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1977 SEMINOLE RD - DECK / PATIO 11frz: J s, CITY OF ATLANTIC BEACH 1.1., 9 800 SEMINOLE ROAD 7-41, ATLANTIC BEACH, FL 32233 \ INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DECK-2142 Job Type: DECK/PATIO Description: PAVER PATIO Estimated Value: Issue Date: 10/12/2015 Expiration Date: 4/9/2016 PROPERTY ADDRESS: Address: 1977 SEMINOLE RD RE Number: 169542-0502 PROPERTY OWNER: Name: GERBERICH. PATRICK Address: 1977 SEMINOLE RD PERMIT INFORMATION: PUBLIC WORKS: No dumpster, portable toilet or construction parking in right-of-way. All silt must remain on-site during construction. Roll off Container Company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and Waste Pro.) Full right-of-way restoration, including sod, is required. Pervious paver must match dimensions of existing pervious stone patio. Pervious pavers must be constructed using manufacturer's instructions including bedding of rock and sand. FEES: STATE DCA SURCHARGE $2.00 PERMrr IS AI'I'It( VI D ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J fr CITY OF ATLANTIC BEACH SJ 800 SEMINOLE ROAD w ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 STATE DBPR SURCHARGE $2.00 BUILDING PERMIT FEE $70.00 PLAN CHECK FEES $35.00 Total Payments: $109.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I. 1 Of 6 1)1101 -- • Recce ki 'f el r .1(7 tir----------- . ' I 12" lil , O 1T 3" Drainage Area (t I ' 193 R, _ Elevated Wood Decking 14{441 '; ' ' I (existing) )02 ft' I Elevated Wood'Jerking 1978 R' A.I 0-cry Areas louse,Walk,AC ii, .., > _,______.----4865 R' otal Lot lia _ .1 . _.-Proposed Lot Coverage: 4865 Total Lot \ 111 - i ` fi _, tI- 9- R.,P•M' t=a -.T•• PROPERTY ADDRESS: 1977 SEMINOLE RD ATLANTIC BE k FIELD WORK DATE:9/16/2011 REVISION DATE(S):troy 1 9/16/2011)(re„1 ?/16/201!) 1 C-I TABLE: FL 1109.0852 R=25.00'(P0M) L I N 0°31'00'W 25.00 (P) BOUNDARY SURVEY L=35.27(P)39.45'WM) N O°23'49'W 25.05'(M) DUVAL COUNTY A =904'00'00Y P)90°29'327M) N 44°29190'E 35.30(P) I N 44°5O'O4'E, 35.5 I(M) 9T-15 r, (40' S i .•r, i '• ' , , / • . i iii`(,/, ) ,. !'/,•/i'il % / ,' �� ,�/. i:�;/f•'r i ri i ,/-' i' r - a/• ,,.•/i,,'r i• ,•./ I( ;L 1 i/,. `/ /,' ,!,, '.,`/ / i •' ,� / q R (PPR,P1 ATi, , /�, ' .`• ' , i'• 4• -� i /` �� N x9°29'00'a 74.73'(M) ° Q `• i // '/i i� ,� Fcm ° N 89°29'00'E 75.00'(P) •• Q •i in ! / . 1` :• • . , . _sr..•%.--ebicE( •'s.s CONC.'�t 1. 314',FiFr. . ;/ • ,f .',• ; — : ,.. �5'N.A.e_ ro _ I. o.a•s O ` i i •� f N ��Li xi O LOT,� '... a O ,,/ / '; Q r$N •l ` O f, ;' ❑ BLK I j Cif �; 1/2flP N 29.T ;W < IT)W :173.N t `• r'%.^rte. I: ,g'v LOT 23 i .:.",.. 18.5' e'6. ' 2 5TY. - r; n _M f3LK ! Lll ' ° aaS 2.:} 0 s w i } +' - 2 T. 23.8' tool a bnar O Z i ..• '`...•' FAZtt"NALL +( e. - 112 A ': 9./ ''t,': I'• ..." . : • 5 59°29'00'W 100.00'(P) + - j 41 w '' :400 . , - S 89°2240"W 99.66' (M) Q t' e' •_ _ :3 LOT 2A .2 BLK. + NO 00 O O co to t- 33 r z • m o Sr)g) 00 • zz • o S E e M(hereby ,., t Si :• ,"•i• -y of 07e AT APP EARS TO BP BERVICED BY CITY+WATER AND 5Ew K FENCE OWJER5MlP NOT CTRM!NED hereon, •••r:•pf♦ () Ies e� r.••under my FIR 40 N.A.B.•NON-ACCESS GA:DMENT ; , I •the beat' y •and . Si Relief • '•. • l�� w.,i�..Yon of i sunre '�r y-' 30 o is 30 r-: m standards' set•• r the •0/'••4:. ,' .l land ` 2 Allit Sunayo _• :4e mt-, 17 of the FTaidaAdm r. 