777 VECUNA RD - DRIVEWAY 01-i-vi-,
` . `f f CITY OF ATLANTIC BEACH
r r 0 800 SEMINOLE ROAD
,,,.,,
.75v ~ ATLANTIC BEACH, FL 32233
P'tOA 9%'' INSPECTION PHONE LINE 247-5814
DRIVEWAY - SINGLE OR TWO FAMILY DRIVEWAY
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: DWAY17-0014
Description: paver driveway
Estimated Value: 7342.6
Issue Date: 8/30/2017
Expiration Date: 2/26/2018
PROPERTY ADDRESS:
Address: 777 VECUNA RD
RE Number: 171327 0000
PROPERTY OWNER:
Name: INGRUM ROBERT E
Address: 777 VECUNA RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
,
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
0
1
0
•S! `pr City of Atlantic Beach
A 4., APPLICATION NUMBER
is Building Department (To be assigned by the Building Department.)
'` /�" f 800 Seminole Road /�
°--111111,—
Atlantic Beach, Florida 32233-5445 V r 1 y(�-00 y
Phone(904)247-5826 • Fax(904)247-5845
"Lo;t15%- E-mail: building-dept@coab.us Date routed: D f a'7 I (4
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: VLLUI t1 c2-(1 • Department review required Yes No
Building
Applicant: ^( CI)Ianning &ZorTrnTiTh
Tree Administrator
Project: Ql 11 �^( 6.,I(�v�i.,) ( • ( Public Wor s
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:
APPLICATION STATUS
Reviewing Department First Review: gjApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by Date: e72-3/17
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. [Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
ei,,J-,- , BuildingPermit Applicati � _
ar� 14. /5/1,
>iii� City of Atlantic Beach 1 m E C E EIV l
800 Seminole Road,Atlantic Beach, FL 32233 J
Phone: (904) 247-5826 Fax: (904) 247-5845`1 AUG 2 1 2017
Job Address:/777 \e C r'
k�^��� per F-1... �.02 3 Permit N�mber: ►� r► r /
Legal Description
Valuation of Work(Replacement Cost)$'7, 310. (o() Heated/Cooled SF Non-Heated/Cooled 9 A
• Class of Work(Circle one): New Additio Alteration Repair Move Demo Pool Window Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential / .
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No so
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
escrlbe In detail the type of work to be performed:
kLtrir cor\C '.-k drk,Ie i,.\<, L k',.xl.,.. (apprax loou5:64e.Dlo.L.k L
(en\aarc Ub"All 3L
l -k Wt A-\()__ v.e_X-S Cl1U6g��
Florida Product A roval# for use multipleproducts
Property Owner Information p product approval form
Name: i[ L. _ as Address ��
City+L1a .awn ' •InAk State 'pi_ Zip.2 3'3 RPh
E-Mail try t ins rl�rc oP .CVvY\ one 9644 �o��"�Ln�
Owner or Agent( Agent, Power eit Attorney or Agency Letter Required)
Contractor Information
Name of Company:5Q1V Qualifying Agent:
Address City
Office Phone State Zip
Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name.&Phone#
Engineer's Name&Phone#
Workers Compensation •
Exempt/Insurer/Lease Employees/Expiration Date
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 the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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
REC.R r IN ' OUR NOTICE OF COMMENCEMENT.
/LA
1111. (Signature of Owner or Agent)
(including contractor) (Signature of Contractor)
Sii[gned and sworn toor.ffirmed)before me this o�1 day of Signed and sworn to(or affirmed)before,me this day of
�i 1/'hri , `-c, ; •y A i5'�i/Ler `T.N Kms"\
•
, by
iiii,\„1.,,,.Ae..A.A_. �Ly� ' d1tipNJ
�r�ffif
«,+��, ALBERT MORENO (Signature of Notary)
l
4)11
''s.-.1P-4:<'''''.. Notary Public-State of Florida I1 .
, Commission�FF239295
Aersonally Known OR :,; �? My Comm.Expires Jun 9,2019
.,•F�Ff,o,, [ ]Personally Known OR
[ i Produced Identification' ", ++`' BGm•;edlhrotrhNa<o^31Noiary�tissn.
__ .,. i ]Produced Identification
Type of Identification: ' ' - Type of Identification:
.:<w:::y.:...
s--� J City of Atlantic Beach APPLICATION NUMBER
s r \ Building Department (To be assigned by the Building Department.)
