2020 Vela Norte Cir DWAY19-0020 Paver DRIVEWAY PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH DWAY19-0020
800 SEMINOLE ROAD ISSUED: 7/11/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 1/7/2020
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 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:
2020 VELA NORTE CIR DRIVEWAY SINGLE OR TWO PAVER DRIVEWAY $2100.00
FAMILY DRIVEWAY
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695061044 SELVA NORTE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
TED L HAUSER 2020 VELA NORTE CIR 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 CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247
-5814)to request an Erosion and Sediment Control Inspection prior to start of construction.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
Issued Date:7/11/2019 1 of 2
APPLICATION NUMBER
City of Atlantic Beach
"P. Building Department (To be assigned by the Building Department.)
800 Seminole Road -F
EEC _UUZO
Atlantic Beach, Florida 32233-5445 q
Phone(904)247-5826 - Fax(904)24 845
E-mail: building-dept@coab.us JUL 02 2W Date routed: 7/ (
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z C)zc) V E�_A (�)�_rC_ Department review required Yes No
Building
Applicant: I\Z)&42-- -ning &Zoning
Tree AUMPHIstratm'
Project: 1rublic WorLj__.)
Pub FTMI ities
Public 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: [VfApproved. DDenied. [:]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by�._4. _,Date-. Zr-
TREE ADMIN. Second Review: E]Approved as revised. ElDenied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date.-
FIRE SERVICES Third Review: []Approved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date.-
Revised 05/19/2017
Building Permit Application Updated 1019118
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: Ae 46e-k 6',_)-ele; PermitlNumber:
Legal Description
RE#
Valuation of Work(Replacement Cost)$,14&e Heated/Cooled SF Non-Heated/Cooled
• ClassofWork: ONew ElAddition 44teration EIRepair LIMove E]Demo LIPool EIWindow/Door
• Use of existing/proposed structure(s): ElCommercial Vesidential
• If an existing structure,is a fire sprinkler system installed?: ElYes WNo
• Will tree(s) be removed in association with proposed proiect? ElYes(must submit separate Tree Removal Permit) ENo
Describe in detail the type of work to be performed:
Florida Product Approval # for multiple products use product approval form
Property Owner Information
Name 7--te ,/,? Add r e s s "elc`.' Z
-e� A IV.- 7 p_Z e
city ;e -_,i A State zip Phone
E-Mail �t
Owner or Agent(If Agent, PcTwe'r of Attorney or Agency Letter Required)
Contractor Information
Name of company /1"1. .-fl/ x Y?6 L- Qualifyin AgentWel"4�60h 4ZC;�-A—�Ior-4
Address 11D52 6 city
rA i, s't at e zip .2-Zj-;7
Office Phone Job Site Contact Numb r
E-M a i I /
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer 4��11_1 .6 OR Exempt Ei Expiration Date
Application is hereby made to obtain a permit tKdo ih�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 maybe additional restrictions applicable to this property that maybe found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature cf.6ntractor)
igned and sworn to(or ffir ed)beforq me this day of Signed and sworn to(or�ffO med)before me this day of
b I r
-0 _ta,(—A _�7 Z, by
Sig 2!�Jy) ure of Notary)
TONI GINDLESPERGER
MY COMMISSION#FF 924951
,,,QPiR%9ctober6,2019
]Personally Known OR Ww! Pubk Underw6ters
I Produced Identification
b— E> (0 Z—C4 Zrype 4 Ig, cation:
Type of Identification: �tifi
REVOCABLE ENCROACHMENT PERMIT
REVOCABLE ENCROACHMENT PERMIT by the City of Atlantic Beach,Florida,a municipal corporation
organized and existi nder the laws of the State of Florida,hereinafter referred to as"CITY"and
of Atlantic Beach,Florida,hereinafter
referred to as"USEli'-.
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_
Any facility maintained, repaired, erec'te&l and/or installed in the exercise of tire privilege granted remains subject to
relocation or removal on thirty (30) days' notice by CITY to USER, said notice to USER shall Pe given by certified mail,
return receipt requested,to the following address -.)L 0 -1,0 &115 1&�7 ef�&le
• 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 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 19-7(h)
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 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 liabilities are hereby
assumed by the USER.
Property Owner/ig�nt(signed in presence of Notary Public) Date
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of ((-4 �20
N--
by ISD L CL L) e r— who personilly appeared before me and
(p�nted name of Signer)
ac wle ged t h sh gned th instrument voluntarily for the purpose expressed in it.
