1816 Selva Grande Dr FNCE19-0068 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0068
_ 800 SEMINOLE ROAD ISSUED: 7/11/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 1/7/2020
MUST CALL INSPECTION • 914PM FOR NEXT DAY INSPECTION.
CODE,ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
OF • OF ORDINANCES .
ALL CONDITIONS OF . . 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 ADD-RESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1816 SELVA GRANDE DR FENCE WALL OR BARRIER FENCE FENCE $2800.00
TYPE OF
ZONING: :D •
L—C• • GROUP:
169542 5006 SELVA TIERRA
COMPANY: ADDRESS:
FENCEPRO, INC. 3727 Spring Park Road JACKSONVILLE FL 32207
• ADDRESS:
GARDNER KEITH 1816 SELVA GRANDE DR 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 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,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
rtyUi;yy City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445 CIJIJ
Phone(904)247-5826• Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 6
4 1 '5 1�9
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
O 0
6
Property Address: O - `JG-VA C____"_r_NV)D(_-Department review required Yes No
uildin
Applicant: �C �(� tanning &Zoning
ree A minis ra For
Project: I— t=C�, err
u is i i ies
-Plublie Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: []Approved. ❑Denied. of applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Revie y: Date: /
12
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 OFFICE COPY g pp Updated 10/9118
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: (,/� C?r'a.rflT D r kl/ct"Ii c ��eq,(.A- Permit Number: ���E C:}
Legal Description /-.1 3 .S(J(v a �i f.r Q U' DY Og S' :)Cke, RE#_�S�� - SDD
Valuation of Work(Replacement Cost)$ 02 19 00, Q D Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration JdRepair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial EfResidential
• 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 Permitl L6](Vo
Describe in detail the type of work to be performed:
t"&-hCe- Com? `C,Ce +tee-n4-
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name &A r, 4le< \ 0ar—J -,eT Address / � /( SN.�t/cti 0raid e
City Al14" „ >< IL -R.'nfti State F�- Zip3,3 Phone 7�?V E-yll� 7
E-Mail to E.7 Q.c)l . CoM
Owner or J Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Fp 1 f o -Ir Qualifying Agent ry-C.,--\
Address c City K5'0 11 V rState Zip_
1,�Q O
Office Phone qC - 06;x)7 Job Site Contact Number
State Certification/Registration#r,� E-Mail FC it C t'r0; h 1 a1 c (c Gt QQA-
Architect Name&Phone# \��
Engineer's Name&Phone#
v
Workers Compensation Insurer S T 0 C. OR Exempt❑ Expiration Date
Application is hereby made to obtain a permit o o the workdins5AaWn as indicated.I certify that no work or installa6n has �y
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reguL*ing N �'
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,S164SU: r Z v
WELLS, POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE: In addition to the requiremen�OMIE. vt
permit,there may be additional restrictions applicable to this property that may be found in the public records of this counts-afl
l O G
Lu
there may be additional permits required from other governmental entities such as water management districts,state agenrt�`e%Xi— Z
F-
federal agencies. U U Q U 0
I
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wit♦�It; cc
applicable laws regulating construction and zoning. U J O
U-
I.-
N
Cn
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M d r w
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE w H
RECO DING YOU NOTICE OF COMMENCEMEN LU 5 W C3 W
�/=_O c�t,C�lnQ f �`� U N
(Signature of Owner or Agent) (Signature of Contractor) W
Signed and sworn to(or affirmed)before me this ay of Si d and sno�r/n��to�or affirmed)b f re�je his t a of
CL
Z91�1 .b 1 , b 1
(Signature of No ) •,�' '6•�( na a)
State of Florida
ELLEN R.THIGPEN My Commission Expires 01MOM21
MY COMMISSION#GG 144796 ' awl Commission No.GG 280808
[ ]Personally Known ORA: EXPIRES:October 23,2021 [ Personally Known OR
[u]frroduced Identification =% •. •• Produced Identificati � n , ;
q'F 4; 8pnded Thru NoUry Public Underwriters[ C�/ lJ V J Il!/I
Type of Identification: a of Identification:
i�yAiy City of Atlantic Beach APPLICATION NUMBER
�S r Building Department (To be assigned by the Building Department.)
800 Seminole Road (�,(,ll���pj
Atlantic Beach, Florida 32233-5445 1 v v
Phone(904)247-5826 Fax(904)247-5845 j
E-mail: building-dept@coab.us Date routed: � l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
a c
Property Address: D `��-�- A ?P't3o - epartment review required Yes No
'nu ildin
Applicant: ����� tanning &Zoning
(�- ree A minis ra or
Project:
is i i ies
clic-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: pproved. []Denied. []Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING �— I y—
Reviewed bDate:
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑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 0 511 912 01 7
ECEIV14E
r1�Lir. City of Atlantic Beach JUN 2019APPLICATION NUMBER
Building Department BY, (To be assigned by the Building Department.
