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1748 Ocean Grove Dr 2015 Pool �J Ss1 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SWIMMING POOL MUST Cftt:t: BY 4PM FOR NE)ff BAY!NSPEefieN. 24? 581:4 JOB INFORMATION: Job ID: 14-POOL-236 Job Type: SWIMMING POOL/SPA Description: IN GROUND POOL Estimated Value: $32,825.00 Issue Date: 10/30/2014 Expiration Date: 4/28/2015 PROPERTY ADDRESS: Address: 1748 OCEAN GROVE DR RE Number: 169616-0000 PROPERTY OWNER: Name: RAY, TERRI Address: 1748 OCEAN GROVE DR GENERAL CONTRACTOR INFORMATION: Name: SURFSIDE POOLS Address: Phone: - - PERMIT INFORMATION: BUILDING DEPARTMENT: PLANNING AND ZONING: Final inspection hold pending approval of 14-DRTV-1003. FEES: BUILDING PERMIT FEE $214.13 STATE DCA SURCHARGE $3.21 PLAN CHECK FEES $107.06 STATE DBPR SURCHARGE $3.21 ENG REV RESIDENTIAL BLD $25.00 Total Payments: $352.61 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rL`JIr CITY OF ATLANTIC BEACH IS 800 SEMINOLE ROAD TO j ATLANTIC BEACH, FL 32233 ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814 j ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMA Job Type: ELECTRIC ONLY Description: ELECTRIC FOR POOL Estimated Value: Issue Date: 11/7/2014 Expiration Date: 5/6/2015 PROPERTY ADDRESS: Address: 1748 OCEAN GROVE DR RE Number: 169616-0000 PROPERTY OWNER: Name: LOTOWYCZ, WILLIAM W Address: 1748 OCEAN GROVE DR GENERAL CONTRACTOR INFORMATION: Name: DAVID PRUETTES ELECTRICAL SVC. Address: 331 -8 P PARKRIDGE AVE QA DAVID THOMAS PRUETTE Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Swimming Pools $40.00 Trade Permit Base Fee $55.00 Total Payments: $99.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 i1(' Ph(904)247-5826 Fax(904) 247-5845 JOB ADDRESS: -TO 1 l�_e_aA G(o1/e. I�' PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑t Underground up Pole _,Residential(Main)Service ❑0-100 amps l O 1-150amps __:151-200amps Li amps #of Meters Commercial(Main)Service _,0-100 amps -101-150amps C 151-200amps ❑ amps ICT Service amps Conductor Type Size C Multi-Family(Main)Service 110-100 amps _101-150amps 151-200amps amps #of Unit Meters -'Temporary Pole amps SERVICE UPGRADE amps 'j-CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps L1 150amps 7 200amps amps CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number f Lighting Outlets, Including Fixtures: OTHE LECTRICAL PROJECTS Swimming Pool a Sign `Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ED Replace Burnt/Damaged Meter Can _,Safety Inspection --;Panel Change L to UG _]Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. S aa-t 8 Property Owners Nae �M Phone Number Electrical Company % iCC Office Phonea — Fa ja Co. Address: �3i- Pa kHy Ci State_R__Zip32Vlo: License Holder(Print): to ertification/Registration# E-'l? 2� Notarized Signature of License Holder ••```''''' ' KAREN EWING a�; Sworn and subscribed before me this day o 20 1 ) i EE174729 L fC � x MY CONMIS310N I�C/`JI EXPIRES May 21.2016* ��� Signature of Notary Public t �,ss .... FIoAA. r it"�'N,r/�3 TREE & VEGETATION AFFIDAVIT �/ . \�s City of Atlantic Beach FILE C1 JP Department of Community Development - = Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 (P)904 247-5800 (F)904 247-5845 PERMIT# — �Do� ".Z 3 SECTION I-APPLICANT INFORMATION Owner(s) (_ Legal Authorized Agent* NAME OF APPLICANT ---AY 7-e f 1, NAME OF COMPANY `�j ADDRESS OF COMPANY 313 JccVSrnv;1� PHONE 'Z ( to Z(.o(Q(L CELL EMAIL /J CONTRACTOR CERTIFICATION NUMBER C-PC C) u CJ g o ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION 11-SITE INFORMATION STREET ADDRESS OF PROPERTY � �J q g 6 C Pr y ��✓Zrl Y . Ifan address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION 2CLE (f)CeCp�,t Z_ LOT BLOCK SUBDIVISION QCRCUq 6(Q- REAL ESTATE NUMBER1(O9 16 < LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) NN 1 affirm that 1 have reviewed the provisions of Chapter 23, 'Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,l affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from tthe above- scribed orad* t roperties in conjunction with this project. x SIGNA OF OWNER SIGNATURE OF OWNER Signed and sworn before me on this 17 day of C„o h"r ���, ,by State of � t { �ie�r 1 L. Ra�A County of Du , Identification verified: B u 6 AC, cD `,V rV5 LLC Oath sworn: P/Yes j-` No 't ,,1Yei CYNTHIA GRAVENOR Notary Signature *: r lY COMMISSION It EE 090186 '.