Permit Bulkhead 1738 Selva Mar Dr 2011 ,` AN: ,
r ` e CITY OF ATLANTIC BEACH
.. , . S r7 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
�.;.. INSPECTION PHONE LINE 247 -5826
Q j3 r ')
Application Number 11- 00001686 Date 2/28/11
Property Address 1738 SELVA MARINA DR
Application type description RESIDENTIAL OTHER
Property Zoning RES SF LRG -LOT DISTRICT
Application valuation . . . 13100
Application desc
BULKHEAD BANK OF CREEK
Owner Contractor
FORSYTH V ALLISON C & H MARINE CONSTRUCTION INC
2345 SEMINOLE REACH CT 417 STOWE AV
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 338 -4753
Permit BUILDING PERMIT
Additional desc . BULHEAD AT CREEK
Permit Fee . . . 120.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 13100
Expiration Date . 8/27/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 124.00 124.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH ti)
800 Seminole Road, Atlantic Beach, FL 32233 5 0
73 8 !mit_ Office (904) 247 -5826 Fax (904) 247 -5845 1/10 ,�{�
'7'? Q A i - 7t rt. i v A. /
Job Address: ft; .,7 =T .-:- ,. Sr . g li/ate / , 31235' Permit Number: 1/ /6 g 6
Legal Description 1,4v, r �.- J-o r t3 /f 9 Parcel # / 72.467 -4-ice('
d oor Area of Sq.Ft. Sq.Ft
Valuation of Work $ /3,,'c, `= Proposed Work heated /cooled ) 205 non- heated /cooled ,,,i /,
Class of Work (circle one): c ew) Addition Alteration Repair Move Demolition pool /spa r
Use of existing /proposed structure(s) (circle one): Commercial Residential_' -,
If an existing structure, is a fire sprinkler system installed? (Circle one): es No " N /A FE I l
Florida Product Approval # 16 2011 /'
For multiple products use product approval orm
Describe in detail the type of work to be performed: , 11 /e b / c - e, e By
Property Owner Information:
Name: It / / /,5,,,v 4 Fc�t 7'/ -► Address: 2.3t/..S Sp, , o,A/n /� ike .ic/1 Cr-,uFt
City fTL4„iTte l3 e,4 t tL State f t Zip,p"zz33 Phone ,71// - 953
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: (., 1 ii 4 /A ,,v' •
cN.srt- Licy I: /c. Qualifying Agent: goiN!-i NJ. 679 Kai'V C
Address: q S70,-ttt E /i:- City C7 ?,q -K State f= Zip 3 Ze 73
Office Phone 2 i/ -7 S tg, Job Site/ Contact Number 33,' - s/7 Fax #39//. /A e; 9
State Certification /Registration # SCC. - / 3 t l.5 oR., 3 N
Architect Name & Phone #
Engineer's Name & Phone # CO/Z/0$ / et:5s1,✓J /:2 'ir77o ' cire - Sys' - y 3rf/
Fee Sitnple Title I folder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address ,
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will he performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for period of six f6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical - a _ Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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.
/ hereby certify that l have read and examined this application and know the same to he true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating constr uc•tian or the performance of construction.
Signature of Owner a G{at,; zA; /;-A. / Signature of Contract /�
/ r an :.,..«,..M.r...�a .
Print Name V. A I r for 5 : , , ., •,,,. Name k L..: f % evi . &A. g 9.10e A
;t '
Sworn t� and subscribed before me `r � 7 S k 1 to and subscribed ►efore me
this D.yof /✓o ✓tM'` re ,20 /U '°""' hi' • 0 Day of_ 0 __�_� 20
t• — •r — �AtlZ -- 1 r'i 1 � 4 i ' 1.1 t 4. . u.. O
' ;:1 $ l ;;1 �' y 1 R C 1 ) "COMPLIANCE .u. tc
CITY OF . . Y' ;l a .. . 'I\1 ; '� CJ K�1a..d 0k26.10
SEE PER ' :.
