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1945 Sevilla Blvd. W. (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 r INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00031948 Date 1/09/06 Property Address . . . . . . 1945 W SEVILLA BLVD Tenant nbr, name . . . . . . INTERIOR REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor - ------------------------ ----------------------- ROBERTS, CHAD S . OWNER 1945 SEVILLA BLVD.W. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ------------------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 180 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 20000 Fee summary Charged Paid Credited ---Due- - ----------------- ---------- ---------- --- Permit Fee Total 180 . 00 180 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 180 . 00 180 . 00 . 00 . 00 a PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILQ,I,(VG CODES. -1�131 BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc. BUILDING / ZONING DEPARTMENT °'Hi s s� 800 Seminole Road oerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: / Applicant: ��T,e PiA 46�/7"S �W Ali Project: r��/0 �/7l Oa This p rmit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. (� Reviewed By: �& Date: Date Contractor Notified: GEORGE BULL JR. ARCHITECT AR 0004568 1800 SEVILLA BOULEVARD, SUITE 3 ATLANTIC BEACH, FLORIDA 32233 January 5, 2005 Memorandum To: Building Department City of Atlantic B Ah From: George Bull Jr. Project: Patricia Roberts Residence Sevilla Gardens Subject: Building Permit Remarks: I am her Architect and inspecting the construction of the project. If you have any questions during your review, please contact me. When the permit is ready, please call me and I will pay the fee and pick it up. Enclosure: Two complete sets of the Permit Requirements Thanks: GBJR TEL: 904-246-4469 FAX: 904-247-2816 CITY OF ATLANTIC BEACH BUILDII" G PERMIT APPLICATION t (Alterations&Additions) Date: Obi Job Address: towner df Property: Telephone: Address V Le Dlcscri Lot Number: _Zoning District: __________ P State License Number' Contractor: �W -- Contractor Address: Telephone: Fax work to be done;V V111/H llescribe proposed use and w v Present use of land or building(s): valuation of proposed construction: Dimensions of the added space: feet x feet A�A1 Will this project involve: a a o Heating&Air- v Plumbing o Electrical o Fireplace 'Conditioning Is val of Homeowner's Association or other private entity requ*d* If yes, please submit with this app lic 'on. Will th project involve changes in elevation, site grade or any use of Rill material, or the addition of 5% or more tr the Teri nai im"r i;,us 3reg or the removal of any trees? 140. Applicant certifies that no change in site grade, impervious, area or till material will be used on this project. (]im See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Perak. ❑ NO. Applicant certifies that no trees will be removed for this Orojectrl YES. Removal of QUIRED. Tree Removal Permits PERMIT will be required for this project. TREE REMOVAL ts to T reviewed by t6 ree Conservakt tioO Board,w h meeb two times each mouth. Procedure: In order to expedite issuance of permits, please follow all sups and Qrgvide 60 information as annromiate. Incomplete applications may remit in delay in issuance of permit STEP L Verity zoning designation and proper setbacks for the proposed construction. if you arc unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. in odder to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at. 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(9114)247.5834 STEP 3. Submit Tree Removal Application if trees are to he removed or relocated. STVP 4. Please submit Building Permit Application, Farergy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at tate Atlantic Beach City tirtll,Soo Souirrule Read,Atlanrdc Beds h,FL 32233 "relcpoonc.(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-S445 Telephone: (904)247-5800 °Fan.: (904)247-3845 ,http://www.cL&tlantic-boacb.fLus Revised 8Jt)8 Page 2 in additiotP to construction and engineering detail,plans must contain the following in4nnation as appropriate for the type of work being performed. Scala of drawings should be sufficient to depict all required information in alclear and legible manner. 