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1563 Linkside Dr FNCE19-0034 Replace Fnce FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0034 ISSUED:4/2/2019 800 SEMINOLE ROAD EXPIRES:9/29/2019 ATLANTIC BEACH. FIE 32233 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDIN(z 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 thiscounty,and there may be additional permits required from other governmental entities such as water management districts,state agencies,orfecleral agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1563 LINKSIDE DR FENCE WALL OR BARRIER FENCE replace 6-11. privacy fence $3500.00 TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: T 1723746078 SELVA LINKSIDE UNIT02 COMPANY: ADDRESS: CITY: STATE: ZIP: SUNSET FENCE, INC. 10418 NEW BERLIN ROAD,#106 JACKSONVILLE FL 32226 OWNER: ADDRESS: CITY: STATE: ZIP: NICHOLSON TIMOTHY C 1563 LINKSIDE DR ATLANTIC BEACH FL 32233-7323 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. 1 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All mmoff must remain on-site during construction. 2 PUBLIF WORKS ROI.I OFFCONTAINER INFORMATIONA[ Notes: Roll off container company must be on city approved list(Advanced Disposal,Realco Recyclim&Shalpells,Inc.,Republic Services,Donovan Dumpsters, Phillips Containers,]Dog/Demus Junk Removal,All American Roll Off,WCA Waste Corporntion). Container cannot be placed on City right-cf�ay. Issued Date:4/2/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0034 800 SEMINOLE ROAD ISSUED: 4/2/2019 ATLANTIC BEACH. FIL 32233 EXPIRES: 9/29/2019 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is Peq PUBLIC WORKS 4 FENCING REMOVED INFORMATIONAL Notes: All old fencing must be removed from job site b DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CIFFC� 455 0000�322 1001 0 $17 50 FENCE 455-0000 322 IWO 0 $35,00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STAIT DBPR SURCHARGE 455�20&-0700 0 $2,00 STAITUDCASURCHARGE 455�2�00 0 $200 TOTAL:$81.501 Issued Date:4/2/2019 2 of 2 City of Atlantic Beach UMBER AP LICATION N (To be assigned by the Building Department.) 17�7 Building Department too Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247 5845 13 2019 E-mail: builifing-dept@coatims Data muted: 21-0_Ia__� city web-site: hftp://�.coab.us APPLICATION REVIEW AND TRACKING FORM ;ewu Property Address: De artment review require Yes No uildin Applicant: gP'anning&Zonin Tra or Project: Pu 1, Ublid, uonc uldimers u a ety Fire Services Review fee Dept Signature Other Agency Review or Permit Required Review or eceipt Date -Florida Dept of—Envmnmental Protection of Permit Verified By Florida Dept.of Transportation St.Johns River-Water Management District ob Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco er: — I I _J APPLICATION STATUS Reviewing Department Filert Review: E]Approved. Denied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed b Date:49f* TREE ADMIN. Second Review: r]Approved as revised. KDenied. EINot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b ate:-AJ97# FIRE SERVICES Third Review: EVApproved as revised. E]Denied. EINat applicable Comments: Reviewed b 111"_2 Datek A.21-114 Revised 0511912D17 CITY OF ATLANTIC BEACH Department of Public Works 1200 Sandpiper Lane Atlantic Beach, FL 32233 (904) 247-5834 oil 9� PUBLIC WORKS PLAN REVIEW COMMENTS Date: 3/14/19 Applicant: Sunset Fence, Inc. Permit#: FNCE19-0034 Email: mlob907O6l(@aol.com Review Status: DENIED Property Owner: Lisa Nicholsen Site Address: 1563 Linkside Drive Email: Not Provided THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS Correction Items must be submitted to the Building Department at 800 Seminole Read. Submittals that respond to only one or a few correction items will not be accepted. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions must be submitted to the Building Department and must respond to EACH department review. PUBLIC WORKS CORRECTION ITEMS: APPROVED A Revocable Encroachment Agreement must be submitted. The form is on our website under Building Department-"Permit Applications an and also at the Building Department located at City Hall. PUBLIC WORKS CONDITIONS OF APPROVAL: (rhefollowing comments will be printed on your permit as Conditions of Approval) • All runoff must remain on-site during construction. • Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Shapells, Inc., Republic Services, Donovan Dumpsters, Phillips Containers, JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. • Full right-of-way restoration, including sod, is required. • All old fencing must be removed from job site by Contractor. Scott Williams, Public Works Director swilliarnsli/904-247-5834 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"cloudlne. 