1303 OCEAN BLVD - RESID. REMODEL • '� ?S Ly.rj
\ '' I As, CITY OF ATLANTIC BEACH• `4,g4 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r J1319`�
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 16-RAAR-35
lob Type: RESIDENTIAL ALTERATION
Description: Remodel Existing Home and Addition to Existing
Estimated Value: $175,000.00
Issue Date: 3/15/2016
Expiration Date: 9/11/2016
PROPERTY ADDRESS:
Address: 1303 OCEAN BLVD
RE Number: 171835-0000
PROPERTY OWNER:
Name: PRIDGEN LIFE ESTATE, MARIAN S,
Address: 1303 OCEAN BLVD CIO DAVID M PRIDGEN
GENERAL CONTRACTOR INFORMATION:
Name: PHILLIPS BUILDERS LLC
Address: 1250 SELVA MARINA CIR QA BARBARA CAROLINE
PHILLIPS
Phone: - -
PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS:
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.
All concrete driveway aprons must be 5" thick,4000 psi,with fibermesh from the edge of pavement to
the property line. Reinforcing rods or mesh area not allowed in the right-of-way.
Full erosion control measures must be installed and approved prior to beginning any earth disturbing
activities. Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start
of construction.
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.
IiEEES:IS APPROVED ONLY IN ACCORDANCE W1771 ALL CITY OF ATLAN77C BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
•
\s f CITY OF ATLANTIC BEACH
,,..; 800 SEMINOLE ROAD
V �r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLAN CHECK FEES $352.50
BUILDING PERMIT FEE $705.00
STATE DCA SURCHARGE $10.58
STATE DBPR SURCHARGE $10.58
Total Payments: $1,078.66
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i. \J\
r `s� CITY OF ATLANTIC
800 SEMINOLE ROABEACH D
\1 ; ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0 1(l,.
RESIDENTIAL ADDITION
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RADD-123
Job Type: RESIDENTIAL ADDITION
Description: NEW DETACTED GARAGE
Estimated Value: $100,000.00
Issue Date: 3/15/2016
Expiration Date: 9/11/2016
PROPERTY ADDRESS:
Address: 1303 OCEAN BLVD
RE Number: 171835-0000
PROPERTY OWNER:
Name: PRIDGEN LIFE ESTATE, MARIAN S, *
Address: 1303 OCEAN BLVD CIO DAVID M PRIDGEN
GENERAL CONTRACTOR INFORMATION:
Name: PHILLIPS BUILDERS LLC
Address: 1250 SELVA MARINA CIR QA BARBARA CAROLINE
PHILLIPS
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $240.00
BUILDING PERMIT FEE $480.00
STATE DCA SURCHARGE $7.20
STATE DBPR SURCHARGE $7.20
Total Payments: $734.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH O• FFICE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: t ' U OGE14 4 1 =.11D Pi,CL, -12.2-L3 Permit Number:/6-OM 3 5~
Legal Description Parcel#
Floor Area of Sq.Ft.
Valuation of Work$ af_ � dv D Proposed Work heated /cooledZ-3£ non-heated/cooled
Class of Work(circle one): New • edition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial elide •
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
1 Florida Product Approval #
For multiple products use product approva oI f rm`—
Describe in detail the type of work to be performed: s1-c-c2,E oLD 2'lrra,J - HoVdt I.
Property Owner Information:
1
Name: Fo20 )PRItA,kpc Address: 12-- 0 S&VAMQQ),JA ClR -
City A ,1 , State1=1,Zi 3 2,2-33 Phone 344 -2. q q q
E-Mail or Fax#(Optional) 1c�1- tVt,t PS gv; loGCd CannGA-rr • t'J eT
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:rIk t UA P..( gv;�ot")c L LC_. Qualifying Agent:
Address: 1 ZSDSt:)✓A ✓A LI'.14 r A a City A.€ . State C', Zi
Office Phone 44 . - 2_ 9 9 q Job Site/Contact Number Fax# - p.�L�33
State Certification/Registration# C.13 12 C 7 3.i1-
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 ofa 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 a__pperiod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs, Wells, Pools, Furnaces,Boilers,Heaters,
Tanks arid 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 gover 'ng 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 .icel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
,..