�, a EXPIRES:May 3,2015 M Commission expires: Rf'Js Bonded Thru Notary Public Underwriters y p City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 ' �•�� Phone(904)247-5826 Fax(904)247-5845 Al rjPZ,�r City web-site: http://www.a:)ab.us Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: / �9 C r6 De ment review required Yes No ild' Applicant: r �7� fooLs tanning &Zonin Tree—Administrator Project: J � (,�/'� D60 L u lic Wor u tic Utilities Public Safety Fire Se. ,es Review fee $ Dept Signature CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Review: [roved. []Der (Circle one.) Comments: BU LDIN PLA ZONING Reviewed by:—n Date: 0— 'y TREE ADMIN. Second Review: []Approved as revised. ❑Denie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Dern Comments: Reviewed by: Date: REVISED 09252014 i "" """"" BUILDING PERMIT.APPLICATION `. CITY , ATLANTIC BEACH F-1 L E :.0 0F.T. f` E= em o:le Road Atlantic Beach, FL 32233 800 S Office (904)247-5826 Fax(904) 247-5845: . Permit Number ..Job Address: 11 �g (i C �� ✓�� Y Legal Description I0�2fl oq Z S �qF OCEFItJ GME VLIIIT" 2.Parcel O�l� oor ea o q. .t. q t Valuation of Work$3�:�2 Proposed.Work heated/cooled_ nori-heatedko'oled' Class.of.Worlr(circle,one): New Addition Alteration.,: Repair. Move Demolition ool/spa window/door Use of existing/propposed,structure(s) ((circle one):.: Commercial a identi If an existing structure, ><s a fire sprinitler system installed? (Circle;one): es . No /A Florida Product Approval# For multiple products use product approval.form Describe in detail'the type of work to be performed: I NSTA1� t t�C-2 )NI) �51,�1MWM 9k POOL Property Owner Information: Naive: t�� . �h Address: C P City �- State•_ ip 1Z Phone qy� - Z ZZ I fi E-Mail.or Fax#(Optional) Contractor Information: Company,Name: vf�S 'r Qualifying Agent: J o Ci �A� g��� State Zip z Address: X13 Ptr 4C.;r city Office Phone 2U(e-7A (y �(tSS Job Site/Contact Number 9p4-7&9-3S 32 .Fax# State certification/Registration Architect Name &Phone# Engineer's Name&Phone# Fee Simple Title Holder 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 I certify that no work or installation has commenced prior to 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 and void if work is not commenced within six(6)months, or if construction or work is sus ended or.abandoned for a period of six[6)months at arty time c work is commenced. I understand that separate permits must be secured for Electricar work,Plumbing,Signs,: e[!s,Pools;Furnaces,Boilers;Hem Tanks and Air Conditioners,etc.. WA,RNYNG TO OWNER: YOUR FAILURE TO.RECORD A:NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAAYING.TWICE FOR IMPROVEMENT` TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOi &NOTICE.OF COMMENCEMENT. I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing type of work will be complied with Whether sppeci:ed herein or not. The granting of a permit does.not presume,to give authority to violate.or cancel provisions of any other federal,state, or local law regulating construction or the performance of construction: a. Signature.of Owner Signature of Contraeto Print Name ........................ Print Name ..... . _-x :1.:1--R.....P .... . __.................. c. ...... Sworn to and subscribed before me Sworn to and subscribed before me ,r this Day of 20 this. �Day of 20 't' ary_ Ub11C '0 id Kota 0'r CYNTHIAGRAVENOR Not slaiumiapu�?ggnd/ieioN njgl papuog ;ao.•••.r j ••• ON#EE 0901 e6 S10Z'BAeMY COMMISSI IN S3aIdX3 ' ' S: *� +( n ,: - EXPIRES:May 3,20%Qvi d 01.26.10 991060 33#NOISSINN00 AW ' Q" Notary Puhlic UhdeNmters UON3AYHO VIR NAO "L? Bonded Thfu �Y FILE COPY Pools • Spas • Service RAY RESIDENCE 1748 OCEAN GROVE DRIVE ATLANTIC BEACH, FL 32233 EXISTING IMPERVIOUS AREA: LOT: 3,846 sq. ft. EXISTING HOUSE: 1,346 sq. ft. PAVER DRIVE AND WALK: 541 sq. ft. NO DECK BY SURFSIDE POOLS N/A TOTAL COVERED AREA: 1,887 sq. ft. IMP.% 49% State Certified License 313 BEACH BOULEVARD #CP-C044080&#CP-C044081 JACKSONVILLE BEACH, FLORIDA 32250 —'-rzSPA (904) 246-2666 ORDERED BY: The Law Offices of Rod Schloth 2187 S Third St } Jacksonville Bch, FL 32250 904-372-9351 r beach@rod-law.com PROPERTY ADDRESS: 1748 OCEAN GROVE DRIVE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL1409.0062 FIELD WORK DATE:9/3/2014 REVISION DATE(S):(REV.0 9/512014) z o NO DUMPSTER REQUIRED W o NO TREES REMOVED FL1409.0062 TADLE: W g w ;= NQ.P4 T:Q►-Q TY BOUNDARY SURVEY L-1 5 03°46'42"E 30.00 = ry�C `�_� ; ,, : .�J•: REQUIRED DUVAL COUNTY 5 04°4622" E 29.77'(M) W L-2 5 03°46'42" E 30.00'(D) 10 — FULL RIGHT OF WAY 04°4625" E 30.00'(M) - �"" L-3 N 03°46'42°w 30.00'(D) U. N RESTORATION BY OWNER N 05°03'25°w 30.02'(M) °W IF REQUIRED FILE Q =W> U i a g � LLp rW W W o W N 85°00'08"E 1 25.05'O ,� r1} ZZ: w 0 a Z N 86°13'18"E 125.00'(P) 00 r C9:W T � � V ���ti• �„•��• 1 Z'p on W r z - tWi d 0.5':. ue < _, ....�63. L Zj_2Z �. S = OFF k-\t 2.06 pe O 0 _ y"• o/ °Q 0'C Z 0 z 0 p Q 6$r-P15 01748 26.0 1' 20. 0 W n �1 � 42.2'a 0 orf` GN p J Q 1 Oo 5CR. PARTY�YAU a . 30.0 Z v Oo TRS PAT10 °13'18"W 125•C' (D) �� Z 1 w 5 84°59'39"w 124.92_(M) °W W ON) o A AA70 125.00'(P) = a N N'u �� q � laQ0 s 4 FILE COPY RAY RESIDENCE 1748 OCEAN GROVE DRIVE ATLANTIC BEACH, FL 32233 INDEX: (5) COPIES OF SURVEY 1. NOTICE OF COMMENCEMENT 2. BUILDING PERMIT APPLICATION 3. IMPERVIOUS DATA (NO CHANGE) 4. TREE & VEGITATION AFFIDAVIT 5. COPY OF WARRANTY DEED 2 SETS: 6. SITE SURVEY-LATEST BEFORE SWIMMING POOL 7. SITE SURVEY WITH SURFSIDE MARK-UPS DRAINAGE DIRECTIONS,LOT CALCULATIONS, EASMENTS,EQUIPMENT LOCATIONS,DUMPSTER& PORT—A—TOILET REQUIRMENTS,TRAFFIC CONTROL PLAN,SILT FENCE LOCATION,SAFETY BARRIER LOCATIONS,ETC S. PERMIT DRAWING - WITH DETAILS ON EQUIPMENT WITH BUILDING CODE & ELECTRICIAL CODE 9. POOL WALL SECTION 10. ENERGY EFFICIENCY COMPLIANCE INFORMATION SIMPLIFIED TOTAL DYNAMIC HEAD CALCULATION AND CUTS SHEETS FOR POOL EQUIPMENT CONTACT INFO: CYNTHIA BRADSHAW SURFSIDE POOLS 313 BEACH BLVD JACKSONVILLE BEACH, FL 32250 904-246-2666 X133 Cynthia@surfsidepools.net City of Atlantic Beach APPLICATION NUMBER Building Department ro be assigned by the Building Department.) 