1± �; • q t $ ;
997184 " '- ! CM ,f ; ryei MICHELLE M. SWEATT ■
REQUIRE
, � .. e. , . r MY COMMISSION 9 D0897527
-, ., .., o p pm • t �"i, + : 114 �� % a : ,; EXPIRES: Jul 17,2013
,,,. eoo ass taro � v ':, i; Bonded Thru Notary P Underwriters
REVIEWED BY: DATE: r2 1 /P I / P
City of Atlantic Beach APPLICATION NUMBER
�$ .. Building Department
(To be assigned by the Building Department.)
800 Seminole Road /I / Cpel&
Atlantic Beach, Florida 32233 -5445
c4/0///
City Phone (904) 247 -5826 •Fax (904) 247 -5845 Date routed:
tt SO' E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /7?t d f /I�� a rI Ara-- D -ment review re. uired �� No
Applicant: e /1 0 tanning & Zon'•: _=
a ri7) � ��rl� �� 0y) ` _
lw- 'stator
Q /1 gin') "� L/ r.:l 1L
'1 y r �l = i�: w
Project: �Q l� Public Utili '-
arc
Fire Services
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: gcpproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: Date: d '" //
TREE ADMIN. Second Review: Approved as revised. ❑D ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
7 w
s!- n if, 1.1 APPLICATION NUMBER
City of Atlantic Beach -- -�
: i s � Buildin De artment � � y , 5 .� g p FE (To be assigned by the Building Department.)
r
800 Seminole Road 1 B 2011
, Atlantic Beach, Florida 32233 -5445 /1 1 'I
Phone (904) 247 -5826 • Fax (904) -
r ;; E -mail: building- dept @coab.us Date routed: c. �0 J/
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
p y /Pt � ��jltL., /i�Q r //►�� - Dom;, r ment review required Yes No
Applicant: 27a n 1-46 r li (77 OY) cannin & Zon'•___11.1111111
inistrator
Project: ,jt Q 60 it /1 r110 3)Q-71 e r •�IL!1���� =,�:e. _-
_
arc ��■
f L Public Utili
• Fire
Services
£z wa �. ads '" H' ","'" a a 4 * • "�`' ", ' t+a+ •° e m,
evie �. ee¢; , Dep Stg
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ISkApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by'� Date: 7i� g���
TREE ADMIN. Second Review:
❑Approved as revised. DDenied.
P ORKS Comments:
/-=: ICU IL TIE
2 /7 —,4
PUBLIC SAFE Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION y �
' CITY OF ATLANTIC BEACH i \ $' �� C . ` �
800 Seminole Road, Atlantic Beach, FL 32233 eH
73 8 Sf/va. Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: e T '
Sr -.luA did,e,:4' i�,e 32 233 Permit Number:
Legal Description 6112;7 .. i l.cT 7 t3/f-1 9 Parcel # /7zoo7 - es 0CC
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ l3, /o0 `= Proposed Work heated /cooled , non - heated /cooled ,c/% 7
Class of Work (circle one): 1.-) Addition Alteration Repair Move Demolition poollspa ift c 1,!.1
1 09 Use of existing /proposed structure(s) (circle one): Commercial Residential_
If an existing structure, is a fire sprinkler system installed? (Circle one): es No N /A FE' 16 201i
Florida Product Approval #
For multiple products use product approval orm By
Describe in detail the type of work to be performed: - i ark ' ' b' / e -_-.
Property Owner Information:
Name: I/ // / /ii t.✓ &e). F o rS y 74, Address: 2 5 4r1, IC Q c/1 (20 w f-r
City IATL4,1T,'c ,L State FL Zip3223 ? Phone , // / - ! 9.3 7
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: C+/1 4 /fr i/c 6 5 Tf'uc 7 ic■ r•'i'c. Qualifying Agent: Kell' ell-i M. a-i9 Oft/e
Address: 407 .57t et) e. 4 ✓ City C7A't3r/t -c ?A/ - State /:-"- 4- Zip 3-20 73
Office Phone ,ZGH -75 dt3 Job Site/ Contact Number 33,4' - 75%; Fax #394 /4,4 9
State Certification/Registration # S'CG - 13 i t .5'o$?3 N
Architect Name & Phone #
Engineer's Name & Phone # GAl2fc$ t le 17 N7?O I %o'q- 5ds'- y3rfr/
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Appli cation is hereby made to obtain a permit to do the work and installations as indicated. 1 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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperrod of six 6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical - Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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 IE RECORDING YOUR NOTICE OF
I hereby certify that I have read and examined this a plication and know the same to he true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner I/ . J... .L A. • , l�,,.,/ Signature of Contract
Print Name I� Ili 1 r S /�, ref' S y'T� Print Name . .,t; (-' (v1 . 6- t` 9 e P.,.
