463 Sargo ACC18-0053 NOTICE OF COMMENCEMENT
state of Tax Folio No. 1,73AA q74000
Countyof -L1,'JQ
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 qtZdm tZ"C'
Legal o f pro improved:
Address of property being improved:
GenemidescriprtionofimprovemenU:
Address
Owner: I
Owner'sinterest in site ofthe improvement:
Fee Simple Titleholder(if otherthan owner):
,I� Name:--">--L2,eA
Contractor: k -A- 1
Address: 2,2193
Telephone No.: Fax No.
Surety(if any)—A/pt
Address: Amount of Bond$
Telephone No: Fax No:
Name and address ny person making a loan for the construction of the improvements
Name: 4 's'-
20-if Odd A)
Address:—W 5ap�n V'i 14-).A � -g"� .- 223-3
Phone No: toc/-9 51 (3,9-o-7 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: rGOMMISSM#FF
XP1RFS:ftI0,r11,,
Expiration date N
specified): Me ithe Mr�Iate is one(1)year from the date o r
THIS SPACE FOR RECORDER'S USE ONLY IDWNIE�R�
Signed: -,7-- Date:
-fore me thl�-;�!3— YUf inthe County of Duval,State
Dcc#20I8262383.OR8Kl8587 Pagel deof
Number PgL,:1 934, Florida,has personally appeared
ReCOIdOd I MMMI 8 0432 PM, otary Public at Large,State of Florida, of Duvall.nA
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL IV commission expires:— t�
COUNTY ersonally Known:--�j to
RECORDING $10.00 roduced Identification:
RESIDENTIAL OTHER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ACC18-0053
800 SEMINOLE ROAD ISSUED: 11/2/2018
I Dv ATLANTIC BEACH, FL 32233 EXPIRES:5/1/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
A
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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,I
JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
RESIDENTIAL OTHER SINGLE OR DRIVEWAY AND PATIO $6971.00
463 SARGO RD TWO FAMILY RESIDENTIAL ADDITION WITH FOOTERS
OTHER
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
I CONSTRUCTION: NUMBER: GROUP:
ROYAL PALMS UNIT
1714980000 02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP: —
BELL'S CONCRETE 50 DUDLEY STREET ATLANTIC BEACH FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP:
GERALD WADE 463 SARGO RD ATLANTIC BEACH FL 32233-3815
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
POBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247
-5814)to request an Erosion and Sediment Control Inspection prior to start of construction.
Issued Date: 11/2/2018 1 of 2
RESIDENTIAL OTHER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ACC18-0053
ISSUED: 11/2/2018
800 SEMINOLE ROAD EXPIRES: 5/1/2019
ATLANTIC BEACH. FIL 32233
2 PUBLIC WORKS ON SITE RUNOFF IN FORMATIONAL
Notes:
All runoff must remain ch-sne during construction.
3 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes;
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Durnipste",
Phillips Containers). Container cannot be placed on City right-cf-way.
4 PUBLICWORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,Including sod,is required.
PUBLICWORKS RUNOFF RMATIONAL
Notes:
All rum.ff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes;
All old decking must be removed from job site by Contractor.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455 OM-322 1000 0 $95,00
BUILDING PLAIN CHECK 455�322-10(11 0 $42.50
PW RVVIDV BUILDING MOD OR ROW 001�329-1004 a $25M
STATE DBPR SURCHARGE 411�2011�00 0 $100
STATEDCASURCHARGE 455�208,060(1 0 $2'oo
ZONING REVIEW SINGLE AND TWO FAMILY USES ()01�329-1003 0 sso.00
TOTAL $206750
Issued Date:11/2/2018 2of2
City of Atlantic Beach APPLICATION NUMBER
Building Department Cro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Flonda 32233,5445 RQC22__(�
Phone(904)247-5826 Fax(904)247-6845 Date muted: I 011 :z /I
E-mail: building-dept@mab.us
City web-site: h11p:/Avww.00ab.us
APPLICATION REVIEW AND TRACKING FORM
,DepaAnX4 lew required Y 0
Property Address: 4(,3_EqLp,(:5 kcl . . ant rev aw re
Applicant: !'a 0 rN lanning &Zoning
Tr
Project: CkA PQ -� O�' Pu
Public i i Wies
-Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Revlew or Recellot Date
-of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.offranspodation
St.Johns River Water Management District
_j�m_y corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
mer
APPLICATION STATUS
Reviewing Department First Review: &Approved. [-]Denied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:— Date:
TREEADMIN. Second Review: EIAPproved as revised. [JDemed.- ONot applicable
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: [JApproved as revised. [:]Denied. EINotapplicabie
Comments:
Reviewed by: Date:—
Re,,ised 0511912017
�,),F FICE COPY CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Dtne*� — Revision to Issued Permit Correctionsto Comments Perrinidy—cits-6653
ProjectAddress 14(0,5 0
Contractor/Contact Name allcrek
Phone Email
Description of Proposed Revision/Corrections: Permit Fee Due$
Czl,nc-rre-+e- &-ho
Additional Increase in Building Value $,_ Additional S.F.