800 Seminole Road
r' Atlantic Beach, Florida 32233-5445 Cv v�
•� s
Phone(904)247-5826 - Fax(904)247-5845 2
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
0
Property Address: O i `-� -�A NOF) epartment review required Yes No
uildin
Applicant: �=�(VL' E PP.otanning & Zoning
' I reeA mrranis or
Project: i r s
3
is i i ies
+e-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: > z^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
rt�yLvr,,; City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 j
E-mail: building-dept@coab.us Date routed: `
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l O0 C-�>_tZ lcNp epartment review required Yes o
uildin
Applicant: SGC pp—C) >Itanning &Zoning
(�- Tree A mins ra or
Project: I- C�� I S
u is i i ies
_u0ie 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:
6EINo
PLANNING &ZONING Reviewed by: /' ` Date:
TREE ADMIN. Second Review: roved as revised.
❑App []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
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
County of Duval
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.
Legal Description of property being improved: Lot 3, Selva Tierra, a subdivision accordinq to the plat thereof recorded at Plat
Book 38, Pages 28 and 28A, in the Public Records of Duval County, Florida
Address of property being improved: 1816 Selva Grande Drive,Atlantic Beach,FL 32233
General description of improvements: Fence replacement
Owner: Keith and Kathleen Gardner Address: 1816 Selva Grande Drive,Atlantic Beach,FL 32233
Owner's interest in site of the improvement: _
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Fencepro,Inc.
Address: 3727 Spring Park Road,Jacksonville, FL 32207
Telephone No.: (904)538-0627 Fax No: (904)396-9149
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 other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified): _
Doc#2019138965,OR BK 18827 Page 2075,
Number Pages: 1 OWNER
Recorded 06/13/2019 03:24 PM, I /
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Signed: Date:
� to ' rO. -I
COUNTY Before a this _day of in the County of Duval,State
RECORDING $10.00 Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of Duval. '
commission expires: L Jp2
ELLEN R.THIGPEN PE onally Known: ✓— 1 4 or
'? MY COMMISSION M GG 1447�(i
' = P uced Identification: t. LZ
EXPIRES:October 23,2021
•'fFOF F°P` Bonded Thru Notary Public Undenmters
ORDERED BY: _
The Law Offices of Rod Sch(oth -
2187 S Third St
Jacksonville Bch, FL 32250
904-372-9351
beach@rod-law.com - - -
PROPERTY ADDRESS: 1816 SELVA GRANDE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL1407.4083
FIELD WORK DATE:6/4/2014 REVISION DATE(S):(REV.o 8/5/2014)
C-I C-2
FL1407.4083 R=472.85'(P4M) R=472.85'(P4-M)
BOUNDARY SURVEY L=101.43'(P) 101.37'(M) L=143.47'(P) 143.54'(M)
DUVAL COUNTY A-12*1727"27 (P) 12*17'00"(M) 0=1 7°23'03"(P) 17°23'35"(M)
CH=5 8°33'31"W, 101.24'(P) CH=5 01 044"E, 142.92'(P)
5 8'30AG"W, 101.18'(M) 5 Go 1 9'13" E, 142.99'(M)
1-01.4
/r �
f % i
VH IN 89.3G'30"E 135.09'(M)
w 'N 89°35'07"E 135.OG'(P) NW ( /
N� 41Z 61 `�
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ON L.......... 56.1' C
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N� 5 89°35'07"W I 19.27'(P) N° l
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5 89°35'07"W 1 19.4 1 (M)
[3.R. (PER PLAT) I
NOTV5: 25.a/ / A i
LOT APPEARS TO BE 5L VICED BY Crr7-WA T EP.AND 5EV41,
r'tNCE OV✓NEF MIP NIX DETER aiNED
N
�`r'SyfiY B. y�S U
I hereby certdfy tlfil s�ou�i6 p�u �y of the hereon WELL TO RE5.
described Pro erty has g made uhde�my direction,
and to theb St of- o�le�ge and bell f,it is a true
and accu(at r Ion f a su��e)1 that meets the
minimum� h c a et1forth l�yr))he Florida
Board of P4fession6ill gygrs 8 M� Ars in Chapter
5J-17 of the kr'da ASF ftitiive 68e.
s� 30 29 10' 0 5' 30, -
ONq�SURVEY01 1 1 1 11 i N _
Wesley B.Haas
State of Florida Protesslonanalsurveyor and Mapper GRAPHIC SCALE
License No.3708 1 Inch = 30 feet
Use of This Survey for Purposes other than Intended,Without Written Verification,will beat the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION: POINTS OF INTEREST
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING NONE VISIBLE
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03/13.
janshields@watsonrealtycorp.com
sonrealtycorp.com E d Robinson, J r.
904-853-2004
REALTOR'
Nrudential
CLIENT NUMBER:RS14-2352 DATE: 8/5/2014
�
Network R alt{
BUYER:KEITH GARDNER REALTOR' e
Jan Shields 0-3740
www.edrabinsonsells.com
SELLER: MICHAEL BURTON&LYNN BURTON nsons
CERTIFIED TO:KEITH GARDNTHE LAW OFFICES OF ROD
SCHLOTH,P.A.;.;OLD REPUBLIC NATIONAL TITLE
INSURANCE COMPANY;EVERBANK
Land Surveyors Inc. 1916-F.86taland288
1 P.866-735.1916• 6-744- nn
This is page 1 of 2 and is not valid without all pages. L8f 7337 11940 Fairway Lakes Drive,Suite 1.Ft.Myers,FL 33913