\` ,
� 800 Seminole Road � �� Ow A l it_vb/y
Atlantic Beach, Florida 322335445' v t
Phone(904)247-5826 Fax(904)247
22 2011
0109: L E-mail: building-dept@coab.us Date routed: 0& (C7 t
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: VQ-uU-nU c2-(1 , Department review required Yes No
Building
Applicant: DW N-4 Planning Zonin�
Tree Administrator
Project: Q a ¢-4 0.4 t 1t_i- Public Works
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:
APPLICATION STATUS
Reviewing Department First Review: /Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: i;Jr Date:
TREE ADMIN Second Review: Approved as revised. Denied INot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
------------- -------
FIRE SERVICES Third Review: I /Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
a Yj f.AVptrir.,
0- ' r:A,`'ft;
CITY OF ATLANTIC BEACH
Y ItWNER./.BUILDER AFFIDAVIT
•
•
, I. FLORIDA' STATUTES; .CHAPTER 489, FLORIDA STATUTES, PART 1 =CONSTRUCTION
• CONTRACTING REQUIRES OWNER/BUILDER TO ACKNOWLEDGE TI-(E LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDASTATUTES:
STATE LAW REQUIRES ' CONSTRUCTION •TO BE •SONE BY LICENSED -
CONTRACTORS. YOU HAVE APPLIED FOR A PEFdVIIT UNDER AN EXEMPTION TO THAT
• LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNED OF YOUR PROPERTY,T.0 ACTAS
YOUR OWN CONTRACTOR EVEN THOUGH•YOU 150 NOT HAVE A,LICENSE. YOU MUST
SUPERVISE TITE CONSTRUCTION YOURSELF. IOU MAY BUILD OR IMPROVE A ONE-OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL 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
1 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
I-TIRE 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
ORDINANCES. .
II. 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. •
i .
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
II 455-228(1). 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
II 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.
FESS #1 A• , r PHONE NU 1_ -�CJOC,1
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P'# - '
/E dp
te. 8 �o ao t 7
SIGNATURE D E
5?
Before me this 91 day ofu N ,20 19—in the county of
Duval,State of Florida,has personal) ppeared herin by himself I herself and affirms 1-;,•, •-. *._ ,,, -dO• - ^-''
all statements and declarations are true and accurate. ��,,,"is,, ry "ALBERT MORENO
q� :iP'RY PUe-ice
Notary Public at Large,State of �,}'" I�llounty ofDIA/ �' ?roa u c.' Notary Public State of Florida
@.,*, Ao; Commission#FF 239295
�PersonallyKno ' 'say° i_eoe.' My Comm.Expires Jun 9,2019 a.
0 Produced Ident'�:'on- ti ''''48fAV:?" Bonded through National Notary Assn.I;'
,....�. ;,.....,�.-- -;' -,. •gin .» : •.[;• "4>"' :.
. Notary Signal -: vr' 'rk 1A5r/'--7 - 'I ve�niV
•
F:/BLDG/Omer-.Older Affn vii;REVISED:4/16/2009
____
Da
PREPARED BY: ....... \ ••••••• 1 i
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PROPERTY ADDRESS: 777 VECUNA ROAD JACKSONVILLE,FLORIDA 32233 SURVEY NUMBER: 111410.1908
FIELD WORK DATE:iorarzoin REVISION DATE(S):(REV.O 10/23/204)
FL1410.1908
BOUNDARY SURVEY
DUVAL COUNTY
LOT 13
BM I 4
6 LOT 14 LOT I 5
I/2'FIr iri
TABLE: NO ID 0 . BM 14 o . BLK 14
LI 5 85°37'2T E 1 70.65'(r) 1.3'ON 5 85°48'20'E 80,3 j 1( ) 62.' 6
5 85°3758'E 171.09'(M) IN
is 5 55°3727'E i•...5.."-- ••• 1/2'F1P
05°9' MIN NO.
PU IC WORKS Gw.f. 5.D.u.,_
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NOTES
k :
A.
