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1644 PARK TER W - FENCE r, . \1„1,j \ CITY OF ATLANTIC BEACH rStp ::, ' 800 SEMINOLE ROAD \ ATLANTIC BEACH, FL 32233 �J;il> INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0081 Description: Vinyl Fence Estimated Value: 8000 Issue Date: 8/6/2018 Expiration Date: 2/2/2019 PROPERTY ADDRESS: Address: 1644 W PARK TER RE Number: 172020 0164 PROPERTY OWNER: Name: GRAMLING SCOTT R Address: 1644 W PARK TER 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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. Permit Conditions Page 1 of 2 Enter Permit Number FNCE18-0081 View Report J j 4 1 of 1 of 100% v Find I Next 0,11 Sres °t ' Permit Conditions City of Atlantic Beach Permit Number:FNCE18-0081 Description:Vinyl Fence Applied:7/19/2018 Approved:8/2/2018 Site Address:1644 W PARK TER Issued:8/6/2018 Finaled: City,State Zip Code:Atlantic Beach,Fl 32233 Status:ISSUED Applicant:<NONE> Parent Permit: Owner:GRAMLING SCOTT R Parent Project: Contractor:<NONE> Details: Owner Builder LIST OF CONDITIONS SEQ REQUIRED „ SATISFY NO : ADDED DATE : DATE DATE TYPE : STATUS DEPARTMENT : CONTACT : REMARKS 1 7/23/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 2 7/23/2018 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell"s,Inc.,Republic Services,Donovan Dumpsters). Container cannot be placed on City right-of-way. 3 7/23/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 4 7/23/2018 FENCING REMOVED INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All old fencing must be removed from job site by Contractor. /,4 Printed:Monday,06 August,2018 TMIGT 1 of 1 http://atlanticbeach.trakit.net/trakit/DocumentV fewer.aspx?&report=/Documents/PERMITS... 8/6/2018 - \,yf�J, City of Atlantic Beach APPLICATION NUMBER 'i I'\\ Building Department (To be assigned by the Building Department.) 800 Seminole Road �+ ,� IQGI' 'LI, Atlantic Beach, Florida 32233-5445 �V (Q U0js V~ Phone(904)247 5826 Fax(904) 247-5845 :\�;;�� E-mail:Email: building-dept@coab.us Date routed: /1118 City web-site: http://www.coab.us ` APPLICATION REVIEW AND TRACKING FORM Property Address: Re l 1 Vt epoi f.-- tLe Department review required Yes o uilding� Applicant: ft O[fl () vvf v' Planning&Zoning Tree Administrator Project: V i14I Ince •uiblic Wo ks 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: proved. Denied. Not applicable (Circle one.) Comments: UILDI PLANNING &ZONING .. ).-/0 Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. fNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 ri;,• SCity of Atlantic Beach APPLICATION NUMBER - Building Department (To be assigned by the Building Department.) 'r-74, \` 800 Seminole Road y_ J Atlantic Beach, Florida 32233-5441 I .I r lvCE'O —U0O/ Phone(904)247-5826 • Fax(904)247- � / Q /� r; E-mail: building-dept@coab.us Z 0 20 Date routed: / `/ 8 City web-site: http://www.coab.us ` 1 APPLICATION REVIEW AND TRACKING FORM Property Address: I WO VV lb*.-Fe lu e...Department review required Yes No uildin� Applicant: foiyeo �n�r guild &Zonin Tree Administrator Project: Vt 14,1 1 Fc e • ks Public Utilities Public Safety Fire Services IF-INIM41 IN:i3.ti - ..,. ., --4i-1,-•,`,i• IJ '• �A1��61*.:4Ubir' _._. ---__--- -- --- 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: nApproved. (Denied. of applicable (Circle one.) Comments: BUILDING PLANNING &ZONING 7/4—XReviewed by: v Date: 7/23 fp TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. nNot applicable PUr:." WORKS Comments: 'UBLIC UTILITIES 7-20-if PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ['Denied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 Sy��f, City of Atlantic Beach ,, APPLICATION NUMBER S ; _ r .- i\ Building Department �� (To be assigned by the Building Department.) .r k1 800 Seminole Road v - r G iii �' Atlantic Beach, Florida 32233-5445 'fUL 21:82011f: Q Niv LL 18`UDI Phone(904)247-5826 • Fax(904)247'' 47 5845 20f`; /e1118/� r!J;i19E-mail: building-dept@coab.us Date routed: l/ City web-site: http://www.coab.us /(( APPLICATION REVIEW ANRACKING FORM Property Address: I te L IA/ ! (J/f �-TeM:e....-0- epartment review required Yes No 111. /I p uildin� Applicant: ffo/Tto vvf v/�-- Planning& Zonin Tree Administrator Project: V t r 4 I Fe/(K, uhlic Wo I Public Utilities VVV 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: Vpproved. I 'Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by�3 47e��g Date: 7; itp TREE ADMIN. Second Review: ['Approved as revised. ❑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 ,`yiL ' Jj• City of Atlantic Beach APPLICATION NUMBER jt i1 Building Department (To be assigned by the Building Department.) 