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1123 W LINKSIDE CT ACC18-0061 ACCESSORY PERMITACCESSORY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 PERMIT NUMBER ACC18-0061 ISSUED: 12/13/2018 EXPIRES: 6/11/2019 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. 1123 W LINKSIDE CT ACCESSORY SINGLE OR TWO SHED FAMILY ACCESSORY I:7.'Iff*@LT.2MjfjM24t0 [ftQj&j[kTjLjLjIjR A l 172374 5175 1719 10TH STREET NORTH JACKSONVILLE BEACH 1123 LINKSIDE CT W ATLANTIC BEACH $3500.00 SELVA LINKSIDE UNIT 01 FL 32250 I���.fic�C�Ic�AJ 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 • • Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 2 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 Dumpsters, Phillips Containers). Container cannot be placed on City right-of-way. Issued Date: 12/13/2018 1 of 2 ACCESSORY PERMIT _. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 PERMIT NUMBER ACC18-0061 ISSUED: 12/13/2018 EXPIRES: 6/11/2019 1 3 1 PUBLIC WORKS I RIGHT OF WAY RESTORATION I INFORMATIONAL I Notes Full right-of-way restoration, including sod, is required. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $70.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00 BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.33 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00 TOTAL: $234.33 Issued Date: 12/13/2018 2 of 2 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-5845 F, roil E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) Date routed: APPLICATION REVIEW AND TRACKING FORM i j / Property Address: I z L i N 1{St o (F_ kot)l Applicant: 1 (R�'j ©ASS �S r � Project: E 2 X ._ Review fee $ De ent review required Yes No PI nning & Zonin Tree Administrator u is or blic Utilitie Public Sae y Fire Services 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: pKpproved. []Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: G%c� Date: TREE ADMIN. Second Review:A ❑ pp roved 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 TREE & VEGETATION AFFIDAVZ_______ City of Atlantic Beach Department of Community Development Planning & Zoning Division 800 Seminole Road Atlantic Beach, FL 32233 (P) 904 247-5800 (F) 904 247-5845 SECTION I - APPLICANT INFORMATION NAME OF APPLICANT I�_-' s r_ F Owner(s) PERMJT'1f Le I Authorize Agent 0 I- NAME OF COMPANY �ti S t S -f Ito i1 L- Cj Z L �• ADDRESS OF COMPANY I e'71 CI d -f d- r- el /Uo�•F � � J �C j j FL 2 4_� PHONE oJcS/"S�%c!'�//f CELL S�'sp�/-l�s/�LEMAIL CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II - SITE INFORMATION STREET ADDRESS OF PROPERTY C f West- If an address hos not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address. LEGAL DESCRIPTION yy _ _ 5— LOT LOT --;>G/ BLOCK REAL ESTATE NUMBER LOT OR PARCEL SIZE: SUBDIVISION L�n.�S.clY RESIDENTIAL _� COMMERCIAL OTHER (SPECIFY) SQ FT AC ! affirm that I have reviewed the provisions of Chapter 23, Protection of Trees and Native Vegetation" of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre -application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described or adjacent properties in conjunction with this project. SIGNATURE OF Gavr Y vc oV,_ SIGNATURE OF OWNER REV -TVA -vi and sworn Identification verified: Oath sworn: r Yes me on this ZQy of r' No ---I-Jr4i Gh,DLESPERGER hAY ceNIMI6510114 # FF 9249 -No EXPIRES. Oct0ber 6. n, horded Thrnt nc:arv''"' — Signature expires: (c) ( , y State of r County of 0. Property Address: Z , C_ i (moi 1{S(Q c Applicant: I Rs-�" l ©ACS kojol C S r � Project:,,- HE CO k Review fee $ Depaitnient review required Yes No P126ning & Zonin Tree Administrator _P_091 s or ublic Utilitie Public Sae y Fire Services 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 City of Atlantic Beach Approved. APPLICATION NUMBER rS� -' Building Department 800 Seminole Road f-% E'VE (To be assigned by the Building Department.) ri Atlantic Beach, Florida 32233-5445 BUILDING Phone (904) 247-5826 • Fax (904) 247-5 ; ::cc M� E-mail: building-dept@coab.us U 2Q18 Date routed: City web -site: http://www.coab.us Reviewed by APPLICATION REVIEW AND TRACKING FORM Property Address: Z , C_ i (moi 1{S(Q c Applicant: I Rs-�" l ©ACS kojol C S r � Project:,,- HE CO k Review fee $ Depaitnient review required Yes No P126ning & Zonin Tree Administrator _P_091 s or ublic Utilitie Public Sae y Fire Services 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 Date: TREE ADMIN. Second Review:A ❑ pp roved 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 J%J; City of Atlantic Beach ❑Approved. APPLICATION NUMBER v Building Department 800 Seminole Road °'°'�' (To be assigned by the Building Department.) l Atlantic Beach, Florida 32233-5445�� BUILDING ,CCL S__00 D.'31>r Phone (904) 247-5826 • Fax (904) 247-5845; E-mail: building-dept@coab.us /va`/ 2 62018 Date routed: City web -site: http://www.coab.usy APPLICATION REVIEW AND T ARCKING t Property Address: I N{S(Q DeRxtmpent review required Yes No 0 PI nning & Zonin Tree Administrator u is or ublic Utilitie Public Sae y Fire Services FORM if l f Applicant: IRs' -1 Project: � HE o 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 �C PLANNING & ZONING Reviewed by:_ oe �4�✓ Date: 11-08-19 TREE ADMIN. Second Review:A ❑ pp roved as revis ❑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 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) �CC,L 8 --vo ( l Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: Z L, i iv 1{S( Q Applicant: (2 o AS T ko aa r- -S. Project: Etc Co X F_ --'-) " Review fee $ Departnient review required Yes o PI nning & Zonin Tree Administrator u is or blic Utilitie Public Safety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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. D�rDenied. ❑Not applicable (Circle one.) Comments: (::BUILDIN PLANNING & ZONING Reviewed by: Date: —C;�( TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: 12-10 FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie . ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ALL s Lair Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED IN y ' HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. Y 800 Seminole Rd, Atlantic Beach, FL 32233 ``j''� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #:r&('19 -a061 0 Revision to Issued Permit OR — Corrections to Comments Date: - - 3 `/S-- Project Address: %�� 3 L� h��r cfl�- �-F. %l. '4 AT "f7, Contractor/Contact Name: �eu�c\ 1c� S �o�,!`Y� �/�� ,"S* �'oa -S -6 ZL C Contact Phone: `"ICSH- S C9 ' �f/ 1/ Email: 06do ref V, �f Li �' a a/. rcpt Description of Proposed Revision / Corrections: k1a 51PG6C /J 0�1`C((. , ✓� c G!/�C�1�IN r� 1cr` Gay /l C� %�a.�r` �d fad D�a"f� �� tu�rc W�Lor7i+c�7�Ci'- Lc�/l av7L. s C, Z�o r#—v- affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will D,roposed revision/corrections add additional square footage to original submittal? _. _ No _❑✓_ Yes (additional s.f. to be added: ) •Wi I proposed revision/corrections add additional increase in building value to original submittal? ONo Q*Yes (additional increase in building value: $ ) (contractor must sign if increase in valuation) *Signature of Contractor/Agent: 1117,7 (Office Use Only) ❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fe ue $ 50,OD Revision/Plan Review Comments Department Review Required: Building Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Reviewed By Date Updated 10/17/18 J31 Date: 11/28/2018 J r� CITY OF ATLANTIC BEACH BUILDING REVIEW COMMENTS 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 (904) 247-5800 Permit #: ACC18-0061 Site Address: 1123 W LINKSIDE CT Review Status: denied REM 172374 5175 Applicant: FIRST COAST HOMES LLC Property Owner: GOINS MELINDA J Email: ddoerr4uf@aol.com Email: MINDYG86@AOL.COM Phone:9045092814 Phone:9043004362 THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction Comments: l II Submit a complete wall section framing detail from foundation top plate Vl. Submit a complete wall/roof framing section detail. I need to s how t shed is going to be designed and built, fasteners, hold downs, etc. I know it is a small building I not asked for engineered plans but it will be inspected at various stages and the inspectors needs som etails to inspect by. 2 copies Please call if you have any questions or schedule a meeting to discuss. IT ry / d - 10 —1 k Building Mike Jones Building Inspector/Plans Exam i n c r City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 904.247.5844 Email:mjones@coab.us Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding". The revision shall also be identified as to the sequence of revision by Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road, Atlantic Beach, FL 32233 �► 1 1� Phone: (901n4)) 247-5826 Fax: (904) 247-5845 nn /� Job Address: ) X13 L,'ti�Sy �t -. W . � 3zL3? N}l.