275 1st St FNCE19-0074 4' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
rFNCE19-0074
CITY OF ATLANTIC BEACH
V~ 800 SEMINOLE ROAD ISSUED: 7/11/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 1/7/2020
INSPECTIONMUST CALL PHONE , BY 4 PM FOR . INSPECTION.
ALL •RK MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' i + 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 + i OF •
275 FIRST ST FENCE WALL OR BARRIER FENCE 4' FENCE $2100.00
TYPE OF
ZONING: SUBDIVISION:
CONSTRUCTION: GROUP:
172539 0000 ATLANTIC BEACH
TERRACE
COMPANY: ADDRESS:
THIRD KIND LANDSCAPES
OWNER: ADD' '
Keith & Susan Charpentier 233 PINE ST ATLANTIC BEACH FL 32233
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 I
OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
— 7
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,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
Issued Date: 7/11/2019 1 of 2
S.:Ly77�` City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road ���� 1 1 _ ;l ^/ 4
Atlantic Beach, Florida 32233-5445 1 IIJJ
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: C�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ` -� RQ.�_r Z De artment review required Yes No
Buildin
Applicant: Q C A3 anning &Zoning
Tree Administrator
Project: r�CC� 'PUbIic Worl-Cs>
_rfublic Utilitie
u"fic Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ElDenied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by/� Date: �*—Zy— P=
TREE ADMIN. Second Review: ❑Approved as revised. []Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
`oj;�r IS REQUIRED
Phone: (904) 247-5826E .
-mail: Building-Dept@coab.us
Job Address: 2?� F ►`-.)T- -S-T—,{, Permit Number: f�_N q - 00, J 4
Legal Description f J t'� 16 -2S -2 RC 1 i3�� l rc�.� E# f 7 Z�q -
Valuation of Work(Replacement Cost)$ 2��J�, J Heated/Cooled SF Non-Heated/Cooled
• Class of Work: XNew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial IKIResidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit No
Describe in detail the type of work to be performed: AICA„/ Clklhy }f-
S
Florida Product Approval# for multiple products use product approval form
PropertV Owner Informa 'on
Name -ekn-kj Address F,
City A CVILi2t State d Zip X22(,6 Phone Gt-
E-Mail ,
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information /
Name of C mpany_1 1n ir('A V;7-y� 1-o-di �_s Qualifying Agent fu
Address City lit = State Zips
Office Phone q _ Job Site Contact Pumber
State Certification/Registration# 2)3 E-Mail fir( k"YV r �Oh'1
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws 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 OR AN ATTORNEY BEFORE
RECOR I YOUR NOWE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or of irme before m this�G day of Signed and sworn to(or affirmed)before me this day of
Vf1Q , b t. r Ple nJ(2 N by
TONT GiNDLESPE
u to i tr,Y CONtJ.ISSION#FF 924951 ature of Notary)
EXPIRES:October 6,2019
Bonded Thm No:ary Public Undenvr rs
[ )Personally Known OR [ ]•aersottaiigK n
produced Identification
Produced Identification
Type of Identification: t S—S 0 4 `Co c) -CD L S F eq O Identification:
ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
IN HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
J 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
❑ Revision to Issued Permit OR .V Corrections to Comments Date: 723VA
Project Address: 2 7 �r ST rL_ 223 3
Contractor/Contact Name: C1 ,( �i-Y'� I t'CEd t rol Il 1Je�(/I ( 6&AC x
ContactPhone:T Ll'?,S!J--t/�2,� Email:
Description of Proposed Revision/Corrections: J
7—
S1 13 2 /22'g-3 !�►�ri ��', �r/-� ��� �r� /�� S�- ,rte
I 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: t E IVE D
• Will proposed revision/corrections add additional increase in building value to original submittal?
ANo El*Yes (additional increase in building value: $ ftLU��ntacTrrr�+191f�nifincrease invaluation)
*Signature of Contractor/Agent: UL
Building Department
(Office Use Only) City of Atlantic beacti, F _
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building__._-._-.__
Planning&Zoni > Reviewed By
Tree Administrator
u lic Works'— —7 - 9 _ r
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
Owner Builder Affidavit "ALL INFORMATION
HIGHLIGHTED IN
jCity of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1"CONSTRUCTION CONTRACTING" REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER
OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER/PERMIT.
Job Address: Z�JJ�+ 1 ��5/�� S7, ✓7�CN�lt"�( j�-'�� �C7 �--�c2
Owner Name: �C� 1h l tifir^+ /Phone Number: ,l� L
Mailing Address: 2�'� �ri ST City: LI I� State: � Zip: 2l�E�b
Notarized Signature of Owner
of e foregoing instrument was acknowledged before me this day l.� 201 int State of Florida, County
1
Signature of Notary Public
{personally Known OR)<oduced Identification
Type of Identification: I 4 —(,Z) — C O J C'
Updated 10124118
TONT CI NJLESPERCrR
�,JY W,111VIISSION#FF 924951
.9 EXPIRES:October 6,2019
%§of kl4 r Bonded Thru DlotaryPublic Underwriters
if:Ly;y„ City of Atlantic Beach APPLICATION NUMBER
js Building Department �� (To be assigned by the Building Department.)