1. Cumxtt survey showing the property boundary with bearings and distances and the lust description. 2. Location of all structures,temporary and permanent,including setbacks,building bt*K number of stories and square footage. Identify any gxisting structures and uses. survey. 3. If required by the Department of Public Works,a pre-construction topographical 4. Any significant environmental features,including any jurisdictional wetlands,CCCL�natural water bodies. S. impervious 3urfaee area calculations: include driveways, sidewalks, patios art l other impervious Surfaces. Swimming pooh may be excluded from total imperviousindividual applications. 6. Other information as may be appropriatefor Address and contact information of person to receive all correspondence regarding this application(please print). Mailing Address: • ax' E-Mil: "TelepboIIe: � Fa _ _.._.�.. I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances govcming 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 federal,state or local rules,regulations,ordinam as,or laws in any manner,including the governing of cong=tion or the performance of construction of the property. 1 understand that the issuance of this permit is contingent upon the above information being correct and that the latus and supporting data have been or shall be provided as required. • ___ Signature of Owner:/ � _-_._.._Date•-�; �� — AS TO OWNER: Sworn to and subscribed before the this_ _ day of ______�_ ,20— State of,Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identificaticti produced Signature of Contractor: _ _-__Date:. AS TO CONTRACTOR: Sworn to and subscribed before me this . __. M day of ._ � ,20 V <'. State of Flg(401040MI I 'of Duval 4A, V�:y o h.�s .� Notary's Signature: • Pe nonally known * •• = ❑ Produced identification Type of identification produced �. epD2t17399 � �� -- ����'9��'' .•`'TM" �~ Norida 32233-5445 �triir i Nt `\Telep(rone: (9a4 247-58W Fa:: ((904)247-5845 •littp://www.ei.ationtic-beach.fl.us Revisod 8104 Page 3 r ` CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: AA;4�_ Sob Address:�v — CHAPTER 489.FLORIDA STATUTES,PART I "CONSTRUCTION CON-tRACTING"REQUIRES UWNERBUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATYPTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BT LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO -THAT LAW.j TILE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YnU MUST SUPERVISE THE CON" RU TInN Y URS LI YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROAND COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. G MUST BE FO OCCLTANCY. IT'MAY NOT BE BUILT FOR SALE OR LEASE. IF Y U SELL OR LEASEEAA BUILDING YOU HAVE LAW LL PRESUME BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YUU MAY NO_T H1RE I I Tin ICENSED PFR ON AS YOUR CUNTR�CTOP. YOUR CONS-'RUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIII ITY TO MAKE SURE THAT PEOPLE EMPL,OYFD f3Y YOU HAVE LIEN r S REQUIRED BY_•5Th7 E_ LAW AND BY LI ►NTY OR MUNICIP �,rrt~.xsING ORDINANCES. ORDINANCES.ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A 13UILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. n E ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNj—DEN—SE- WOR_1 �PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,W1�jQ JCT BE t�l�1 t1E JOB AT ALL TB&S_WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE .BE LIABLE FOR IIVJUFIES TO WORKERS'THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. jyj,&N1 E2CONT QRR „CANNOT BE EMPLQ�!ED 11NDE1R ANY CIRC UMSTAV_CES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 45$-228(1). AN "OCCUPA ONAL LICENSE" IS NOT ADEQUATE. 'TIB:OWNER SHOULD PHYSICALLY SEE THE CCIKJNTY"CERTIFICATE OF COMPE'TENC'Y"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF; A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAI I HAVE READ 'I ABOVE DISCLOSURE STATEMENT AND THAT' I COMPLY WITH ALL'THE REQUIREMENTS FOR THE ISS OF 144,0 DER PERMIT. OPE W UILDE Ste �r �•' GSSIONc••, ���i SWORN TO AND SUBSCRIBED BEFORE ME THIS--DAY 020 ,� ••• YDD207399 NOTARY 1.11 z���""— %�9:. �.dno' �.•'c$�` NOTE: PHRASES UNDERLINED ABOVE. MY COMMISSION EXPIRES: e f•2 y�D�� /�// OU111111111% o`�a, NOTICE OF COMMENCEN ENT g �� . 