800 Seminole Road s - QoL - Z3 SQ • Atlantic Beach, Florida 322:33-5445 Phone(904)247-5826 • Fax(904)247-5845 ` ���; , City web-site: http://www.coab.us ( Date routed: O / APPLICATION REVIEW AND-TRAC iNG FORM Property Address: / C r6 De zorit review required Yes No uild' Applicant: /� O LS (Planning &Zoni ree Administrator Project: _ J n�(�tj� �6 c L u lic Wor 99 lic Utilities Public Safety Fire Se. Review fee Dept Signature CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Review: Approved. ❑Der. (Circle one.) Comments: BUILDING PLANNING &ZONINGPP��� Date: TREE ADMIN. ]Denif P IC WO KS 'V Co �2� UBLIC UTILIT PUBLIC SAFE Date: FIRE SERVICES I ]Derr: Reviewed by: Date: ) 1 REVISED 09252014 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 1 800 Seminole Road;Atlantic_Beach, FL 32233 Office (904)247-5826 Fax(904) 247-5845: Job Address: Permit Numbers Legal Description 10 `O' q- 2S qE OCEANGUN19 V&U-r 2 Parcel#° 1OWA Floor Area o �. .. q. .t. �� q• t Valuation of Work$3�:�2 Proposed.Work heated/cooled non-heatedic' ` Class.of.Worlc(circle.one): New Addition Alteration.., Repair Move Demolition ool/s a window/door Use of existing/pro peed.structures) ((circle one):.. Commercial identi If an.existing structure,is a fire sprinkler system installed? (Circle one): es No lA Florida Product Approval# For multiple products use product approvalorm Describe in detail the type of work to be performed: I LL4STA1 L 1 t I EON!) Property Owner Information: r-. h Address: ' �p� f. Name: . Q llr'►. A . City State_ ip Z 2 Phone E-Mail.or Fax#(Optional) Contractor Information: n Company Name: S- V(4s.'r �oot S. Qualifying Agent: Address: X 1'3 P� 61 —City �A� PS e-ac.cl. . State Zip ; Office Phone 2 Job Site/Contact Number 4104-7 0-3g W Fax# a�1-��� State Certification/Registration Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder 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 I certify that no work or installation has commenced prior to 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 and void if work is not commenced within six(6)months, or if construction or work is suspended or.abandoned for d period of six(6)months at arty,time c work is commenced I understand that.separate permits must be secured for Electrical Work,Plumbing,Signs,;Wells,Pools;.kurnaces,Boilers;Hear Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A:NOT'ICE OF COMMENCEMENT-MAY RESULT IN YOUR PAYING TWICE FOR DIPROVENIENT� lVI TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING NG CONSULT WITH YOUR LENOR AN ATTORNEY BEFORE RECORDING YOVk NOTICE.OF COMMENCEMENT. I hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing type ojYwork will be complied with-whether speci ted herein or not. The granting of a permit does not presume.to give authority to violate.or cancel w regulating construction or the performance of construction: provisions of arty other federal,state, or local la Signature.of Owner Signature of Contracto Print Name Print Name Print C.�:.... ..... .:....... ........:.. f .T 'Q :1.:�-,..... 1......_........................_-......_............ _ . Sworn to and subscribed before me Sworn to and subscribed before me this Day of 20 this. �Day of (' / .20 Notaiy ublic '�' d" 'An dt CWHIAGRAUNOR s,elumiso l?!IQnd tueluN nt41 Dapuog ,,o.•.. ;, °` MY COMMISSION#EE 090186 91oZ'E AeIN S3tiIdX3 ' �' a -= EXPIRES:May 3,20tReV1 d 01.26.10 991060 33#NOISSIWW00 AW `*'• ,;=c ' Nota Publlo UNOMIters HMAM VIH I NA0 ;�;,.• o� d•' Bonded Thru % RAY RESIDENCE 1748 OCEAN GROVE DRIVE ATLANTIC BEACH, FL 32233 INDEX: (5) COPIES OF SURVEY 1. NOTICE OF COMMENCEMENT 2. BUILDING PERMIT APPLICATION 3. IMPERVIOUS DATA (NO CHANGE) 4. TREE & VEGITATION AFFIDAVIT 5. COPY OF WARRANTY DEED 2 SETS: 6. SITE SURVEY-LATEST BEFORE SWIMMING POOL 7. SITE SURVEY WITH SURFSIDE MARK-UPS DRAINAGE DIRECTIONS,LOT CALCULATIONS, EASMENTS,EQUIPMENT LOCATIONS,DUMPSTER& PORT-A-TOILET REQUIRMENTS,TRAFFIC CONTROL PLAN,SILT FENCE LOCATION,SAFETY BARRIER LOCATIONS,ETC 8. PERMIT DRAWING- WITH DETAILS ON EQUIPMENT WITH BUILDING CODE & ELECTRICIAL CODE 9. POOL WALL SECTION 10. ENERGY EFFICIENCY COMPLIANCE INFORMATION SIMPLIFIED TOTAL DYNAMIC HEAD CALCULATION AND CUTS SHEETS FOR POOL EQUIPMENT CONTACT INFO: CYNTHIA BRADSHAW SURFSIDE POOLS 313 BEACH BLVD JACKSONVILLE BEACH, FL 32250 904-246-2666 X133 Cynthia@surfsidepools.net TREE & VEGETATION AFFIDAVIT - City of Atlantic Beach Department of Community Development Planning&Zoning Division to)ji 19 800 Seminole Road Atlantic Beach,FL 32233 (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION ri Owner(s) Legal Authorized Agent* NAME OF APPLICANT ---AY 7 -k- NAME eNAME OF COMPANY —j U (K_,� •r '� ADDRESS OF COMPANY 31 3 �'jPc�c I v�I C� S r�1 �"I PHONE 7- ((9 Zt, CELL EMAIL CONTRACTOR CERTIFICATION NUMBER CPC C) C)g o ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY ' —I `1 g C_ FSC-�-v� ���rti-� Y . If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION .20 - QC) 09_ Ts 20LE OCao� Gr&- e Oy 't —2— LOT LOT BLOCK SUBDIVISION GC)eC q 6(Qkt_ REAL ESTATE NUMBER I f_G� ` t ���Q LOT OR PARCEL SIZE: 3g41_ SQ FT AC RESIDENTIAL �� COMMERCIAL OTHER(SPECIFY) I affirm that 1 have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,l affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above- scribed or adja t roperties in conjunction with this project. x SIGNA OF OWNER SIGNATURE OF OWNER Signed and sworn before me on this 17 day of �p�-C '��1�, ,by State of � ( �L�r l L• P�1,U `��— County of Du Identification verified: Oath sworn: P/Yes j' No liar'^i' CYNTHIA GRAVENOR Notary Signature ;,r r i^Y COMMISSION#EE 090186 EXPIRES:May 3,2015 My Commission expires: REV- Alt, �� Bonded Thru Notary Public Underwriters Pools • Spas • Service RAY RESIDENCE 1748 OCEAN GROVE DRIVE ATLANTIC BEACH, FL 32233 EXISTING IMPERVIOUS AREA: LOT: 3,846 sq. ft. EXISTING HOUSE: 1,346 sq. ft. PAVER DRIVE AND WALK: 541 sq. ft. NO DECK BY SURFSIDE POOLS N/A TOTAL COVERED AREA: 1,887 sq. ft. IMP.% 49% State Certified License 313 BEACH BOULEVARD #CP-C044080&#CP-C044081 JACKSONVILLE BEACH, FLORIDA 32250 SPA (904) 246-2666 ORDERED BY: The Law Offices of Rod Schloth - 2187 S Third St Jacksonville Bch, FL 32250 904-372-9351 t beach@rod-law.corn 1 - PROPERTY ADDRESS: 1748 OCEAN GROVE DRIVE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL1409.0062 FIELD WORK DATE:9/3/2014 REVISION DATE(S):(REV.o 915/2014) z o NO DUMPSTER REQUIRED NO TREES REMOVED FL1409.0062 rADLE: w g w = NQ:P.pT;-Q►-PQTY BOUNDARY SURVEY L-1 5 03°46'42" E 30.00'(D) 'L ,, a ' '"'` Ti- - DUVAL COUNTY 5 04°4822" E 29.77'(M) c9 w L-2 5 03°4042" E 30.00'(D) = N= FULL RIGHT OF WAY 5 04°48'25"E 30.00'(M) 0 0 L-3 N 03°46'42"w 30.00'(D) RESTORATION BY OWNER N 05°03'25°w 30.02'(M) D o W IF REQUIRED Z J •L Lu _ p 1N f a' W 1 2 J NC7Ci r i ,i 1 O W qu W � 4 H W •I� `i z w E 125.05'(M) W p w N 85°0008 125.00'(P) U. �} ' o"' 0Oo. Z N8G°13'18"E oo r 7 < ' i p vA- �s c 4 , r U 0,p 4 Z VI zo>- 4 - _ twi W 05'.. Ft�r _ .- ........._N X63' - _ Z I'L �Z d _ J = OFF -12.a/ T� 0 N t 1 LtA U' l- a; n i ro4P' 4.O LC r'J= W I \ / Qua O 2%4 0 A 748 26.0 20. .d: 17 1 '.-. o - _ �.� 4 A2'2'a �- f�•. . 20 R OFF1` 30.0' PARTyWALL Gry v R _ Z oo °h� fsn 10 ,13'18"N1 12 5.0'(D) Io Z 5 86 w 1 24.92'(M) z o� o� 5 84-59'39' 125.00'(P) N I t 17'z � N N n 0 so -Its. � d ac � a mO N 0 11 cc > iii 0 a a 6 � t019 I hereby certify that thi ntlary U gy of £te a on described property has g ;: W W a been made under my it ction,�r ( d1e est of knowledge and belief,it is f h to F 6 a true and accurate r p ess�alio ' , ey that ets the standards of 0 J LZI- � practice set forth by a Figrld� ?t4 sSIO Surveyors 8 Mappers in Chapter 5.1-17 of the Ida A hu alive Code.Q STATE OF \ - F FLORIDA �s'GygC S URV E 0 6c 30' 20' 10, O t 30' 1 f /N Wesley B.Haas ' " Sate of Florida Professional Surveyor and Mapper GRAPHIC SCALE License No.3708 I Inch = 30 feet Use of This Survey for Purposes other than Intended,Without Written Verification,will beat the User's Sole Risk and Without Liability to the Surveyor. Nothinn hereon chain he rn ir—d to Ci—ANY Rinhra nr R—M,to An--rlrhar rhan th.—r—ifiad _ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r sI 800 Seminole Road j, Atlantic Beach, Florida 32233-5445 / L SQ w Phone(904)247-5826 • Fax(904)247-5845 i rJIj City web-site: http://www.coab.us L A Date routed: O APPLICATION REVIEW AND TRAC"SING FORM Property Address: /11� 6of,1ftJr6Vf,*�'1IiC De :)nt review required Yes No I Ean Applicant: f' f� TO LS h�Zoni Tree Ac iistrator Project: J r n(�/1 d p L ublic boor. 14-Yu lic : ies Public Safety Fire Se. _,;es Review fee $ T Dept Signature CONTRACTOR EMAIL CONTRACTOR CONTE Reviewing Department First Reviem (Circle one.) Comments: BUILDING PLANNING &ZONING Date: TREE ADMIN. Second Review: L]Approved as revised. ❑Denier' PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Derr Comments: Reviewed by: Date: REVISED 09252014 BUILDING PERAUT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic_Beach, FL 32233 Office (904)247=5826 Fax(904) 247-5845: Job Address: g l'/C eGLhl l'ISV Y , Permit Number: Legal Description 0X20 oq 2S �q� OCEFIn1 GRf C l)a r 2 Parcel# I jv9�o l w-0000 Floor Area of Sq-Ft. t Valuation of Work S Proposed:Work heated/cooled-_ _noii-b�eatedkooled' Class.of.Work(circle.one): New Addition Alteration., Repair. Move Demolition ooUspa ,window/door Use of existing/proposed,structures) ((citrele one):.: Commercial a identi If ari.existing structure,is a fire sprmlder system installed? (Circle one): es . No LA Florida Product Approval# For multiple products use product approval orm . Describe in detail the type of work to be performed: I I�kST>ALL t i�C��0�r�1� nmml tai �ON. Property Owner Information: Name: tIf► . h Address: City �- a 'State— ip_ Z Z Phone. Ry`f - (o. E-Mail.or Fax#(Optional) Contractor Information: Company-Name- �v f�S �aut S. Qualifying Agent: J o�y: •. S c ZL Address: X13 Pc� Paly City �A� l. . State Zip z?,: Office Phone z VG�7 gip ' �l133: Job Site/Contact Number 9a4-7.