1485 Linkside Dr 2014 pavers CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000434 Date 4/01/14
Property Address . . . . . . 1485 LINKSIDE DR
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 -----------------------
-----------------------------------------------------
Application desc
paver driveway -------------------------------
--------------------------------------------
Owner Contractor
------------------------
------------------------
TASKER, SHEILA & RICHARD OWNER
1485 LINKSIDE DR
ATLANTIC BEACH FL 32233
---------- -----------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc - - 35 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 9/28/14 ------
---------------------------------------------------------------------
Special Notes and Comments
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible .
A sewer cleanout Must be installed at the property line.
Cleanout must be covered with an RT1 concrete box with
metal lid. Cleanout to be set to grade and visible .
Roll off container company must be on City approved list
and container cannot be placed on City Right-of-Way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management . )
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management) . ------------------------
- -------------------------------------------------- GE 2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHAR
ENG REV BLDG MOD OR ROW 25 . 00
STATE DBPR SURCHARGE 2 . 00
UTIL REV MODIF OR ROW 25 - 00
Due
Fee summary Charged Paid Credited- ----------
----------------- ---------- ---------- --------
Permit Fee Total 35 - 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
LORDANCE WITf14ALQ(�-ITY OF ATLWTIC0 9EACH ORDINANCA()AND THE FLORIDAP 0
PERMIT ISQUjjMrEIF0jQ�N11QtAAC
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 14-00000434 Date 4/01/14
Grand Total 89 . 00 89 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND
800 Seminole Road
904-247-5800
. ..... Atlantic Beach,Florida 32233-5445 904-247-5845
PLEASE SUBIVIk�000MPLETE SETS OF PLANS WITH APPLICATION.
Date -312, Id,61 q - PERMIT#
Job Address--A )—i V,�s I Je— ISSUED BY THE CITY
Permitee: 166ki0v— Telephone# &PV) -3L7VdP
Permittee Address:— lqffS- 1445)c� -Pr- - A�law� c_ 0
Requesting Perrpissior�t,�onstruct: :T1f!4.QVC 01A f'red (^,d y)e-40- IC li"Wrij 4J
affb ti , o Id AQa))y- MIRTcl OMM13 _w LAk_r,2 ndT67-
U I
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes No Date:
Bell South Telephone Company Yes No Date: 3 12-11 9�0)q
Ferrell Gas Yes No Date: 3 JAo JaZO I
Comcast Yes (V) No Date: -3 1,Z)jAd
2. 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 Director of Public
Works, any or all of 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 Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic ent of Transportation Standards and be
performed under the sup ision Contractor's Project
Superintendent) located at ��Illr54 �* 9 10 -g2,17g
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his desi6nee.
5. 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.
6. 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 citV
Right of WaV are to be included with this application.
7. This permittee shall commence actual construction in good faith with '1�0 days. If the beginning date is
more than 60 days from date of permit approval, then permlittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. 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.
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER
Sild:�_.O::�t Date:
Befo'fp_�is V day of in the County of Duval,
State Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission expires: Personally Known:
Produced Identification:
J
CITY OF ATLANTIC BEACH
OWNER / ]BUILDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"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. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY.TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT RAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMIAERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR.. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDfNANC S.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; 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.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(l). AN-OCCUPATIONAL LICENSE" IS NOT ADEQUATE. 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 THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
lqg57 Lok5jdo, Tri (qq� ft-30V.?
ADDRESS _�HONE NUMBER
`5�ejja Go5bj 65ke/-
PRINT NAME U
SIGNATURE DATE
Before me this_day of 20 in the county of
Duval,State of Florida,has personally appeared herin by himself/herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of_,County of
El Personally Known
El Produced Identincation-
Notary Signature:
R/BLDG/Own�-Buildar Affadavit;REVISED: 4/16/2009
R.O.W. Permit Attachment of for
R.O.W. Permit issued 3200 Atlantic Beach, FL 32233
Owner's Name:
Property Address:
Subdivision:
Lot#/Block 4:
R.E.
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
200 , by Atlantic Beach, Florida, a municipal corporation organized and existing
under the laws of the State of Florida, hereinafter referred to as "CITY" and
of Atlantic Beach,Florida,hereinafter referred to as "USEW'.
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the
right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of
Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached).