7°4%4, 5EMACK.IWORMAT10.4 5 .'N ON MAT,NOT VERIFIED
•\,.' .ei, LOT APITAR:3 TO et VXVICCD DV CITY WATZR.MO 5Niti2
I hereby•- ," , :(this Bob**Sony. . hereon desafbed MCC OWNER5111?NOT OrTERM)NED
piDperTyl,;,i, made under m •':••••• : •to the best of my •
knowledge: Eli-•-,Vs alMe• ••:,.Lz:;.repirsertation of a
survey that 741 the standards 41• . 7-0 forth by the Florida 30 0 15 30
Board Of' •-7,..,„:, ...tii.••,.•: • 1).•• as described in --iimr—mml----
Chapter 5.1-17•f;') I• s: ••, ' :.•.f.,r,f Code.
z suRvv.-01- GRAPHIC SCALE (In Feet)
Hark&Johnson 1 inch = 30' ft.
Sial of Florida Professional Surma and Mapper
., ... .......
PUBLIC WORKS PLAN REVIEW COMMENTS ,/n_
Date: ,r'--aZ�--i 7 Application#: ..1)�'',V/Ty /7 ��/7
Project Address: 777 Ve_ -r) ct, ed •
CONDITIONS OF APPROVAL TO PRINT ON PERMIT Check to Bo
x Select
All concrete driveway aprons must be 5"thick,4000 psi, with fibermesh from edge of pavement
Driveway to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. 0
Apron (Commercial driveways–6"thick).
Full erosion control measures must be installed and approved prior to beginning any earth
Erosion disturbing activities. Contact the Inspection Line (247-5814)to request an inspection from Public
Control Works for Erosion and Sediment Control Inspection prior to start of construction.
Onsite All runoff must remain on-site during construction.
Runoff
Post Const. If on-site storage is required, a post construction topographic survey documenting proper
TOPO construction will be required. All water runoff must go to retention area and retention overflow 0
Survey must run to street.
Pool Pool–Wellpoint(if used) must discharge into vegetated area 10' minimum from street or drainage ❑
Wellpoint S
ROW
feature(swale, structure or lagoon). A separate Pool Permit is required.
Roll off Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling, r,/
Container hapell's, Inc., Republic Services). Container cannot be placed on City right-of-way. A�
—I
❑
Restoration Full right-of-way restoration, including sod, is required.
Utility Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid
Road Cut 10' in each direction from the center of the cut. Repair must be shown on the plans.
Construction Provide construction site management plan, including location of silt fence,dumpster, portable ❑
site Mgmt. toilet. Right-of-Way Permit is required if using right-of-way for construction parking.
Runoff All runoff must remain on-site. Cannot raise lot elevation. 0
Document Strongly suggest thorough documentation of impervious areas be recorded. 0
Impervious
Slab Slab and driveway to be fully removed. 0
Driveway
Maximum Maximum driveway width within the City right-of-way is 20'. IF
Driveway
Circular Maximum circular driveway width within the City right-of-way is 12'. 0
Driveway
Grass Full site to be grassed. 0
TOPO Must provide a topographic(TOPO) survey with water retention for final C.O. Inspection. 0
Survey
Revision Any plan change must be submitted as a Revision to the Building Department. 0
Fencing All old fencing must be removed from job site by Contractor. 0
Removed
Decking All old decking must be removed from job site by Contractor. 0
Removed _ /
gra kms, 4/4 f hifec l- 4 �iipl t
7'l7 Ue6Ipcet-441 W /fr av/f
Loi-
qj 49o.461 7.c'o0
lletre - 31-- 7K Y f 3/6
61-'1 /040Z-
t"NI I . _tt 7 '4,, /ee.rV2 >_
– W4117 1/NrX -1 u
iroiVekk ,23.E V 61fr• _.
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/ 7
— 44; 4/144c 4fz, x a/7 zoo _..—
� `r
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e A
,,14001
REVOCABLE ENCROACHMENT PERMIT
Alj
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this/S day of Au ci v S fi 20 17,
by the City of Atlantic Beach,Florida,a municipal ce oration organized and existing under he laws of the State of
Florida,hereinafter referred to as"CITY"and -PN T ,a-h Cv Rv w.
of Atlantic Beach,Florida,hereinafter referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the
property for the purpose as described in the City of Atlantic Beach Right-of-Way Permit#
This work is generally described as Pct¢V 'V' pr j tie 4ie,
Any facility maintained, repaired, erected, and/or installed in t e exercise of the privilege granted remains subject to
relocation or removal on thirty(30)days' notice by CITY to USER, said not•ce to USER shall be given by certified mail,
return receipt requested,to the following address Q C / a 1 F
• 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 permit 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."