By signing below,I flinn the Revision is inclusive of the ptoposed changes.
(teinted naanc)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved I)K Denied Not Applicable to Department
Revision/Plan Review Comments
a D rtment Review Required:
Reviewed By
Trgg.6dministrator
Public Safety
Fire Services
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Read,Atlantic Beach,FL 32233
Phone:J904)247-5826 Fax:(904)247-5845
Job Address: 0 PernittNumben
Legal Description Jee Pa'4- k i9j"al '4i� RE#_
Valuation of Work(Replacement Cost)$ 4,94f,gre Heated/Cooled SF_Non-Heated/Cooled
epair ove Demo Pool Window/Door
• Class of Work(Circle one): New ��itlon'>Alteratlon 46;�M ---
• Use of existing/proposed structure(s)(Circle one): Commercial CResdenrtji�>
• fam existing structure,is a fire sprinkler system installed?(circle one): Yes 4$ 61A)
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
the type of work to be performed: Kei�
�&w�q 9,4-Aaga
Florida Product Approval# lot multiple products use product approval foXm
property Owner Information
Name: Address:
city zip 7-FZY7 pho� 47 f. 5
State
E-Mail 00 y""ka. cizm
Owner�tln�(If Ag,(9 nt,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company; Quall in ;Aggent:
Address 9� " 144 �� W, State-4H, Zip—��
office Phone Li64 -P-tIL I-�-75R Job Site/CqWgbj,
State Certific n/Registration if E-Mail
Architect Name&Phone#
Engineer's Name&Phone 4
Workers Compensation ���E..Dll insurer,�� .ernlirineial�Ep�.Ien toar. .
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 AFFIDAVrf: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 oning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT I N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOU R PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RE�� NCEMENT. 469
(Signature of Owner or Again) nature of Contoictor)
(including contractor)
Signed and sworn to(or affirmed)before me this J-6 day of Sign3dimid sworn to affirmed) efo e me this LO"day of
by 0ofV%r —-,
(Signature of Nalary)
P Wrially
W-.4..nally K JAKE D.SMITH Known OR
ary 1.111!!c� I..TFkrka
Produced Id WyCOMIASMONgGG2501 L�Pod,oad Identification inmission#GG Q62536
Type of Identification:
Type of Idantifi EXPI lksap�embefli= 2021
1. iswxdT*sNoaoP�VMknxkx` ":."v
ll� I CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Dat,*�-- Revision to Issued Permit— Cormections to Comments PennitAl�cfs--0050
ProjectAddress 4,5 0
Contractor/Contact Name ell 6 A C Ve
Phone Email
Description of Proposed Revision/Corrections: Permit Fee Due$
Cx)yicre-k Mo
Additional Increase: in Building Value$ Additional S.F.
By signing below,I affinn the Revision is inclusive of the proposed changes.
Sign ure of Contractor/Agent(Contractor must sign if increase in valuation) lia—te
(Office Use Only)
Approved Denied Not Applicable to Department_
Revision/Plan Review Comment
D rt t Review Required: 1g2
nin Reviewed By
jreLLdmmistrator
dmw�3
Public Safety Date
Fire Services
City of Atlantic Beach APPLICATION NUMBER
Building Department (ro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 0/ I
E-mail: building-dept@mab.us Date routed:
City web-site: htIp:/Mww.coa1b.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4(aS kc� Deneirlaident review qui d _YesT_N0 I
4 Applicant: [anning &Zoning
Tr
Project: P_wn�t P
Vum1c I I lea
c-- -f-ublic Safety
Fire Services
Review fee $ Dept Signature..
--Review or_R"mpt
Other Agency Review or permit Required of Permit Verillied 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
-&her.