This work is generally described as:
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted
remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to
USER shall be given by certified mail, return receipt requested, to the following address:
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in
the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe
condition.
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 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 pen-nit 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."
Page I of 2
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. The
USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change
within thirty(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
public rights-of-way and other public land. USER further agrees that the CITY and its officers and
employees shall be saved harmless by the USER fi-om any of the work herein under the terms of this
permit and that all of said liabilities are hereby assumed by the USER.
DATED and SIGNED this day of 200_.
operty Own/
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of 200 , personally appeared before me, a Notary
Public in and for said County and State, , the property owner of
' Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
executed the same freely and voluntarily and for the uses and purposes therein mentioned.
Notary Public in for said County and State
CITY OF ATLANTIC BEACH,FLORI DA, a
municipal corporation:
Approved:
Ricky L. Carper, Public Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson, City Manager
Page 2 of 2
ORDERED BY:
The Law offices of Rod Schloth
2187 S Third St
Jacksonville Bch, FL 32250
904-372-9351
beach@rod-law.com
PROPERTY ADDRESS: 1485 LINKSIDE DRIVE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER:FI-1 301.1739
FIELDWORK DATE:1129/X13 REVISION DATE(S):Ir-v.0 Iw2013)
C-I C-3 TABLE:
R- 1503.7(Y(P4M) R- 1478.7(Y(PtM L-I N OG*45'W I (p)
N OG*4G'4-r W I 1 1.04'(M)
FL1 301.1739 L= I 50�257) 150.05'(M) L=50.07(P)4935'(M)
BOUNDARY SURVEY 5G.O&.(M) L-2 N 8505530"E 25.00'(P)
A=5'43'30"(P)5-43-02"(M) A= 1'5G'24"(P) I' N 89102120f 25�05'(C)
DUVAL COUNTY N 3*4515*E. 150.191F) 5 3*5032'E.50.0GI(p) L-3 N 83*15'00*F 37.00'(P)
N 3*5G30 E, 149.98'(M) 5 34r.'3G*E.49.95'(M) N 83'1 5�Dg E 37 0 1'(M)
C-2 L-4 5 OG*45'00"E I I.00'(P)
F=1478.70(P*C) 5 or.'32'i r.,E 10-98'(M)
L=47.G7(F)47.G7'(C) L-5 N OG*45W W I I-OC`(F)
L-2 A= I*50`5a?) I*5(Y5r(C) N 09'05'4 1'W 10-74'(M)
fN*C) 5 1*5G55"r,47.G7'(P) L-G 5 83*1 5'OG'W 37.00'(P)
CP19 5 83*1 7'23'w 37-06(M)
@ 5 1*53`03'E,47.72(C) LCT 55
2-F- 10) (C)
83* G1 F 109.35'(?)
ti 83� 5`Oa
74,0 V(M)
14 8301 G 1 7337
mp", ?I� -
F-(mv 35�W/C
11/2-RF-
704
41; 00 0
43 C
CONC LOT (5 C4
4 1 5TY.Re5
#14M
U 12-4'
:>
AfC i" 't. .
5N40
60 00
0()9. 'E"G loj�`
V190.00,0 )
V7* 5 W (p)
GVJ
W 1.45(1)
LOT 63
PN41) NOTM; I hmereby 0( ft herem
LOT Af-I---AFZ5 TO Dt 5ERVICEL)15Y CITY WATER AND 51!MP. descrbed rty III drection,
r.C. FENCE OWNMHIP'dOT DMRMINED- and to IM and bd f, l5atrue
JrA-E.�JACK50NVILLE r.LECTRC AUThORITY tk-XMtNT- ard Insets ft
"*gmum t a Floride
Bmrd(0y( in
30 2a 10, 0 Is, 301 ChapterS.1-17 Ad code.