'L oQ, GRAPHIC SCALE (In Feet) 1 inch 30' ft. • KEITH a STEPHENSON ��_ O State a Ronda Probedottd strrerr and Mapper • License N°.8521 Use of This Survey for Purposes other than Intended,Without Written yerthc anon.will be ai the Use's Sole Risk and Without liability to the Surveyor. C Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified. `'<>iss"� .=esls'6;"ia="� '°�'>""=_•^'T•r+z�^:.�y=.s-`7. '::t5,r; .zs � • •-•-- '"Zikele�"..:"1.' t POINTS OF INTEREST 1 6'WOOD FENCE IN 5'N.A.E 2 CONCRETE DRIVEWAY OVER 5'U • -3 s,-:: - . r_xactar.iiirr t =,i''° .7: : :sii 7.irr'4: _A0- _ --„- --.N-••• FLOOD INFORMATION: iBy performing a search with the local governing municipality or www.fema.gov,the property appears to be located in zone X This Property was found in THE CITY OF ATLANTIC BEACH,communr number 120075,dated 04/17/89 -•'T.yri""^:.a:e•s'-r'7"=_.-' i;dT' ,'rsfw=:iiEelc- —:..:.....':'=_T-..._.11ibmoTa .,:i:4i�.:'- 1.7 _." 4."`, eS_ , i DATE: 9/16/20115 F nldcntial Tansy Moon BUYER:PATRICK M GERBERICH REALTOR' .,.._��'s"-" .--�- ''' r._. ,.. - __ 904.537.43 I3 tansvmoon@a aol.com •• SELLER:PATRICE NORMAN _ �� �" °^ �'�"" yam. «, -w t, �: -;at CERTIFIED TO:PATRICK M.GERBERICH;GIBRALTAR TITLE SERVICES; zi, - OLD REPUBLIC NATIONAL TITLE INSURANCE • COMPANY;FIFTH,THIRD BANK www.surveystars.com '': .z. - -- ----- .•7.- = - 14.4- Land Surveyors, Inc. P 866.73s-1916• F866-744-2882 ' 1-1•<■<r,a■•.•1 r,f 7 and is not valid without all oaoes. Ls.:Yr 122 20 Towne Lake Drive.Suite ss•Ft.Myers,Ft 33913 Z 'up Ophhel jsr /or posy A818 4 . it o° \\ 1' 6 a>t•..b.C Y •dh Sr m PROPERTY ADDRESS: 1977 SEMINOLE RD ATLANTIC BEACH,Florida 32233 SURVEY NUMBER: FL1 109.0852 ` FIELD WORK DATE:9iwzol, REVISION DATE(S):t■ea 1 9/16/2011)(rev 1 9/16/2011) i C-1 TABLE: FL 1109.0852 R-25,00'(PItM) L I N 0'3 I'00 W 25.00 (P) ' BOUNDARY SURVEY L.*39,27'(')39,48n41) N 0°23'49'W 25.05'(M) DWAL COUNTY A ..9 �0 �)90°2932YM) N44°2900'f 35.361') N 44°50')4'F, 35.5I'M) '' 1 9TH 5T. (40' g/W) ` 1 5 ' j ,. • ,. .' / ,, „ /.. it / ., r r / ; , , , / t i , , / , tt 1 / / i / / i i 1 / / i : ! / :` / / / i' / r •/'j•• ! P �_` ,' ,/ ,i ,. !! ` it N 89°29'00'E 74.73'(M) uT o t, •.— •'r' !' % • row 0 N 89°29'00"E 75.00'(P) Q t •` , „ .,./ ?'. .....,. .:'r •i ”. ••' . .:.^. '6' 0 t}ENCr , , •:•9 5'CONC• . :°3 'iPir. . ' p ! I; / I LOT'IA� Q I Q i . /t/ ! u I/2'rip • 1 w 29.7 ru to� '` e'� � y�if, n e M LUT?. 2 LL4 4. i as e. y' z STY. ' i�` '»•,a •- .!..: J. RCS/1977 s�r-•z Ir ,M buc. ! '•. l-) , .:. '..$. +..• of 2.S :y'. r1 Y •, _ LK 2:y ' 23.8' (no• r �' _ .... .... 0.0 1 / .Iw. PAXTY WALL 112'PIP ILI r (tiR;- 5 89°29'00'W 100.00'(P) e N (W 4 , `-So,b::' '' v.,- 5 89°22'40'W 99.66'(M) Q • ! ? LOT 2A a S'4 BLK. 08 00 g t0 t0 • 33 6/g : bb zz a A. S7Ep NOTES: LOT APPEARS To a SERVICED BY CITY WATER ANO SEWER 1 hereby...,•'M yysS"°��•' -yot�g FENCE OWNER51i1P NOT DETERMINED he/BO17+-'...:a p(44/rco a::• •a:under my P1R • N.A.C.•NON-ACCE55 EASEMENT .t e best y -and Pbetel,, rio .0,40..,,.,...,;74..flonofa .T 1 survs '- •.