0
Signature of Notary Public,Stat6�-VfFlorida
Approved Public Works Department:
Personally Known
Produced L
TONI GINDLESPE"VG�R
My COMMISSION# 9;Z 4�.4;K
O 'Z -04 �c—o t M i I�i am ic )A16
EXPIRES:October 6,2019
Bonded Tbru Notarf Public Underwriters
RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION "ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Permit Number
Job Address 1!e1w
Contractor Information
Company Qualifying Agent t,&Ielltv?e�� AZeav&ra
Address city State zip
P h o n e Email
4
StaieCertification/Registration# eq90e00-? ��3u
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurer R Exempt o Expiration Date
• Permittee declares that prior to filing this application they have ascertained the location of all existing utilities,both aerial
and underground and the accurate locations are shown on the sketches.
• Whenever necessary for the construction, repair,improvement, maintenance,safe and efficient operation,alteration or
relocation of all,or any portion of said street or easement as determined by the Public Works Director,any or all said poles,
wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said
street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the
Permittee unless reimbursement is authorized.
• All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the
supervision of a-!A -,—7ed (Project Superintendent)
with(Company Name) C;hj .fW,,) e Phone Z2,1
• All materials and equipment shall be subject to inspection by the Public Works Director.
• All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the
manner satisfactory to the City.
• A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit.
Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with
this application.
• The permittee shall commence actual construction in good faith within !FL days. If the beginning date is more than 60
days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no
changes have occurred in the area that would affect the permitted construction.
• It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,
title and interest in the land to be entered upon and used by the holder,and the holder will,at all times,assume all risk of
and indemnify, defend and save harmless the City of Atlantic Beach from and against any and all loss,damage and cost of
expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
Th P blic Works D�ire or shall be notified 24 hours prior to starting work and again immediately up n c#pletion.
D, De T
Permittee(signed in preserike of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of 1 20
nally appeared before me and
by L-A (–J– P
printed name of Permittee) RGER
my M, ON#FF924951
acknowl ed that he she s ned instru entvoluntarily CIS com SSI 11fi.2019
"Thw ryPublicUrd�rwOiters
Nola
C— Personally Known
Signature of Notary Public,State of Florida Produced Identification(Type)
H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
"Ode
800 Seminole Road
DW0V1q_0C) z0
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: build i ng-dept@coab.us Date routed: 71/ ( 1
Cityweb-site: http://vvww.coab.us -
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z 0ZQ V �_--CA 1\JC)kTC_ Department review required Yes No
Building
Applicant: 4��g &Z�on i n g�
T re—e-Ta—m—i n—1 matar'
Project: P Kublic WorLiD
—AV&[L hc (
PubTFUtTlities
Public 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. [2/Denied. []Not applicable
(Circle one.) Comments:
BUILDING rvej OFF. +VYAA no
PLANNING &ZONING AW5 Ok lot, Reviewed by: Date:
(V-y V�d
TREE ADMIN. Second Review: F]Approved as revised. DDenied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. FIDenied. DNot applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
f City of Atlantic Beach Building Department GRAY IS REQUIRED.
f:
J 800 Seminole Rd, Atlantic Beach, FL 32233
\el
I rm !)�' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: DWAY1 9-0020
[:]Revision to Issued Permit OR Corrections to Comments Date:7/3/2019
Project Address: 2020 Vela Norte Circle
Contra ctor/Contact Name: Ted Hauser
Contact Phone: 9042197230 Email: TLHauser@bellsouth.net
Description of Proposed Revision/Corrections:
tree&vegetation affidavit
ITed Hauser affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
e Will proposed revision/corrections add additional square footage to original submittal?
Flo F--J Yes (additional s.f.to be added:
n ill proposed revision/corrections add additional increase in building value to original submittal?
I*Yes (additional increase in building value: $ (contractor must sign if increase in valuation)
o F
*Signature of Contractor/Agent:
(Office Use Only)
N�/Approved Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewe� B%"y'
Tree Administrator
Public Works
Public Utilities Tib-19
Public Safety Date
Fire Services Updated 10/17118
"ALL INFORMATION
Owner Builder Affidavit
,51
,51
,51
,51
,51
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#:
1. 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.
11. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
Ill. 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(l). 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.
JobAddress: clelle�z A&I-le
Ow n e r N a m e: e-14 &S(
eC f 0!�,_ Phone Number:
Mailing Address: lle'ls6 100 city: State: Zip:
Notarized Signature of Owner
The fe Ing instrunjent was acknowledged before me this--Lday '20 the State of Florida, County
of
Signature of Notary PublizhT7
[ j Personally Known OR Produced Identification
Type of Identification:
TONI GINDLESPERGER Updated 10124118
MY COMMISSION#FF 924951
EXPIRES:Octo
ber 6,2019 k!'