Sworn t and subscribed before me ( Sworn to and subscribed Before me
this Day of 01/0 ✓F0-7 ' t 20 / U his iit) Day of 0 20
w
. 111 , - --
Notary Public ' I
� r � ` " `-'r ota 'uilic
ic ry
AlTi' KAREN C. HOFFMAN 26.10
_ „: Commission # DD 997184 , ”'
W MICHE M. SWEATT
a er: , :r_ MY COMMISSION # DD 897527
Expires June 25, 2014 " ,„ :;< P� °P � Bonded Th u Troy Fein Insurance 800-385-7019 f, o f ;;•' EXPIRES: July 17 2013 ■ Bonded Thru Notary Public Urde writers
FEB -16 - 2011 11:24 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1 /1
Uoc a '201103r t 4u, OR 8K 1 Oo'i r Page 'W.U. .
NOTICE OF COMMENCEMENT rJumber panes: 1
i , I Recorded D2(15.20 at 10:30 AM.
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No. I L RECORDING 510.00
fax Folio Nei.'
TIE UNDERSIGNED hereby gives notice that improvements will be made to certain rc+l property. and in accordance with Section
713,13 of the Mond Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
I.Description of pr rty (legal description): L.., ;7 1.4:1 7 - 7
a) Strad ' (/M) Address: gri}d / 7 :Z_ _ .' r%t 44 i s .Q`' /,o•�/Ti4 '5tEr_L 2?5'
2.Gcn.cra1 deseripttul t of improvements: 4//, . idea rl' .4 /aneG / K-e ,&
3.Owncr informatioh �
a) Namcd'a
' at�ddress: bfrri Jilb L=i F• d t
• ... ;r: efOr� { T.. n
- gee •r ?2.= 'n
b) Namc aid address of fee simple titleholder (if o et than owner)
c) I.nterelt to prupcty
4,Contrector lnfohn `
■)R
n) Name! arid addresx: N/ Mtc!! i g <'��, c� . ;s/,lc. 14/ 7 S. �� 4 i/ ONk./f r Ks. "/ . 3„2.c, 2 '
b) Telepho No,: Sag • �4 /! - r x C'c� _.• • Fax No. (Opt.)
S.Surety lnformaiiohh
a) Name; yid address:
h) AmotlntlOf Bond: •
c) Tcicphoire No.: - - ..... Fax No. (Opt.)
6.Lctlder •
a) Name arid address: - •
_ _ Phone No.
7. Identity of ersor✓ within the State of Florida designated by owner upon whom notices or other documents may be served:
II) N tnel attd address: f/• rIf ti5(+A�/ sue'. + c? /'4i� xe7n .S�r:Iy, r?rRr L c.r 7 ..eAgl. .2.- 2 3
b) fcicphoIte - g/ - 75 — Fax No. (Opt.) ; .
it.Jn addition to hit4elf, owner decignatca the following, person to receive a copy of the Lienor's Notice as provided in Section
713,13( 1 )(b), Florida Statutes:
a) Name at�d. address: & _c ' /e7 C 14.�+.�p..Ai :rt16 At/7 .S,rcx.. ca /96/ aer. /3 , t 3,a, ,
h) Telepb, a No.: _ Fax Nn. (Opt,)
9.Expirntion date of'Noticc of Commencement (the expiration date is ooe year from the that of recording unless a different date .