APPLICATION STATUS
Reviewing Department First Review: OApproved. g&nied. E]Not applicable
(Circle one.) Counments'
BUILDING e rfr�11 ('A c r
PLANNING&ZONING Reviewed by: A—? 1&e� —Date:/C/-ILf- I&T
TREE ADMIN. Second Review: �Kpproved as revised. E]Denled. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: zg=� Date: jt�/_-2 q
FIRE SERVICES Third Review: [_]Approved as revised. [-]Denied. []Notapplicable
Comments:
Reviewed by: Date:
R.AsedO51`1912017
CITY OF ATLANTIC BEACH
ECEIVE 800 Seminole Road
OCT 2 4 2018 Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Diae*�— Revision to Issued Permit Corrections to Cornments— Permit&C�-6 6
Project Address
Contractor/Contact NarmJ
Phone Email
Description of Proposed Revision/Corrections: Permit Fee Due
(z-,y1c-,ce-+e- &-�fiQ
Additional Increase in Building Value Additional S.F.
By signing below,I (,bued affirm the Revision is inclusive of the proposed changes.
Signature of Contractor/Agent(Contractor must sip if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
De artment Revi w Required:
in Reviewed By
ImLL'uhnunistrator
,Q��
VW&,Wl�bes
Public Safety Date
Fire Services
City of Atlantic Beach APPLICATION NUMBER
Building Department JEC:EIVE (1-0 be assigned by the Building Department.)
m
r
800 Seminole Road C;3
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826-Fax(904)247- OCT 17 201
E-mail: building-dept@mab.us [Date muted: 10
City web-site: http://�.CDab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4(os De'pai4gentrevi vrequired -Ye—s No
Applicant: 00r� 2,lanning &Zoning
Tr
Pu
Project: e- In Public i i lea
--Public Safety
Fire Services
Review fee $ fJ7, Dept Signat re,.
Rev
Other Agency Review or permit Required of P 'raw orsRacell"
a it,, rifled Date Q.9 P
Florida Dept.of Environmental Protection
Florida Dept of Transportation
St.Johns River Water Management District
Corps of Engineers
Division of Hotels and Restaurants
E Fivision of Alcoholic Beverages and Tobacco —7n
Other:
APPLICATION STATUS
Reviewing Department First Review: ElApproved. E]Denied. Not
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: I-
---------- z
TREEADMIN. Second Review: F]Approved as revlsZ [-]Denied. FINotapplicable
PUBUCWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:—
Revised 0&1912017
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone (91J,I)247-5826 Fax:(904)247-5945
Job Address: C�l P t N b r- -6 0s.3
gj_ BE#_
Legal Descriptlonkoi ,j 17276&lL /7� P-
Valuation ofWark(Replacement Cost)$ &,q7/,8—C Heated/Co.led SIF Non-Heated/Cooled__
• Class of Work(Circle one): New &��"teration4C.panr`�Aoaxa Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one); Commercial (:R2emdan:t,;D
• lfan existing structure,is afire sprinkler system installed?(Circle one): Yes (!a 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:
Florida Product Approval#---------------------- for multiple products use product approve form
Property Owner Information
Name: Address: �A
zip 7ZZ,7 27 916,y r. 5 (1 -f TC
state Ph�A�
E-Mail /,a. e'�M
Owner or Agent(it Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Compan Qualli=inAgent::
Address City- ::1 1�Zip �
Office Phone LJ6,I -,;Zq L -It& _Job Site/c"WOMIm',
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone# 5: 2
Workers Compensation
Exeorpt I insurer I Lme trinpMeen I Expiration Doute
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal ation 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
constructi an in this ju lisdiction.I understand that a separate p ermit must be secured for ELECTRICAL WORK,PLU M BING,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 propery,that may be fou nd 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 AFFIDAVff: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
ENCEIVIENT.