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. Comolete new sets of drawings will not be accgpjgcL ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. Page I of 1 0APublic WorkAADMIN\PLAN REVIEW COMMENTS\FNCE19-0034(Sunset Fence).dmx 4;,;q "�,�' � 0 G UF PLAT A8 SHOWN 7' N MAP OF -1�"OEIDO— '4aU0 A-,,— jtA - 5a 41 Ll rTl Z L Wr, 06 , C-) C) R '�0 AIR VMY.7e,,?'� _3 roof le '4 le e 'ww'mas SAIF.AAMAIr MCrIeW /7, 79 F.45,T Ii" Awl "M No. I, MEIM IN,W�N1.11�M 13 191.11177m.i..WIN ...L I FY THAT 14is sum",rERFOAMID UNDE MIMI$UPC`N IN%"Joy PFCPMW"W'T a ShOWN 011 1141s, nvv, 70. v O'N" sulymc) /I Al�i. 2 SCALM A ZIF WY. �111 -- -- - -";pow, !,��7 v�Yflv� *m rI: mm All SL40dcn M cjffucjoj"Auns sjj IvNL MIN A SUSI amvpe OT.".7 AYARIF MAN (1: Ap"Y 90 F -E D*.V. f4, cri E5 CD Wyl 7 7P/Wo G'O V, cc 1141, IF Ire --olmliv vlo'. le ..- V. - in Fv L-__ - i;"�7'-� ., -'ALL INFORMATION Revision Request/Correction to Comments HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Build i ng-Dept(cDcoab.us PERMIT#: FN C-C_N_OOS4 El Revision to Issued Permit OR EVcorrections to Comments Date:. ProjectAddress: Contractor/Contact Name: S`L)IQ -7 Z: F�; Z, Contact Phone:9,44 Email: �VIO 2 7,�)� Description of Proposed Revision/Corrections: I/4-r Alf I�A�nc 4_4x,�_7 P j—/ZE Y ZV "A/5 2-7�� ZZ�V -i— �z--�2-4— affirm the revision/correction to comments is inrhisiye�.(t�hp e. eilt'�. e (printed name) L • Will proposed revision/corrections add additional squarefootage to original submittal? MAR 13 2019 ?No El Yes(additional s.f.to be added: '4 I?epartment • Will proposed revision/corrections add additional increase in buildin I t BPY1110a i,�.�A,,gn increaseln uation FNo -Yes(additional increase in building value:$ zz vj F' -Signature of Contractor/Agent: (Office Use Only) El Approved [jrDenied Ll Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments 4 40odh I!- Department Review Required: Bu"di.,ng ,::::::::j!E -— - Reviewed BV'� Tree rm I. or �bk Woks� �,ctl ies h It Y: Public Safety Fire Services Vpd�wdI0117119 CITY OF ATLANTIC BEACH Department of Public Works 12DO Sandpiper Lane Atlantic Beach, FL 32233 (904)247-5834 PUBLIC WORKS PLAN REVIEW REVISION COMMENTS Date: 3/20/19 Applicant: Sunset Fence, Inc. Permit III: FNCE19-0034 Email: mlob9070610aol.com Review Status: DENIED Property Owner: Lisa Nicholsen Site Address: 1563 Unkside Drive Email: Not Provided THIS REVISION PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS Correction Items must be submitted to the Building Department at 800 Seminole Road. Submittals that respond to only one or a few correction items will not be accepted. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions must be submitted to the Building Department and must respond to t review. APPOM PUBLIC WORKS CORRECTION ITEMS: CC A Revocable Encroachment Agreement must be submitted. The form is on our website under Building Department-"Permit Applications and Forms" and also at the Building Department located at City Hall. PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) • All runoff must remain on-site during construction. • Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling,Shapells, Inc., Republic Services, Donovan Dumpsters, Phillips Containers, JDog/Dennis Junk Removal, All American Roll Off, WCA Waste Corporation). Container cannot be placed on City right-of-way. • Full right-of-way restoration, including sod, is required. • All old fencing must be removed from job site by Contractor. Scott Williams,Public Works Director swilliams0coab.0 /904-247-5834 Resubmittal Notes: All revisions and changes shall clearly standout 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 pendin&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 acceqtecL ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. Page 1 of 1 0APublic WorkAADMIMPLAN REVIEW COMMENTS\FNCE19-0034 lRevision-Sunset Fenoe).docx "ALL INFORMATION 0 Revision Request/Correction to Comments HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd,Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-DePtOcciab-Lis PERMIT#: f1J C 19-012 El Revision to issued Permit OR Xcorrections to Comments Date: 3-2 2-1 '5i' Project Address: .5-04) 5: ,f :7� eog_ Contractor/Contact Name: ContactPhone:_ —Email: /v/_e/3 go zel, Description of Proposed Revision Corrections: f"13 Z_ :�EA2Cl2,�,x 05; E UZ D 1_�V) affirm the revision/correction to comments is inclus!01� kh fJL; (printed name) • Will proposed revision/corrections add additional square footage to original submittal? MAR 2 2 2019 KNO El Yes(additional s.f.to be added: I 13IL"dirg Departrr.er! ? • Will proposed revision/corrections add additional increase in building value to origin�ail'44 PrNo EI-Yes ladditional increase in building value:$ Mamr must sign if ncrsuuu�in valuallon) *Signature of Contractor/Agent: (Office Use Only) 42'Approved El Denied El Not Applicable to Department Permit Fee Due$_ Revision/Plan Review Comments Department Review Required: Building ReviewedW Tree Administrator ! ECEIVE- Planning&Zoning ublic Wor MA R 2 5 2019 Public Utilities Public Safety Date Fire Services Updntsd 10/17/18 REVOCABLE ENCROACHMENT AGREEMENT "ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach,FL 32233 15 REQUIRED. REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized and exist! e la rid h einafter referred to as"CITY"and = �=�f ol of Atlantic Beach,Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as z���' - Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocationor removal onthirty(30)days'notice by�=aid Yluc=1 be givVy certified mail,return receipt requested,to thefollowing address • 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 19-7b) 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 liabilitZiee:/ reby lu d ytrSFR. Date Property"nir/AgII(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this x— dayof �.C,Ck- 20 1�1 by AbiC11DXn )6,�A WDCQ-C�t- _,who personally appeared before me and (printed name of Signer) acknowledged that he/she signed th instrument voluntarily for the purpose expressed in it. JOSEITE A RE..M" '2 sf, ' "'S: �* F C-rdlision#FF 218MI FF 218MI Department proval: 1 ExPlies April 7 2019 a na ; 7 19 =pl=A ary Public,Sta e of Florida ��T�Faa!—�, Pe�5offally Known aa�, c— I Prod.uced Identification(Type) Pt NvkA LI CL Scott Williams,Public Works Director HAAxplimbons&Forms\WoM&Excal Document Originals\20180831 Ravocable Encroachment Agreementd� Ravision Date:8/91/18 --- City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 3L Atlantic Beach, Florida 32233-5445 �J C 0 —CID Phone(904)247-5826 Fax(904)247-5&45 Date routed: 1"' E-mail: building-dept@wab.us city eb-site: hftp 11�.coaous APPLICATION REVIEW AND TRACKING FORM _� U1l)1(!S*dJ Property Address: De rtment review re uIre YesTNo Kild!rn Applicant: sk I J)�t+ rt Als iEt� Project: Fire Services Review fee Dept Signature Other Agency Review or Permit Required Review or Race P' Data of Permit Verified By Florida Dept.of Envirionmenial—Protection Florida Dept.of Transportation St.Johns River Water Management District Any Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beveraps and_Tob..0 Other: APPLICATION STATUS Reviewing Department First Review: E]Approved.. EE]Deni d. MCI applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: TREE ADMIN. Second Review: E]Approved as revise(d. ElDenied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRESERVICES Third Review: E]Approved as revised. E]Denled. E]Not applicable Comments: Reviewed by: Date:— Ravl�OVID12017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 3c/ Atlantic Beach,Florida 32233-5445 CID Phone(9134)247�5826 Fax(904)247-5845 E-mail: building-dept@mab.us Date routed: Cityweb-site http:IN�.coalb.us APPLICATION REVIEW AND TRACKING FORM Property Address: S_(0_� Ut��_Sdt -Department review reouired Y No :2ut d 16, Pis Applicant: R_(X( c r ing Zoning Tnsojkl�V — Project: PqkL�� <—Public Utilities) -PUBM-Fafe—ty Fire Services Review fee $ Other Agency Review or Permit Required Review or It Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River-Water Management District Any Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco 1 Other. APPLICATION STATUS Reviewing Department First Review: [aApproved. ElDenied. E]Ncrt applicable (Circle one.) Comments: (E�) PLANNING&ZONING Reviewed by: rh J'�� Date:N1 IJ 2 f TREE ADMIN. Second Review: OApproved as revised. []Deniedv E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date FIRESERVICES Third Review: E]Approved as revised. ElDenied. E]Not applicable Comments: Reviewed by: Date: Revised!0511912017 ,diliffift, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 /1 C& tel _C0 3V 1WPhone(9134)247-5826 Fax(904)247-5845 E-mail: building-dept@ccabus Date routed: 2 Cityweb-site: http://�.