�`j- 3S 3� Fax State Certification/Registration# CPe a !!Z o d Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name.and Address 77 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. I certify that no work or installation has commenced prior to 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 and void f work is not commenced within six(6)months, or if construction or work is suspended or.abandoned for a_period of six6)months at any,time c work is commenced. I understand that.separate permits must be secured for Electricar Work,Plumbilig,signs,:wells,Pools;t urnaces,Boilers,Hem Tanlcs and Air Conditioners,eta. WARNING TO OWNER: YOUR FAILURE TO.RECORD A:NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING.TWICE FOR IIVIPROVEMENT� 7'O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN.ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereo work verning w will be conthat I e lied w'th_whe her�ppthis ec aedlhertein or and w the same to be The granting of true and o permit doesCnotpresume.t. �Yo gions v laauthority tows and vaolate nces or cane ei provisions of any other fed ral,state, or local lmv regulatin construction or the performance of construction. Signature.of Owner Signature of Contract, f Print Name ......C......... Print Name w.:..._"� �.:L......R *I.... __........................... Sworn to and subscribed before me . Sworn to and subscribed before me this�'} Day of 20 this. � Day of Da �t .20 di v 30•., Not Q cyMIAGRAVENOR Notary ubllc sialurNepuN?ljgnd keloN mql papuog aq..... �, `' MY COMMISSION#EE 090186 9103'E AaW S3aIdX3 * _ EXPIRES:May 3,201KQvi d 01.26.10 991060 43#NOISSINN00 AN Nota iWOM"Ts HON3AVdtJ VIHINAO ' �;d;mob: ''-%�o f a�:;: e0nded Thru %Public U RAY RESIDENCE 1748 OCEAN GROVE DRIVE ATLANTIC BEACH, FL 32233 INDEX: (5) COPIES OF SURVEY 1. NOTICE OF COMMENCEMENT 2. BUILDING PERMIT APPLICATION 3. IMPERVIOUS DATA (NO CHANGE) 4. TREE & VEGITATION AFFIDAVIT 5. COPY OF WARRANTY DEED 2 SETS: 6. SITE SURVEY-LATEST BEFORE SWIMMING POOL 7. SITE SURVEY WITH SURFSIDE MARK-UPS DRAINAGE DIRECTIONS,LOT CALCULATIONS, EASMENTS,EQUIPMENT LOCATIONS,DUMPSTER& PORT-A-TOILET REQUIRMENTS,TRAFFIC CONTROL PLAN,SILT FENCE LOCATION,SAFETY BARRIER LOCATIONS,ETC 8. PERMIT DRAWING - WITH DETAILS ON EQUIPMENT WITH BUILDING CODE & ELECTRICIAL CODE 9. POOL WALL SECTION 10. ENERGY EFFICIENCY COMPLIANCE INFORMATION SIMPLIFIED TOTAL DYNAMIC HEAD CALCULATION AND CUTS SHEETS FOR POOL EQUIPMENT CONTACT INFO: CYNTHIA BRADSHAW SURFSIDE POOLS 313 BEACH BLVD JACKSONVILLE BEACH, FL 32250 904-246-2666 X133 Cynthia@surfsidepools.net TREE & VEGETATION AFFIDAVIT \�s , City of Atlantic Beach �J Department of Community Development Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION IN Owner(s) r Legal Authorized Agent* NAME OF APPLICANT _F—Ay NAME OF COMPANY U f r-� -T-,,7G ADDRESS OF COMPANY 31 1'jPc�G I v'�l CIS S �' PHONE 7- (to Z(p(Q(L CELL EMAIL CONTRACTOR CERTIFICATION NUMBER CPC G o q o ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY 1 -1 q g 6C PCs-v� ���r� •� if an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION _ _ 2� L°C)f\ IrD� 1 Q�1t Z LOT BLOCK SUBDIVISION GC)oah 6(&� REAL ESTATE NUMBERLOT OR PARCEL SIZE: Jgg1_ SQ FT AC RESIDENTIAL �_ COMMERCIAL OTHER(SPECIFY) 1 affirm that 1 have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or 1 have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,1 affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above- scribed or ad* troperties in conjunction with this project. SIGNA OF OWNER JI SIGNATURE OF OWNER Signed and sworn before me on this 17 day of o r"r ���, ,by State of � OR It Ir L• P�LU �= County of Dikt-� Identification verified: Rp6JC VLA LACen Oath sworn: ✓Yes F- No �\/ ; Lvl� CYNTHIAGRAVENCIR Notary Signature "Y COMMISSION#EE 090186 a: EXPIRES:May 3,2015 My Commission expires:RE`J- �sBonded Thru Notary Public Underwriters Pools • Spas • Service RAY RESIDENCE 1748 OCEAN GROVE DRIVE ATLANTIC BEACH, FL 32233 EXISTING IMPERVIOUS AREA: LOT: 3,846 sq. ft. EXISTING HOUSE: 1,346 sq. ft. PAVER DRIVE AND WALK: 541 sq. ft. NO DECK BY SURFSIDE POOLS N/A TOTAL COVERED AREA: 1,887 sq. ft. IMP.% 49% State Certified License 313 BEACH BOULEVARD #CP-C044080&#CP-C044081 JACKSONVILLE BEACH, FLORIDA 32250 —�I SPA (904) 246-2666 ORDERED BY: �'- The Law Offices of Rod Schloth - 1 r•!(q_ 2187 S Third St } Jacksonville Bch FL 32250 904-372-9351 beach@rod-law.com —jp PROPERTY ADDRESS: 1748 OCEAN GROVE DRIVE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: 171-1409.0062 FIELD WORK DATE:9/3/2014 REVISION DATE(S):(REV.o 9/512014) z o NO DUMPSTER REQUIRED L)L)o NO TREES REMOVED FL1409.0062 TABLE: w 5 fr Lj NQ_PQRT- POTY L-1 5 03°46'42"E 30.00'(0) LL CL W tr;t"�'"`^°-' _ "•= BOUNDARY SURVEY 5 04°48'22"E 29.77'(M) w x ��'��``'''=R ' REQUIRED DUVAL COUNTY L-2 5 03°46'42° E 30.00'(D) = N= FULL RIGHT OF WAY 5 04°48'25" E 30.00'(M LL Z L-3 N 03°46'42°w 30.00'(D) RESTORATION BY OWNER N 05003'25°w 30.02'(M) o w IF REQUIRED LL Z J > `L N W _ p r— N t a t ZJ H ... _ ;I H W W r FQ � Z W t ' w fY O W N 85°00'08"l 125.05'(M) U- o"' w O n. Z N 86°13 18"E 125.00' (P) oo �� i 1 Q o� > Z to It w4 0.5' ZUjLL d cr / � WOzoZ _ I� ,, tea • _ xaQp l ti Z _'O �— Q x W I I t 91 Q O Z Q O MY.RE5 017x8 26.0 20. p w " t: lit thu" I.