• 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 within 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 right-of-ways and
other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by
the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby
assumed by the USER.
i`--- Date $h i/2 o/
Prope Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this a I day of II0431.A.S t- ,20 11 ,
by Va0 LI k 1 n (a(Yl ,who personally appeared before me and
(printed name of Signer
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
Si_(1:ture of T tary 'u'lie, State of Florida
Approved/Public Works Department:
Personally Known
Produced Identification(Type) (34-149j S Vtt-.e yIS-Q
•3t JENNIFER JOHNSTON v �. i�,.c.
ti▪ =• MY COMMISSIONGGOt2984 Scott if iams,Interim Public Works Director
PI it j EXPIRES:October 27,2020
�+� o! Q°''• Bonded Pau Notary Public Underwriters
a r a♦r ��
•
•
i it
i RIGHT-OF-WAY / EASEMENT PERMIT
' Permit#Issued by the City of Atlantic Beach
PERMITTEE RESPONSIBLE OR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 7 7 7 \e c v N it Phone Oil) G S- ( -O 6 0,-
Permittee obey 1 xid G R -V tiEmail f e,i hip u e g )Q i 1
1 .. •ea,1,4..
Requesting Permission to Construct Pef vev, Drive w oy
Location(Reference to Cross-Street) ya/ A f h 5
• Permittee declares that prior to filing this application they have ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
• 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 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.
• All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of j O1'I 1 &Rv k (Project Superintendent)
located at _7 7 7 \/eccva a I` •
• All materials and equipment shall be subject to inspection by the Director of Public Works.
• 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.
• 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 City
right-of-way are to be included with this application.
• The permittee shall commence actual construction in good faith within j9 days. If the beginning date is more
than 60 days from date of permit approval then permittee 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.
• 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.
• The Direct() of Public Works shall be notified twenty-four(24)hours prior to starting work and again
• edia ,pon completion.iri;....
Ji/ i
Date Permittee(signe. rn p esnce of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this c ?\ _day of Avtb t,,LS r ,20 1I' ,
by (913.(-4 c 1'n At u_M _ ,who personally appeared before me and
(printed name of Pennittee) b^
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. •':'' JENNIFER JOHNSTON
`- MY COMMISSION 4 60042984
,+. •: EXPIRES:October 27,2020
Bonded Puy Notary Public Underwriters
\ • •a. _1 , 41
:'. .►i Personally Known
Sign. e of Nota V Pttbli .tate of Florida ‘Produced Identification(Type) cLi , lL.fS \ka(}�
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PREPARED BY: \ �*
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LAND SURVEYORS . _
Serving affof 4•Yorirfa _ _ • -- •” • '"'""" `
PROPERTY ADDRESS: 777 VECUNA ROAD JACKSONVILLE,FLORIDA 32233 $ SURVEY NUMBER:FL1410.1908
�I�wie
FIELD WORK DATE: 1023/2014 REVISION DATE(S):(REV.o 10/23/2014)
FL1410.1908
BOUNDARY SURVEY
DUVAL COUNTY
LOT I3
13l.K 14 0
ur FIr 9 LOT i 4 LOT 15
TABLC. No ID o S 85°48'27'[ B(.IC 144 io o . BLK 14
L I S 85°3727 E 170.65'(P) 1.3' _ S 85 x'31 (M) I/2 Flr
5 85°37'58'E 171.09'(M) ° 7'27'E '••_5, P NO ID
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•.1'off
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{'l }APP VED Seo ;� N
{ }DEN D ��� 1 `°co
{ }NOT PLICABLE TO DEPT a W W 31.fr F. 33
m 7.I o Lin uu')
LOT 14 ANN _ LOT 9 cub
BM 14 m N(NI 14.0
Z Z 10.6'
MK 14 0.3'OFF %',
15rl iv . 1.I'OFF I'';P. 1•1
0.2 OFF _ RG5 rIT� al
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in �5�. 1':d �b
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NO ID NO ID .'3 3727 1.1f.,• O.2 OFF
a B.C. Tri •I'521 •65'(P) I/r Fir
#44,FA p r4rie . 4 b.:;..r
ugwvianapius241,11..,awammencieintuve..4"re 0 "IA .
Adir # Ale Of .
41, NOTes.