is specified): ; 1 _
WARNING TO O ANY PAYMF.NTS MADE BY THE, OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED iMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT iN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SrrE BEFORE THE • IRST
I NSPECTiON. IFI YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATT ' ., • EFORE
('OMMENCiNG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
s'TATR OF FLORIDA
/-
(Ct7NTY or'sacw,bitS Du vri i,. 10. VA W 4v S i ntOw,i v Autho.' , Of csgpirc c :er
Print Name -
fr
'111e foregoing instrument was acknowledged before me this - G r day of /UU ✓t , . l , 20 /!1, by y: . At c.c.° Al
Fo ,� S I , as r7wN6 r (type of authority, e.g. officer, trustee,
attorney is fact) Mr (name of party on behalf of whom instrument was executed).
Personally Known OR Produced identification _ Notary Signature: _ ,,,,l!,A, ^�-.- e .c�� > ' ..
Type of identification Preduced Name (print) ic-/f - ,9 '1/ C thI if/befi
OR
Varil7cation pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, 1 deciaty that Y. have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief
cgn■Snanr.. ro KAREN C. NOFf MAN _.,._...__�_ ... ..
' Commission # DO 991184 S isnotnre: r Nnwnd Verxa+. Signing (in lioe t 10.) Abovc
Expires June 25, 2014
City of Atlantic Beach !,r APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
1s 800 Seminole Road '� ® 2011 I� , &f Atlantic Beach, Florida 32233 -5445 /
Phone (904) 247 -5826 • Fax (904) 24 -5845
i) E -mail: building- dept @coab.us
Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
/ / d /VL 7174r D_ r , ; . ± ment review required Yes No
(pim / Applicant: ' / )V a r/� g � ' (Iy) anning & Zon •
nistrator
Project: c It 0.) L /1 411rn r �,,,ILy�„
Public Utili
arcf : .
Fire Services
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
1
PLANNING &ZONING Reviewed by. i Date: /2/»
TREE ADMIN. Second Review: Approved as revised. Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Public Works Plan Review Comments
Date: kke`11 Initials:
Project Name /Address: 13, J C LV 14 mfr Lt p P L ti Application Permit #: 1 / "1 VS
Check Box
Application Tracking Comments to Add
Comment
Provide impervious surface calculations. ❑
Provide erosion and sediment control plans with installation details and maintenance ❑
schedule.
Provide drainage plans showing site topography (flow arrows, etc.) ❑
Provide construction site management plan, including Right -of -Way Permit if using ❑
right -of -way for construction parking.
Provide a pre - construction topographic survey prepared by a Florida Licensed ❑
Professional Land Surveyor, showing 1' contours.
Section 24 -66(b) of the Land Development Regulations requires on -site storage for
increased runoff. Provide Delta volume calculations and on -site retention required ❑
per Section 24- 66(b). (See attached info. Sheet)
If on -site storage is required, a post construction topographic survey documenting ❑
proper construction will be required.
A Right -of -Way Permit must be obtained for use ❑
A Revocable Encroachment Permit must be obtained. ❑
Pool — Wellpoint (if used) must discharge into vegetated area 10' minimum from ❑
street or drainage feature (swale, structure or lagoon).
All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from
the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑
allowed in the ROW (Commercial driveways — 6" thick).
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and
must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑
shown on the plans.
P - Roll off container company must be on City approved list and cannot be placed
on City right -of -way. ❑
0
❑
0
•
" Florida Department of G " of
•k a a ?�
fl Environmental Protection
Northeast District
� � 7825 Baymeadows Way, Suite B200
J acksonville, Florida 32256
SUBMERGED LANDS AND ENVIRONMENTAL RESOURCES PROGRAM
Permittee /Authorized Entity:
V. Allison W. Forsyth
Lot 7 Selva Marina Drive ( / 738>)
Atlantic Beach, Florida, 32233, Duval ounty
Forsyth Single Family Bulkhead Project
Consultant:
Mike Lurie
C &H Marine Construction
417 Stowe Avenue
Orange Park, Florida
Environmental Resource Permit
State -owned Submerged Lands Authorization — Not Applicable
U.S. Army Corps of Engineers Authorization — Granted per State Programmatic General
Permit
Permit No.: 16- 304063 - 001 -ES
Permit Issuance Date: January 31, 2011
Permit Construction Phase Expiration Date: January 31, 2011
FEB -16 - 2011 11:24 FROM:CLERK OF COURTS 904 270 1512 TO: 924751345 P:1 /1
Uoc tt '2011Ui /14U, OR BK 1Ja'I? Page 'Ittzw
NOTICE OF COMMENCEMENT Number pages: 1
i , Recorded 02r 1 Ft2011 at 10:30 AM.