-r I ' - — o a 12.2-CL O!Q OFF / \':d, = J /' PAR`Y WALL ti G.::: ,� t LL U Q0 � -PAiO„., nT f 25.00'(D) Z j ;A 5 86°I, 18"W 124.9 2,(M) Nm Z z i o oT a� 5 84°59'39 -4170 L I �rZr�i 1 125.00'(P) MZ a NNS a 095> JCP zj c� 2d � o � a mz^ 0 ag nom W019 IL �� hOWC �SLEY 8. yq,l r•i"1 vt( �'.. 1.r.I �c�NSE z Z p U v I hereby certify that thi ndary U, gy of die e n described property has W C aQ been made under my it ctien• ( tRe best of knowledge and belief,it is WOW > 0 C d, a true and accurate r p e, do�+' � irvey that ets the standards of W J W d Z r` practice set forth by o I00 'lo Surveyors&Mappers inF6 Chapter SJ- 7 of the ida AWA � ode. c - F FLORIDA J r�G s 9a —ZO 10, 0 15' 30' y't C S UR`'EY0R Wesley B.Haas �`tt Slate of Florida Professional Surveyor ard Mapper GRAPHIC 5CALE \� � License No.370B I inch = 30 feet \� Use of This Survey for Purposes other than Intended,Without Written Verification,will beat the User's Sole Risk and Without Liability to the Surveyor. Nothino hereon shall be Construed to Give ANY Monts or Benefits to Anvone Other than those Certified. City of Atlantic Beach APPLICATION NUMBER js Building Department (To be assigned by the Building Department.) r 'sl 800 Seminole Road a, orf Atlantic Beach, Florida 32233-5445 (• G �(J r i Phone(904)247-5826 • Fax(904)247-5845 O / �Jf3 �r City web-site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRAC ING FORM Property Address: /11� &fAnOrd De "..rent review required Yes No uild' Applicant: f' c-;D �� OLS tanning&Zoni Tree Administrator Project: 1 �j )LLt1� �6c L u tic lwor u tic ' ie s Public. _ Ay Fire Se. , ,;es Review fee $ Dept Signature CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Review: �pproved. ❑Der. (Circle one.) Comments: r,na I iA r(e L4.4h Avid PG^d�, of BUILDING m_ [v_ X00,1 0.0, / PLANNING &ZONING Reviewed Date: Y; 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. ❑Dern Comments: Reviewed by: Date: REVISED 09252014 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 _o Permit Number: Job Address: 11 "42 (OC P" `a✓L'P'- Y ' Legal Description 10-2fl OR 2S �q� �GEFi1r16�IE VW'r' 2 Parcel# k to �o l _000c) Floor Area ot q.Ft. Sq. t Valuation of Work$32,A2ta_Proposed Work heated/cooled non-heated/cooled _ Class of Work(circle one): New Addition Alteration Repair Move Demolition 6oDwindow/door Use of existing/proposed structure(s) (circle one): Commerciale es If an existing structure, is a fire sprinkler system installed? (Circle one): es No /A Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be performed: t I�STAIL 11�C�k-�l� 1 `elm O Property Owner Information: a Name: e, (t LI v\A Address: City 1- a �z - State_ ip 2Z Phone R6`T Z 2 Z I u E-Mail or Fax# (Optional) Contractor Information: Company Name: svf s ._ecc poi 5 Qualifying Agent: �J 61"`^ ' Address: �i3 Pc�C P�Iv City ��� �exc-1- State Zip z�z= Office Phone .� U G-'? (tom Cv Y l33 Job Site/Contact Number qQV-'70-3S 3� Fax# SLA - �Q-� State Ceitification/Registration# C u e Ro Architect Name &Phone# Engineer's Name &Phone# Fee Simple Title Holder 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. I certify that no work or installation has commenced prior to issuance f wok istnot commenced within be (6)formed monthst ortif consstrustandards or w all rk is lawsregulating or abandoned for a peon in this riod of six p6)months ati�irisdiction. This permit any timebecomes a work is commenced. I understand that separate permits must be secured for ElectricaCWork,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heat Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR OBTAIN FINANCING,TWICE CONSULT IMPROVEMENTS TH TO YOUR PROPERTY. IF YOU INTEND YOUR LENDER OR AN ATTORNEY ENO EENTRECORDING YOUR NOTICE OF I ho workt�11 be read and whetheraecihis aedlheraetn or not.n and oThe granting ofw the same to be aatperr d does cnot prt. All esumetto give authority toons of laws and ��violate ances gor cancel type > P _ provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contracto r Print Name tk.........C:................. Tr..:....... ............................. .....-[�Qt�.l._�- .....RAN ... Print Name ................................................................ Sworn to and subscribed before me ,( Sworn to and subscribed before me 20 this A Day of ('�c-��^ � 201`t this�_Day of .�gib•,. Not CYNTHIA GRAVENOR Cyr s�el!uNaPun o!Ignd/ve1oN n�yl DeP�B ;�a•• MY COMMISSION AEE 090186 Notary ublic 9tOZ'E A :S31JIdX3 *: AIRES:May 3,20 vi d 01.26.10 991060 33 A NOISSIWW00 AW yyrr '', d° Bonded Th,Notary PO NG U� its HON30110 VIH1M0 ;d °'�of P.