELECTRIC TRANSFORMER &PAD W-W WIRE FENCE B.T.- BUILD NG nE
JOB NO 56143 J.E.A.-JACKSONVILLE ELECTRIC AUTHORITY ITU WOOD FENCE a- UTILITY POLE
DAT F_ I.3-1 B-2D09 C EI R - COVENANTS k RESTRICTIONS -I-I-IRON FENCE "Co- GUY ANCHOR
SCALE: 1" = 30' DRAFTER S. Spurting P.R.C. - POINT OFCRE VERSE CURVE (ET -
BETWEEN COAD - COVERED
EASE TIE LB-ELECTRIC ROD
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
r
r
iCITY OF ATLANTIC BEACH
44 800 SEMINOLE ROAD
h ATLANTIC BEACH, FL 32233
904) 247-5800
SURVEY AGREEMENT
NOTICE
All new projects creating more than 250 Square Feet of impervious surface or requiring on-site storm water
retention, including swimming pools, will require pre-construction and post-construction topographic surveys,
as required by COAB, Section 24-66 and described in Bulletin 2-18, Surveys. The surveys must be new original
documents, from a licensed surveyor, signed, sealed, and dated.
Other small projects, such as fences and construction less than 250 SF, will not require a new topographical
survey, but a current original-size survey with all relevant details is still needed. These surveys, when included
as part of a building permit application, must be complete, up-to-date, and original size and scale, as produced
by the surveyor.
Copies of old surveys lacking details or copies not of original size cannot be accepted. Building
permit applications with unacceptable surveys cannot be reviewed and the application will be
returned to the applicant.
Thank you for your cooperation in this matter.
AGREEMENT
I have read and understand the Notice above and affirm that the outdated survey I am
submitting is still accurate and complete, and all structures and impervious surfaces on the
property are shown on the survey.
I further understand that, if the survey is found to be inaccurate or incomplete, a $50.00 Plan
Resubmittal Fee will be charged; or if the permit has been issued, a Stop Work Order will be
posted with the associated $110.00 Fee.
JOB ADDRESS 3 7 q SJrf '
OWNER or C TRACT Print v Le_ G U 4-16,1
Q
Signature l Date c, /d 5
FLNOTICE OF COMMENCEMENT
YtStateofTaxFolioNo. ( 0O/a
County of DO%/6tA To Whom It
May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the
following information is stated in this NOTICE OF COMMENCEMENTi q 6. /Legal Description of property being improved: 5- z5-NE e 084, dC,47 lil
j)T LA Lei-- 30 get. ON
1-171-‘!
11 51--`11.111/11 ilk- 6
7 j
Address of property being improved: /319 51 r 1 41A^L !- FL- ,J`G 33
General description of im rovements•jO 4G!_ r V--fi6.dr (
4/ .J/ie4'/ 4- T /r t /
f/J![ii five.„--5
Owner: V 14/44-014,y)Address: 319 1` _9-reed- I 3Z 33
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
m OO mc o
Name: o c 0 8 3 °
J
1
OZ am
Contractor: I" C j p z_
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Address: 10/L Opn /)7a f Rd A61 FL 31 Z 3S G F;°N
Telephone No.: /v7 37 L 1 z2 6 Fax No:
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Surety(if any) x1 oa xi
Address: Amount of Bond$ now x
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Telephone No:Fax No: c
17-1 03
Name and address of any person making a loan for the construction of the improvements 0
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Name:
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Address: o coo
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Phone No: Fax No: D
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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 N
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 /
gned: Si Date: AO ?13
Before me this /0 da of tut County of Duval,State
Of Florida,has personally appeared— 00—
Notary ppearedimNotaryPublicatLarge,State of Florida,County of Duval.
My commission expires: U__.. i 0 Z
Personally Known: or
r ny Notary Public State of Florida
J4" Jennifer Deery Lagner Produced Identification: IMEIBIE ffla
a,_iiir T My Commission GG 986240
s,w/ Expires 05/10/
20241 ,/i 0
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