Bonded Thru NO!arY Pub4c Underw�ters
TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY
City of Atlantic Beach
PERMIT#
Community Development Department Wma oft r� ,% 0 11111� r=%
800 Seminole Road Atlantic Beach, FL 32233 Lut IV �_ U
-E31119 (P)904-247-5800
SITE INFORMATION JUL - 2 2019
ADDRESS
Buildina Depadment
Cit f Agantic Beach,
SUBDIVISION JeIVle ljekl�e_ BYOOCK LOT
RE# V?-TTESIDENTIAL D COMMERCIAL OTHER
APPLICANT INFORMATION
N A M E �zaz Z �kj-(?/— PHONE#
ADDRESS CELL#
CITY ZIP CODE
STATE
EMAIL
4e Ae70L FTDWNER D LEGAL AUTHORIZED AGENT
I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", of
the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre-
application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated
trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described
property and/or adjacent properties including right-of-way.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent
SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE
SIGNATURE OF APPLICANT(2) PRINT OR TYPE NAME DATE
Signed and sworn before me on this c-)4\ dayof- 3L(�, 10 0 1!� by State of RO/ ) AC
(A� LA Co u nty of
Identification verified: Ck
Oath Sworn: r7l
y JENNIFER JOHNSTON
My COMMISSION#GG 042984 Notak qi �ajite
'r 0
S, EXPIRES:October 27,2020
I U
4err��.W Bonded Thru Notary Public Underwriterms
I I.- My Commission expires
04 TREEAND VEGETATION AFFiDAVIT03.01.2018
ORDERED BY.
The Law Offices of Rod Schloth
2187 S Third St
i Jacksonville Bch, FL 32250
904-372-9351
J
beach@rod-law.com
PROPERTY ADDRESS: 202OVELA NORTE CIRCLE ATLANTIC BEACH,FLORIDA32233 SURVEY NUMBER: FL1410.0427
DIM
FIELDWORK DATE: 10/8/2014 REVISION DATE(S):(REV.0 10&2014)
TABLE: C-I C-2
FL1410.0427 L-I N 0*0-4'40"E 5 5.00'(P) K-1325.00(r*M) P,—1325.0(Y(F4M)
BOUNDARY SURVEY N 000725"E 54.95'(C) L=73.9G'(P)74.00'(M) L=9 1,28-(F), 9 1.09-(M)
DUVAL COUNTY L-2 N 10*0 1'35'W 29.00(P) .6= 3-1 f'53'(P)3-12-OCt"(M) 6=3*5G'49"(P), 3*5G'l 9"(M)
N 10*0 I'l 5"W 29,09'(M) CI-11=5 2*13'13"E, 73.95'(P) Cri-5 01*2 ID
8"W 91.2G'(P),
L-3 5 3*49'10"E 24.99'(P) 5 2-13-34-E, 73,99-(M) 5 01-20-08-W 91-07-(M)
5 3*3714"E 24.9G'(M)
X.
N t5.3-3G-44"E 182.08'(M)
83-3r-'14-1! 182-03,(P)
17
250
�V
0
F;�201
1.5
);b 2.01
.4
2
0
V LO
?w
20.4'
Eiji zuQ
5 88*2 4A I'W I G9.53'(M)
112. B.R. (Fam FLAT)
LD 3672
P WIC 5,58*24A I"W 1.50-52'(r)
5 58*244 1 W 180.53'(C)
I hereby cletify I at this, our-Aa y o&hereon described property has
been made under my 6irelction,a Ae best of'my,knowledge and belief,It is
and accurate reiprieseptabo of- survey thatpeets the standards of &n
a true '6110 4 1
practice set forth by theIFIdW66-B6ird64. SSIO
�.ofe—* n4l ISurveyors&Mappers in
Chapter 5.1-17 of the n6 Adnriiiiiiif��'rebode.,4,
STATE OF
FLORIDA
40' 301 20, 10, 0 20 JIGI
4
Wesley B.Haas
Stale of�Iorida Professional Surveyor and Mapper GKAPHIC 5CALE
License No.3708 1 mc;h = 40 feet
Use afThi5 Survey for Purposes other than Intended,Without Written Verification,will be at the 1.15er'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 (1)FENCE OVER 25'DRAINAGE EASEMENT.
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
A I EACH,COMMUNITY NUMBER 120075,DATED 06/03/11
--- JOAN MOR N
"27.
CLIENT NUMBER:RS14-2463 E: 10/8/2014 REALTO ,wt ��' —IN
(904)699-5170 1.2,�p VUlil-p"
BUYER:SHERRY DIANE FORD&DONALD GRADY FORD
JOANMORTON@WATSONREALTYCORP.COM
SELLER: TIMOTHY D BREWER&DENISE H BREWER WWW.JOANMORTON.WATSONREALTYCORP.COM
CERTIFIED TO:SHERRY DIANE FORD&DONALD GRADY FORD;THE
LAW OFFICES OF ROD SCHLOTH,P.A.;THE LAW
OFFICES OF ROD SCHLOTH,P.A. A zh�
�,vexactalandxorzi
Land Surveyors, Inc. P.866-735-1916.F566-744-2882
This is page 1 of 2 and is not valid without all pages. LBP 71,17 11940 Fanwy Lakes Drive,Suite I-Ft.Myers.FIL 33913