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479 Irex Rd. RES19-0012 Roofing RESIDENTIAL PERMIT PERMIT NUMBER r lam' it CITY OF ATLANTIC BEACH RES19-0012 800 SEMINOLE ROAD ISSUED: 2/26/2019 ATLANTIC BEACH, FL 32233 EXPIRES: 8/25/2019 MUST CALL INSPECTION PHONE LINE(904)247-5814 BY 4 PM FOR N=EXT DAY INSPECTION.. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC,"AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES ALL CONDITIONS.OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 479 IREX RD RESIDENTIAL ALTERATION ; PITCHED ROOF- RAFTERS $14000.00 RESIDENTIAL AND SHINGLE ROOFING TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: ROYAL PALMS UNIT 171407 0000 02A3.00 COMPANY: ADDRESS: CITY: STATE: ZIP: STYLES CONSTRUCTION 1537 PENMAN RD SUITE A JACKSONVILLE FL I 32250 BEACH OWNER: r ADDRESS CITY: STATE: ZIP: SCHAFFHAUSER EDWARD 479 IREX RD ! ATLANTIC BEACH I FL 132233-3903 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. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $125.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $62.50 BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00 Issued Date:2/26/2019 1 of 2 jy'J'''"ir, RESIDENTIAL PERMIT PERMIT NUMBER r v 19.110;,,,,,' ,1RES19-0012 J , , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 2/26/2019 o;31E) EXPIRES: 8/25/2019 ATLANTIC BEACH. FL 32233 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.56 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.38 TOTAL:$243.44 Issued Date:2/26/2019 2 of 2 f ,'Itje City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ri 800 Seminole Road s _ OO 1 Z Atlantic Beach, Florida 32233-5445 l \E I l Phone(904)247-5826 • Fax(904)247-5845 . ,;igtjr E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 479. ( Rk RD Department review required Yes No n gilding). Applicant: ST v Z Planning &Zoning pTree Administrator Project: K)(��` � F L�7 I (7C£( Public Works Public Utilities Public Safety dN1 LC q5-{- c'-00—) Fire Services [Review fee $ ept°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 ,n I� Army Corps of Engineers �f v 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: ILDIN PLANNING &ZONING $=j Reviewed by: i - Date: l'" TREE ADMIN. Second Review: Approved as revised. [ Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: 2--6-/ 9' FIRE SERVICES Third Review: t�Approved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: .3"/24/215/7 Revised 05119/2017 • JS rj �� Building Permit Application OFFICE COPY Updated 10/9/18 e17% City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY -arn9r IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: (/7'9 rm/4 .df I Permit Number: RE l - 001z Legal Description 1) 3- 1. OA j +S 9-1'z4c.., RE# II ( utcri ®ce6 Valuation of Work(Replacement Cost)$ /15 ami, _Heated/Cooled SF /�s® Non-Heated/Cooled • Class of Work: ❑New ❑Addition Alteration ❑Repair ❑Move ❑Demo OPool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial residential • If an existing structure,is a fire sprinkler system installed?: (=Yes prVo • Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit)A4!o Describe in detail the type of work to be performed: 3�2047,Ve--4 s// G✓GY' c:). f ( i N� A% !'7iT Florida Product Approval# for multiple products use product approval form Property Owner Information Name flAD 5 q hpvusef _ Address LUX City A--\- . ,g>), , State r., Zip3 z,Z.3 Phone E-Mail I J Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information I Name of Company y/%i (/�✓ s'✓ G�ls•✓ sualifying Agent D 4 r rZ,/ e,. 5iPi d • Address /f'-:3 7 4-4/•2.7a.4., City 740-41e... 4,, !State. /Cm? Zip 3 2 z ° Office Phone 90 V 5-95-- 5/"•7 Job Site Contact Number j'9S` -_ State Certification/Registration# G4Gio9,7LL V E-Mail OQrrs/, f/.,/ G Zoe//jo•744 Architect Name&Phone# div.`s G'C.4 4' / Engineer's Name&Phone# 11 �•Z ` Z3 zy Workers Compensation InsurerOR Exempt 0 Expiration Date 7/9 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 regulating 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Lc��.eA-t.