. // ak /
3ignat u e of Owe i / A�4,,,,, -
Signature of Contract•��� 44 /4/411,
'Tint Name JG/4Fe G PH t(,i/ Print Name y " , * ..--44 '
3ef• ne, Be"/ Notary tary Public to of Florida
his e.a of ' ,_ • :. Shirley L Graham
Y NrtiL�I/d Y� f a W y Commissi
� � this 6 a o ,`.�?� or,r•F oes
ER,10r " Public Stet&of Florida y '-�" 1
rotary Public "'
of• Expires 02/14/2018 Notary Public `,.
Revised 01.26.10
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date: At 70)/i 6
Development Size
Habitable Space Non-Habitable
Impervious area Y2 92 to
Miscellaneous Information
Occupancy Group /2
Type of Construction V U
Number of Stories Z
Zoning District gr. -a
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone )C
Conditions/Comments:
pvI id"r5'
,.5, . ,1�,f CITY OF ATLANTIC BEACH ®A 'f')'"j
, a
�s - Building Department (o�-,,, c a S �4-- n et-
-, 1.
r. �l 800 Seminole Road
,,j, � Atlantic Beach,Florida 32233
(904)247-5800
"��Jiil��
TT, 7" n '--- f
PLAN REVIEW COMMENTS �
n „, u �1
Permit Application # / -/eAAI- 3 S
Property Address: / 30_3 O c ea n Bl vi f I. /J,
Applicant: A 71//)2I 13ti > Id el 3
Project: Re moote/ /ir -e ,
This permit application has been:
❑ Approved
17 Reviewed and the following items need attention:
aFe te
ay r c)vn n S •t ' --e If 0 C c2 i e
- III r 10 I,A c et) e O a ' cr is r—_
- - - .0 - - r " ans Ld (/er ace, '- r
• , 3 0 e-
`, , r,. . • • . - ■ r/ • r(, S e f
ry s ..- -,, -, ' - - ha /n -e-er- of
3 +-.&A 4 II-- i , n 01 -I' Cr, •41 Or _ 71-Y
-.-e e - r v
1472",/-9, O'Pc: - /-)/-/6 fil 9,-
911kE P. �n,ck{Ul ur 19�/L/ /-2/-/I-/r9'
Please re-submit your application when these items have been completed.
Reviewed By: f Date: /'20--/.
OLALS . City of Atlantic Beach APPLICATION NUMBER
w Building Department (To be assigned by the Building Department.)
<, 800 Seminole Road J ,`figR J!'
® r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
�j:- V E-mail: building-dept@coab.us Date routed: Atr
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /3i 3 40c2,V / 00) _De artment review required Yes No
uil •
Applicant: ] Mr.
/f s //1//7If / P1ning &Zoningb
' 1'1'e-6-Administrator
Project: Wc..14 4 K (1 % 4-0 . Public_Works
PU6ic 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:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied.
(Circle one.) Comments: //n f1 1 '+�,u� G� �r.� /t u
��/ �`'i l l p'td� ' w 0,1
BUILDING R ntZ^ !i]
PLANNING &ZONING �'t�/
Reviewed by: L— "" Date: 8/0(
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
"-tLAN �. City of Atlantic Beach APPLICATION NUMBER
.1 Building Department (To be assigned by the Building Department.)
r , ' 'r 800 Seminole Road //„ /)��Q.
�� r Atlantic Beach, Florida 32233-5445 (fi /`C l�
u Phone(904)247-5826 Fax(904)247-5845
:,,01 .ti- E-mail: building-dept @coab.us Date routed: / /
City web-site: http://www.coab.us 1
APPLICATION REVIEW AND TRACKING FORM
Property Address: /oh 3 1&fAi Ij1J Department review required Yes No
uil
Applicant: Ac.11ip.
e/A//(/i/ .-Panning &Zonini
lTee Administrator
Project: �� 4 d c -..Public Works
-PG6jic Utilities
1 r' Z 17771) Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required 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:
APPLIC a TION STATUS
Reviewing Department First Review: I Approved. ['Denied.
(Circle one. Comments: ilioc
BUILDIN .
PLANNING &ZONING Reviewed by: Date: 3 /0 6
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. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
r51..J-vyti City of Atlantic Beach APPLICATION NUMBER
4 �,� Building Department do be assigned by the Building Department.)
i 800 Seminole Road '�.�EIVE� //_ /EGA /�.
