338 11th St DWAY23-0014 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
HELLER MATTHEW T 338 11TH ST ATLANTIC BEACH FL 32233-5532
COMPANY:ADDRESS:CITY:STATE:ZIP:
MILLS CONCRETE INC.253 ZYGMONT CT ST AUGUSTINE FL 32034
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170074 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
338 11TH ST DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY
GRAVEL CIRCULAR
DRIVEWAY $40000.00
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. Any digging requires calling 811 to have ALL public utilities located.
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: 9/25/2023
PERMIT NUMBER
DWAY23-0014
ISSUED: 9/25/2023
EXPIRES: 3/23/2024
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
3 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL
Notes:
See Conditions of Revocable Encroachment Agreement regarding utilities.
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 ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
7 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.
8 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
9 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
10 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
11 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
12 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 3Issued Date: 9/25/2023
PERMIT NUMBER
DWAY23-0014
ISSUED: 9/25/2023
EXPIRES: 3/23/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $150.00
3 of 3Issued Date: 9/25/2023
PERMIT NUMBER
DWAY23-0014
ISSUED: 9/25/2023
EXPIRES: 3/23/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
NOTICE OF COMMENCEMENT
State of _:f_,____i _on_~_\_tL--____ _ Tax Folio No. __:_l.....:.7_ú=-0___:7__:_i_-_0..:..{)_<'.)_0 __
County of _n----1.._,¿=--\,-c~e,....,=l _____ _
To Whom lt May Concern :
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes, the followi ng information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved : .5" · (Q q / (p. -S? S -.l. q t'
General description of improvements: (!J rw..lc.r Jífye{g-4:j{ J W<:1t(/Lcuo/r j f\.4,u..J: po..--k?:J
Owner: <¡.}a~ 11:k-t 711~rG Address : _....:5:::....::..:a ~~..'..3:~--------------
Owner's interest in site ofthe improvement: ____________________________ _
Fee Simple Titleholder (if other than owner): ____________________________ _
Name: --..A---+-4----l-liL-_____________________________ _
Address:
Telephone No .: --1-~'!f.-=.~=-..t--.L..l'.....(J.-I-Fax No: ___________ _
Surety (if any) _____________________________________ _
Address: ______________________ Amount of Bond$ _________ _
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: ___________ _
THIS SPACE FOR RECORDER'S USE ONLY
Expiration date of Notice of Commencement (the expiration date is one (
specified): --------------------f~q~~~!.lfilfilNill.ESl?.E~~--3-------
MY COMMISSION # GG 35317 8
EXPIRES: Octob er 6, 2023
unless a different date is
OWNER
Joc # 2023076755, OR BK 20649 Page 243 ,
~umber Pages: 1
~ecorded 04/19/2023 09 :38 AM,
"-, ~==-liiiii2!~~¡¡¡Bciind~eiiid T¡¡¡h¡;¡ni ~No~!a~ry~P~ub:lic~U:nd;e;rwrt:t:ers~
Signed:f._'7'.l'--r~------1---
Before m --'---f-L-f--f--=::...""'-:!_
Of Florida, has
IODY PHILLIPS CLERK CIRCUIT COURT DUVAL
:oUNTY
:ECORDING $10 .00
Notary Public at Large, Sta
My commisslon expires :
Persona lly Known: -----7 ----t=:-,=:,,~----,-e:::::::=::_
Produced ldentifica·:t;:io-=-n:-: -,-.:::~~~....!a~-......... ~=d:....-.::::::::~:::..._ __ _
JODY PHILLIPS
Clerk of the Circuit Court
501 WAdams
Jacksonville, FL 32202
Tel. (904) 255-2000
http://www.duvalclerk .com /
http://oncore.duvalclerk.com /
Trans#:
Cashier Date:
Receipt#: 4564177
4748029
4/19/2023 9:38:27 AM
CUSTOMER INFORMATION TRANSACTION INFORMATION PAYMENT SUMMARY
CHIARA FIGALLO
l~vment
-~
O cíal Reco a
NOTICE CQMMENCEMENT
Date Received: 4/19/2023 9:36:41AM
Location: BEACH
Return Code: OVER THE COUNTER
ITrans Type:
Cashier:
Recording
JLINNEN
Total Fees:
Total Payments:
Balance Due:
Cash Tendered:
Change: --·
$10.00
$10.00
$0.00
$10:00
$0.00
$10.00
BK/PG: 20649/243 DOC #: 2023076755 Pages: 1 Date: 4/19/2023 9:38:26AM Grantor: HELLER MATTHEW/Grantee: MILLS CONCRETE
Recording $10 1st page, $8.50 each add'l -1 $10.00
Print Date: 4/19/2023 9:38 :32AM Page 1 of 1
9 Building Perrnit Application
City of Atlantic Beach Buildi,w Department
800 Seminole Road, Atlantic Beach, Fl 32233
•• Phone: (904) ]47-5826 IEll1ail: Building-Dept@coab .us
UptlataJ 1D/9/1JJ
••AU. tNFORMATION
H1GHJGHTEO IN GRAY
IS REQUIRED.