—4. m • 1v v standards r set , ',d e ,O1P . .nand a 15 ao 6 surveyo a'. rer't _.,` ,17 oltha F7o6daAdm ''.i•,t, of GRAPHIC SCALE (In Feet)KEfTHASTEPHENSON 1 inch = 30' 1t. "'Slate of Rama Ptot ei net Suryeyor and Mapper �44% �,""'+ Lames No.8521 Use of This Survey for Purposes other than Intended,Without Wntten Verification...nil be at the Users Sole Aisk and Without liability to the Surveyor. !} Nothing hereon shall be Construed to Give ANY lights or Benefits to Anyone Other than those Certified. y —.rt..-.. ,� .. .....:r.-•�`r'T'••••, _ ..7 vAr,�"cars ••;_. Kr, -ti._ ,lY3?--ounsass a'x. s.FaG Xestr.sin•..oc:—:.. .. --•'.+r• .'P -.-...•7 ill POINTS OF INTEREST: 1 6'WOOD FENCE IN 5'N.A.E 2 CONCRETE DRIVEWAY OVER 5'U.E ^- •....,4" ,r -vx" ,r -- evi.. - a���:' 1•� wZ• _- ^.t.,1_ _ f _ - FLOOD INFORMATION: P i By performing a search with the local governing municipality or vrww.fema.gov,the property appears to be located in zone X This Property was found in THE CITY OF ATLANTIC BEACH,communt number 120075,dazed 04/17/89 g.:..2- ':�._vS.4.e.Sa:. 'r • 7 'rs..rR 3.'w" zas:.._.m.l':r]' -174-ice._ • • . -,+e. --a.-__z !Ia., 1 DATE: 9/16/2011 S5 Prllelcntiil p ��:`' Tans Moon y�•„•� .z;•T±.A4r_ : "�+:.h' ;"'T' T�vi�' '4^.i L,�t`G...� - V ti•;nrs c..kr 7 I! BUYER:PATRICK M GERBERICH Ll�`% f REALTOR,' � �°`�'° `�° '" � _ y ;X. 904.537.43I3 tansymoon @aoi.com SELLER: PATRICE NORMAN , _- .� -'4�'lY.uiS Z r•-•�-- 4•.R _ ..+ee•+�':e-.. .�'.^r: .v:Y.e.s.•w CERTIFIED TO:PATRICK M.GERBERICH;GIBRALTAR TITLE SERVICES; '} •• - • OLD REPUBLIC NATIONAL TITLE INSURANCE 0 COMPANY;FIFTH,THIRD BANK www.surveystars.com Surveyors Inc. 3 < t P 866.7 3 5-19115• F 866.744.2882 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 322 r WIVE VE Office (904) 247-5826 Fax(904)247-584i 1 �_ Job Address: /97 7 St-lli,libl.0 I'i Penn ilil ii,§}E? 9 205 0 Legal Description Parcel Valuation of Work$ /Ii 1 c" oor • ea o q. t. Sq.l t Proposed Work heated/cooled Class of Work(circle one): New Addition • t n Repair M Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial �� tial If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No jl • Florida Product Approval# For multiple products use product app rova rm o Describe in detail the type of work to be performed: (IAVI71�2i r rove - 4/0.4. / io c Lv e PLAyfi Property Owner Information: Name: IFegr (,v/,ircz,i to 1 Address: fit-72 ce iv11u l City An, 1(hf StatekZip 77253 Phone SQL- 767 /74 6 E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: 40)62140- , � Qualifying Agent: Address: 71.c /9,71 A City )1.-A' I State Zip 302c5 Offce Phone 57?-159/( Job Site/Contact Number eL07Z 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 cent?,that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after work is commenced I understand that separate permits must be secured for Electrical!York,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. T hereby cert fy that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this )'pe of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of Owner d2----C-4°' { Signature of Contractor _ .411111110 'rint Name DCw.N....[`f 4%►� j ,l;�lm,/,✓ Print Name , / geei Before me iis._ of 0 Be. .,a,r ,/� ' AofFlorida Otary Public t Sit S �!r=' n,:u. ' MY COMMISSION # FF 8073 r y . ,�1. < M miasionFF086990 uy ,o `��� a 11''oF c, Expires: April 14, 2017 "oF4ia Exp - 211A12018 . 