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: JSJ - Department review required Yes No Applicant: P arming&Zoning;? _F4 Lre5AXMn3:r Pu �� Project: f aka c hfi -public Utilities _Frlu�a ety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or pt Date of Permit Verifie By Flonda Dept of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco 1 Other: APPLICATION STATUS Reviewing Department First Review: E]Approved. armed. E]Not applicable (Circle one.) Comments: P, BUILDING Ferce f 5 01cr, PLANNING&ZONING Reviewed lb"�C= Date: TREE ADMIN. Second Review: ElApproved as revised. []Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. E]Denied. E]Not applicable Comments: Reviewed by: Date: R.�k.d 05119/2017 AmIlit, Revision Request/Correction to Comments "ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-DeptiAlcoab.us PERMIT#: FNC'C_lI9-0()34 El Revision to Issued Permit OR 0/corrections to Comments Date: ProjectAddress: 16_�,13 11,JX5A q-- b(Z- Contractor/Contact Name: SIJA) -7217- �W_ L 'gr), 4 Contact Phone:q�q Email: 9'd 74%,11 Description of Proposed Revision/Corrections: Vir- 21&�_"i z;-W, SAO.0� P, 2 -i— I li6�_ affirm the revision/correction to comments is I Gh (printed name) RE `&VE-E) • Will proposed revision/corrections add additional square footage to original submittal? MAR 13 2019 No 11 Yes ladditional s.f.to be added: • Will proposed revision/corrections add additional increase in buildir I t B�ffl Department lW1'iRV11?+' B h FL �No -Yes(additional increase in building value:$ _ 4 C ,A a %gag, ea� r z z g 'fico Ws gn ncrease nvLation) *Signature of Contractor/jAgent: (Office Use Only) ,P<Approved E Denied L1 Not Applicable to Department Permit Fee Due$_ Revision/Plan Review Comments Department Review Required: Building .11�1 �--_P_1an`mng_&_Z.nm­g —) Reviewed By Tree rm ra or �blic W.rk�s �—�ic fl i�Ies 3- Public Safety Date Fire Services Updated10117118 13ab -;,;q or, .11 M SH 11/0 e N AQo, 4 -04� OWN SHI Pom 01 MAP OF ABE I 194 UN Liao" IIU LID a, Al, A,IIJ4 'SO'RION), e coal, iq CIO 7. 7 Q m Sr41CC,, 1. D Go, C-3 W194 L lAir C) " 1.693 -V S,4 VZ,5 a' It 14 U, to, 4 1 4- .0.4,V7- 0,9' Sft-rl,141 17, 7bNl-',f t -$0a;rA1 , almw Suf AWrA, JRTIjry THAT t4I3 SUWE�.PBE`011110 UNDIII My H"POH8111.9 MIRICT94.MUTS YH1 MINIMUM NOAAp,paA WiD gUpvmRg III AcdORDANCIK WILI ORAPTJ........ TIOWHICAL IT �1,� FLCimbA STATUTES).AND FIJR�W`CIN"" VVI show.4 01)THIS 'Unv: WHIS UMII SKS IUVJSOY PPOPOW W Lly j IN KID= CLARS 20. 0/ 9 ,�. -,I-I- &W IN -.AgSOCIATE2. INC. .0 111111.0.111,ILI UA,, 66MV0411Y 1ANIL I- 1INW- LOUD,""0 Jelff4f A RE 8CAL5: 'd, NOTICE OF COMMENCEMENT Stateof VL- Tax Folio No. 7 County Of 0 (A \1 A L 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 I inth!VOT[qEOFCOMMEN EVENT C P S 5;t 3 L,�' t�' 4�; t' ?6 Legal Descri(tiOnofpr erty being improved: 'PA tiF c CXI a� Address of property being improved: /5-& L i I L)G General description of improvements: Fe vi c- -ri'A �) le-0 OC-5 C) Owner: Address: t AJKZ I Owner's interest in site of the improvement: _rYK &I Alf IM e 4-T ::a Fee Simple Titleholder(if other than owner): Name: Contractor: Address: Pj '4 1 IkJe�-i ReC (111 IZID -ffl`06 -[�y Telephon a No.:�0(j 6 16 1,4-� Fax No: 7S-1— 2001 Surety(if any) Address: Amount of Bond Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or otper 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 Uenor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER �igned: Date: Doc#2O19D567,l9,ORBKIS717 Pagel,186, seforem��d.yf �Lirj ioLP1 inthe Up Duval,State Number Pages:I )f Florida,has personally appeared ft IJ I I IS .1 Recondecl 0&13�019 01 PNI, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL lotary Public at Large,State ou v.. COUNTY AY Commission epiies: Or no.n:: 41FE 0 or RECORDING $10.00 es.n.11,K IF Iroduced II ion:: IMY COWIPS�10.N It GG 7 'P"E' Ou EXPIRES:=�rV.IM 6xvikil lb�Nt,NW.UI