FN4D ?U v
#62 1�)
n T'.T. Wesley&Hams
GRAPHIC 5CALE SWe of A ppff
I mch=30 feet Limm Na 370B
Uw,fTNs Su—y(m Purp,—mh�th�I—rldect W&—t Vm"m Vedflw'^f be�the,Uw%Sol,PA%k aM fthout Uab*ty to the So—ym
Nodd,g h�JW be Cmamat—d to Wtw ANY w 9�fitli W Amom Odw th..th—Cuftd-
FLOOD INFORMATICN: POINTS OF INTEREST ECTRIC AUTHORTTY EASEMENT.M
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING (1)CONCRETE DRIVEWAY OVER 7.5-JACKSOWLLE EL
6'WOOD FENCE OVER MAINTENANCE EASEMENT.P CONCRETE PATIO OVER
MUNICIPAUTY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE MAINTENANCE EASEMENT.(41WOOD BULKHEAI)OVER 2(r DRAINAGE EASEMENT.
LOCATED IN ZONE X THIS PROPERTY WAS FOUND IN THE CITY OF
ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 04/17/89- SUSAN DUNHAM
CLIENT NUMBER.RS1 2-1103 DATE.11W/2D13 REALTOR@
KUM
BUYER:RICHARD S TASKER AND SHEILA C TASKER MOBILE:904-742-3442 wuums
OIFFiCE:904-247-0059
SELLER:JACQUELYN MUTH BARRETT
CERTIFIED TO,.RICHARD S TASKER AND SHEILA C TASKER;THE LNN L
OFFICES OF ROD SCHLOTH.PA;OLD REPUBLIC NATIONA E=�,=ACTA
TITLE INSURANCE COMPANY;BANK OF AMERICA NA yStarS com
Land Surveyors,Inc. P 866-735-1916-F&66-744-2882
This is page i of 2 and is not valid widiout all pag"- LB-1337 1222o Towne Lake Drive,Suite s5-Ft.Myers.FL 33913
REPORT OF SURVEY FL1301.1-739 [Thi.I.FI.W 2 of 2 and is not valid Without all pages.
LEGAL DESCRIPTION:
LOT 84,SELVA LINKSIDE,UNIT TWO,ACCORDlNG TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 47,PAGES 85,85A,&85B,OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA.
JOB SPECIFIC SURVEYOR NOTES:
THE PLAT BEARING REFERENCE OF NORTH 83'15'00'EAST IS BASED ON THE NORTHWESTERLY LINE OF LOT 84,SELVA LINKSIDE,UNIT
TWO,AS RECORDED IN PLAT BOOK 47,PAGES 85,85A,&85B,OF CURRENT THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA.
GENERAL SURVEYOR NOTES:
1. The Legal Daiption used to perform this survey was supplied by others. This survey does not determine or imply Ownership.
2. This sunrey only shows improvements found above grouncl.underground footings,utilities and encroachments are not located on this survey map.
3. If there is a septic tank,or drain field shown on this survey,the location is approximate,and was determined by visual above ground inspection only,and Cannot
be relied on for ar:�racy.
4. This survey is exclusively for the use of the parties to wbom it is certified.
5, Additiom;or deletions to this survey map and report by other than the signing party or parties is prohibited without written consent of the signing party o,parties.
6. Dimensims we in feet and decimals thereof.
7. Due to varying construction standards,house crimensions are approximate.
S. Any FEMA flood mine data contained on this survey is for informational purposes only,Research to obtain such data was performed at wwA,�ema.Qci.
9� Ali comers marked as set we at a minimum a Wdiameter,1 Sa iron rebar with a cap stamped LB#7337.
10. If you are reading this survey in an electronic format,the information Contained or�this docurrient in only valid if this document is electronically signed as specified
in Chapter 5J-17.062(3)of the Florida Administrative Code.The Electronic Signature File related to this document is prominently displayed on the invoice for this
survey which is sent under separate Cover.Manually signed and sealed logs of all survey signature files am kept in the office of the performing surveyo,-Ifthis
clocument is in paper format,it is not valid without the signature and original raised seal of a Florida Licensed Surveyor.
11. Unless otherwise noted,an examination of the abstract of titlewas NOT performed by the signing surveyor to determine which instruments,if any,are affecting
this property. otted at the center of the field
12. The symbols reflected in the legend and on this�rvey may have been enlarged or reduced for clarity.The symbols have been pl
location,and may not represent the actual shape or sin of the feature.