A. JO1
4-cy.14s13 Nti pt, 5[TT?ACK INFORMATION 5HOWN ON PIAT.NOT VERIFIED
v44, LOT APPrAR9 TO DE SfRVICWD DV CITY WATIM AND 5CW[R
I hereby'• r ,rt this Bobr 'Surrey,1, :hewn described PNCC ovneRstitr NOT DeTERM'NtD
property has,l: made under d':•',', • 'to Use best of my .
knowledge`..,,• :,Nis alive as••::•= representation of
survey that . the standards,.' :•I lath by the Florida 30 0 15 30
Board Of' ' 7,. : Su� -:`�• as described by
Chapter5J-17' .7, ,:Aahunis,.!,';:Code.
• "IL suRVE'°V. GRAPHIC SCALE (In Feet) 4
Mark&Jo►nson 1 inch = 30' ft
Stale o(Florida Pra(esaiooal Surveyor and Mapper
NOTICE OF COMMENCEMENT
State of rio Irv;Aq County of 0 u v q I Tax Folio No. 1 7 1 3,27 OC)00
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. / /
Legal Description of property being improved: '3 1— j ( 7_ 5 ^ r Re / /
WI; -rt t9 8 //c _
Address of property being improved: 7 7 7 ec V K q 1 A1-414fi e &�'c h i - L 3 aa 33
General description of improvements: f q,ye I3V`e v., Ci,„7
Owner: Re,b,°G'T IA bZV 1M Address: 777 c'6N2 Pei) At1gmfic. 05ct=L 3 .33,
D
Owner's interest in site of the improvement: A20 0/r
Fee Simple Titleholder(if other than owner):
Name: �1
Contractor: SQ Wte. GQ S D bu N ioV'
Address:
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1)year from the date of recording unless a different date is
specified): —
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:40,9, 3 (7/.; z9(
Before me this 3 0 d<y of F-lq t.44 IaOain to County of Duval,State
Of Florida,has personal) ppearcd b p(J�. cA.Q A4 k �-��l to
Doc#2017205484,OR BK 18109 Page 1707, Personally Known: or
Number Pages: 1 Produced Identifi tion:
Recorded 08/31!2017 at 01:36 PM, Notary Public:
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission ex es: _
COUNTY
RECORDING$10.00 ;f loll•.
JENNIFER JOHNSTON
reg . MY COMMISSION#GG 042984
• .� :o EXPIRES:October 27,2020
os p.0,.•' Bonded Thru Notary Public Undennite's
PREPARED BY: :-... w.. t 1114ipr
S,
i . Z - -
E _____ACTA
..
LAND SURVEYORS �' w�V � _ ' '
Serving air of'Florida 1...........1...............-�. . ...- 6 �:• .ti 6 .: .I
-• ••••••j,r' --• .«.r,..' 4- .1 -,c 1 r.r ..
PROPERTY ADDRESS: 777 VECUNA ROAD JACKSONVILLE,FLORIDA 32233 SURVEY NUMBER: FL1410.1908 •
FIELD WORK DATE: •o, :r;:: : REVISION DATE(S):(REV.° 1oR3/2014'
FL1410.1908
BOUNDARY SURVEY
DUVAL COUNTY
LOT 13
BLK 14 =
1/2 FIP o LOT I4 i LOT I5
TABLE: No ID d BLK 14 o BLK 14
L I 5 85°37'27' E 170.65'(P) I.3'ON 5 85°4620•E o c-n
S 85°37'58'E 17 I.09'(M) iiir 5 85°37'27 E 80.3 I (M) N •• 1/2'FIP
0.5'OFF r Y -5' P NO ID
6 W.F. 5'DALE. ��,, •,‘
_ N • •.I'OFF
: N ® 1 1.8. _
CL T. C�
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to Ziqt&A
CNN
Er WWW ci 31.9' 33
O O m CG
W LOT 10 "'m m Nin
CO BLK 14 m N N LOT 9 14.0 •Nr
0 V °v°v — to
V BLK 14
> Z z 10.6' 0.3'OFF LOT 8
0 n. w 15TY, N • '.:'orF BLK 14
,. O Lt W a 0.2'OFF CI N Res •#777 M ,
paw0 s: t 2ss'
t O *�' ~a' b
; 17.6' OF.Cr • UNE iii
O r
L I 0.2'0 . •
.2 CD •
112'PIP 1/2'FIP 0.2'OFP
NO ID NO ID ej
if,, 37'2' •
B.C. TIL .., •I'S2' •.36'(M INo IOP •
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1 111"1":4 re 1:11114
ii ,
4 . . ...44P'We,_ AI r dip:d e 0 dyllr Ar.