(SImilur.of�O.ner or Agent) (Signature of contractor)
(including contractor)
Signed and sworn to(or affirmed)before m Sign3do nd sworn to icrifirmed) efc, me this M-Nd-y of
e this 16 day of _pm
by I)�TO%r by LIP-
(SignatureofN
JEREMY KNEESSI
lip y
Wen.n.fly K.. nail Known OR
JAWE 0.Slli 'a c. Not ry Public-Stale ol Florida
produced Id n N. ",1 gNCoWASS"#GG25SS3i L;mdo d dentification Carniansion#GG 062536
8 W~5 2022 Type of kentification:
Type of Identill
...... y .2021
City of Atlantic Beach EiCE, APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road E
OCT
T17 -nos
Atlantic Beach, Florida 32233-! 7 P
Phone(904)247-5826 Fax(=)5247-5 2018
E-mail: building-clept@coala.us Date routed:
City web�site: hitpffi�.coalh.us BY.- ipkpA��=
APPLICATION REVIEW AND TRACKING FORM
Property Address: PoisaflitIzent review required Yes No
lanning &Zoning
Applicant: (2j,11 (1, D
Project: rUV.1U VUHLIUS_)
-Public Safety
Fire Services
Review fee,,
mit Required Review or Receipt
Other Agency Review or Pe of permit Verified By Date
-Florida Dept.of Environmental Protection
Florida Dept.of Transportation 0
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants de-11
Division of Alcoholic Beverages and Toba000
Other:
APPLICATION STATUS
Reviewing Department First Review: VApproved. E]Denled. [:]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed bA //.4,W Date: AN"_
TREE ADMIN. Second Review: ElApproved as revised. DDenied. ONot applicable
PUBUCWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:-
FIRE SERVICES Third Review: DApproved as revised. DDenled. [-]Not applicable
Comments:
Reviewed by: Date:-
ReAwd0511912017
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Semimle Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 14L8 G 0A)t P. 't N RQ-0—jA-60G—=5
umber:
Legal Description Kd&IL 17 ep A+ of 404q �L� RE#_
Valuation of Work(Replacement Cost)$ 4,971� 41`� Heated/cooled SF Nori Heated/Cooled_
epair ove Demo Pool Window/Door
• Class of Work(Circle one): New dfwl�on Alteration 46;�M
Residenti
• Use of exist!ng/proposed structure(s)(Circle one): Commercial (i�
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes a &�)
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
the type of work to be performed: Kei�
.0
L�K)Iig I i 12L`Y�f2'
Florida Product Approval#_ multiple products use product approval forK1
Property Owner Information
Name Address', S'Alr- T--
Z7_r iph.�
State I Zip YZZ77 Phone
city
E-MafilSv=1.k—r ad- a YeMo- cam
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company QualWAgent:
Address dp� *�,'A'L!aArk city—HiLij, Statej�-'—Zlip �Zz-�-7
Office Phone 46rCl -,N Y�'-�25R _Job SitelCci
State Certiffication/Registration If_E-Mail
Architect Name&Phone If
Engineer's Name&Phone#
Workers Compensation L�A &N, ION
& q1
Application is hereby madeto obtain a permitto do thework and installations as indicated.I certilythat 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 jurisd iction.I understand that a separate permit must be secu red for ELECTRICAL WORK,PLUM BI NG,SIGNS,
WELLS,POOLS,FU RNACES,BOI LERS,HEATERS,TAN KS,and Al R CO N DITI ON ERS,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 INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RE�� NUEMENT. 469
(,,,n.t.r.of�� er.r Aent) nature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this day of Signed pnd s ffi d)l e this (V )day of
w gfto e m
by
(Signature of N a rj)
'0 JERE YKNEES&
11 Known OR
W-rs.nally Kn JAWED.SMffH Ilp n y ryPublic StateofFlolda
Wa
I Produced Ide W COMMIBM 0 GG 2=1 L�Zcluced Identification Not
c nunission#GG 062536
Type of ldentific t' r5'= Type of Identification: 2021-
y
!"N.
CITY OF ATLANTIC BEACH
MECEIVE 1 800 Seminole Road
Atlantic Beach,Florida 32233
"I
OCT 2 4 2018
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
D Revisionto Issued Perinnit / Corrections to Cominents— PermiA-Cts-66-53
11,1,0z " —
Project Address 14 tP.5
Contractor/C( Narn
Phone Email
Description of Proposed Revision/Corrections: Permit Fee Due$
Cbm-reJe- Va,+o
Additional Increase in Building Value$ Additional S.F.
By signing below,I (ininted none) affirm the Revision is inclusive of the proposed changes.