•- (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or affirmed) efore me this / \clay of %Signed and sworn to(or affirmed) before me this (C'iiay of icAIN , ')az\\ ,by 6 t13 U(� G. SC,V 0� , �O rt ,by j�c-4'-11 T�] � p p l .XM mA av i s$a(Ark, (Signature of Notary) ignature of Notary) Y' '. MARISSALORDA +'�"��� STEFANI SERNA [ ] ersonally Known OR ' "= Personally Known OR Y , ;. :*; MY COMMISSION#GG 228145 r. ;° �� State of Florida-Notary.Public roduced Identification m. ]Produced Identification ;r r XP' • une 12,2022 -.V', E Commission #GG 235032 Type of Identification: ' =J r'( ; „� ; Type; of,ldentification,,. -�9,._ �` �ATCammissie�-Eves I ; '',nm" July 04, 2022 OFHCE COP *ALL INFORMATION i Revision Request/Correction to Comments 4`aHIGHLIGHTED IN I ,' City of Atlantic Beach Building Department GRAY IS REQUIRED _, tZ 800 Seminole Rd, Atlantic Beach, FL 32233 `rn' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1:R. _ 1, , Com.=1Z n Revision to Issued Permit OR Corrections to Comments Date 2 (I " , Project Address:L 4 . .._f 1 r % Contractor/Contact Name.1 ;' .��r r t. `' 51YK. i 41 ��f..e s., Cyt Contact Phone i �� n - Description of Proposed Revision/Corrections: -ham e o r f-&'- _°v%- e 6_ (1 "r - -- --- —1 ,-.-- ---S-4 .- -c--.7:- -Z----7.6-c:' 4-- —(7r-\<e_ -117p---rti- - -r- 7 ,----7,7:-7 IF" affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage t�q in t ? F � t ° � te No ❑ Yes (additional s.f.to be added: F i ?! gam, 6 ,ice • Will proposed revision/corrections add additional increase in buildinggv�a aeloior; ll submittal? iii No ❑*Yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: _� r-t.-,no��ti ent. ifyLiitutt. f-'1'1\1 of �`\. `;,tL: l (Office Use Only) Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ _50. Revision/Plan Review Comments _._De ..artment Review Required: f ,Build `ing,_ , r E- `sting&Zoning Reviewed By Tree Administrator Public Works Public Utilities _ a-2/-00/9 Public Safety Date Fire Services Updated 10/17/18 OFFICE COPY j, �-4w9µ3 Revision Request/Correction to Comments *p�LINFORMATION HIGHLIGHTED IN i 3 City of Atlantic Beach Building Department GRAY IS REQUIRED ` t� 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:;' G 7--CC74' • n Revision to Issued Permit OR 7 Corrections to Comments Date Project Address: '? Contractor/Contact Name: ry` / rt'�;�5 `;'c tes7" T j Contact Phone: ` 5 4$ ':9�1 O7 Email: , iRs C-L, 4=°�. 3 ( . .J c so()71-(, iL Description of Proposed Revision/Corrections: _ , ., _ 1 ' c_„,,, ,=;,-;.7--)6_7-2,.,_ _ _ o ., affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? ❑No ❑ Yes (additional s.f.to be added: ).:'. • Will proposed revision/corrections add additional increase in building value to original submittal? ❑No ❑*Yes (additional increase in building value: $ )(Contractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) ❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ ©" Revision/Plan Review Comments DeA tment-Review Required: cp ilding2-O f ' wning&Zoning Reviewed By Tree Administrator Public Works Public Utilities )-. ' Public Safety Date Fire Services updated.w/17/18 11( J _,. , CITY OF ATLANTIC BEACH ,.. i,� r K-.� � � 800 Seminole Road =~ "'r) Atlantic Beach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date I " 3 Revision to Issued Perm ilk Corrections to Comments Permit# (2--E. tC1 °1 Project Address L( 2 Q Contractor/Contact Name 54"ylrs CI-- etc. On rf C I ( Sev, i-I-t. Phone S K S – °t ( 0 Email DA C rt L c— K/ 31 # g f Il so l f4 .n e7E-- Description of Proposed Revision/Corrections: Permit Fee Due$ — U V\ f\s ( c'Ce-5 cam _ Additional Increase in Building Value$ -O Additional S.F. By signing below,I VA r f`e 0 6- . S 14-k„ affirm the Revision is inclusive of the proposed changes. (printed name) Q �� � H - S. ure of ontractor/Agent(Contractor must sign if increase in valuation) Date I at (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments • Department Review Required: . Building Planning &Zoning Reviewed By Tree Administrator Public Works Public Utilities Public Safety Date Fire Services CITY OF ATLANTIC BEACH r u, At j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 d<� (904) 247-5800 BUILDING REVIEW COMMENTS Date: 1/25/2019 Permit#: RES19-0012 Site Address: 479 IREX RD Review Status: denied RE#: 171407 0000 Applicant: Styles Construction, Inc. Property Owner: SCHAFFHAUSER EDWARD G Email: darrell4131@bellsouth.net Email: Phone: 904.545.9107 Phone: THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions HEW El submitted urgEfEaffi,departments C ..rrxa completed their respective reviews Revisions submitted IKEff respond in EACH department o Submittals respond In CGi j Cpl !lew comecti;on items will not be accepted Correction Comments: 1. Submit a Cover Page for your business. 2 copies. I will send a pdf file with some basic guidelines as to what I am looking for. 2. From the 2017 6th Edition of the FBC-Existing Building Code, Residential, choose a method of construction compliance/alteration level,place this information on page S-4 of 4 under DESIGN CRITERIA. 2 Pages please. 3. The engineer calls out that all roof rafters to be 2X8 SYP#2@24" O.C. unless noted otherwise on the plan. The engineer's detail, 1/S-3, on page S-3of 4, shows the rafters to be 2X6 SYP #2 @ 24" O.C. They would be spanning an excess of 22 ft. From Table R802.5(1)RAFTER SPANS FOR COMMON LUMBER SPECIES, a 2X8 syp#2 @ 24inch on center is allowed to span 13ft-1 linches. A 2X12 of the same species and spacing can only span 19ft-6inches. There is no other details in the drawings that would show support of the rafter size called out that would allow a 2X8 to accomplish the desired span. Correct and revise accordingly. 4. Thereis no ridge board called out for the new gable framed roof improvement. 5. Resubmit all pages with the dimension(spans from outside of block to outside of block) of the building parts that will be affected under this permit. 6. If a hand framed gable roof system is resubmitted, all calculations will be required for the design, all load bearing points need to be located, all dimensions from bearing to bearing, heights of ridge from adjacent grade, all tie down information products called out by name and number, strapping lengths and locations. Ern Cae CPe U i e v 14'.‘"P /-a C_1 //12( - Building Mike Jones Building Inspector/Plans Examiner 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 indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. OFFICE COPY c( coclPRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: `nck Permit#: l26 /7-jo6)/g *Owner/Project Name: E du.) y &o SC ''`Is -c 1( USI. R As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72, please provide the information and product approval nuniber(s)for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www.floridabuilding.org. Category/Subcategory ; . `. Manufacturer. 'Product Description ;Lirimitation`of Use •State::#: Local# A. EXTERIOR:DOORS 1. Swinging • 2. Sliding 3. Sectional 4. Garage Roll-Up 5. Automatic - • 6. Other B.WINDOWS 1. Single hung • • 2. Horizontal slider 3. Casement 4. Double hung 5. Fixed 6.Awning 7. Pass-through 8. Projected • 9. Mullion • 10.Wind breaker 11. Dual action 12. Other • • Page 1 of 4 Updated 10/17/18 Category/Subcategory' Manufacturer , Product Description. Limitation of Use State# : Local# C. PANEL WALL 1.Siding 2.Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10.Synthetic stucco 11. Other D. ROOFING PRODUCTS 1.Asphalt shingles G l9 ,c' 5 4,',�S /�s / c t -t4/ 2. Underlayments V t4 1 fink G F h e l r i �estk- 3. Roofing fasteners 4. Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen 7.Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing ,. 