LEGEND:
5URVEYOK5 LEGEN
50UNDARVI-be AC As CCNDmoNi ID. IDWIFICA" SW Semm
fs� ocklit3mi;lin"LEN'CE IWT. INIT115ECTION S.F. SQUINIT!MEEr
am BL= lit LRON MOD W" SET MILL HOLE CAP
B SLOCK COaNE` ir AN PIPE 5= wr"111004
-C SN SET MAIL
alrRUCTLIUM 5XL WILDING RESTRICTION UNE L L04M
SSW EASEMENT LBO LICENSE 5UMN!" ONIND ECrNAA.4DW
aw myffiox L5P uccift 0- 51y. sum
E77i� MEASLM S.T� 5URVEY Tic LINE
(C) CALCL�TeD M SV SEAM VALVE
C 0-MM NX NON RADIAL
N.TS. 60T TO SCALE WN SKMA'ALF,
CATV CAM TV.Welt 5.w� 5EAWALL
GOW PENCE C's CONCMM aLOCK O.C-5. ON CONCKM SAID nI_ yltnTow mciunm
ol"I'l. CHOAPCY ON"FOUND T.O.B. TOP Of 5"
MCC C�F, CIIAIN UNK PENCE O.M.L OVEPOWAD LINE
,.()� CLEAN OUT O.IL& OFFICK Itircoss,COOK Tx TPAMBF013"
-------- CONIC. CONCIMM 0". ovot"ANIG.
C.M.G. CONCRETEVALLEYGUTTE". CNA ONTRAII. INC V711fte COFAM
C& COMUNE C05 0"5er W WATIRFUM
cr, CONCirm 511AB M FAIRIMR-KNON NAIL mr. W0001%RUM
Qr covam FORM Mail MWCVD5101ML Sultifflitilit W WATM hiCOWWtW OW
CW CONOMM SCVhftK AND MAPPEIR W? WATER VALVE
COIL, coam FILS FRORMSION.-il.LAND SUMMYOK V.F. VrNrL PENCE
CD) DCED 01) PLAT
MILE QW DRIVEWY FIE
D.r. DIUMN FIELD FIT PLAWEK
%P= COVEIM AffA ruts eutentic unury ecir F? rINCHIBID PIPE
04CL ENCLOSURE rA FLAT BOOK
EN'T ENTRANCE ril row OF lNT?F_15rCnON AX. ANCIMOK emmdw
eENCH MNM lc�P. EDGE Or PAVBWW PICUL row 01,Sminalls C.M.E. CANAL.MAINTENANCE EMT.
CALMLAYED POW Ec.W. EDGE OF WATER PjOr� POINT OF C.U.E. COUNTY UTIUN 25W.
C111:0 1� Pot or TANGENCY D.E. DRAINIME eAS0AE%Fr
A M PENCE UNE P.T. e5w. 0,59mairr
A CONTROL POINT Pr rrWC!POST pjt POwr Or CUWATURI!CURVATUM trX.C. INGlitemeams C"
(F) row pZX_ POP9 Or COMPOUND
CAT. Fri. MLORJIDA POWER P". PCOAAAW COWMDL roaliff LAr UNIffel)ADM"ewr
41IL111 ENOATRM moa� 1.11 __—.L.- — _-T LANDSCAPE OUPPIM E51in.
rim ram prju ncu� rAjL POMMMM 12MIENCE K40KAAM L 1.
TF mitt 11"NAW mrc FOUND WON FIFT 4 CAP It RADIUS i,RADIAL I.M.E. LAKE Olt LANDSCAPE
MNMTWA=CAM%NW
LVA"CLE FWL FOUNID WON AM#CAP Ii0com CA50AW
K95. ocsiotmm 1,41 mAwrearlicic
our Fall, FOUND WZN WD r.u.e. rumic unurry 1ASE1,110iff
" POUND WON ME Aw RIG"T or offi;y
FC,l MD.CONCRETE MONUlAtW SURVEY LO.E. POW OVIIIIIANG zSW.
N FOUND NAIL 5ETBKK LINE 5.W.F SIDMAILLM-115AW
cow"O.M,,tr FiNt) POUND"L 4 DW 5.C.1- SURY"CLCEIURE LINE 5MAII.SIOPJA WATM
ri POUND 5M SCREEN WANAGE"MIT 25NIT.
T.ILF yronlaoupaim unurry e5w.