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
De rt ent Review Required:
Tree Administrator
Public Safety Date
Fire Services
Map of Boundary Survey
LOT 3, BLOCK 17, REPLAT OF ROYAL PALMS, UNIT 2A,
ACCORDING TO PLAT THEREOFAS RECORDED IN PLATBOOK 31
PAGES 16, 16A, 16B, 16C AND 16D, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
PROPERTYADDRESS:463 SARGO ROAD ATLANTIC BEACH, FL. 32233
N
RIP 112-
w E
S
LOT 2
BLOCK 17
LOT 23
TO BLOCK 17
SErIP1r2E
N82-0513"S 93-0D LB#8102
N82.4TWE 93..OU(g) "n
FIP�1'12"' VEASBIENT
,BIT ALUM.
20 SHED ws
LOT 3 'Ok
Fir D pw 91k/1 Ve
s. COVERED BLOCK 17 oO��—
mm
ENnflRANCE al COV. P
WO
DOING. DECK —�113 LOT 22
BLOCK 17
WALK
ONE STORY
0 MASON HOUSE
#463
31.0 -
N: .,1113 RIP It?
(Im .40 ,.n 92.5r(M)
S82
SETIP s82 43WN 93.w T)
LB#810-2
LOT 4
BLOCK 17
LOT 21
BLOCK 17
CERTIFIEDTO:
FIP 1/2'6 GERALDTWADE
FINANCE AMERICA
OLD REPUBLIC AND SUNSET CAPITAL TITLE SERVICES
LEGEND. SET IRON FOUNDIRON CONCRETE 4'CHAIN LINK FENCE WWOOD FENCE VVINYL FENCE
0
R=Radius IF=Iron Pipe ME Measured Field Data PT=PDintofTogency A/C=A1rCondIboningUnK
ABBREVIATIONS P=Platted IR=Iran Rod C=Calculated Data PC=Point of Curvature AM=Water Meter
0=Dead BR=Bearing Refereirm RAW=Right of Way ID=Ideniffication JEA=Jacksonville Electric Authority
ISK BARNES
LASTFIELDDATE: 10!31117 CAD: CONSULTING,LOU SIGNATUREDATE: 11101/17 DRAWINGSCAUE: 1"= 30 JOB#'. FL-17-9338
GENEM NOTES
14
2 Thssu-Ymp—EaMuMaOs"�WIINSw�ijmndtHp� en� ,O's
a -
ON POINT x 0�
U.
Land Surveyors
0 ,z
4 TN$wmWm�mmem�tew%otofabshddt�,��D��ldN, LB #8102 904-619-0308 FLOFNIO,, b �=
2121 Corporate Square Blvd,Ss iite 130
Jacksonville,FIL. 32216
THE INFORNIXION SIT"HESTEON M FIE THE$TiSNROEDE OF
I E—P NONIY IN, N T1'I E 11 OnPointLandSuweym@Gmaii.com PRACTICE arT FONTH BY OiE F-Oniok'.1.1 HEOIES'.
�.OnPointl-onc!Sruveyom.com SORNEYORS I MNEEESS IN
�E PUNSUMTTO
.N &�T�'.B
Map of Boundary Survey
LOT 3, BLOCK 17, REPLAT OF ROYAL PALMS, UNIT 2A,
ACCORDING TO PLAT THEREOFAS RECORDED IN PLATBOOK31,
PAGES 16, 16A, 16B, 16C AND 16D, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA,
PROPERTY ADDRESS: 463 SARGO ROAD ATLANTIC BEACH, FL. 32233 N
FIP112-9 w E
+
S
LOT 2
BLOCK 17 LOT 23
BLOCK 17
SENP11?
N82-43'5TE93M(P) LBN102
082-47-36"F 93W(M) (in
FIP ID' 132 FEASBIENI
113 ALUM.
�dd SHED
LOT 3 1;
BLOCK 17 To
COVERED
ENTRANCE
COV.