•' RAY RESIDENCE 1748 OCEAN GROVE DRIVE ATLANTIC BEACH, FL 32233 INDEX: (5) COPIES OF SURVEY 1. NOTICE OF COMMENCEMENT 2. BUILDING PERMIT APPLICATION 3. IMPERVIOUS DATA (NO CHANGE) 4. TREE & VEGITATION AFFIDAVIT 5. COPY OF WARRANTY DEED 2 SETS: 6. SITE SURVEY- LATEST BEFORE SWIMMING POOL 7. SITE SURVEY WITH SURFSIDE MARK-UPS DRAINAGE DIRECTIONS,LOT CALCULATIONS, EASMENTS,EQUIPMENT LOCATIONS,DUMPSTER& PORT-A-TOILET REQUIRMENTS,TRAFFIC CONTROL PLAN,SILT FENCE LOCATION,SAFETY BARRIER LOCATIONS,ETC 8. PERMIT DRAWING - WITH DETAILS ON EQUIPMENT WITH BUILDING CODE & ELECTRICIAL CODE 9. POOL WALL SECTION 10. ENERGY EFFICIENCY COMPLIANCE INFORMATION SIMPLIFIED TOTAL DYNAMIC HEAD CALCULATION AND CUTS SHEETS FOR POOL EQUIPMENT CONTACT INFO: CYNTHIA BRADSHAW SURFSIDE POOLS 313 BEACH BLVD JACKSONVILLE BEACH, FL 32250 904-246-2666 X133 Cynthia@surfsidepools.net TREE & VEGETATION AFFIDAVIT City of Atlantic Beach Department of Community Development Planning &Zoning Division 800 Seminole Road Atlantic Beach, FL 32233 (P) 904 247-5800 (F) 904 247-5845 PERMIT# SECTION I -APPLICANT INFORMATION f3� Owner(s) C_ Legal Authorized Agent* NAME OF APPLICANT 4y -e f 4, LL1 vl v\ NAME OF COMPANY U �� •r �zTL: S ADDRESS OF COMPANY 3P��c�^ vJ �G C([S r Yt V'� I `y PG�C�• �L �2Z S PHONE Z q&2(.o(Q(c CELL EMAIL CONTRACTOR CERTIFICATION NUMBER CPC G`CJ(4 O g a ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II -SITE INFORMATION STREET ADDRESS OF PROPERTY If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request on address. LEGAL DESCRIPTION _ a.0 , cfi_ _ 2R E etu\ -&-k , Q�;� LOT BLOCK SUBDIVISION OC�� 6(O4C, REAL ESTATE NUMBER Ir G�(D` �Q�Q LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL _ COMMERCIAL OTHER(SPECIFY) 1 affirm that 1 have reviewed the provisions of Chapter 23, 'Protection of Trees and Native Vegetation" of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently, 1 affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above- scribed or adja t roperties in conjunction with this project. SIGNA OF OWNER SIGNATURE OF OWNER Signed and sworn before me on this 17 day of h C �i}. ,by State of ��R�( rl L Rkw �=— County of ,Dye_, Identification verified: E1 b6 JCt 1 V LtC� Oath sworn: ✓Yes F_ No �\l CYNTHIA GRAVENOR Notary Signature `Y COMMISSION#EE 090186 EXPIRES:May 3,2015 M Commission expires: REV-11, •. icon{ed Thru Notary Public Underwriters y p V Pools • Spas • Service RAY RESIDENCE 1748 OCEAN GROVE DRIVE ATLANTIC BEACH, FL 32233 EXISTING IMPERVIOUS AREA: LOT: 3,846 sq. ft. EXISTING HOUSE: 1,346 sq. ft. PAVER DRIVE AND WALK: 541 sq. ft. NO DECK BY SURFSIDE POOLS N/A TOTAL COVERED AREA: 1,887 sq. ft. 1 M P.% 49% State Certified License 313 BEACH BOULEVARD #CP-C044080&#CP-C044081 JACKSONVILLE BEACH, FLORIDA 32250 -FSPA (904) 246-2666 ORDERED BY: - - --- The Law Offices of Rod Schloth - 2187 S Third St Jacksonville Bch, FL 32250 ' 904-372-9351 beach@rod-law.com ts=1, PROPERTY ADDRESS: 1748 OCEAN GROVE DRIVE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL1409.0062 FIELD WORK DATE:913/2014 REVISION DATE(S):(REV.0 915/2014) Z-o NO DUMPSTER REQUIRED uj L NO TREES REMOVED° FL1409.0062 TApLE: • BOUNDARY SURVEY L 15 03°46'42"E 30.00 LL W L-_T n r:. r NQ. PQRT ,4 PQTY (D} U. a DUVAL COUNTY 5 04°48'22•E 29.77'(M) ; w c =R REQUIRED L-2 5 03°46'42"E 30.00•(D) z N = FULL RIGHT OF WAY 5 04°48'25"E 30.00'(M) LL 0 L-3 N 03°4G'42"W 30.00'(D) a U5 in RESTORATION BY OWNER N 05°03'25'•W 30.02'(M) 2 0 1- W IF REQUIRED Z J �N W _ p 1 � N t a W.� ) z wn r j O I LL p Fa �iZ Wr p W M p W N 85°00'08 E 125.05-(M) is z0" w O o_ Z N 86°1 3'1 8"E 125.00'(p) oa Wo t• t-�• i W „ > — 0 o7t ^. ��— •t w = o 0. �, Ir- z O VUU AC Q Q W 1 g .1'. o C?.. z W ........... Q r 1 L -- l - Uj 0. OFF -�tnNVyM;;u. Uf� r f' a �>—a,�ZO W. c� �V) — r t' u�\Of' ZO � p Q Q�Y.RE5 0 1748 26,0 Z p Ell � 20 ,. � f95U" .t a 0 17 42.2' O Q OFF` no— ! p I SGR. PARiY WALL LL U `Oo ��� PATIO,,,, z _ p 125,00 (D) > - T 5 86°13'18"W 124.92'(M) �" z z 1 (Y N_W ON 0 5 84°59'39"W t wW t Omp t Z�417U 1 25.00'(P) NN70 S Qw �= - o9 !0AI -. A J �• IL a CCN O S 110-9 ' Wja Z a a 09 IL � � g = > > �T SL SE BAy�I•IS i tV i t ,..1 t�...-I. ' O' m 0 N V 0 V I hereby certify that thi ndary u4{ gy of�fie e on described property has F Z W been made under my it ction nrl (��le best of knowledge and belief,it is f 12 H a true and accurate r p ess abo; irvey that m els the standards of J G 0 F L practice set forth by e Flgr(d� krQJesslo 0 Surveyors&Mappers in Chapter 5J-17 of the o ida A s ab a Code.Q E OF 30 20, 1 a 0 15, 30 1% l YqC SURVEYCj0. I IIt t / nI I Wesley B.Haas 1,,, ''`r State of Florida Presley B.Surveyor and Mapper GRAPHIC SCALE \� License No.3706 1 inch = 30 feet �. �'/ Use of This Survey for Purposes other than Intended,Without Written Verification,will beat the User's Sole Risk and Without Liability to the Surveyor. Nothino hereon shall be Construed to Give ANY Riohts nr Renefns to Anvane nrhwr th.—th—re..ieoe 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: 1748 OCEAN GROVE DRIVE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL1409.0062 FIELD WORK DATE:9/3/2014 REVISION DATE(S):1REV.o 9/5/20141 Z o NO DUMPSTER REQUIRED U o NO TREES REMOVED FL1409.0062 TADLE: w g w ;r; rye.r=. c- QT��4- QTY BOUNDARY SURVEY L 1 5 03°46'42° E 30.00'(D) = J= ��,..;_�_;;=�.;,;' '.