JobAddn!SS: ,3,3R J/tliSfreet ZE,Jje,mit Number. _____ _
legal Desaiption s: -ea q / ll -J,S -J/i e: RE# rJ ao -, '( -o O O 0
Valuation of Work (Replacement Cost) $f0
1
l[/17) e 67J Heated/Cooled SF ____ N o. Heated/Cooled, ____ _
• Class of W<Kt: 0""Atter1tion
• Use of aisting/pn:,posed ltnlcture(s): DCommerdaJ 12!Residential
• lf an existing ~isa &e sprimlersysmn · .. DYes
• Will tr s be rmMNl!d in association wilh Tree Relnoval Pennit No
Describe in cktail. lhe of wort to be perbmed::
ct Appn,vat#, ________ ______ fwmuttíptc pn,ducts
::':..e~~~mation Address 3 3f // t:Í:J 5-/-. ñ~ ";; {fa-!!
4
m,,¡...1.. ~3a....;? ...,t...¡....;.==Phone~· +:-7/il-;--;ía.;:---r,&,rr.q 9n--_"7'u~z,~,-=::;-1--
or Attm (tf Aaent, ~of Au!ll~~ t.etterftequired) __ -------rii...__ _____ _
Contnsctor~on 1'1 . /,, ) . . ,,,A · 1/ _
Nameof~ _fd_;L(s--· -v.J,-hf? _ .;.._;_ ~~~-~l'Wf/J /'.!_'l t , S , .
Address~ ól5°::f-~ z~ . .-r_C +!~ l ' Cíty164-, llv.a ~""°),~Staf .rpif~-. Zip: \__~' °..~-
OffitePhone f/Dtf.3fl,7!!!it.rz~Y: J l ___ --_,-1.lobSiteÜJntact .. ,rcUf· &~110... f;,:;r.u~~ ,}qcr '/77, 4diF
Statece1ttr.c.ation/Regislration• ______ E~ai-.JldM<.LndtJ..á} Mi{{sé:l5i1uek_, ne_ ·~,~A,., ·
Architect Name & Phone# ' , \..-V....,VV 1
Engineer'sName&Phone# _________________ -:----------i:--1-;:-:-i'"='"-:-----
Workers Compensation lnsurer ___________ _
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or in allation has
commenced priorto1he issuance of a permit ami 1hat all work wiH be performed to meet the stamiards of all the laws regulating
construction in this iurisdiaion. J undemand that • qp.u.te permit mu5t be lecured for EU:CTIUCAL WORK. PWMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements of this
permit. there may be additionaJ restrk:ticMs applicable to this property that may be found in the public records of this coun ty, and
there may be additional permits required from other 1ovemmental entities such as water management districts, state age nci es, or (!deral agenáes.
OWNER'S AFROAVJT: f Cfflifv that afl the futttoi111 infomtation is acante and that al work wi1 be done in compiance with all
applicablc taws flluflti~constnldion and. ionins,
WARNING TO OWNER: YOUR fAIWRE TO RECORD A NOTia OF COMMENCEMENT MAV
RESULT IN YOUR PAYING 1WICE fOR fMPROVEMENTS TO YOUR PROPER"?í-IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER AN ATIORNEY \F ORE
RECOR~UR NOTla OF COMMENCEMENT. '
(~ofOwnerorAsent)
_:n~ swom to (or · Sig~ and swom to (or affirmed) before me this _ day of ~.Zoz~. Y;,r---...:'-f"-'-'f:::,1'"""'+-'---'-........ ~...L.··5 º IJ.O ·---bv ________ _
I\!!!!!~. . --· -.. _e;!.!•~~!!!!!!!!!!!!!!!~
_. •• •;,'¡t._vY ' '¡ G!NDLESPERGER ,ifívhJown # GG 353178 ~•t~: . . L, ?i RES : Octo ber 6, 2023
'',,f,,f · ". ~dl'J Thru Nola ry Public UndelWTiters
;e¡.¡.. .-:~· ·-.·
(Sisnature of Notary)
[ ) P~fy Known OR j
DWAY23-0014
RIGHT-OF-WAY / EASEMENT PERMIT APPUCATION
City of Atlanlit 8eldl
800Sminale Road, AIIMticlleadt. Fl 32233
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
••A1.L INFORMATION
flGHUGHTED IN GRAY IS
REQUIRED.