G`Ui, GAKWC Son SET DrJUL houl! UE Urtury EASENEin
rM Q-0 merrit. 5&. 5anx TANK
ELECTRONIC SIGNATURE. PRINTING INSTRUCTIONS: OFFER VAUD ONLY FOR:
RICHARD S TASKER AND SHEILA C TASKER
in order toElectromcalty Sign'all of the P1)Fs sent 1.Vrh"vaning"survay in Adobe Reader,3*1oct the
by STARS,you nvust use a hash calculator A fret, "Print"butuan undertho"FiWials, f———————————
online hash calculator is available at 2.s.1at A pnma,_ih legal iii-d pap.,
3,Urd�*NntR&,ga",cli,�k�lethe"All"�Wle, 1EXACTt
To ElEctronically Sign any survey PDF 4 Linda,tha"Ng.Handling".—n,-I�this—.bar I
1.Save the PDF onto your con,Puter ofwpim that you,uld like W print. ill"OOL-FENCE-ADD IT ION'
2.Use the—fine too at S.under the'Nge scaling"saleciArsin drial,dkiVm mori
to browse for the saved PDF on your Computer. aillai:t"N,sne"
3.Select the Hash Method as SHA. 6. Lk�h�kth,"A�Ro"and(�e�r�chwkbox 12S% off 1,
4.Click Subi 7,Cheek"'Ch—Pp.-iz.by PDF'.h-ld—, 1 (UP TO$5001
Your PDF is ellectronically signed 9 all of the
8 Click OK as pnm, I ANY FUTURE
characters in the SMA code submitted by STAPS ES
matches the code which is produced by the hash 'ro Pw4r IN KNX+V*M I SURVEYING SERVIC
Calculator Iftheymatchftactly.yourrPlElFis 1,In the main print-n,ch,,ciie"I'mise,taw" I ON THIS PROPERTY
2.Ch—"Quality'f--"-Isto's Offer v.1d only for The b1W.,fijid on the
rimtrunically,signed.Ifthe codes do not match
exactly,your PDF is not authentic. 3.Change from"Aurri,,Color"or"Full Color"Its W P.g.of the surney.7.1ol d1scourit not to
exceed M
Gnay Scala",
Exacta Land Surveyors.Inc. W".surveystars.corn
P 866-735-1916-F 866-744-2882
IL222o Towmile Lake Drive,Suite ss-Ft.Myers.FL 3�913
CTA
E= (A -fl. -
251 , City of Atlantic Beach APPLICATION NUMBER
Building Department
(To be assigned by the Building Department.)
1 800 Seminole Road
t antic Beach, Florida 32233-5445 14
Phone(904)247-5826 - Fax(904)2
-mail: building-dept@coab.us
E
City web-site: http://wv,/w.coab-us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: Depa nent review required
Buildinr
Applicant: 6,0 —Y) &Zoning
Tree Ac 'ninistrator
Project: wa V ublic
tiliti
Public �"_
�7fety
Fire S( -vices
Review fee Dept Signatur
Other Agency Review _�r 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
Cither
APPLICATION STATUS
Reviewing Department First Review: AApproved. nDenie,2
(Circle one.) Comments�
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: []Approved as revised. [—]Denied.
WVVORKS Comments:
BLIC UTILITI
S FETY Reviewed by: Date:
FIRE SERVICES Third Review: [:]Approved as revised. F]Denied
Comments:
Reviewed by: Date:
Revised 05114109
City of Atlantic E ch APPLICATION NUMBER
4f
Building Departrr i (To be assigned by the Building Department
800 Seminole Road
At antic each, Florida
kAR 4 �014
Phone(904)247-5826 Fax(90 47-5845
outed:
Date r_:: 2
E-mail: building-dept(, )ab.us
City web-site: http://%At i.coab.u!
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
building
Applicant: Planning &Zoning
Tree Administrator
�Jy A)
Project: ublic Wo
tiliti
Public Safety
Fire Services
Review fee Dept'Sign�ture A4-
Other Agency Reviev r Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environm ntal 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 Revie []Approved. Denied.
(Circle one.) Comments C4-a
BUILDING 7-J,
PLANNING &ZONING Reviewed by:_ Date:_
TREE ADMIN. Second Re- 'w: pproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
Date:
Reviewed b&.
PUBLIC SAFETY
FlApproved as revised. E]Denied.
FIRE SERVICES Third Review:
Comments
Reviewed by: Date:
Revised 05/14109