800 Seminole Road
j � Atlantic Beach, Florida 32233-5445 ''II I v I
Phone(904)247-5826 - Fax(904)2 844VAf 14 2m
E-mail: building-dept@coab.us BY Date routed: V� l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ` f L��`T `� Department review required Yes No
Building
Applicant: CAD �'D C--( I ffEaLnning &Zoning
Tree Administrator
Project:
C� 'Public Wo-rk a
ublic Utilitie
u Mt Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: []Approved. L?(Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING R
Reviewed by' Date: 6
TREE ADMIN. Second Review: Approved as revised. ❑Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES <
PUBLIC SAFETY Reviewed b D te:
FIRE SERVICES Third Review: []Approved as revised. []Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Js `� CITY OF ATLANTIC BEACH
a� Department of Public Works
.f
s� 1200 Sandpiper Lane
J �r
Atlantic Beach, FL 32233
(904) 247-5834
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: 7/1/19 Applicant: Keith Charpentier
Permit #: FNCE19-0074 Email: keith.charpentier@gmail.com
Review Status: DENIED Contractor: Third Kind Landscapes
Site Address: 275 1s1 Street Email: chad@thirdkindbeyond.com
THIS 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 EACH department review.
PUBLIC WORKS CORRECTION ITEMS:
ted
• A 4' fence would block the line of sight at the 151 Street Stop Sign and is not allowed.
PUBLIC WORKS CONDITIONS OF APPROVAL: AP ROVED
(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.
• Any damage done to infrastructure must be repaired by Contractor.
Scott Williams, Public Works Director swilliams@coab.us /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 "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.
Page 1 of 1
O:\Public Works\ADMIN\PLAN REVIEW COMMENTS\FNCE19-0074(Third Kind).docx
{
Williams, Scott
From: Keith Charpentier <keith.charpentier@gmail.com>
Sent: Tuesday,July 02, 2019 7:32 AM
To: Williams, Scott
Subject: Re: Plan Review Denial for 275 1st Street
This makes sense and I understand. Along with setting the fence
back, another thing we could consider is turning the fence at the
corner with two 45 degree angles instead of a 90 degree turn. This
may help open the line of sight.
I appreciate you going out to look and if it helps for me to be there
when you or an officer are there please let me know. I'll do my
best to meet you. Please let me know.
Thank you,
Keith
(904) 239-0826.
On Tue, Jul 2, 2019 at 7:17 AM Williams, Scott< wrote:
Keith,
The problem with the fence is not the 4' size. It is the placement of the fence. I will get out and look at this in the field.
I am worried that when someone is at the stop sign heading West on 15t street then the fence would impair their vision
of being able to see the South Bound traffic on East Coast Drive.
If this is the case then I will have to get a police officer to come out to the site and shoot his lazer when sitting at the
stop sign and giving us a line of sight angle.Then you would have to install the fence along the angle of the line of sight
that they give us.
I hope that this makes sense to you.
Please free to contact me if you have any questions.
j
Scott Williams
Public Works Director
City of Atlantic Beach
Office: (904) 247-5834
swilliams@coab.us
From: Keith Charpentier [mailto:keith.charpentier@gmail.com]
Sent: Monday, July 01, 2019 4:47 PM
To: Williams, Scott<swiIlia ms@coab.us>
Subject: Fwd: Plan Review Denial for 275 1st Street
Good Afternoon Mr. Williams, I see below my permit for a 4' fence
was denied. This is disappointing because when I was down at city
hall 2 weeks ago they told me a 4' fence was allowed.
I'm trying to understand what alternatives I my have. If a 4' fence
is not allowed on the property line would a setback off the
property line be acceptable and if so what would that setback need
to be? Or could we build a fence lower than 4', say 3'?
Thank you,
Keith Charpentier
2
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-Dept@coab.us PERMIT#: I 1` Ee )611l00,2il
❑ Revision to Issued Permit OR Corrections to Comments Date:
2 7� f S - /)/-/ L,-,(- J� 1. ��L 223
Project Address: �^ �f
Contractor/Contact Name: C VBG�"� i 2^� i f C.r � ;,ol IC lyd1
Contact Phone:T9 Email:
Description of Proposed Revision /Corrections: l
I 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 El Yes (additional s.f.to be added:
tIVED
• Will proposed revision/corrections add additional increase in building value to original submittal?