-C.` F2 -'0lJ( Permit Number: Legal Description 1� 4' - ) 3 17 -- -1 �_- a 9 E S, Les Ln k s.'d e un JI E# /"J 374 „ S% 7S' Valuation of Work (Replacement Cost) $ 3, 570C. ee, Heated/Cooled SF &1A Non- Heated/Cooled i, � • Class of Work (Circle one):(Ne)eu Addition 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 N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail th�gg� type of work to be perform d;Ce Gon 5 }IvCT Q X �. X St^eo�• COr��'erti a�,Qll� '�r-�:K�!'2Xc1 wet(/S �✓' . ol��� S✓�S,'c�rtP �i*�r fti ''O.S./3. 4riCirC�-e ct C4 e GL>`41, jil"O�c Ssr1 Gs�Q�Sp.`SV' Florida Product Approval # for multiple products use product approval form Property Owner Information Name: + +t, ` \ c C_ LTU r\S Address: 1 \13 L%^ ► c� Vr . W • V City State L - zip 3 ->✓ti3 3 Phone Soy • -101b • 'L4361 E -Mail rv-%'NP\a AAOL • tm-,, Owner or Agent (If gent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: F+1115t Ccs s1* Hcv,7es, L L(f Qualifying Agent: v ,L-_ S (f. t,_ S u Address /'715 /4 �` Sfr�e`f AlostL. CityS--Y- 6 St to FZ_ zip 3 ��SG Office Phone er'C-L/ - C' "1 - _) £s`/ 41 Job Site/Contact Number S 6 `J ..l 8/l/ State Certification/Registration # C 0!5- 7 7 E -Mail cc vc o e d- r 41 y �' ® QO o Y"l Architect Name & Phone # ty 1A Engineer's Name &Phone # _( Workers Compensation /i �;-2l,-t 5 ' O lo 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 instal lation 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 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) Signature of Contractor) (including contractor) -��yy�� Signed and sworn to (or affirmed) b fore me this �`6ay of "'Signed and sworn to (or affirmed) before me this 13 day of Cesar Noao b ALLYSON D RR State of Florida -Notary Pu I' _ Commission # GG t i ture of My Commission Expires g Notary) January 24, 2022 Known OR i�Y'�.,,, ALLYSON DOERR State of Florida -Notary Public [personally ;?° Commission # GG 178343 [" Produced Identificatipn [ ]Produced Identification =�•` My Commission Expires Type of Identification: y-iq_rs uca" 1S e. Type of Identification. lanuacy 24 2022 MAP SHOWING SURVEY OF LOT 34, SELVA LINKSIDE UNIT 1, AS RECORDED IN PLAT BOOK 44, PAGES 23 AND 23A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. p 1A zn 40 SCALE: 1' - 20' i I I I I I I I I LOT 33 i ' I I II I LOT 22 1 I I ZI i (FIELD) .o ll c aI LA I N83.41'41'E es.o5' ( u FOLAW AdAc • I 6 WOOD FENCE MAL AW aw N> W m u $ cs _ ceases 3 3 o �CAP � � WE u LOT 34 U 20.1,E NP.0 9E7 v: obi. W iz a `,W x -curl coNcaElr 2 -STORY STUC1123 oo m °""T RESIDENCE NO $ CAP Miar to 0 b N O m Q (; �J• h Q- 6) 2 U �' x It" i � N6s•1 \ LOT 35 F J. �o \ NOTES: 1. THIS IS A BOUNDARY SURVEY. \ 2. BEARINGS ARE BASED ON THE EAST UNE OF LOT 34, \ BEING SOUTH 08'18'00' EAST, AS PER PLAT. 3. NO BUILDING RESTRICTION LINES PER PLAT. \ 4. P.C. DENOTES POINT OF CURVATURE. THE PROPERTY SHOWN HEREON \ APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE OF THE 0.2% ANNUAL CHANCE FLOODPLAIN) AS WELL AS CAN BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP No. 12031CO408H, REVISED JUNE 3, 2013 FOR DUVAL COUNTY, FLORIDA. 'NOT VALID 1MTHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. - LOT 21 � S SET NAC NAIL AND DOW Nw L&V72 I LOT 20 I 1 1 I THIS SURVEY/ AS MADE FOR THE BENEFIT OF MELINDA/J. COINS. DONN W. BOATWRIGHT. I P.r%M. FLORIDA LIC. SURVEYOR and MAPPER Na LS 3295 FLORIDA LIC. SURVEYINii do MAPPING BUSINESS No. LB 3672 DRAWN BY: CHECKED BY: 7 BOATMIGHT LAND SURVEYORS, INC. --Iil cL CIO n 9f11 15011 R09ERRI TS DVE JACKSONVILLE BEACH. FLORIDA 241 -RSM DATE: FEBRUARY 17, 2017 cNFrT 1 K 1 SELVA LINKSIDE UNIT ONE ASSOCIATION 12620-3 Beach, Blvd. #301. Jacksonville, FL 32246 E-mail: ARB@lGngdomManaaement.com ARCHITECTUAL REVIEW REQUEST FOR PROPERTY IMPROVEMENT Melinda GOins (please see second email from me!) Owner's Name Property Address 1123 Unkslde Court. West Lot No. 904.300,4362 tnIndvg86(c�?aol.com Phone E-mail Owner's Mailing Address (if different from above) Sat11 e What type of project/improvement are you requesting? Fence Roof Exterior Painting Deck/Patio/Enclosure OW Outbuilding Other (Details) For your application to be complete, please provide us with the following information: 1. Please provide a complete description of your project/improvement, being as detailed as possible. 