WOOD
CONC. DECK LOT 22
CIO
s: WALK BLOCK 17
�A ONE STORY
MASON HOUSE
#463
11.3
FIP 117
S82.40.21.\N 92..5T 0)
SET IP 12' S8243!5I5W 93.W(P)
UM102 I's
I I
S;Nj L(Yr 4
6 "8 BLOCK 17
74-1 1 LOT 21
BLOCK 17
CERTIFIED TO:
FIP IM 6 GERALD T WADE
FINANCEAMERICA
OLD REPUBLIC AND SUNSET CAPITAL TITLE SERRACES
LEGEND: SET IRON FOUNDIRON CONCRETE 4'CHAIN LINK FENCE VWOOD FENCE 6'VINYL FENCE
0
R=Radius IF=Inon Pipe M=Measured Field Data For=Point of Tangency AIC=Air Conditioning Unit
ABBRE'AATIONS: P=Plafted IR=Inon Rod C=Caloulated Data PC=Point of Curvature WM=Water Meter
D=Deed BR=Bearing Reference RM=Right of Way ID=Iderdification JEA=Jackson0le Electric Authonty
LAST FIELD DATE: 10131117 CAD: MK BARNES SIGNATURE DATE: 11101117 DRAWING SCALE: I"= 30 JOB#. FL-17-9338
CONSULTING,LLC
GENERANOTES
NO
=,T...artala— oaddr,,. ON POiNT jR—XF 5970 16
Zr
I Toac,la—,1r,nnaratnaaharroll.d.nOn"...
H'aarg
Land Surveyors
LB#8102 904419-0308 FL I
D
ada,owl aawaran%moaran�and mdTda,E or ova,adaeaa�dabc record!hd 2121 Corporate Square Blvd,Suite 130
.'=ftparcel Jacksonville,FL. 32216
&Bea,ran,-Faawnaae�ad.RoaHrl. I'�- d 111 OnPointLandSuweyom0Gmafl.com THE INFORMATION SHO.�ERrON&EITE ME VANCAMS OF
�CTCE SET FORTH BY ME FLORDA RMR�P FROFESOJOEAL
�.OnPolntlondSruveyors.com SUROR=saPFERTSTO�HAFTER�17 FTDRITA f0dMINISMATEF
SECTAN 4;�72 FtOMOA RTATII� j
=.War
1�d"OWOH � .1.11,
Map of Boundary Survey
LOT 3, BLOCK 17, REPLAT OF ROYAL PALMS, UNIT 2A,
ACCORDING TO PLAT THEREOFAS RECORDED IN PLATBOOK31,
PAGES 16, 1dA, 16B, 16C AND ISO, OF THE CURRENTPUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
PROPERTY ADDRESS. 463 SARGO ROAD ATLANTIC BEACH, FL. 32233
N
FIP109
w E
+
S
LOT 2
BLOCK 17
LOT 23
BLOCK 17
SET IP112-
1482-43'5TE g3-W Q LUB102
Nar T3TE 93.00(M)
PIP 1@�
ALUM.
240 SHED w W�
LOT 3
TO W�
Z� S COVERED BLOCK 17 m M
ENTRANCE COV.
WOOD
Q N1
0 -- LOT 22
:k CONIC. DECK
S & WALK I BLOCK 17
S 54 .5-ONE STORY
0 MASON HOUSE
-0 . #463
n
FIP112
S82'402A�\N 92 5T(1A
sErupm, Sar43'58'W
LB#8102
ug�
;�� LOT 4
�a BLOCK 17
:i:�l . ' I LOT 21
ca �l
BLOCK 17
FIP Ir- CERTIFIED TQ
GERALDTWADE
FINANCEAMERICA
OLD REPUBLIC AND SUNSET CAPITAL TITLE SERVICES
LEGEND: SET IRON FOUNDIRON CONCRETE 4'CHAIN LINK FENCE 6'WC1OD FENCE 6'VINYL FENCE
0 0 I=
R Radius IP=Iran Pipe M=Measured Field Data PT=Point of Tangency A/C=Air CondWoning Unit
ABBREVIATIONS. P=PWW IR=Ircri Rod C=Calculated Data PC=Point of Curvature ARM=Water Meter
D=Dwd SR=BesurniReferena Pjqht of Way ID= dentification JEA=Jacksonville Electic Authority
LAST FIELD DATE: MK BARNES LLC S
11Y31117 CAD: CONSULTING. IG;77 EDATE: 11101117 DRAWINGSCALE: 1'= 30 JOB#-. FL-17-9338
GEN M I
—:'Ow
'E-
ON POINT
Land Surveyors
4 ThWwmy� LB#8102 904-619-0308 FL
2121 Corporate Square Blvd,Suite 130
�jHg N,IT-1112-W, Jacksonville,FL. 32216
OnPointLandSuweyors@Gmaii.com THE HEMWIM SHOM HEREON MEETS THE STAHQNRD�OF
�.0nPointi-anciSruveyon.com �CE sET FOETH�THE FLORM�OF EAQEEM�
E- - sa.