ANo ❑*Yes (additional increase in building value: $ i,IGontrAc�rn nifincreaseinvaluation)
*Signature of Contractor/Agent: UL
Building Department
(Office Use Only) City of Atlantic SeacF,
/Approved ❑ Denied Not Applicable to Department Permit Fee Due $
Revision/Plan Review Comments
Ic
Department Review Required: Of
Building,__ —'60'0e�o — /I
Planning&Zon_iJag.--- IECIEIVE. Reviewed E
Tree Administrator
ugic Works�--�:, JUL 09 2W
Public Utilities
Public Safety $Y. Date
Fire Services Updated 10/17/18
City of Atlantic Beach APPLICATION NUMBER
9p Building Department (To be assigned by the Building Department.)
800 Seminole RoadL� _ /� e
" Atlantic Beach, Florida 32233-5445 ` - OC) Id
Phone(904)247-5826 - Fax(904)247-5845 z Itl
COM )r E-mail: building-dept@coab.us Date routed: COa=j
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
z ! > Ft2S`T ' Department review required Yes No
Buildin
Applicant: CAD �,D anning &Zoning
Tree Administrator
Project: G/o C( u lic Worcs
ublic Utilitie .
u-lic Safety
Fire Services
Review fee $ 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: proved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
69�;)
PLANNING & ZONING Reviewed by: Date: 7" 1"
TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application Updated 10/9/18
_. City of Atlantic Beach Building Department "ALL INFORMATION
Cjl
y.� 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 IS REQUIRED.
Email: Building-Dept@coab.us
Job Address: ? F-1 --37- / 1{, Permit Number: P—m - x/00 ``J 4
Legal Description �L( 6 �ZS Lc-r-
#/ 7 Z -/ •- 6e(-,C
a.L
Valuation of Work(Replacement Cost)$ 2]0Q, -J Heated/Cooled SF Non-Heated/Cooled
• ClassofWork: XNew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial XResidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will trees be removed in association with proposed roiect? ❑Yes must submit separate Tree Removal Permit No
Describe in detail the type of work to be performed: ,Al&,/ /% h y� h�S fioC X `7'
Florida Product Approval# for multiple products use product approval form
Property Owner Informa 'on Cfb
Name I,aw-ekn-;e Address Fi S17
J Z
City C State d Zip Z2_(, Phone 1Gz _ 1'
_ O
E-Mail c I
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) L j 13 til
Contractor Information ^"cA a Q
Name of C mpany �Ir (/, 7- '/J � S��y � Qualifying Agent UJ u Q n
Address 3 ? City �C T State Zipv'
Office Phone L _ Job Site Co tact umber `' ti N
State Certification/Registration# �) E-Mail
Architect Name& Phone#
;7-)te,s W
Engineer's Name&Phone# 1'U
Workers Compensation Insurer OR Exempt Expiration Date >. o- •semM
:;.I ✓ Ii
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal latt04� C151 UJ
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regdwhi Y) ui W
LU in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SI; S, >
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this uJ
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
RECOR I YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(oJ*rme before m thisa �day ofrSigned and sworn to(or affirmed)before me this day of
r e ,2 Cv by
lTONIGINDLESPE
to VL_ My COMMISSION#FF 924951 ature of Notary)
EXPIRES:October 6,2019
,,,,;cdTbr_,P;ctary?ublicUnderwr rs
[ ] Personally Known OR
produced Identification�co is_ [ ]Produced Identification
Type of Identification: S O 4 - Cj -b IS 44 Identification:
Sy:L`J j City of Atlantic Beach APPLICATION NUMBER
_
To be assigned b the Building Department.)
Building Department ( g y 9 p
800 Seminole Road I q _ O M4
Atlantic Beach, Florida 32233-5445 ` 1 v
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: lC�
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: r Ft QS-T cS `i Department review required Yes No
Buildin
Applicant: � jV {L--� arming &Zoning
Tree Administrator
Project:
C—,\D ccs176-b is Wo—rRs
ublic Utilitie
u lic Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: []Approved. []Denied. Not applicable
(Circle one.) Comments:
BUILDING /-
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: []Approved as revised. []Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: Application#:
Project Address:
Check Box Check
APPLICATION TRACKING COMMENTS to Add Box to
Comment Print
Underground Avoid damage to underground water and sewer utilities. Verify vertical and
Water Sewer horizontal location of utilities. Hand dig if necessary. If field coordination is ❑ ❑
Utilities needed, call 247-5878.
Meter Boxes Ensure all meter boxes, sewer cleanouts and valve covers are set to grade
Sewer Cleanout and visible. ❑ ❑
A sewer cleanout must be installed at the property line. Cleanout must be
RT1 Sewer covered with an RT1 concrete box with metal lid. Cleanout to be set to grade ❑ ❑
Cleanout and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will
RPZ be provided or if there is a private well on the property. Backflow preventer ❑ ❑
Backflow must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Plans note the building will be unsprinkled. If plans change, any fire line
Sensus installed must be metered with a Sensus touch-read meter in a properly sized
Touch-Read vault and an appropriate backflow preventer installed. Backflow preventer ❑ ❑
Meter must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Fire
S ori kler If fire sprinkler system is provided, call 247-5878 for backflow requirements. 13 13Requirement At a minimum,will require a double check backflow preventer.