is, A 10r1A,a, NOTES:
+1.614gg 44O,I, I SETBACK INFORMATION SHOWN ON PLAT.NOT VERIFIED
S, 6,4' LOT APPEARS TO BE SERVICED BY CRY WATER AND SEWER
I hereby cert' r tt this Bo§ndaJy Survey if e hereon described FENCE OWNERSHIP NOT DETERMINED
propertyJtas i::nmade under m direcbb . d to the best of ray
1Sir• •,i
knowledge: tis a tree a r.=:•- • •r.resentaboa of a
survey that 1 the standards d(pracr'.: t forth by the Florida 3o 0 15 30
Board Of Prof--:••'nal SuR:;•TiOnd7Gf r�.:IS as described in ,`
Chapter 5J-170 7onda Adminis•:, OrCode.
OA,'It StravViO' GRAPHIC SCALE (In Feet)
Mark A.Johnson 1 inch = 30' ft.
I
State cf Fonda Professional Surveyor and Mapper
� _,,i
Ucense No.8572 ,
Use of This Survey for Purposes other than Intended,Without Written Verification,will be at the User's Sole Risk and Without liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
• FLOOD INFORMATION: POINTS OF INTEREST
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING 1.RESIDENCE OVER 25'SET BACK UNE 2.WOOD FENCE OVER 5'DRAINAGE
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE AND UTILITY EASEMENT 3.SHED OVER 5'DRAINAGE AND UTILITY EASEMENT
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03/13.
Florida•
Land AFFILIATE
CLIENT NUMBER:SIC 4 DATE: 10/23/2014 t. ' Title Association
_FLTA MEMBERS
BUYER:ROBERT E.INGRUM
i
SELLER:CASTLE CORP OF JACKSONVILLE -411
CERTIFIED TO:ROBERT E.INGRUM;SUSNHINE TITLE CORPORATION;FIDELITY
NATIONAL TITLE INSURANCE COMPANY;QUICKEN LOANS, q C T
INC.;
ITS SUCCESSORS AND/OR ASSIGNS;AS THEIR INTERESTS MAY
APPEAR Land SurveyorsInc.
www exactaWnd.com
/ P.866-735-1916.F.866-744-2882
This is page 1 of 2 and is not valid without all pages. LB17337 11940FairwayLakes Drive,Suite 1.Ft.Myers.FL33913
REPORT OF SURVEY FL1410.1908 This is page 2 of 2 and is not valid without all pages.
LEGAL DESCRIPTION:
LOT 9,BLOCK 14,ROYAL PALMS UNIT TWO A,AS PER PLAT THEREOF,RECORDED IN PLAT BOOK 31,PAGES 1, 1A, 1 B, 1C AND 1D,OF THE
PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA.
w
JOB SPECIFIC SURVEYOR NOTES:
THE BEARING REFERENCE OF NORTH 4 DEGREES 22 MINUTES 33 SECONDS EAST IS BASED ON THE WESTERLY PROPERTY LINE OF LOT 9,
BLOCK 14,LOCATED WITHIN ROYAL PALMS UNIT TWO A ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 31,PAGE 1 OF
THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA.
GENERAL SURVEYOR NOTES:
'. The Legal Description used to perform this survey was supplied by others.This survey does not determine or imply ownership.
2. This survey only shows improvements found above ground.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 as the location was either shown to Exacta by a third party or it was estimated by metal detection,
probing rods,and visual above ground inspection only.No excavation was performed in order to determine the exact and accurate location.
4. This survey is exclusively for the use of the parties to whom it is certified.
5. Additions 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 or parties.
6. Dimensions are in feet and decimals thereof.
7. Due to varying construction standards,house dimensions are approximate.
4 8. Any FEMA flood zone data contained on this survey is(or informational purposes only.Research to obtain such data was performed at www.fema.gov.
9. All corners marked as set are at a minimum a rh'dlameter,18'iron rebar with a cap stamped L9#7337.
i 10.If you are reading this survey in an electronic format.the information contained on this document is only valid if this document is electronically signed as specified in
Chapter 51-17.062(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 are kept in the office of the performing surveyor.If this document 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 title was NOT performed by the signing surveyor to determine which instruments,if any,are affecting this property.