800 Seminole Road � 1 Q' -UO / '�_,,. -9 Atlantic Beach, Florida 32233-5445 Iv Q Q Phone(904)247-5826 • Fax(904)247-5845 / l/� or 1s) E-mail: building-dept@coab.us Date routed: `/ l City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Re L 1 VV r-rcvK--Ft c-Department review required Yes No uildin Applicant: Horne° ►"Jn-e5' w Planning &Zonlnc Tree Administrator Project: V ( � I Fe !OlinW ks y Public Utilities V Public Safety Fire Services 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 &ZONINGReviewed by:G� Date: 7 2 7— 1 TREE ADMIN. Second Review: Approved as revised. ['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 g ,�, Building Permit Applicationti' . Updated 12/8/17 ' City of Atlantic Beach ,17/0 1- , 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 ��! ��O v v�� I' l �-G Job Address: I K 4 PtkCI (A) Permit Number: Legal Description RE# Valuation of Work(Replacement Cost)$ 00) Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial (-12-esidential; • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: V ��w�11 lie� ((i V` � yj TZx.w'L(0/(1— ( l Cl w6vCllc L- -►"'[G- G�VtGl. --C' Florida Product Approval# for multiple products use product approval form Property Owner Information /�, �,i /, Aja K '� � � �,(� Name: KO L-`( (-RAM"�M`�, Address: `1'z r City =l"+Lta4'tt )tJ L l State T2-- Zip 31_2-3 3 Phone ''jt4- If 07 15- 1 SC E-Mail !CII (4Y)')6/1 i. ,2DDO • ()L-f' Owner or Ager(if Agent, Power of Attorney or Agency Letter Required) Contractor Information f� Name of Company: '.SS-1 tt rt Ce Qualifying Agent: ^ City 11�( State �Z Zip 3pDS�1 Address ,7 4G�4- Qtk Ti'C�GIL. Kik- Office Phone 904-.2 0 e' /(p 36 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. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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 IN ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO' I ING YOUR NOTICE OF COMMENCEMENT. \- ( g - / i nature of Owner or Agertt ) (Signature of'ontractor) (includin:contractor) • :..... etsd_Ird nsworn to(or affir + •-fore/�rnte this / da of Signed and sworn to(or affir' ed)before me this day of , -2Olejby fp I brad ,L ,b• TONI GINDLESPERGE' Si nature o ota (Signature of Notary) :, *: MY CO1 ES.Oc ober 6,2019 ( g rY) -='. [ ]Personally Known OR >F,pFt� � one h4 /-�r rv�� [ ]Produced Identification rr�:.:...r....� . ion G C 4-.—SO( `(f7'V�t -" Type of Identification: `J Type of Identification: , ;,�, �.,/,r fa r REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation org ized anxtsting un Rt.the laws of the State of Florida,hereinafter referred to as"CITY"and of Atlantic Beach,Florida,hereinafter re erred to s"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 theC of Atlantic Beach. This work is generally described as e tk,Q.e . Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days' notice by CITY to US R, said,notice to USER shall a given by certified mail, return receipt requested,to the following address 1 Co 4 4- r Q rK `re f-f l/t.1 • • 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 easement or 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 easements,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 assum y the USER. / �1 Date 7 / // Prope Owne Agent(signed in prese I of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL thThe foregoing instrument was acknowledged this f day of C� I ,20 , by 1, j'a AA.IL n ,who personally appeared before me and .rinted •ane of Signer) ac he signed t e instrum oluntarily for the purpose expressed in it. iiii Signature of Notary Public,Sta - of Fl• da Department Approval: Personally Known Produced Identification(T e ,,,;V:'Pimy: TONI GINDiESPERGER .aa MY COMMISSION#FF 924951 Scott Williams,Public Works Director/ 1,2k7-4,..'1,c;4# EXPIRES:October 6,2019 Kayle Moore,Public Utilities Director • H:\Master Forms\Public-Utilities ';A::40°...2 fBonder Jsru'14°%1 Pupllc Und Y4 nt 2.5.18.docx Revision Date:2/5/18 !1 • • 'd; RIGHT-OF-WAY/EASEMENT PERMIT 1111, .411ftar4,' s.; Permit#Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address /4 4 4- POAIL Xra ('Q lL J Phone 06 1-10007 9 a"7 Permittee Email Requesting Permission to Construct 1-e/7 (� Location(Reference to Cross-Street) • 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 (Project Superintendent) with Company Name Phone • 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 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 Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again immediate upon completion. a/rc: / Date 7 119/ /r Permittee ed in presence of Notary P ) STATE OF FLORIDA,COUNTY OF DUVAL r The foregoing instrument was acknowledged this ( day of 0 ( 20 , by ;<p [( Li C� �AA (C (� ,w o p rsonally appeared before me and (print name of Permittee) ac o edged th she signed the instrument voluntarily for the purpose expressed in it. sonally Known Signa re of N Publi ,S-s f; e,..