03 a State of _ Tart Folio No. M County of To Whom It May Concern: � The undersiguied hereby informs you that improvements will be made to certain rc*property,and in accordance with Section 7:3 of the Florida Std,the following information is stated in this NOTICE OF CO CEMENT. Legal Description of pro WAX ov Address ofMWerty being improved: I • • • General descryion of improvements: �'l,owner: 14 ddress. � • ___�__ • v owner's merest in site of the improvement: Fee Simple Titleholder(if other than owner): r c�rtracwr�. !fir-M Address: Telephone No.; D ° " fax No: Surety(if my) -- Addrpss: `Amount of Bond S. Telephone No: Fax No• Name and addteas of any person:making a loan for the consuvXtiion of the improvenlIeM Nam: Pham No: Fax No. Name of person widit f flof:d�, oth himsellff,designatedowner upon whom notices or other documents may be served: Nattier w �% + " Addow: • anwNTIma Telcoul oe No• • Fax No• In addition to himself, owner designates the following person to receive a copy, of the Lima's Notice as provided in Section 713.06(2)(b), i1}�pl�i� tion) Nemel: Dv �No: ' e �• w i 'No: " - Expiration date of Notice of Commencement(the expiration date is one (1)year&+om the date of recording unless a different date is fid): TM SPACZ FOR RECORDER'S USE ONLY OWN til !`` Date: Doc#2006002743r OR SK 12986 Page 1953. Mfom me aifttmin the Ce>�_ /�• Number Pages:1 XFlorida,hes Filed&Recordeld 0110412006 at 12:14 PM, do Public at L Stare Of Plo�rida.County of Duval. JIM FULLER CLERK CIRCUIT COURT DU VAL COUNTY �Y fie' ,,y,a� ���} //7 k x.73 ; RECORDING#10.110 4y commission expires'. --.------- rssoeraily Known:./' x: NOD20T3lIg or :$ 'todmced Identification,_ •�. I 1 I MAP SHONNG BOUNDARY RVEY OF LOT 17, S[Y{C HF �URRENTENS ITTWO, AS PUBLG RECORDSOF IN PLAT DU ALC UNOTY,45.FLORIDA.S AND 7A, C'ERTIF'IED TO' PATRICIA P ROBERTS BANK OF AMERICA FIRST COAST TITLE SERVICES, 1 AMERICAN PIONEER TITLE INSURANCE CliDMPANY LOT 12 B3 54' (PLAT LOT 1 N 46'46':53' E 72' SME "EDI N 48"6 '26" E d3' \ «N,� FoLow e No LOT 17 PDRCr►0 lee, em 7. - M� h- .0 a Sy J� �orale STORY S w MASONRY POSTED �• b pt 1945 ci LOT 18 LOT 16 1 cwEREo -N N AIR ENTRY ; r GONDIT101IER r" "J r PAD N e N Z •,° a;AsoiliiY, y en 5.0' rey.; w"Ls t0+10 4%osowwa ELECTRIC V "TNrMTY EASEMENT - !r • 10-VORMIN PAD �N , .•,i, -� mom 1/2' IRON PIPE• R-TO0.00 1.47,pI STAMPED 'C%MKN SON S S7'59'06' W 40,87, hpft,Yv? AE. r SEVILLA (GHORD)(PLAT) BOULEVARD L.EGENZ): (30.0' *jcHr or *AY) wEJ''T Pont pF Ct1RVA9ATE R - RAIWS --x-- - FENCE L - LENGTH ED - CONCRETE NOTES: REVISIONS 1. KARINGS W BASES ON THE _._.PIAT__ BEARING OF __.N 37�5r'12�MM`- ALONG THE SOUINOEStMY BOUNOARY LINE OF SUBJECT PARCEL OATS AESCRiPTWN 2 BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE TNTHIN FLOOD ZONE -AS O ON THE 89 NATIONAL fUJ00 INSURANCE YAP DATED APRIL 17, 19 , COMMUNITY NUMBER 120075,-PANEL 3. NIS SURVEV REFLECTS ALL EASEMENTS 4 RIGHTS OF WAY AS PER RECORDED PLAT &/OR OTyg COMMITMENT IF SUPPLIED. UNLESS OTHERVASE STATED. NO OTHER TITLE VERIf1CATION HAS BEEN PERFO*Mf.D'BY THE 41NUERSICNEO C�YY OF ATLAN'T'IC BEACH BUILDIG PERMIT APPLICATION (Alterations&Additions) Date: Jots Address: = Owner 4f Properly: V -- Telephoner -_ AddressF LotNumber: Zoning District: " V Legal�8cri --- ----- Contractor: �W _-- State iLicense Number: Contractor Address: Telephgae: -_-_ Fax: Describe proposed use and work to be one:V - r Present-use of land or building(s): 0 �- ------ Valuati�►n of proposed constructi ►n: � .� Dimensions of the added space: feet x --feet Will thins project involve: N + o Heating&Air- Ea Plumbing o Electrical 13 Fireplace Conditioning Is approval of Homeowner's Association or other private entity requited If yes, please submit with this application. rfN Will this project involve changes In elevation, site grade or any use of All material, or the additionf o nnork t the rwi�n`tl impervious area or the removal of any trees' Q NO. Applicant certifies that no change in site grade, imper0ous area or nil material will be used on this project. YE& See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Q Permit. Q NO. Applicant certifies that no trees will be removed for this Oroject. Q'YES. Removal