JobAddress ?-38 J/!Á,5freef , 52,,:;¿33 PennitNINu•s•IN!err ______ _
C<mtracto<¡rmatlon () j ~~~f!:t14 l~~k ½:!~ ~z
Phone C(ot.¡. </J J • ~,3S: . Email g.J f@ ei,111-tf, fr,j)/)/1(15'd~ () • fL>,4/1
State Certffication/Registration#~--------------------------
Architect. _______________ Phone. ________ Email, ________ _
Engineer _______________ Phone,_ _______ &na,1 T
Workers Compensalion lnsurer F] OR ~ration DalE: 3/ª3.ji~
• Pennittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial
and underground the accurate locations~$hown on thesketches.
• Whenever n~ tor the construaion. reawr. improvement. mamtenanm. ate •nd effident openition, alteration or
relocation of all, or any portian of sald street or easement as determined by the Public Works Director, any or all said poles,
wires, pipes, cables or otherfaciities and appurtenances authorized hereunder, shal be immediatetv removed from said
street or easemtntor rnet-or reloc3Wd hemm nnquiml by tMPufmc'.WorbDirector and attheexpeme-ofthe
Permittee unless reimbursement is .ivthorized.
• AIJ wortc $hall mat 4Y of ~' or florida P,Pa~ent ofTr.ansportltion .Standard$ and. be performed under the
supervision of l!,_f __f}()(r') S ~t/í>(\ LJ ,e,_ (ProjectSuperintendent)
with (Company Name)
0
l I t \ H V 1
(! 'Phofte c¡a</. <./71 · '2cil1 . .s::·
• AII materials and equipment shall be subject to inspec.tion by the Public Wortcs Director.
• AII city property shaff be restored to its qinaf condition as far as practic;al_. in keetJil1g with City specifications and the
manner satimc;toyy to the Ci?y.
• A sketch of plans covering details of this installation, as well as a copy of a recent survey shaH be made a part of this perrnit.
Calculations showing any increase in impervious a rea on owner's lot or in the City right-of-way are to be included with
this application.
• The pennittee shilll aJfflllM!IIICe actual cunslrudion in BOOd fati wilhin kz Ó days. •the bepwoilw date is more than 60
days from date of permit approval then pennittee must review the pennit with the Public Works Director to make sure no
changes h.ive oc:curnd in the .-rea th.it .iffect the permitted construction.
• lt is understood ami qreed thlt the rights and privileges herein Mt 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 wHI, at ali times, assume all risk of
and indemnify, defald and saveharmless theCity of Adantic Beadl from and against any and aN loss. damage and cost of
expenses amine in 11nv mann« of the-exemw or m.mpte6 exll'dMs by the holder of the •foresaid righb aJfld privileges. iJ ~o:; ~~rector shall be notified 24 hours prior to starting wortc and again immediatety upo7 compl,tion.
-~---------------Date ~_19123 f'E¡:millle (signed in presence of Notary PUblic) 1 1
srATEOFFLORIDA,COUNTYOFDWAL l a 0-l
The foregoinginstrumentwasadcnowled&edthis......:._~--4--dayof -.J:__,---\u¡9._._[...,l ....\-_________ _,. 20 2 3 .
.. Ch,aro ro~-~~p , who personally appeared before me and
gned the imtrument voluntlrily fot thc pw,:,o,c cxprcs,ed in it.
" ',,__ TONI GINDLESPERGER
# GG 353178
~;;:-:7~~~:r.:.i;.~o;.~~be:r6~,!=o:fl =er=rt,aedlly Known D L • blic Unfe ldentilkation (Type) ____ --"-----
e REVOCAIILE ENCROMllMENT A6REEMENT
aty of Atlantk 8eadl
8111 Semi P1e Road. Adand:: lmr:lt, R.32233
••A11 INFORMATION
flGHUGHTED IN GRAY
ISREQUIRED.
REVOCABI.E ENCROAOtMENr AGREEMENr bvthe Cily of Atlantic Beach, Florida, a municipal corporation organized and
~ng under ~olthe-of florida.......,_ reíenedtoas •011" and k •a C<A 1/o · ·· of Atlantic Beach, Florida, hereinafter
referred to as • •
WITNfSSETH:
That the CITY does hereby grantthe USER penntmon on a n:wcabte basfs as described herefn the light to enter u pon
the property for the purp0$e as de.s~ribed in Oty of AtJ,ntic Beach.
lhis work is gener.,1y described as (!.i t&J be dcii/en 7;/ e11h. '<0-n ·
Any facility maintained,. repaired, erecte4 and/or instaHed in exettise of the privilege granted remains s~bject to
relo~ationorremovalonthirty~O}days'notice!::CITYl~.,~~1:u~shal~~:JJv certified ~re?rn
receiptrequested, tothefollowingaddress 3 3½ I _'t:!l~J1iJ11rrhc, /:2e4~4 €L . J.,
• In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
u pon the above destribed easern.ent et propeny tlf 1he 01Y, \he USER shall 31: the USER's sote expense,
any and aU materw ~ilv displaced during the action of m,intajnjng, repairing, operating, replacing or
adding to of the utilities and facilities of the Cl1Y or franchise utility provider.