Atlantic Beach, Florida 32233-5445 JAN Q '� 2016
(� K/' /C
J // Phone(904)247-5826 • Fax(904) 247-5845 /
\ori 35 E-mail: building-dept @coab.us Date routed: /117 1(f'A
City web-site: http://www.coab.us BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: /431 2 4 k!M-/t/ I,'IJ De artment review required Yes No
r uil " _
Applicant: bAlilp' // I/�� ,.-PTanninq &Zonin�
T #794) t ree Administrator
Project: �0( 6 � G :�blic Works
�,r`lig 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:
APPLICATION STATUS
Reviewing Department First Review: Approved ❑Denied.
(Circle one.) Comments: _ee ' t44 6x44
BUILDING
i
PLANNING & ZONING Reviewed by: �./ Date: / 2-/ Z
4111•M■
TREE ADMIN. Second Review: ❑Approved as revised. ❑1,nied.
PUBLIC WORKS Comments:
` PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110
spa,% City of Atlantic Beach APPLICATION NUMBER
4s 116 Building Department EC (To be assigned by the Building Department.)
•=,?;.s 800 Seminole Road y�G EIVED j& - g, ,e- s
, Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)2,7-5845JAN 0 7 206
\-: on 91=- E-mail: building-dept @coab.us Date routed: / SI if,
City web-site: http://www.coab.us By: —
APPLICATION REVIEW AND TRACKING FORM
Property Address: th 3 40frAf IJlJ Department review required Yes No
uil
Applicant: ?1/) J/ < 4( //t//iii --Pla ninq &Zoning
Tree Administrator
Project: -Rc14 4 04 l
/1---b4/r� c ,Public.Works�
Pic l..1 ie
Public Safety
Fire Services
Review fee $ ,Z Dept Signature 5'v.\
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By_ —
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: (proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Air )
t'`�� Sate: ( /Z r-I.
i
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
P LIG WOR Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
MAP SHOWING SURVEY OF
LOT 1, BLOCK 53, MANDALAY AS RECORDED IN PLAT BOOK 10, PAGE
11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
OFFICE COPY
LOT 7
(
( 10 20 40
SCALE: 1" = 20' (50.22' FIELD)
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JS -0-tv..to, City of Atlantic Beach
APPLICATION NUMBER
ate , Building Department (To be assigned by the Building Department.)
800 Seminole Road
/6.7- �TI \ - /z 3
�• Atlantic Beach, Florida 32233-5445 (/
Phone(904)247-5826 • Fax(904)247-5845
'L�;��g� E-mail: building-dept @coab.us Date routed: / �9 *
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Je573 °dear -E1vo D- • . ment review required Yes No
Applicant: Mliip-6 1 (di de_____ Planning & •.'..
r''e-77-dministrator
Project: _ _DIT,�CTed eat: - blic Works
N �� C Ptilities>
7! t� t'=ic 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:
APPLICATION STATUS
Reviewing Department First Review: ['Approved. 52Denied.
(Circle one.) Comments: SLG A �_/4G
BUILDING l
PLANNING &ZONING
Reviewed by:��,V1�� Date: .2/4f�/1
TREE ADMIN. Second Review: A roved as revised.
pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:�il��i-- Date: .33/6
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
�,ttif City of Atlantic Beach APPLICATION NUMBER
�s ; Building Department (To be assigned by the Building Department.)
800 Seminole Road /)
L L
A. Atlantic Beach, Florida 32233 5445 4$*" re v /2 3
e):. r
/ Phone(904)247-5826 • Fax(904)247-5845 q
x J;m 9/ E-mail: building-dept @coab.us Date routed: �/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 03 O a7-. /,6J D- fi• t review required Ylr No
Applicant: fAlti0-4 / l d ies P annin. & sass
-.Me-Administrator
Project: _ .31 .I T 11 6/1 4 eat:
— blic Work Na� TR C.-it P tilit�
ic'Sv-afety
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
0 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:
APPL ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: Approved as revised. ❑De ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110
MAP SHOWING SURVEY OF
LOT 1, BLOCK 53, MANDALAY AS RECORDED IN PLAT BOOK 10, PAGE
11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
Pc)
1N/ t2K
S
III
RT
03
;
LOT 7
(
Q 10 z0 40
SCALE: 1" = 20' I (50.22' FIELD)
0
50.00' FOUND 5/8"
'co d in REBAR, NO CAP
Fx x WOOD x FENCE x X o T—
FOUND 1/2"
IRON PIPE, NO A B C
CAP /
x
LOT 1
Z
r
I-
L,.