of Trees wig be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permit$to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all st*ps and provide all;imNra1011 1-45 antarouristc incomplete applications may result in delay in issuance of permit STEP 1. Verify zoning designation and proper setbacks for the proposed construction. if you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In odder to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Depart hent of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required,writen verification must be provided with this application.) The Department of Public Works is located at- 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to he removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Fonts, Nonce of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,whicli is kmmted at the Atlantic 5=Ch City Hall,Soo Selllllloic Road,Atlantic fleach,I7. 32233 T"clopbonc:(904)247-5826 800 Seminole Road •Atlantic Bach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5843 �http://www.cLathntic-beach.fl.us Reviaod 8104 Page 2 In additiop to construction and engineering detail,plans must contain the following ir�rmation as appropriate for the type of work being o Scale of drawings should be sufficient to depict all require performed. information in aiclear and legible manner. I, Currat survey showing the property boundary with bearings and distances and tate I description. 2. Location of all structures,temporary and permanent,including setbacks,building heiht,number of stories and square footage. Identify any oxisting structures and uses. 3. if required by the Department of Public Works,a pre-construction topographical surv�y. 4. Any sigrdficant environmental features,including any jurisdictional wetlands,CCU;natural water bodies. s. Impervious Surface area calculations: include driveways, sidewalks, patios saki other Impervious Surfaces. Swimming pools way be excluded from total Impervious Surface. 6. (Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regard*ng this application(please print). Name Vr �1 OAUA 0• �b_ 7 Mailing Address:Telephooe: s 0 V Fax E-Mail: i I hereby certify that h have read and examined this application and :attached docurnestation and know tate same to be true and correct. All provisions of the 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 federal,state or local rules,regulations,ordinances,or laws in any stunner,including the governing of construction or the performance of conswcti,on of the property. i understand that the issuance of this permit is contingent upon the above information being d correct and that the lairs and supporting data have been or shall be provided as required. (� Signature of(honer: Date: w O As To t wrrFhz:14*,sXM*-1bL Sworn to and subscribed before me this __ day of _._ -- — --- ,20 State of Florida,County of Duval Notary's Signature: . ❑ Personally known ❑ Produced identification Type of identificatidn produced Signature of Contractor: _�._ _ Dau: 0 AS TO CONTRACTOR: Sworn W and subscribed before me this . _day of 7 _-- ,20 04- State 4-State of Fl lirigY V of Duval J.Steps.8h 64 r ��� •'�,�,sION••'s ��'., Notary's Signature: •i " *= [ Personally known •' ; ❑ Produced identificatiton p207399 ;c�r 15� ON Type of identification produced 81Ptc, go Seminole Road .Atlantic Beach,I141orida 32233-5445 'Nlltlrtttttt� Telephone: (904)247-5800 •FBI: (904)247-5845 y http://www.ci.sttlGutic-beach.fl,us Aevisod 8l04 Page 3 CITY OF ATLANTIC EACH ' OWNEWBUILDER AFFIDAVIT Date: t 1 _4(% lob Address CHAPTER 489,FLORIDA STATUTES,PART I "CONS'IRUCTION CONjRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS- YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW.i THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN coNTRActOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. li MUST SUPERVISE THE-Q JS�TR�JCTIQ1 YOU�tS�LI YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. TUU MAY ALSO BUILD OR IMPROVE A AND COMMERCIAL BUILDING AT A COST OF 525,0W.00 OR LESS. TH>$ BUILDING MUST BE FOR YOUR U^�E OCCUPANCY. IT MAY NOT BF. BUILT FOR SALE OR LEASE. IF Ydi7 SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER T'IIE CUNS'TRUCTI09d IS COMPLETE, TILE I.AW WILL NOT HIRE N THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION➢OF"THIS EXEMPTION. YOU MAY NUT HIRE 6N UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONS'T'RUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY To MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE I ICENSES REQUIRED BY STAeIEI,AW t_1 yD BY COUNjY OR MUNI IP LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL. INSPECTIONS. 