12.The symbols reflected in the legend and on this survey may have been enlarged or reduced for clarity.The symbols have been plotted at the center of the field •i
location,and may not represent the actual shape or size of the feature.
13.Points of Interest(POFs)are selected above-ground improvements which may be in conflict with boundary,building setback or easement lines,
as defined by the parameters of this survey.There may be additional P01's which are not shown,not called-out as POTS,or which are otherwise
unknown to the surveyor.These P01's may not represent all items of interest to the viewer.
14.Utilities shown on the subject property mayor may not indicate the existence of recorded or unrecorded utility easements.
15.The information contained on this survey has been performed exclusively,and is the sole responsibility,of Exacta Surveyors.Additional logo or references to third party firms are for
informational purposes only.
16.Pursuant to F.S.558.0035,an individual employee or agent may not be held individually liable for negligence.
17.House measurements should not be used for new construction or planning.Measurements should be verified prior to such activity.
LEGEND:
SURVEYOR'S LEGEND
uNCTYrL9:"suns orsaws row AC eaecowDrtrONiNG D. 10041 ICATN7N sec. xcCTiON
Due. SWING RL!LRENCE INE lUZO1115TR IG Sr?. 50MC TANKD.C. MOCK CORNER INST. emtro.aar SEW. SPMR
I 5ntecturs 1 1 err. D,CnCLOw rRCNNTOR INT. WERSOCTION WO M cure OUC
-
W. BLOCK L DUOWN sit ssrµON ROD•CM
__•_'1, 05/115WIC SLOG. udere LD• MOM a.DUSRL70 Mao SR NNL•DOC
01M4UMC ee We race DM 5040-MARK, ISI LEDISe.-SIRLVCIOR SO.pr. SOUAR rL[r
DNA. DLAuxsc ectimucTCN UNC DA MEASURED Sri. STORY
EASEMENT DMO. DASCAQNT MA. MM BOOK s.T.L SURVEY tR UNC
WOE Or WATER
SW DAYASOx Wa1DOW MLS. MVO=END SECTION SV SEWER VALVE
IQ CALCUUTre Ml. METAL POKE ",AAV SrorWAut
IRON MCC C Wave Nit. RCN RADIAL s.w. scAWALL
CATV CARIE Tv.nem N.T.S. NOT TO SCALL TM TriMORARY eexa'MARK
OVOD1[AD UPPS C.D. OpNpEIE DLOOL O.C.S. ON CONCRETE 5LAD TEL Tru npONa rAQUTrm
-wa`.-.-ce•--A- OW. CNRAIev O.G. ON GROUND T-O.D. Tar Or DANS
auNverna LAC -_ Cl,!.. atom UMC RNR OR OUTSIDE Cr atmlcT PARL[L Tyr r wNS•e
WALL OR?MY WALL C.O. CLEM OW ON. OVOVIANG Tx TRANSroRMCR
OCNC. CONCRETE OM. MOWN,La['J M. TYPICAL
wooD?Ma COR COMM ON UNIX Or SUBJECT FAR1
U.R. TII11Y RIM
co
VINYL RNC[ CYNR COICXLSCCNAt1C O0.10. CRICK MORD DOOR settC m S CORNER
C.V.G. CONCRETE WIWI GUTTER0./tv. ORIOAL RECORD VOLume War wµAiry.PIMA
a CORM UM 09i Ovma11 yr. WOODEN roNR
SURFACE T e'"rn� ...me
mews was C# CCNIM P8Cr 01 054 OWMA WATER METOWALVC DOS
(//w r DI QS CONCRETE 5IAD IS MT WARR VIVA
ASrNKT E0 D® P.D. PiAI COOK yyArr. V►hI FENCE
I� �^I D.P. DRAM RID P.C. POINT Or CURVATURE
cam( 1 WA E--1 pw OIWE WAY T.C.C. POW or C01,/OIN0 CURVATIRC
WATER ® µpap® ON. OLVATCN P.C.F. PODANQST CONTROL PONT ACWOW aoADrr
DCL. D/GL.OSUR PR POOL CQ IA,Mir ease. ANOVA rASO.OR
SYMDOI'Jr nosowswrra ENT. ENTRANCE PG. PAGE CIA.!. CANAL uANNTDLNRS rSRAT.
• D0101 ALARA OA OLCtRRC,,R:SOt P.I. PONT Or xrt sccDON C.U.E. =WY trUrr Clair.