- tEQUIRED DUVAL COUNTY 5 04°48'22" E 29.77'(M) (D W L-2 s 03°4642°E 30.00'(0) = N = FULL RIGHT OF WAY s o4°48'25" e 30.00'(M) LL i RESTORATION BY OWNER L-3 N 03°46'42"W 30.00'(D) a N N 05°03'25"W 30.02'(M) 0- IF REQUIRED Lu z J N W _ p r- w U tela OJLLp I I Lu Lu ~ z w N 85°00'08"E 1 25.05'(M) 'j� I- zi' O 0.Z N 8G-I3''8 E 125.00'(P) oa �La o } 1 0 . W LL1 W =onQ1 6 tiV>F. - - =o w o r b 'N C azL, O W WZ�'u. W ,i'. J�i - � GQ0 -- A . .1 I , ;�\O/ :Qw z p O u' 5Ki748 26.0 O Q O 20.1' 4 LL:Z• rnr`' Z p W �� � 1 1.7 � vQ 42.2'd m O Q OFF1PARt1'%VAII ti GN 30.0' Oo 5CR. n n z V po TRt FAt10 r °13'18"W 125-00'(()) �� Z Z58G N w o - 70 ' o 5 84°59'39"W 124.92'(M) n 11 � I 125.00'(P) 19/S � 0Z a NN � 1 ( Doc # 2014234485, OR BK 16945 Page 1707, Number Pages: 1, Recorded 10/15/2014 at 02:35 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT n Permit No. Tax Folio No. (p9W6.--= State of Florida,County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property(legal description of property and address if available): 00 itog 2, Z9 E Dc ears r e on%t 2 — 17 4 9 C.��C Ro��,>c,,DR 11h(aA &� 2. Gene al Description of imprp�yements: 3. Owner Information: Ter✓ L.,inn Q" a)Name and Address: V14- b) "74 b)Interest in property: 6i►►Ww01 c)Name and address of simple titleholder(if other than owner): 4. Contractor Information: FW IN: a)Name and Address: SI IRFSIIIF POOLS, 313 BEACH BLVD_.IACK,90NVll I F RFACH FL 32250 b)Phone Number: 904-246-2666 5. Surety Information: a)Name and Address: b)Phone Number: c)Amount of Bond:S 6. Lender Information: a)Name and Address: 'b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13(1)(a)7,Florida Statutes: a)Name and Address: b)Phone Numbers of Designated Person: 8. In addition to himsenerself,Owner designates of to receive a copy of die Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. a)Name and Address: b)Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS 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 COPhMENCEMENT MU_ST°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 COMMENCING WORK OR RECORDING YOUR NOTI F COMMENCEMENT. C�) = Signature of Owner or Owner's Authorized Officer/Director/Parmer/Manager Signatory's Printed Name&TitldOffice The foregoing instrument was acknowledged before me this P day of1 PD zm .20�by as E for rJ`P (Name of Person) T— (Authority Type,i.e.Officer/Attomey) (Name ofP Instrument was Executed for) tyNi}NAGRAYENOR �� �(�'il�.�X-t/I ?�r MY coMMISs10N 1 EE o50 66 ���/// NOTARY PUBLIC, """llllll _' _ EXPIRES May 3,2��5 BLIC,STATE OF FLORIDA d° aarAed Thro NOIW7 Pupnc Unde="nri. -+ �� .er,. Print Name �!A kg1Cl g 0 Personally Known a��l�l�ti� L3-Identification/Type: MdV'1 Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowled a belief. Signature of Natural Person/-Signing Above) Revised 10/1/2009 X69'23353, OR BK 16931 Page 885, Number Pages: 2, Recorded 10/02/2014 ,, AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 DOC ST $2758 . 00 I Prepared by: The Law Offices of Rod Schloth,P.A. 2187 South Third Street Jacksonville Beach Florida 32250 File#:RS14-2429 Record and return to: Terri L. Ray 1748 Ocean Grove Drive Atlantic Beach,Florida 32233 4 t7 L/ 5'5'7 General Warranty Deed Made this September 25,2014 A.D.By William W.Lotowycz,an unmarried man,whose address is: 1701 San Pablo Road South, #208,Jacksonville,Florida 32224,hereinafter called the grantor,to Terri L.Ray,an unmarried woman,whose address is: 1748 Ocean Grove Drive,Jacksonville,Florida 32233 ,hereinafter called the grantee: (Whenever used herein the term"grantor"and"grantee"include all the parties to this instrument and the heirs,legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth,that the grantor,for and in consideration of the sum of Three Hundred Ninety Four Thousand dollars&no cents, ($394,000.00)and other valuable considerations,receipt whereof is hereby acknowledged,hereby grants,bargains,sells,aliens,remises, releases,conveys and confirms unto the grantee,all that certain land situate in Duval County,Florida,viz: The North 1/2 of Lot 21, OCEAN GROVE,UNIT NO. 2, according to the plat thereof recorded in Plat Book 20 page 20 of the Public Records of Duval County, Florida. Parcel ID Number: Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to December 31,2013. � r AquaCal units feature Titanium Heat Exchangers and s�— compressors. Our patented technology allows unto build the most durable and most cost efficient heat pumps... ever! AquaCal Heat Pumps are available in a variety of sizes with an assortment of features so you can select the model that best suits your specific needs and budget. 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AquaLink System. >> Controls Conveniently operated by a light switch or control from your AquaLink automation system. - - Zodiac Pool systems,Inc. 2620 Commerce Way,Vista,CA 92081 - 1.800.822.7933 1 www.ZodiacpoolSystems.com ................................... .. • y Zodiac Pool Systems Canada,Inc. 2115 South Service Road West-,unit#3,Oakville,ON L6L 5W2 f r.w.Z,dio<PodSral[mstam .• ''— .:• } ..'. 1.888.647.4004 I www.ZodiacPoolSystems.ca 7. N. w :... yMR } j ®201.2 zod ac.Pool Systems,-Inc SL6500 Rev.B 0412 - ZODIAC©is a registered trademark of Zodiac Internagonat,S.A.S.U.,used.under license . All.olher trade}narks used herein are the properly of their respective owners a:• <_