�.,' TONI GINDLESPERGER duced Identification(Type) :• a ;.__ MY COMMISSION#FF 924951 .��• :o EXPIRES:October 6,2019 I 'A q:t0 Bonded Thru Notary Public Underwriters • 3 ' 4 n CITY OF ATLANTIC BEACH OFFICE COPY T.'„ OWNER / BUILDER AFFIDAVIT rt 9%' I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A 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 AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING 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. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY &3 CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACT �l CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE 1�I• �-l� BUILDING DEPARTMENT(247-5826)IF IN DOUBT. = J Cl) `,v V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOS O Z O Co STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF Q 0 =- OWNER-BUILDER OWNER-BUILDER PERMIT. m f" 2 H x 4-4- Pun,k_ rerrace )6 "f04-407 % 7 J w vP. a a AD+R'SS PHONE NUMBER Z Z e '/ ) 67rain 6 O Q V -1Nr P'I NA (C a 1_,' Z I' i i it / 1 ', I 7fi7/M[ o SIG ATURE J ( DATE 0 a. Q_ �(�1 / //Cd w W5 Before me this ' ! day of, () l L.- ,., CA the county of La c3 Duval,State of Florida,has personall appeare herin by himself/herself and affirm that W V N CC all statements and declarations are true and ac urate. Notary Public at Large,State of F.77(, ,County of is U Yom— CC ❑Personally Knownliti ;o;'�si+ ; ,, TONI GINDLESPERGER El Produced Identification- 4 ` _x'm ?*= MY COMMISSION#FF 924951 �i EXPIRES:October 6,2019 b; ° •-s' Bonded The Notary Public Underwriters . (Pr Notary Signature: F:/BLDG/Owner-Builder Affadavit;REVISED:4/16/2009 4111 OFFICE COPY NOTICE OF COMMENCEMENT FYI/ i (� (PREPARE IN DUPLICATE) I- Permit No. ! G C d -G O OC!/ Tax Folio No. State of 'L County of O UVU' 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 beingimproved: • w.•: -34.=.IP i /son" /60 43LoC o 6E-I i/4i /b1 /lV,4 UN Al - . !ILAt /"fid D IC 4-,1 , 1A 6 es 511I A a.td S t s Address of property being improved: I le 44 r� � .4 ( w ) ,r` : -i Fz_ 32.2.3 3 General description of improvements: t.OY , , -1-til(`r 4 kip`G t OwnerU , ✓e• -1`.' Address i' `` A L 7:e1 ► cwt W ' i 32-0-53 Owner's interest in site of the improvement V,tom& r ji(la Fee Simple Titleholder(if other than owner) .. Name ( /` Address f� c+ Contractor t/e5T -n/cc Corti PA N q 0+ i f itUL5o1'1 V l),(,,C Address 7 3 06 P1L<,<< �/s flw j S c4:fc /038 J oc�tc, E. 5 Z-2-S?' Phone No. Ofx1)1 69 g -- /6O:O Fax No. 1. Surety(if any) Address Amount of bond$ Phone 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 Phone 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 Statutes.(Fill in at Owner's option). Name M Address Phone No. Fax No. rr W-o win(V 43 Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a m fa n P P w m 'N' different date is specified): h z o a THIS SPACE FOR RECORDER'S USE ONLY 4 OWN `f •l1 /Z ' p 2 2 u Signed: '`tltJ/ • DATE 71241 Q z p C Before me this day of Ilflfl►7[alr Z in the o Y X County of D al,State f Flo q'a,has ppaerr'sson Ity sp eared m w �P l�c.� ( 1r 0.n1 r.��' herein by $ , him ft era If and:i one that alt statements and declaratI s herein c "r'o'' are true nd ccu e Doc#2018174314,OR BK 18467 Page 2456, ='•'...�°. Number Pages:1 ,.� ,��:o Recorded 07/241201804:05 PM, • '.°Y' •s,t,' RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL / `�� lj' COUNTY Notary Public at Large, a e of my of RECORDING $10.00 My commission expires: Personally Known MI or 2 Produced Identification —lt gnIFAI .eZ�".7 —�0 7- ) I- 0 NOTE ALL ELEVATIONS SmNNHEAEONPCPEAENC••,w MAP SHOWING BOUNDARY SURVEY OF E, LOT 16 BLOCK 6 AS SHOWN ON MAP OF Ar SELVA MARINA UNIT No.6 P W O ) AS RECORDED IN�+T BOOK PAGES 5161E CURRENTw OF THE CURRENT 6UC B.C./90F WV.000NFL rY. ONDA I ( CERTIFIED TO:816-LER CGNBNNCRON 0500P.LLC. 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(CERT.NO 6600 F.B. 005 PG.1j_ nmVNawmnnTK•owRwaalw406M60 NIL>f11b1041IveNI4*,06.f1.SI mama 2017-3266