4 COOOtlR1E E-ol. EDGE Or PAVEMENT rl.S PROfm5CNALIND SURVNCR D.L DRAINAGE rAWAOT
taw. EDGE Or WALTER PLT pWRo D.0-r. DRAINAGE ANO uTRAv ESSAY.
4 COMM.ANGLE or DELTA we =vim UMl'tY box P.O.D. PONT Or DCGDDID
(/1 COMMON oweeRsevr el MAD P.O.C. MINT OP COUPANCEAriaNr 11.2.e. Mp125000ab0 CMT.
A CONTROL PONT I LTA MD.CONCRETE LA0tium:err P.P. TING ere Mkt. rn Xenia MOANS
■ CONCRLIt MONLa4Nr Mr FWD ORM NOIt T.R.C. POM Or REVOCSC CURVATURE LAC. u1RTm ALCM CMT-
AkI
P.P. PAL . ?D
PALSIED FLOOR P.RMU M MONUMENT
REPOENCE MOMT
cATOI DASH LDL tN,AOV
7E DtarTOt CMT.
llePr POND IRON PIR PSM rROreseco AI summit.
=YAWN i.e. LAM OR
CMT.
V FRE 1nVRANr MC POUND IRON RCD a CM AND rMAPPER TANGENCY
riR POUND IRON R07 P.T. POW Or TANGDCY LML RAR Qt I/dDXM
AuwrrN
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• PID OR SR M7
MOMfvr TRC FOUND IRON ROD s cur R RADIUS or RADIAL AANTERANR[A�DADIT
(= 6VISNR OA N1crioe Pe POUND NA NO RROCCOM.C. ANrt MOON
O MANttOLL RN0 ?WC NAIL•05C ROE. Ruse 1.112. MINX utility WQ1IXT
MD. MOO Rf5001r2
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13 axe rrxN POUND reme..eAION NNL . PJOST Of WAY D.W.e. SDEWN.0.50KNr
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WOL mem ROUND RAaAOAD'MY 5.D.L WWI.= MANAGEMENT CMT.
GAR GARAGE S.C.L. SURVEY CLOSURE UNE 'W-L RQNOWOC.AL UnuIY CMT.
GM GAS ARCM SOC SCBM UE. uTNTYWORM
ELECTRONIC SIGNATURE: PRINTING INSTRUCTIONS: OFFER VALID ONLY FOR: I
r- ROBERT E.INGRUM
' In complete accordance with FlT'da Statute 472 025 and Pursuant so , 1.While viewing the survey in Adobe Reader,select the
the Electronic Signature Act of 1996 or Florida Statute TITLE MIS,
Chapter 668.if this document was received electronically via PDF. "Print"button Under the"File"tab.
then it has been lawfully Electronically Signed Therefore.this survey 2.Select a printer with legal sized paper. r 1
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the'Electronic Se gnaturofPDF surveys sent via www.surveysurs.corn, 3.Under"Print Range",dick select the"ARI"toggle. I C � A�
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,IasA°Rubta to Mel and select the rased Survey PDF document and clad, 8. Click OK to print. I ANY FUTURE I
chile COMPUTE button in the baser right hand corner dKash Calculates. SURVEYING SERVICES
4COMM!the 40doge seine dcharacters sr the SFuline TOPRINT INBLACK+WHRE
SNA•IcnaraceeDford*surrey ethepb fie ilwwwsermystars.domwhich 1. In the ma in print screen,choose"Properties". I ON THIS PROPERTY 1
s also primed On the moire(Of that survey.
S.Nine 40 digit string V.
g et 4 -t characters aeenenymsame me on the imoie 2. Choose"Duality"from the options. I Otter valid only for the buyer Os listed on I
:anthesuseiraeatwwwsurestanconVxrlseyatehtheHuh Cabbta 3. Change from"Auto Color"or"Full Color"to first page of the survey.Total discount nO=_.
then this PDF is wheelie f Me 40 digs string of Chuacters does ws match 1121tC ,
exactly,then this PDF has been tampered WO and It N not authentic. "Gray Scale". r J
E)iI=A C T A Exacta Land Surveyors, Inc. www.exactaland.com
P.866-735.1916•F.866-7442882
..
LBS 7337 11940 Fairway Lakes Drive,Suite 1•Ft.Myers,FL 33913