'rHE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE,INA-MSE�WORM&E PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,W,}JO MUST BE ONx THE JOB TALL TIMES'WHILE WORK IS IN PROGRESS BY L.NLICENSED"TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE 0W_.NlRSRS_MA_y..BF LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE.BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRBIG WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WIT1iNOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS "EY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONPLOYED OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NQlADEOUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR- TELEPHONE ONTRACTORTELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISS OF ANOW DER PERMIT. OPE UII.DE \\\�g"41��111S st8ph4.k.",''i �SION r SWORN 1'O AND SUBSCRIBED BEFORE ME THI4_„_DAY O,*fW 4,f_20 O gcP�s125,2� i •� NOTARY B / / q MY COMMISSION EXPIRES: �!'x y/D`7 ��ii�� •�:F"�""•�pF�`�� vNivi�f SIN �i�%XQ NOTE: PHRASES UNDERLINED ABOVE. � f NOTICE OF COMMENCEMENT Stated Tax Folio No. 1 104-1m County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain reW(property,and in accordance with Section 713 of the'Florida Statutes,the following information is stated.in this NO'T'ICE OF COM1*NCEMENT. Legal Description of e. g im ov _ Address of property being improved: Vr General description of improvements: Owner: A 1` . _"__._ ' ' ,�• v Owner's intermit in site of the improvement: Q W AK ru Fee Simple Titleholder(if other than owner); -_ - _ r C:OnLraCWi: eddress. TNo. Fax No: - Y Surety(if zuy). Address: Amount of Bond S Y_ Te=lephone No: FaxNo: -- Name and address of any person asking a loan for the construction of the W*rovemleats Name'-)I ____ _ — Address: — ----- - - __ Phone No: Fax No: _ Name of perscon within fFImi himself,desi owner upon whom notices or other documents may be served: Name: • to AtA Telephone NO: / •Z • Fax No: d ' • 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) Fi ) Name: 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 OWNI + til i L><c it 2ooW(rZ?43.OR 3K 12986 Page 1953, lef are me in the C :• `y °25 fiAi'. 'L Number Pages: 1 )f Florida, Filed 8 Recorded 01104=0x'at 12:1 a PM, Public at Large,Stats of Ploritia,County of i}uvaL s `" .W FULLER CLERK CIRCUIT COURT DUVAL COUNTY nimission expires: 9 * r..• $ RECORDING$10.00 ,may Known:✓ A w � (�20T399 Or r = lrodixed Ideatificmtion: -Ty� +'���a� MAP SHOWING BOUNDARY SUKVE O LOT 17, SCVlLHECRRE 'TADO IN A PAGES 7 AND 7A. OF' UNTPUBLICRECORDSODUAL COUNTY, FLORIDA. CERTIFIED TO: PATRICIA P ROBERTS BANK OF AMERICA FIRST COAST TITLE SERVICES, IN�. AMERICAN PIONEER TITLE INSURANCE (COMPANY LOT 22 83.54• (PLAT) L _.OT 21 N 45'45 33" E 83.721 (VNEA$URED� _ 46-5 r 26" E F 1DEN71FICAT" F40 NT1FICAT04 LOT 17 34.4....... sco PORCH a W o It7 7.7 *y - Q w 9 w Q a ONE STORY MASONRY ffa IN N POSTED # 1945 LUT 1$ 2 J' N r LOT 16 3 T 5.7' 41 Lu COVERED AIR ENTRY n R r N N CONWTIONER `� Z) I v- PAD u ^ .d rvry 7.7° d r2.7° fw N Z M ,, .. � 6.r• y � Z + ,MASONRY, 8.0. 1A.7 WALLS 1000 MQKSONVILLE ELECTRIC o� AUT*"rY EASEMENT v. •, °V C 01 o �Nt 1RAN5FORIJER PAD •q N FOUND 5/2" IRON POPE R.y00.00 L"47.Of' STAMPED -=DEN 1048" S ,Y r 59 06" W r lYp (CHORD 46.$7 )(MEASURED) �Ar °'.&,. �; 57. (At 4rj 58'38"' W 46.89° ("80R XPLAT) SEALLA BOULEVARD WEST LEGEND: (50.0' RICNT OF *AY) POINT OF CURVATURE R . RACK.'S -- X_— FENCE 1` L - LENGTH � + CONCRETE NOTES: PLAT N 37'54'12" W REVISIONS 1. BEARINGS ARE BASED ON THE _______�_ BEARING OF _______________ ALONG THE SOUTHWESTERLY BOUNDARY LINE OF SUBJECT PARCEL. OATE:17 DESCRIPTION 2, BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE % SHApE_p__X AS SHO ON THE NATIONAL FLOOD INSURANCE ANAP DATED APRIL 17• 1989. COMMUNITY NUMBER 120073, PANFL _��