JIM FULLER CLERK CIRCUIT COURT DUVAL
/ p 6 COUNTY
f
Permit No. O RECORDING 51000
fax Folio No.
TUE UN DER$IGNk
I. D hereby gives notice that improvements will be made to certain rm.! property. and in accordance with Section
713,13 of the blond Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
I.Descripdon ofpe e (legal deurription): µ 1i1, i j Lor 7 1Q for !- `I
a) Street 06 Address: � a . J _ d /7' IL/ i ^ L ! . _ Sp A i %'A Qom' /,4.JYie rim
.,.. do ttprovements: ,.$C.,L.1 .. c et el A /c.
4 / / ✓o r Pa G..,i.
2,Gcn.cral descripti of it �
l ■
1.Owncr lnformatioh.
a
b ) N.1MC at{d'address: bJ!,f . it,, ' .. S.I5 "�+..�cn.;r:.- ,e,.. . oaifin T .. -pi .01, 9..2.=....
) Namc a4d address of fcc simple titleholder (if o et than owner) _ ,
d•Crmertwtor Info!t m ru
c) Intere p. petty 1
irtion
WR a) Natmt;�arld addrecs:a-ff /f tj c•, _ Je. Nt � S ��cFl ,,. 4 t1. a Ale- K•c .ci a Zr
b) Telephohe No.: . W A" • jZE! z cru _ Fax No. (Opt.)
5.Surety lnformatioh
a
a) Name and address:
b) Amotint Bond:
c) Tcl ho No.: Fax No.
6.Lendcr '
a) Name arld address: _ _
II _ Phone No.
7. identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Nai..n and address: F/ ell tr5n,./ 447, k�_,,4,.. 1 is7.„ Ae.1'a r'e ti,, cr /i 74 . (j_e�4e.,I+ .2: 2 3
b) TcicphoIte No.: .2V - ?,57/7 ,. Fax No. (Opt.)
g./Ii addition en 1414clf, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b), .Flotidia Suttutts:
a) Name a i address: Mk w� $j2/4./i6.7 C.- 14.�./�,C�i.e E X1/ 7 .5,72e.Jc /. Qfi , 1 3�3cr 3 ,
h) Telephoize No.:. Fax N. (Opt,)
9.Expiration dateiol Notice of Commencement (the expiration date is one year from the date of recording unless a different
is specified): _ ; 1 1 ..."
WARNING TO.OWNER: ANY PAYMENTS MADE BY TRF, OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENC:EME T ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STA1I TES, AND CAN RESULT IN YOUR PAYING TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TUE JOB SrFE BEFORE TAE IRST
INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATT ' .', /BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
"tATF.OF FLOM* /' / •
Sip,tatyrcp(b ), or Owner's Auto : • pffic laic c _er
VV .. A. .r1 AM.
Print Namc
•111e foregoing instrument was acknowledged before me this _SG day of /VO resvftI , 20 /J. by Y, AL L,t5o Al
G✓_Fe41. Syr r4, as nrd evef e_ (type of authority, e.g. officer, trustee,
attorney in fact) for (name of party on behalf of whom Instrument was executed).
Personally Known OR Produced identification _ Notary Signature _ 41'-.4—..- e .