• The facilities allowed by the permit shall meet thf! current reqwrements of the aty Building Codes, L.and
Devefopment Code and aH other fand Utt and cocfe. requ;rement, of the arv, induding City Code Section 19-7(h)
which states "Driveways that aoss sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth ammrte teft natural m color so that it matdles the existing and adjoining sidewalks."
• The USER, pr..ior to maJdng anv cltanges from the appro.ved phms w/or me.tho.d, must obtain written approval
from the Cíty of Atlantic Beach Public Works Department, for said change within 30 days after the day of
completion.
• This permit shaH inu~ to the benefit of, and be bíndíng UPon# tM USER and their respective successors and
assigns.
• USER shall rneet 1he terms and condttions of ttiis permtt anti to all of the appticabte S1ate and OTY laws and/ or
specifications, to include utilities Jocate r.equir_ements w use limitations/requirements of easements, public
right-of-ways and other public land. USER further agrees that the CllY and its officers and employees shall be
saved a les.s by tite USER from anv of the work herein under the terms of this permit anct that all of said
liabir ,es re hereby assumed by the USER.
Property Owner/Apnt (signed in presence of Notary Public)
STATEOFFLORJDA,COUNTYOfDUVAL l Q í\
1he foregQng imlrument was -••dt!<dthis __!:__j__ ol L::f D l , 20 Ll
11\' C /:)IO, ¡--CL. M , Cv\ , ¡:::-l 3 Q l l D . ...., ...................... belore me and
· d name of Si&ner) ~~~-,:::N:::,:--M.
~;:_•,· ~-: ~:) MY COMMISSION # GG 353178 Depa.buent Approval:
Signature of Notary Public, St
[ ] Personaffy Known
( ] Prodw:ed ldentification (Tw,e} D , L
·--~~~~<:-·: EXPIRES : Oct ober 6, 2023
-..·•,?;¡;¡.t,r •. •• ¡¡¡,, ¡¡¡¡;B¡¡¡¡oníiiided~T~hru~N¡¡;;ota~ry~Pu~bl ~ic u~nd~erwri:lers~=====~------
Scott WIJJlams, Pu blic Works Director
¡j t,,I\~ Dt1 1'{ R~ ' 904-998-9733
PROPERTY ADDRESS: 338 11TH STREET, ATIANTIC BEACH. FLORIDA 32233 SURVEY NUIIIER: Fl.2203 3228
FL2203.3228
BOUNDARY SURVEY
DUVAL COUNlY
LINETABLE:
l1 375.00'(P)
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• , I , Q ' ' .. ' Nl11"44'U"E 75.tO'(Af) ·,·•. :· -. * 1/2" l'lf' l 1 ó 8.C.
-_J,,..,,,,,,,.-~~jl:~00~'!1D~-;;""'!"'t1 Hr-ir _;""r "°~ID~r7....::.:...--"r--7 25.a 11 1/2"' l'tRC UR O
IG072 1
1 !
1 ui 1 1 1 1 1 1 1 1 1 1 1 1
S 117"43'46" W 375.12' (M) l
LOT19
BIJ(13
0 .5ºCIT
1/2"'"" NOID
LOT20
BU( 13
LOT17
BLK13
o z i
LOT18
BLK13
L0T16
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15 1
GRAPHIC SCALE (In Fes)
1 indl=~t.
. SURVEYORS CUTIFICATION:
1 he,eby certify that this Swvay of the lands
desaibed hemon was made under my dinict
supennslon, and to the best of my lcnowledge
and belief is a true and aa:wata ~t.tion
of said lands and meats the Standards of
POINTS OF INTEREST:
NONE VISIBLE
Practice set fonh in Chapter SJ-15.050 tlvough .á
5J -15.053, Florida Administrative Coda. A
;'ID
1
/..8
RAYNOND J. SCHAEFER -"-..:..;..:.~---_,._.._w:,u.mi
pu~antto_section ~72 .~7. Aorida Statutes. This suivey" not valid without the signawre and "9' .__~ _,,_~~
original raised seal of a Florida licensed su,wyor _ .. ~-
DATE SIGNED: 03/25/22
FIELDWORKDATE: 'Jl'l5l'1D22.
REVISION DATE(SI: (RE'lO 3l'15l2l112J
a,d mapper, except when the electJonic -----~~ ~";! s:~:.th~ licensed a.-..yor Landmark Jitle
GK>41119&8T.!3 li
SEE PAGE 2 OF 2 FOR LEGAL DESCRIPTION
PAGE 1 OF 2 • NOT VAUD WITHOUT ALL PAGES
Replacing existing impervious (not new)
Hot tub to be submitted as separate permit in future, not included in this permit