6.10 C-44-0, City of Atlantic Beach APPLICATION NUMBER � Building Department (To be assigned by the Building Department.) 800 Seminole Road[i Atlantic Beach, Florida 32233-5445 ��'"��C�� Z�yz. Phone(904)247-5826 • Fax(904)247-5845 (fir oni9P E-mail: building-dept @coab.us Date routed: / /4 /..5-- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM , Property Address: /9 ? Sin )�di Department review required Yes No �/ p Building Applicant: T'n I d �/ �_" © &N Li wing &Zonin Tree Administrator Project: ptitZ fI9T7O is or Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept.of Transportation - St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants - Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS • Reviewing Department First Review: Approved. ,]Denied. (Circle one.) Comments: / (/c !ti c, ✓�A 1`I't c' BUILDING PLANNING &ZONING / Reviewed by: A„,_, C/ Date: l• TREE ADMIN. Second Review: El/Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: ised 07/27/10 r ''��rl�� ZONING REVIEW COMMENTS � ' Imo` City of Atlantic Beach j z Building and Zoning Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 -1•74.9.219? Phone: (904) 270-1605 Fax: (904) 247-5845 Email: dreeves @coab.us Date: 9/23/15 Permit: 15-DECK-2142 Applicant: Maderna Review: 1st Address: 315 13th Ave N,Jacksonville Beach,FL 32250 Site Address: 1977 Seminole Rd Phone: (904) 537-0411 RE#: 169542-0502 Email: N/A Correction Comments 1. Tree Removal: Please submit a Tree Removal Permit Application if any trees are to be removed. If no trees are to be removed,then please fill out an Affidavit of No Tree Removal. Both forms are available on the city website under "Planning and Zoning" and at City Hall. Also please be aware that codes have recently changed. If you are unsure about how the new codes effect your project, please submit a Tree Removal Permit and staff can then determine if it is necessary. Derek W. Reeves Planner eh ri.S 0 As d Hen � �Ve r 6 . eo m dreeves @coab.us p 01'5 . C O 01 j vs fi pi 6 A d i rn6,r ' VIP \ i‘ I 01\/IA r.�;.,,;ii-7N TREE & VEGETATION AFFIDAVIT v1 '' City of Atlantic Beach r�� Y NDepartment of Community Development f_. ; I • �' Planning&Zoning Division �� 800 Seminole Road Atlantic Beach, FL 32233 I: (P)904 247-5800 (F)904 247-5845 'ERI1 5 2015 i' 't SECTION I-APPLICANT INFORMATION 1— Owner(s) (- Legal Authorized Agent* NAME OF APPLICANT 0 exi Pe/1 iti i0.41CCion NAME OF COMPANY ilOde AV.0 A 1., ADDRESS OF COMPANY 3i /r 13 f3 tl ,_ N. •1:4 /J ud 4 6e44 A, Pz. 3.24 r d PHONE ?i,9 4,-37.454q/CELL EMAIL CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY c I� / i�y,�/ 4. /3 A 3,x,33 X 7 7 61,n;i[v�� �,/ ate. �4 c Ifan address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that I 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/have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above- cribed or adjacent properties in conjunction with this project. SIGNATURE OF OWNER SIGNATURE OF OWNER Signed and sworn before me on this S' day of ocids.N , 0,)r,by State of L County of rf�yV Identification verified: Oath sworn: Yes I- i,4 r i p 0 Notae ..... Notary Public State of Florida My Commission expires: My Cey L Graham My Commission FF 088990 or0, Elot0211412018 c5-—0 — 6 z --D a ow-vJj%, City of Atlantic Beach