Fire Line Fire lines must be metered with a Sensus touch-read meter. Meters larger ❑ ❑
Meter than 2" must be installed in a vault as noted in JEA specifications.
Utility Map See attached Utility Map. ❑ ❑
Disconnect
&Cap Disconnect and cap water and sewer lines. ❑ ❑
Inspection Must call the Inspection Line at 247-5814 to request an inspection of the
Prior disconnected and capped water and sewer lines prior to demolition. ❑ ❑
❑ ❑
❑ ❑
❑ ❑
0 0
MAP SHOWING BOUNDARY SURVEY OF
LOT 13 ACC ROIN0 TO THE FLAT Or
ATLANTO BEACH TERRACE
AS RrcORDED IN PLAT DOOK 15 , PAGE(S) 14 Of THE CURRENT
POOLIt ACCORDS OF nuv l.. COUNTY.. FLORIDA,
I'.EItS'IFIFSI TO:
MARY Mt;CLA I.� 11uNTAUC1,
OLT1 RKVL: iL.LC NA`I•IUNAL TIT r. INSURANCE GOMPA",,
AND GIBRALTAR Tl rl,E SERVICES,
I.at 14
4w, (w)
i r 50.00 (R) I,1
'p.
vt r1 '
_�'V6Sx_.'r � �•
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• FW O
tl.i l�.tt' 17,r
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I - J
0 7. RC*10rNCf q ,
�1 O
NO*rt ]75 A 177 �1 1
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At I
111111 � �I
W71 i' r Y
MKK:K MANTi.h
6v w !
Y • 1 d
VI WA N
W 104
Ib• 11
f1IR1Ak
On isf 50,00' (R)
"Aa
e7' (v)FIR1�S -r :STREET
4 7' It 1w
CRU RE►TRFNCF lC98 N{0y 4701.1 ppb yy�}�p,k+� ( r
a�ANa w�nf wlAet pl*�,�411k+N���%� M 4IN M.�w+ICi r+K�►�4i r I ��n 1�r t�Mm'...c f�rY li"or 0 n"low riel AMUx acs�a IR gun,
%J r 0 OAkPAIAL MOTAAI
i. ANrarL ANC r✓I(ml rtln Tisa %uxvlr
'i J '•I1hKltJllf NQ n�.0 11:1 f01M1 IcKuh ULS rTtR1 FLOW Ift
tat3i OtTV004.D t7t� fiEN.A r_0#1 uAfA+ PM, j NS; Atc;1r►+-1, ldfig
s$QCIATED SURVEYORINC. ,. ► �. r, A '-t1k1Alc 1oko.Y mLT n GXTrar tx turccRraalJ>vD raonNc:,
LAND a [Nb1N!04IN0 SURVEYS Illt-S AW VOLIK'S. If ANY, NnT tir (kww(1
4 J1JRI!,0)CI10NAI. ANUW LNM."QNMLNTs,,LY �t"1111A AN1,Al$ II ANYNSII
304E OLANOW, 6OULCVAREI LOCATW Uy DIP;`xl (y ,
JL 4ACK2QNV;LLC FLORIDA 72410 t►It'o 5JrtAY UAW.11 ON tt(JAI. PF .frlc��ilrrw4 .ltFt►w4rtF Itk rL,tttil,
? 004-Y71-6498n crt(r, ONE NOT ,►Aarllctc bT 1w, ..uAwyi rQrt rA�lrrats, "tit.
a CERTIFICATE OF AUTHORIZATION NO• L8 0905440 COWNANT'r, nR1 " R:a?jCrD !;, cl.oWRir`_S�TAKIN" tut 17fMANCES. ETC
11101f CWV U onul NA.?ILtt; LV 1tt1t7'^> IHAT A►f t;f TkN f•AJ?til
d IINIFS" 011d•ITr197 ItTATa At., IRON I"Ptf. IOLND IIAW N0 ;0 rVICArON.