0
O
W
0 x 6' WOOD
`DI FENCE
0 `—X— DEMOUSHED 0.3'
> r 0 w PORCH
W 4- 18.8' 24.0'
—I u_ o O 0 LOT 2 CS
0 ° o 00 2STORY oNUN - O °
CO 5 a WATER F,=_--i BLOCK o 0
G✓ C METER AND 13 O o
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WOOD ;,. O
Q STEPS RESIDENCE^ o T U.r2 ,{k
W \ No. 1303
U
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"3 Ca>UL -
I 5
CONCRETE I 1
BRICK _ //���
DRIVE V_ 1 24.0' ry(�1 PUS1 —`^'•`u'J �.w�
18.7' l-�
BRICK 1" GGn(G '
WALL BACKFLOW
PREVENTER
t17 q
NOTES: t0 N l dt
0
1. THIS IS A BOUNDARY ° o
SURVEY. 0 UND 1/2"
2. NORTH PROTRACTED D C MP PIPE, NO
FORM PLAT. _------------__
3. INTERIOR ANGLES ARE FOUND 1/2"
r '
AS FOLLOWS: SAP PIPEE ,, NO 50.00
(50.02' FIELD)
A:89'33'58"
B:90'19'09" 13th STREET
C:90'49'39"
D:89'17'14" 40' RIGHT OF WAY
4. NO BUILDING PAVED PUBLIC ROAD
RESTRICTION LINES PER
MAP SHOWING SURVEY OF
LOT 1, BLOCK 53, MANDALAY AS RECORDED IN PLAT BOOK 10, PAGE
11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
I
k-----------------------------------------------
I cp
LOT 7
10 20 40
SCALE: 1" = 20'
(50.22' FIELD) O
Co 50.00' FOUND 5/8"
0 6' WOOD FENCE In REBAR, NO CAP
ci
%-X-%-%-
x
X
FOUND 1/2"
IRON PIPE, NO A : C/ C} �—
1 LOT 1
H in "/".
z
0
0
a
0
Et �" 6' WOOD
^ FENCE
Q x--- DEMOLISHED I 0.3'
>- "cc() w_ 0 18.8' IPORCH t
W D �` Q 24.0'
D0J ;T: O LOT2
5 O z r.
m .� .-- •,
m WATER BLOCK ONLIN: a 00
r,Y ^ METER AND 3
Z j CONCRETE a WOOD I� V•
Q O� Q STEPS �. O
W C a RESIDENCE: 11 O o v. �
O 1 No. 1303 w
'o g Pe.C -GdNSjed't60
/ x2 C a N cne_
/ I M , 1S--1
CONCRETE I \ 1.5
DRIVE 3RICK
18.7' �-- 24.0' 4A-L
PvS 1- G61.LStj-e
BRICK 1"
WALL BACKFLOW C C/N G
PREVENTER 0
NOTES: Co o N U
ij
1. THIS IS A BOUNDARY °
SURVEY. N v FOUND 1/2"
2. NORTH PROTRACTED D C CAP PIPE, NO
FORM PLAT.
3. IN7glnR nNCLEc ARE FGUND 1/2" rr� .� '
AS FOLLOWS: IRON PIPE, NO `)0,00
CAP (50.02' FIELD)
A:89'33'58"
B:9019'09"
C:90.49'39" 13th STREET
D:89'17'14" 40' RIGHT OF WAY
4. NO BUILDING PAVED PUBLIC ROAD
RESTRICTION LINES PER
PLAT.
THE PROPERTY SHOWN HEREON APPEARS
TO LIE IN FLOD ZONE "X" (AREA OUTSIDE
OF THE 0.2% ANNUAL CHANCE THIS SURVEY WAS MADE FOR THE BENEFIT
FLOODPLAIN) AS WELL AS CAN BE OF PHILLIPS :■ IL ERS.