2. Type of materials to be used and sample colors if applicable. 3. Drawings, brochures, photos, eta 4. Copy of most recent certified lot survey showing location of proposed improvement/project. 5. If repainting, you must supply old trim and exterior wall colors details, samples of new colors, color of roof, and brick or masonry colors. 6. If installing vinyl siding, submit detailed description of siding type, color sample of siding and trim colors, colors of roof and any masonry on your home. 7. If any heavy equipment is to be used, you must indicate what type of access you plan to use for trucks, equipment, eta in order to reach your backyard. 8. Any damage to sidewalks, curbs, roads, grasses, and common grounds of SELVA LINKSIDE UNIT ONE ASSOCIATION, INC. will have to be restored to its current condition and will be the responsibility of the homeowner making this request. 9. Has the proposed change(s) been discussed with your neighbor? No 10. NOTE: It is the responsibility of the Homeowner/Contractor to secure all necessary permits from Duval County and to comply with the Local Building Codes for setbacks from property lines, retention ponds, existing structures, easements, and safety requirements. Melinda Goins 9.30 2018 Owner's Signature Date 'Only the homeowner of record may request architectural approval. Approved projects must be substantially completed within 3 MONTHS or you must resubmit once commenced. The approved construction must proceed diligently. Additionally, the ARC has 30 -days from the date this request is received to act on the request; however, the ARC will make an attempt to expedite the turnaround within ten (10) business days. No work should be started without approval from the ARC. ARCHITECTURAL RW COMMITTEE USE ONLY Vi Date Received _Received By ARB Decision: �*pproved ,,ODenied Date yv ARC Member Signature -71111K-5'%�dS .1� � ARC COMMENTS: r j -6"7 0-19 `} y lJ ARB Form revised and adopted 711/2017 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. 61— 1 Iff — e ©G Tax Folio No. State of a— County of_ uv 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. rr�� Le/gal description of property` being improved: Address of property being improved: 7.3 L '� S A,- W , rrL, General description of improvements: C n S C r Owner CL. Address > 3 L�3 j Owner's interest in site of the improvement . ✓Z P S . l ry ��i r+ Fee Simple Titleholder (if other than owner) Name Address 5i Cc LL _ _ Contractor /`% �� 5rt H r' ctm � S , Address l h/ / C % O -29, �'�,r e ei 11%e t T .i l r e, x & 1, l'L . 31 2 S—o Phone No. Fax No. Surety (tf any) _ Address Amount of bond $ Phone No. Fax No. Name and address s o any person mating 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 erved: Name_ IV/4 Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06,(2) (b), Florida Statutes. (Fill in at Owner's option). Name /4 Address Phone 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 Doc # 2018273835, OR 8K 18603 Page 1250, Number Pages: 1 Recorded 11/20/2018 01:17 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 OWNER �f Signed-". .9 DATE Before me this y of RjavyMi2ay, in the County of Duval Sta of Florida, hes personally appeared Nat E tC I"IS herein by himself! herse f and affirms that all statements an! declarations herein_ _ are true and accurate — ,."Y ALLYSON DOERR � w : State of Florida -Notary Publi *= Commission # GG 178343 My Commission Expires Notary Public Qt Large, State ofun�j i� V anuary 24, 2022 My commission expires: I Ltd Personally Known or Produced Identification OFFICE COPY T to tom, e s 10- 9r e 9c y -S �` ? :1,1�) df REVIEWED FOR CGDE CO."" CITY OF ATLANTIC c S=E PERMAITS FOR Ain -01 REO[;IREP,;EN"fS A:vD COti01Tit.'"i S Q� REViEVVED BY: DATE:_%Z-/o _, !J T` 1 �S,aS��ya -�loLl scct r 'ads I `fey////.� MW h X.c , j M C-) Q a `fey////.� MW h X.c , j M C-) Q a CutA(rlccv('1av�> CX 9 L.. . Aoee s leers y -m 7 -L+ r -a i -1P � cc- �� i f G v _ n � j' 1 Fr c-