1 HERG�Y CC1eTlC'Y THIS SURVEY WAS DONE UNDER MY CIS/ASMSVIAT10NO
DIRECT SQPr"t16N ANE) MEETS THE MINIMUM TECHNICAL 0 uT vfc*4 nn Yf Ilrtw? a.c - VINI i L% Ll*r4 0; - ufck4
S TANDAR05 FOR LAND SURVEYINC PURtLW TO OiAPTER 6J-17.060 AxYuc:MIR vs r` CA ,.a.a,no I P T PONE v !Akgk trt) . •rCcm
T u 7.053 I'1QR10A ADA11rJISfRATM/E CODE, CIUPTEll •�72, F.8. • ►ra,au nusr Incr S>N rv- (iP1 _n u .mAi•Irro„rr:TTrss (fr7 - urAepu*rn
• FfXjM CC**=If MUNU4ih t IV:w.1I f r� ,I MI AN f
81 Q . , S�+Krr11 rug rn r;Nu Hc� �r.,- urfuK lr l�1 - 1t�r„qu wa
q.M p.-Ui�It:IAL I'1LGVIRt1 t11N.51. A'L .. A01 LL3MXfLW{'R rt ^Ate,
XYCHER FLORIDA Q"TIFIr,A 1 ` i ARL `Ly,'j”
C ofi.M.-nrr,rut nrrrrui vrrluw ar, _ wAYrn urrr•+
IJ.R.k.• ,C�••ldNT w»Irftnl c'•Cu. • n» rrxnwrr+t wlta+it:n
CHARDS L. STAItuNC FLORIDA CERTIFICATE' N0. A579 U.R.L afrra 4017", rt ilu►a lIN1 r - v (a,Aw ,NR ►rhea. kh-.ItArt of EMT
RAYMOND 0. SCHAtrfft FLORIDA CERTIFICATE N0. 6132 r T .p"r��w,: iiAA 01tun a PAp rr >Mn rEN:r Sf,I.N aJA.t•Nr nr
1 r.A.•Jr1L VJCAU ELE01h( NUTNt�IT, Q""'V'VIRTU i LMLL Ss•- tcn,rrY I"I
Alii Nta stIJ. ()Alt P - p rr t+�wr+� r Ktxt�ucntsa i -! r<ixr IfU►u •- wv Anc cx
;it;ALF 1- QM.4.t.. � 1 GI' CUM!'�1fJ RJK1t oTN - I�Ivua cssvn ..• rnur,cT
URAFTO P.R.C. • PUT OF REVERSE CURK (l I) " tAW 11t .I,4_f:EC'RIL BOX
NOT VALID WITHOUT THE SIGNATURE AND THE ORIG Nk RAISED SEAL, pF A ELORIpA UCE�V$EO SURVEYOR AND MAPPERMoil
Ed I-IH6E;OT I TOZ 92 'b% _. ...... .....-- ---
r 'Ola ,�N� t•lud�
MAP SHOWING BOUNDARY SURVEY OF
(OT 13 AC R01NQ TO THE FLAT Or
ATLANTIC BEAC" TERRACE
AS RECORDED IN PLAT HOOK 1.5 , PAGF(S) 14 OF THF CURRENT
POUILIC kf..C:ORDS OF OUV L COUNTY. FLORIDA,
MTIFIi D T0:
MARY MG'1;t,A I N XONTAL.VO,
C31,,TT Til pursLLC NA11UNAL TITIX TWIWANGE COMPAXY,
AND C19RA,TAR TITTAt SERVIrFS,
4qt 14
•0 pY (te1
7 r 50,00, (R) i•1/7'
}4
mx
uj
> PAD
cc•.r. I n t Y l Y I � r
!!
'" " 2 a'STORY •° v
d 0.1' _--. BLOCK
I aC.siplwNCC ";', _ f9 ` LOT 1 • d
NO", a75 At 277 J } Q O
ntcicx Pl ANT N
'gyp G�
�.
LOT 13
a ••+, ttt I
10
JLW 10411 1M'
��Nt:II A11
44"qv* (10)
FIRST *STREET
4.' i{/w
Lwjj ,, HLs"LR>'NCF jon Nn 4703.1
►tboG IUt "7P'- 1 r.11ryctl ry, w /R 'Y tYu00 . ufRAl Cr Q.IIi AR►II1LL [►4lNCI n
OUVICC tlml nrvuat G+[► OF [i4 M�ii f�•tr MNi►+M.a+N+1Gi�++[ ��t �W 1 14H�{ '+1�, llnut�rorrcrtn rr Ir,�n ►nom is �elux oi,w,.- roma IRK
� E � 011M!!i1AL AIOTrAi1r
�} 1. ANCAI6 Alit 0,nmw POM t).1% '0.bINT
`+ • l :1kiK.TtARf NO ,�+� tOtM1 It ch UL5 MnR1 tLow Im �S
17t_",t Cf 1tItlMNtp f�1tAJ f E M.h, f:p(Y1 uAf^.i�MtFL N(t._; }A1►�r11-
Q lATED aURVEYOI�J INC. 1. 1w N A �tlklAt� A)klkY UNLr Dl� rX1VhT Or UNrAWJhjM r00TU�{,„,.
r f LAND 3 CNWMEERINO EURVCrlI Cif EN AMU U11LIiIL5. it ANY. NOT cs(° CkAU100,
4 ,ia R150ICTIONAc ANU//01T LNMnL*a1LNTAuY �,TTig+11 V1 Atk�AS If ANY. tft)T
{k„ 3tl48 tlLANDIM� ULCVAf1U IOCATW Ely nip; "WY
I JACK90NVLLK FLORIDA 32210 1111; .UIIVCY tIA'70 ON I—MA hF`x�tf (lcrv�. rltkMlhtltU. I►� Nl)AI,J1
{,o-� �4 tyU4-j71-84d8 1tCU(%<Tt *N£ NOT 'AARC3+[U OT 714. �Wnyrr��a ren rAWWNT," TIN t.