DETERMINED FROM THE FLOOD INSURANCE
RATE MAP No. 12031 C0409H, REVISED
JUNE 3, 2013 FOR DUVAL COUNTY,
FLORIDA.
NOT VALID WITHOUT THE SIGNATURE AND THE DONN W. BOATWRIGHT, P.S.M.
ORIGINAL RAISED SEAL OF A FLORIDA UCENSED FLA. C. SURVEYOR AND MAPPER No. LS 3295
SURVEYOR AND MAPPER." FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672
CHECKED BY: ,e BOATWRIGHT LAND SURVEYORS, INC.
DRAWN BY: CL 1500 ROBERTS DRIVE DATE:OCTOBER 16, 2015
FILE #: 2015-1273 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1
Doc # 2016052296, OR BK 17485 Page 55, Number Pages: 3, Recorded 03/08/2016
at 10:17 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $27.00
Prepared By and Return to
C. Davis Ely, Esq.
Rogers Towers, P.A.
1301 Riverplace Blvd., Suite 1500
Jacksonville, Florida 32207
GPIs 134 / /ka7rlD
Permit No.
Tax Parcel No.: 171835 -0000
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSIGNED hereby gives notice that improvements will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, the following information is
provided in this Notice of Commencement.
1. Description of Property: Lot 1, Block 53, MANDALAY, according to the map or plat
thereof recorded at Plat Book 10, Page 11, of the Public Records of Duval County,
Florida.
Street Address: 1303 Ocean Boulevard, Atlantic Beach, Florida 32233.
2. General Description of Improvements: Construction/renovation of a single- family home.
3. Owner Information:
(a) Name: FORDPHILLIPS PROPERTIES, L.L.C., a Florida limited liability
company.
(b) Address: 1835 Third Street North, Jacksonville Beach, Florida 32250.
(c) Interest in Property: fee simple title.
(d) Name and address of Fee Simple Title Holder: See above.
4. Contractor: Phillips Builders, LLC
Address: 1250 Selva Marina Circle, Atlantic Beach, Florida 32233.
Phone number: (904) 349 -2999.
Fax number: (904)
5. Surety: N /A.
(a) Address:
(b) Amount of Bond:
6. Lender Name: FirstAtlantic Bank, Attn: Loan Operations
Address: 1325 Hendricks Avenue, Jacksonville, FL 32207
Phone number: (904) 421 -3721.
7. Person(s) within the State of Florida Designated by Owner upon whom notices or other
documents may be serviced as provided by Section 713.13[1][a][7], Florida Statutes:
(a) Name:
JAX12025027_1
OR BK 17485 PAGE 57
STATE OF FLORIDA
COUNTY OF DUVAL
A da of
M The fore, 2016, by P instrument
Campbell Ford, as before me
r f FORDPHILLIPS
I � , Cry �`•` ,
PROPERTIES, L.L.C., a Florida limited liability company, on behalf of the company, He
(check one) IN is personally known to me, or ❑ has proved to me on basis of satisfactory
evidence to be the person who executed this instrument.
,.�
Not Public, State of Fl rida�
004Cds" Name: CI r■ C .
Not' pG My Commission Expires: . _ ` y "
" - .' t Corns My Commission Number is: J'� 1
ms 8144019 4 3
.�. _a annlF
....e
JAx\2025027 -3-
OR BK 17485 PAGE 56
(b) Address:
8. In addition to himself, Owner designates the following person to receive a copy of the
Lienor's Notice as provided in Section 713.06[1][b], Florida Statutes.
(a) Name: Commercial Loan Administrative Solutions, Inc., Attn: Mindy Lemen.
(b) Address: 3168 U.S. Highway 17, Suite D, Fleming Island, FL 32003.
(c) Phone Number: (904) 637 -2504.
9, Expiration Date: twelve (12) months from the date hereof.
WARNING TO OWNER: ANY PAYMENTS MADE BY THE
OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713, PART I, SECTION
713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SI'Z'E BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
"Owner"
FORDPHILLIPS PROPERTIES, L.L.C., a
Florida limited liability company
By: / �.
`� ■-,i
N. P. Campb ord
Its: Manager
Jnx '2O25O27 1 -2-