14. Cement-adhesive coats 15. Roof tile adhesive 16.Spray applied polyurethane roof 17. Other • • Page 2 of 4 Updated 10/17/18 • Category/Subcategory: Manufacturer ProductDescription Lirriitation of',Use, State# Local'#.,. E. SHUTTERS 1.Accordion 2. Bahama 3.Storm panels 4.Colonial 5.•Roll-up • 6. Equipment • 7. Other F.STRUCTURAL • COMPONENTS 1. Wood connector/anchor 2.Truss plates 3. Engineered lumber 4. Railing • 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms • 9. Plastics 10. Deck-roof l 11.Wall J 1aMpS 1�q�y2ni P `gyral, - La, 1319\2 . 1 12.Sheds 13. Other G.SKYLIGHTS 1.Skylight 2. Other H. NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. Page 3 of 4 Updated 10/17/18 OFFICE COPY . . In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. • *Contractor Nam (Print Name): Clar���.\\ cr'/~����\t- *Contractor Signature: A __ � wNrLk' *Company Name: /~ 4 r s C r‘. \ ' -\- rlc•- ' *Mailing Address: p, D . g (smc *City: <-\ A--\ ' /3 ,D ^ *State: `-� \ *Zip Code: *Telephone Number: *E-mail Address: r:-.)1 .,c`f^t \\ \J \ l /le |\ sou4-\- ,v\-e • Cell Phone Number: C 0 s— '1 / Fax Number: • Page«of^Updated x4/1z/10 4C'i CITY OF ATLANTIC BEACH r800 SEMINOLE ROAD --,0',----1,.., '''-' ATLANTIC BEACH,FL 32233 lit OFFICE (904)247-5800 BUILDING REVIEW COMMENTS Date: 2/6/2019 Permit#: RES19-0012 Site Address: 479 IREX RD Review Status: denied RE#: 171407 0000 Applicant: Styles Construction, Inc. Property Owner: SCHAFFHAUSER EDWARD G Email: darrell4131@bellsouth.net Email: Phone: 904.545.9107 Phone: THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. t5;.. 2arw' rte, a' u ., r 3c^m_'_ � Revisions rf submitted G departments (completed respective reviews Revisions submitted MUST respond 93 EACH department° oSubmittals respond C CITGC correction , y accepted Correction Comments: 1. Comment • from the first review has not been answered concerning the Existing Building iteration level and that information placed on page S-4 of the Structural pages under DESIGN CRIT RIA. 2 Copies. Building ryky a 'D t - def q Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 904.247.5 844 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 indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. t v .a� Feat D K) I t' e � -ems 4s' or 7-- 6" Ly 1/11-r NOTICE OF Co OFFICE COPY MMENCEMENT r (PREPARE IN DUPLICATE) Permit No. 2 Sl 9 0/Z Tax Folio No. State of. County of . ,„pr I 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. 31 - I-7 --25 -2F' Legal description of property being improved: p C tom= }9- n r • n ,t,4 L Pig-64/5 ()y Address of property being improved: 1/7 q .,r/4 .$‹ RA, ( ca233l General description of improvements: 4 / / , ,Ta"%e,/ 3J z p:49 d4 a�,� ,.. /� OwnerY/(ly.(.Upcc►t2 G) �� }� ;�coif-ho v, � n Address 7 1 ms`s;p L�c1 cl• `J 14. 3223 Owner's interest in site of the improvement © Lvv--e/L Fee Simple Titleholder(if other than owner) Name ///, M°A / Address • Contractor fi1y /r f C?d,3 Ind/ 1,v'-. Address /SI ? 7 rc,., IP/00,J Gid• Phone No. ?e'1'" 5 P S' 0'7 Fax.No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name 1/1Address 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 sery d: 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 ,(/,0 Address / Phone No. Fax No. u1116I6I IL U ' I.,.,r•+-•••.-`^!• - OWNER THIS SPACE FOR RECORDER'S USE ONLY 1 L1 )�� Signed, DATE Before me this daf fFlorida, rson'?-appeared in the Count(qf Duval,r d tate S G 4(1�C�ur 4 P I" herein by �dcJa r �G• himself/herself and affirms that all statements and declarations herein Doc#2019008220,OR BK 18655 Page 1347, are true and accurate t ,,,:•, MARISSALORDA Number Pages:1 , a°•' , '•4� • Recorded 01/10/2019 03:05 PM, �1 MY COMMISSION#GG 228145 1 Tu ec 9 : : EXPIRES:June 12,2022 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL / = • , Q. r COUNTY Cr 'FOT O' Bonded ruNotaIyPubliCUndeiwdters RECORDING $10.00 Notary Public at Large,State of j i G ir I dot, County of T),ri r a I — — — — My commission expires: 7-run( Tom-c �o�e or Personally Known Produced Identification Ur I VI r S I r C Lo - —C