L h CERTIFICATE OF AUTHORIZATION NO. 68 0000440 t OV[NAJyT", n R I Rf�1ticn[xr. c10 1t¢S TAXING, Ix Otg1NANC�`3. f is
Y i1111tr 011110 Or 811WO NATTM Or THAT OF�(j jWt; (1.404.I.
6 Ilklf.!+'+ ()n4 RN<J' STATM AL1 IRON MPC.: 10UNT) 11AYt NO 1311inricAtZf1M.
I HEROY crrmr'Y THIS SURVEY WAS DONE UNDER MY L�OtMO/IflSM1>!1Y(I�(191i>d
OIREGT r41Pr1tvitIbN AND MEETS THE MINIMUM TECHNICAL tY tncTN ryrr rrt r1r N.L - vaN �, t�Ary1 ,r,, • ,y,4ua
5TANDAR05 FOR LAND SURVIE'1'1N6 PURKANT TO CHAPTER 6J-11.050 "x0c;wavvy, 6t t_T 14(►e pt a PONT Cr I cti tn1 ., �rr�nnn
i N 7.0154 r1AR1DA ADMIINI3TRATIVE 000E, CHAPTER 472, F.S. • ►txirrct RUN kfli ON N:yi (1p) "cI li •17111 N1AII TTIt fw) W ARINttn
• ►rxr,s, rcx.civre trunv.,Il►,t (t;.y.l _4y,1'+ r'nr n aNt
( N;M� f11� rn �nll. Hlil,t �+r*r.. • tckfClt 0�I ''�v,i.0 twi.
� cl"It-4A CIciIAL RLCvtti' Ove-.* A - AM 1X7dVF*AMJC
C 5 YCHER FLORIDA �RTIFI�A 0. 3771 O R.v.-"Y ve
AI. IM r"'n x uta t • WAW" u{nn
f'.R.wo IVWY.ry1T wsalwN1 a•CCT, - rm rfxm hi , is^ t'IUflt t4Y1.11
CHARLES L. STAAUNC FLORIDA CERTIFICATE NO 4579 ti.tl.L-pun nao ►tt T i 13un tlwC x Y C+,AIN r sxc ►t++cs I kn•'wIl a etu+
RAY1Ac}NO J• SCrut~PEh FLORIDA CERTIFICATE N0. 8132 tT uiu '4" :f<Ax:laturtt a rA0 +�-V *krDKc 0,r.w txjLcw, nr
11 A - AAIR'iUMLL LUOR11L WntOlrr, 17-7 4Gatl ruck t C�.• lffitrt•r`or
tCiEl Nis 1T11!�f7 (?ATE' �._.4Ei_?. :a �L '' + n � cNv�NARtC • XjAM1cntWQ .i.-I MCA I'LAct WY ANc:tt*
I'.t l.. + IFuNI CR CVMroli 10 I?J" aTN uta." rnvn .. couruv
pRAFTLR C .�. P.R.C. • POINT OF REVERSE CURVE (t T) . tmt nt :t,-K-f!EC'RtL Box
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL, OF A FLORIDA LICENSED SURVEYOR AND MAPPER
c'd 1,10e010T TTOE' 9c 'bnd -----
'Oha nN.� � l•1lJd.�
MAP SNOWING BOUNDARY SURVEY OF
LOT 13 ACC RDING TO THE FLAT OF
ATLANTIC BEACH TERRACE
AS RECORDED IN PLAT DOOK 15 , PAGE(S) A4 OF THF CURRENT
P001—ir ieECOR111, OF DUV L COUNTY, ELORIDA,
(tERtIFIED TO:
MANY M(VMA I N NA)NTALVO,
OLD RXVIJKLiC NA)'IONAI. TIT'LC INSURANCE C.OMPA.W,
AND CTHRALTAR TITLE SERVICES,
LDT 14
it 5t3,Ut�' �R) i,I •
_rl 'IT— ml
04 _ WALI ).7
cc .}
C �
N
7
STORY
i:r 8L4Gk d: �
;�: � � t. 1'1UME I�ty _fig• �, �
Q RD5IC1[NCC ', r, d
i NO's 275 A 277 :1 "tf LOT 1'�
I r;
1114,C.K NI Ah tt N
,
iS DENIEn LOT , , �;
Ir
,rr c
ctjK"#N
W W4kl 7 .