APPLICATION NUMBER �s , Building Department T r ,,� (To be assigned by the Building Department.) � 800 Seminole Road u� • y � Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 9`'"Lot E-mail: building-dept @coab.us Date routed: / /0 City web-site: http://www.coab.us /5- APPLICATION REVIEW AND TRACKING FORM Property Address: /9 7 SIM ,iI1/ /j Department review required Yes No Building Applicant: 7 ! / dA4 ,v AeL. 0 &Al lie mowing &Zonin Tree Administrator Project: ?fieqe, fI917O is or Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: 1 • APPLICATION STATUS Reviewing Department First Review: QApproved. ►Denied. (Circle one.) Comments: Sa gaga ‘O►ifriu BUILDING PLANNING &ZONING Of /�Reviewed by: I1 � Date: 9' A.'" TR IN. IIII Second Review: Pi<proved as revised. El Denied. PUBLIC WORKS Comments: ..fie 1146 /l (00&e,6/ PUBLIC UTILITIES 47,:Z..., PUBLIC SAFETY Reviewed by: 9 Y L/� Date: i FIRE SERVICES Third Review: ❑Approved as revised. A.enied. Comments: Reviewed by: Date: revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 322 f! �1e Office (904) 247-5826 Fax (904) 247-58, 4 1 �'Y /9?-2 1Ji Job Address: f�/NJGC (0 Perm +4�� ib 9 i Legal Description Parcel • j Valuation of Work$ e/A42- ' Floor Area of Sq.Ft. Work heated/cooled Class of Work(circle one): New Addition At---a-son Repair M9ve��Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial 63eesiderftial If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No et) Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be performed: eL)4W6r zw/ t / /o . /�.�T/o F 144i PlAyd Property Owner Information: Name: I ,i/a £.v/x/k fit/ Address: 5-9'/4lC tCO City Ar& I /-f Statek Zip .1 ZZ '3 Phone .29- 767- /7/ , E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: /Pm4.-)ZMd- LAG Qualifying Agent: Address: 3i 5 t9nf /fz il City J ' 4e-4r f/ State - Zip '?29) O f f i c e Phone ?4 57v is 9'/( Job Site/Contact Number ekeu K Z Z T Z Fax# 944 U_- A-k-9,931 State Certification/Registration# • IL 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 the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after is commenced. I understand that separate permits must be secured for ElectricalpWork,Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby 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 this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction.■ Signature of Owner i Signature of Contractor Print Name DeiikyLi / ` k/m,,,./ Print Name Before me Bef• -- this. D. of t r•/ '.y of voct !�'�'✓= State Qf Florida Notary Public / , - y rru so MY COMMISSION # FF 8073 >' '�' nn � y�412018086990 of F•° nil 14, 2017 °' `c ex`s" Expires: April • - ' 6.10 k_t - M/797 4m;no/g , J /-r-. 9i6/--o2/%.Z X aeo zoc ,i) iipkti. .y.3 i so 7�a bxi, J6 .a 4/AA 14, x n / /f0Z N ' (1 6ailie 2/ K 2O 'f 2,o / zysy ` , 1/)7re,(07 ,t1 ke4 (fOo \ IV 6 h / ____ 1 , AC t 12 Z eO g q z deed -123 rot -7 *AA 00,44 ( Pa v /7 X/ • zcq z , r r Olaii[ 6- ic:1 ` lir 27W 0p ( 61.7 2 3Y Z( 7 (6 4— 5114 1, ) xi 7! 4-71 ; i ___. . 2 N._ ./- 7 47—/S 7_5 — ge'PL dl G/,J G 5.fly`^'e_ -, ., . -- - , - — / --- _ l��S / ✓ i ir � L�/CJ, S 4 / �( tJ J._� / �Q i ()A-77 v Gv/ ��/L`J/O. 5 f f� v�`,e- S f--- 2.ht.A.,_2>FA-7-..Jfg.,8_b ot.s.6.,e__ s-6 2 _____--2-7,-,il't.z. ti/66,5- ,7