Type of Identification Produced Name (print) ,41 -ed,/V C /f0 &rib/ f!/l)
OR O Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, T. declare: that T have read the foregoing and that
the facts stated in it are true to the best of my knowledge and bcli.cf.
romelmnc•. ecogr" KAREN C. HOFFMAN ;
Commission 0 Signstutt of N.,w Verson. Si
�• � ��� # DO Siring tin [Web 10.1 Above
' 70' Expires June 25,
- 4., yr , woo %cm FA IMMO k1DJbSre19
mo
H pxO t
0 fll -
Z t .0
TS PI-
0 x , �t0 O C A V • tt. $ • -1 2) 7* " mma. I O p � H
z 0; . = 3 0 � t0.
"CI. fD Cr c0 ca N .+ C• H b'�
01 p O.
cn G 3 �m.... H H y ro L. 5 ' +a) ,-► � � to Z H y
$n c00 3Q N D .4.
• U'�
0 25' (0 -D 3. C � O o H 5C
CD 5 3 a 0
n UN � � X
- s �� 0� ya r
0 cD vi 'a f m
0 * Ma i ;z o °:
m c oo. - CD s =Q 6G) A- <
YJ pn tQ� CO CT 09 m 0o V 0 01 W N
� 0 c . Ai m ) ' 0 ', ', •,
• N a n b, < ? m > —I C) . .. rt x, fp • n •••• -1 • y
in A < !� o O (D . is 13- a 0a' o co c o — D W c
+rt 0 > fl. 0 0 0 CD 0 3 Q. N.S N N� n
zo, 7C x- to 7
H O ET u) ca O m. w �. c .,,
00 O to n0 N rt tn� .1 3 z
H Y _ a co es-
at. O so c a D
O =`: a) tD 0 0 � - m
c� ai a N — —
J § a 'd j ' C - 5 5 t O Q n S ca
J O O 0:3 O co 3
S <36„ 3•• c z a a
H 0
• — O 0 • z .� c
°' ca t - = 3
ill
CT
7 .. O
0 XI
CD co c 3 tD
3 15
O 3 _ 3 1?.
E co
CD c a c
3
C & H Marine Construction Inc.
Owner: Allison Forsyth Dwg. Title: SEA WALL - SECTION A -A
Water Body: _ Original Work 8 0.-- Maintenance
County: Duval- Atlantic Beach Drawing Sheet No: 1 of 1
Datum: MEAN LOW WATER Date: 12 -6 -10
Designed by: RH
i.
i I
DO N
X i c
m co r � 1:0 CArn
X 0 p r
CO 1126ZM
H r
cr E
r
1 _ M
C to
V tzi
82 X royn
D. — 0
H
� Cn H
o W Z '
z 1
cn G7
0
CD
r3
C & H Marine Construction, Inc.
Owner: _ V AIIisen Forsyth Dwg. Title: SEA WALL - SECTION A -A
Water Body: Selva Marina Original Work Maintenance
County: Atlantic Beach Drawing Sheet No: 2 of 2
Datum: MEAN LOW WATER Date: 12 -6 -10
Designed by: RH
150' 0" _).
A - - - - - - - - - -
PROPERTY LINES SHOWN THUS
0
EXISTING NEIGHBORS
BULKHEAD ' ��
cc x o x ' 45 0
F- a A E-
IA a
U Q 1
M.H.W. -- _---- -
II -11'� III III -;III 1 i illlil ihnI Illlllll I II Ili Il Ill i lll Ill Iii �Il���Id III ii i ll i i i lll 1 ,1 , 1- Il III III., III ill ill HI III ii —iii
IRON PIPE 2 FT 147 6
PAST FENCE /! , IRON PIPE
AND BULKHEAD A - K-- / UNDER WOOD
// FENCE
2 FT WING WALL /
FILL 16 CUBIC YARDS
LOT IS 150 ft WIDE ITH 150 ft, ,
ALONG THE V,ATE 7 O
7 �r
��. . — A ,
94
O
2 FT WING WALL
Ce
G
' Q
d ' z
Z ' 2
2 >
Q I J
HOUSE FOUNDATION
a 1 CO
LLI
> 0
y U NIT #5- LOT7 -BLK9 r
co
N
ti
v- \ PROPERTY LINES THUS
VARIES 1 FT TO 3 FT.