50,00' (R) An
+s•v (w)
FIRST" STREET
4,*• It/w
LWJ��t, WIRIFNC:F .109 NO 411:1.5mzm ply y ry� w qQp
lw�nt whet Dl*�l 91MM �►+� ?A*R+M.aM114i ++K L�f fW 1 WW1{ ty n Ince rl►orrarte ir�ia��wn mom In uWU o1� "OF In MWAL
V � O
Ail M6T��
,] !. AHrA.I! Ant rJttlTVi ►tx+ tt•t% ISAN11
21,7 lRSfC[><TLTdiIttKD tft M+}A� 19XCN UL51/ul►01 IMrl%IA tL ►,
` (iA11,) 1 r 1gh9
$$OCIATED 3URVEYON3 INC. 5. IW'- r ASCfHfAt.f ;UkAy UNLY T1�L iY,TCtiT faf IINI,CRCRtIIJNO F00-TING:
r'F.
LANA! h CHMNEERINO SURVfV5 IVES ANU UTILITIL3, IF ANY, NOT Cts fkUlN!<(l
4 d41tO!"CtIONA1 AN"/Ult CNM,"UWL.N1A�Lr ;yN'TI1�A ANrA�, 1t AN+ Nill
,. 3tl4b tlLAN171NG bOULEVARD t{)CAMD u'r mr, ;UM>CY
+L v JA[,K9rJNV1LLC FLORIDA 32 10 �, ;145 WtAY ITA7'I) ()N tf'l3AI rt��lNrr 11rrv'• •IIMM14tItli 11u �triurl
604-Y71-6468
r►ft'C1k65 wFNE NijT '4ARf31111 i'1Y lin: '.uRV['YtYt rCrt rAIfJ[kT., ttti.:1.
CERTIFICATE OF AUTN0RIZ/rT10N W. L8 oQg041)q O)Vl'NANT-IR R i 'S R15'RICTION Cl.(MMSIt TAKING; IX 6)IMANCL�. LIC
nII'Rr COUIC 01, OTHVI NAT TY' 1tf t�1 IH-1 014(j TWN i•At)Cl•l
b tfltlf.Iii 1)lldRW:,F iTAT[D ALi WON p'ttiS IrAWr) IIAA, NO K NrVICATiCIN
I HERIIIIly CCIKTII''Y THIS SURVEY WAS DONE UNDER MY Llil_ I f tAT191de
DIRECT WPK"1;l6N AND MEETS THE MINIMUM TECHNICAL o wy me* r r rat lottIAH P. - vawr c. q.Rvi ,of
STANOARDDS FOR LAND SUM YTNC PURSUANT TO CtiAA1ER SJ-17.080 AXWr_xtalvtY' OR t.G.a4no I PT d Taut v TA1�4tNC ln� .. ■rrnne
T N 7.053 ILOIKIOA ADMINISTRATIVE CODE, CHAPTER 472. F.S. ►sAma utm tnt4 ow ta.�i (tpl _ntl -M?rArD 101,1111.
• ►rxlm ra"m rF wavv►+ch r tc.r 1 t ^^r •+mtt w I (ct • .tv,rn i,u. ,
a . • (4K)e� ftn f�AN'. wr�t t�lt+e - ltAYlt�t tl n ..11 AfM r!
t7 h.N._Ul
KI
1{tCL�R�� pv�ti. A�C. .• Aat CL7t01 FLWflt 4 + A{tt, l.�h t�,,,
C 5 YCHER FLORIDA C£RTIFIrA 0. 3771 0R.V.—nrr)rul. Mrrnp WXLA0 tY. • .rATT7f urtra L1- ARI. ."11'
f'.R.IA.+ tK0'"4mwT 7►Tti!w't wpm Iw N t CU. • �� /R tF9U N t �
CHARLES L. STARLING FLORIDA CERTIFICATE N0, 4679 p•n,� .pu>t oats a[i7117Yrcxu t1N1 t- r rNA/t ,atk rt►tn; I Ah-�"w a RA
RAYMOND J• SCHACP£R FLORIDA CERTIFICATE N0. 8132 r T .urc�uli: .NAxilCMtYtR a r.A0 i�—,w >Nnt rcw.c tr.t. t1VILQwt nr
Jig( NO N111. 1t A - AM.>vjrAl.0= RMC AuTMtwr, 77 wim iCNCt �• un+It''Kxt
-- LL1TT -- QE}�2 = 1t1 i_ k rt . crt NAMTS A' NYtr TRlVIM-1 11 rt[s, 16%L'L GUY A)4ck t
t'.t-l„ - h1 1 G CoMMVIAiD I,VIt►t oTx - IA Iwttu rnvn co%gmt/
BCALF_ 1" •_� _. ._... DRAFTER G P.R.C. • POU1T OF RE1+ER5E LURK (t 1 j " kAVt flt E.d'-UC7F4C 8Qk
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RA1SEO SEAL, OF A FLORIDA LICENSED SURVEYOR AND MAPPERmj
cd I,IN6L;OT TTOE SE '6nd 'Ol.a ., _-._--
' ^Hj � t•lUd.�
MAP SHOWING BOUNDARY SURVEY OF
I OT I3 ACCORDING TO THE PLAT Or
ATLARTM WACH TERRACE
AS RCCORULD IN (PLAT BOOK 15 . PACE(S) 54 OF THE CURRENT
CERrIFIED TO: i,tim,ir ur( opol.q OF DU2L COUNTY, Pl..OPIOA,
MMY MCGLAIN JKAWALVOP
OLD RKPUBLLC NA'rIDNAL TITLE INSIrRANCE coKpANy,
AND CTIRALTAR TLTLE ShRVICES,
LOT 14
50,00' (R)
tf 1!4;"e
n
IL
it ml x I ld
-RE I
10
Rr;mmcc
NO" LOT 12
2 7 fj A
u A
ACI L
pAjj
W7 v v
"w:x rn nrlrt.n
J* I ! f APPROVED
jh gvsl-
lb/ W 1040
on J
FIRST STREE7
4r R/W
RVWNCIF 300 NO 471,1,'1:T
ZCM "X��NtMl"fig
OIAWt *7H A
A P; N"AL CHMCI
;,WAIL Or 0,U I! IN MWAL
m WY L"n"low in AMUXIICOMZ��nojw
NJ amhp*Al.
1)(1% %IjXW.r
`210111! JJLXQN LU OM f-LOW ZQNL A-,,
--L-J)A
A $$"O'CIATED 3URVEYOR3 INC.
4-
0m IWS ll�i A lit)Ryty (jNLy. Tjf CXTVhT Or WjcRrmotm rooTING!�
Ll taT
W, Z LAND A ENWHEENINO 1&URVfV8 "PC; ANU UrfUJIL15. it, ANY. NOT (ir tkwmpp,
4,AJR150ICjj()NAj. ANE) 4r; LNMnUNMtjtjALLy ttNT liVE Wi It Y,
3W ULAN13ING WULEVARD ARt AN
dL 4iWK20N LoclAlm UY 111110 WN16ty
FLORIDA 32210
WX *.K. N411
V CERTIFrATE OF NJTHONZAT" NO. L8 QQQ*440 e.'OWNANTA n R i S' M 5'I?JC TIUN& L101jldffr's (yt om
jtmcf�, ETC
I)JUIr COULD 0L 0TJIUl WAfltq%' 0C fWj;jjw!) IHAI Aii�(;l IPP f-41,40EL
I HERW CERTIrY THIS SURVEY wA.s DONE UNDER MY 11n4rRVdX TA70 41 41004 1Vt.- 10(,ND 4IAv4,,' NO IDMINCAAW
LN cv"A ck tltoft
DIRECT l;VPKftvl_t16N AND MEETS THE MINIMUM TECHNICAL 0 ItT I" VIATIO
NPI ).., Na
9TANOMDS FOR LAND SUMVNNC PURSUANT TO CHAPTER 6J-17.060 A"MuJAVVY' 64 Cr Ort,
T 7.052 FLOR113A AbWIMf;TRATK CODE, CHAPTER 472. Fa 0 PtXJ14t3 IX06,4 ki-i t.W'010C (IP)l-()tf 0"PWAD MIX%
a P:Otjm if mumm"( 9,. rinr Knwlm I &-) - 4Z it 11 UTA FA
13Y Ito ll-�,Azclmr c. - .(AUK)t
tk 11.11.-171 ItQmo 1 4- - ARL L04Q fW
JAL AN� AM LLWrXftWs-k
CHER FLORIDA V,9RTlF14;A , 0. 3771 oN.Y.-renriAt ou(won w)ttjus two *Alrm urirn
N dL5 PA-ioLi,tickuwwy W"WWT wits1will V.w - IN-n rrx7tWch Pw*q Mum
CHAR4" L. STARUNC FLORIDA CERTIFICATE 79 MILL- - A I kX'l 1UN t Im I; K---y rI.AJN' �#(K k/gr• wA#,r Lc M,
RAYMOND J. $CHArftft FIL RIDA CERTIFICATEtn'JA'Allma Ott
N 032 LUCUbf.' illAft1wowo It 'PAO *-4 WIC rDKc nc
JOB NO t)ATLI AtX:oUKyLLL J"c]Rjj� Aurmporw 7-7")w r"-t unj ire m r
& X?'XrvtjC7Iit*t% 11__1_9kIiN4 VFAUL (-)y M404 7f
SCALE: DRAFTER Cr WNPOOND wKn QTX —In 14th" Ulvv , rommij
P.R.C.1 « P(XNT OF REVERSE CURVE I(G.I) * kAw qt IFIRA efcw BOX
NOT VALID WITHOUT THE SIGNATURE MD THE ORIGINAL RAJSEC SW OF A FLORIDA UCENSED SIMEYOR AND MAPPER
2d I-JL4GC;0T TTOC" S2 'GnIj '01a riN�
W08 A