1i «f 1 A � ,2
')
FLIER CLOTH 1 __ Q re
0 1
III1 i11Ii I I I I I 1
1 l0 h 0 h l0 1'i
SECTION A A
signed File no.
Applicant: V. ALLISON FORSYTH Purpose: PLAN Of BULKHEAD
Water Body: SELVA MARINA POND Original Work r Maintenance
County: DUVAL (ATLANTIC BEACH) Drawing Sheet No: 1 of 3
Datum: NOT TIDAL Date: 12/6/2010
514'35'26 "E 150.10' FIELD FOUND 1/2" IRON
Si4'34'50 "E 150.00' PIPE, NO CAP
JUND 1/2" IRON 9
IPE. NO CAP a
I
•
•
FLOOD ZONE ")1
0 •
to
----- ----- FLOOD ZONE ° X f
•
50' BUILDING -- _/ RESTRICTION LINE _ "` .�
—,—
t
•
•
u . —:
• . Z
iV , 0=
•
1----
0
Z
O
Z
ty
W 7 ,1 M
N 4 Ln
in g o N FLOOD Z0�
o z I FL00 ZD OK
O W O (V Ili N ° •
0 ��
N U N
oN 2.1
PI Q -. o
• Zo
v.
V
N
N 4, 10
t
N. • 0 IN
}.
Z BUILDING RESTRICTION LINE 1 — _
4P
I
EP
• In APPROXIMATE TOP OF BANK
' FOUND 1/2' IRON ° ----- �- —' ° FOUND 1/2" IRON
PIPE, NO CAP i N12'34'49 "W 149.96' IRON TO IRON -- • PIPE, NO CAP
_— j TRAVERSE LINE ONLY
•
—_ - `- WOOD BUU(NEAD
APPROXIMATE EDGF nF warm
NOTES:
THIS IS A BOUNDARY SURVEY.
BUILDING RESTRICTION LINES AS PER PLAT.
BEARINGS BASED ON THE NORTH LINE OF LOT 7 BEING
N75 °25'10 "E AS PER PLAT.
•
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN
FLOOD ZONE "X" (AREA OUTSIDE 500 YEAR FLOOD
PLAIN), "X SHADED" and "AE (EL 9) ", AS WELL AS CAN
BE DETERMINED FROM THE "FLOOD INSURANCE RATE
MAP" COMMUNITY —PANEL NUMBER 120075 -0001 D,
REVISED APRIL 17, 1989 FOR CITY OF ATLANTIC BEACH,
DUVAL COUNTY, FLORIDA.
THIS SURVEY WAS MADE FOR THE BENEFIT OF ALLISON
FORSYTH; OLD REPUBLIC NATIONAL TITLE INSURANCE
COMPANY; AND RICHARD T. MOREHEAD TITLE & ESCROW,
INC.
DONN W. BOATWRIGHT, P.S.M.
FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295
FLORIDA LIC. SURVEYING & MAPPING BUSINESS No. LB 3672
P) -ea.s scab in-to
s 1? 38 SPIva
P)c+ r i)NG, r
hay, L>42/ . rr�
March 28, 2011
City of Atlantic Beach
Mr. Mike Jones
Dear Mr. Jones:
Let me introduce myself, I am Carlos R. Rosand the Engineer of Record of the Seawall project located at
1738 Selva Marina Drive property of Ms. Allison Forsyth.
The seawall requires tie backs as indicated in the drawing titled Retaining Wall Section A -A.
When there are obstructions between the pile, tieback and dead man (such as a tree in the location of
the tieback), It is correct to install the tieback diagonally from the seawall pile to the adjacent dead man.
From The engineering design calculations for this seawall this is fine. Also is fine when this situation
happen for several of the tiebacks, on this seawall eight tiebacks had to be installed in this manner.
Based on the above I recommend the approval of the tiebacks as installed.
Should you have any questions please feel free to contact me at 904 - 545 -4381
Sincerely
\ 0 f eft
s 1
Carlos R. Rosand P.E.
Florida P.E. 47904
c.c. Mike Lurie C & H Marine