780 Bonita Rd FNCE19-0081 6' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
Is
CITY OF ATLANTIC BEACH FNCE19-0081
800 SEMINOLE ROAD
ISSUED: 7/16/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 1/12/2020
MUST CALL INSPECTIONPHONE • . BY 4 PM FOR + INSPECTION.
ALL • ' CONFORM • THE CURRENT • 1 OF • ' D+ BUILDING
CODE, AND OF ATLANTIC + CH 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: PERMITTY DESCRIPTION: VALUE OF WORK:
780 BONITA RD FENCE WALL OR BARRIER FENCE 6' FENCE $1000.00
TYPE OF
GROUP:
• •
171099 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
• ADDRESS: '
CHAMBERLIN JACOB 384 AQUATIC DR ATLANTIC BEACH FL 32233-4207
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.
IIIIIII LIST OF . .
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
E
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field
coordination is needed,call 247-5878.
2 PUBLIC UTILITIES UTILITY MAP INFORMATIONAL
Notes:
See attached Utility Map.
3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
Issued Date: 7/16/2019 1 of 2
r07��.
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0081
800 SEMINOLE ROAD ISSUED: 7/16/2019
l�% EXPIRES: 1/12/2020
ATLANTIC BEACH. FL 32233
4 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.
5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
6 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing must be removed from job site by Contractor.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
FENCE 4S5-0000-322-1000 0 $35.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
TOTAL: $81.50
Issued Date:7/16/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be ass�ic ned by the Building Department.)
s 800 Seminole Road
Atlantic Beach, Florida 32233-5445 1 1 J
Phone(904)247-5826- Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ec ',orQ (( I D Department review required Yes No
tr ildin
Applicant: D(il {`� � Panning &Zoning
Tree Administrator
Project: (0 F-65-11C Works
u 1ic Utilities
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: proved. [-]Denied. ❑Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: Date-. -7-/2--/7
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 Updated 10/9/18
g p p
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (90/44) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
y '
F—N V08Job Address: 4`1 �` ( Permit Number:
Legal Description /- ,> + c
&e RE#
Valuation of Work(Replacement Cost)$ /00'0 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition io�<Iteration []Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial /Residential
• If an existing structure,is a fire sprinkler system installed?: Dyes ) o
• Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit o
Describe in detail the type of work to be performed: `
1111(5?�4- l/ d L&4't) G ` tie a✓w4c"( AQ 00 ✓'!1,14
Florida Product Approval# �n ( for multiple products use product approval form
Property Owner Information _
Name 3-u 14e ek+�A611(1) Address
CityLG, State Zip Phone
E-Mail U �'✓ 1!!/'J' i -y/c. �� � '
Owner or Ajq4t(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company t()Vl Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone# U
Workers Compensation Insurer OR Exempt❑ Expiration Date Z W Cs
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal lati %hZ Q ZO
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regula r V OZ 0 (�
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGN 9 _
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements 50A I Z j
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county nL) Q U
there may be additional permits required from other governmental entities such as water management districts,state agent,, [ < Z
federal agencies. a f-�
LL OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with ! F— l,-
CO) FN-
applicable laws regulating construction and zoning. 0 Q -
11' M �
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA16 0 a w
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTOM Wn c
UJ
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 5;III U coLL
RECORD Y UR N OF COMMENCEMENT. w
(Signa(re of 0,wnEtr or Agent) (Signature of Contrac
Si n nd sworn to( affi )before me this day of Signed and sworn to(ora•' ed)before me this_day of
L Z� by .� �y r ,�� by
r (Signature of Notary)
TONT LESPERGER
MY COMMISSION#FF 59-4951 x
[ ]Personally Known OR =° *` EXPIRES:October 4 1 rso ally Known OR
[ ]Produced Identification + ` ;F._,mss BondedThmNo,aryPubl;ci d}rProdu ed Identification
Type of Identification: Yiientification:
ALL
Owner Builder Affidavit **HIGHLI HIGHLIGHTED
IN 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. 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.
ll. 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(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:
Owner Name: (' G^� /—� CR �G� D'/� Phone Number:
Mailing Address: �0 U1�1 / Gf , ity: ��� `JState: � Zip: 3z z�
Notarized Signature of Owner _
Th o oing instrurnent was acknowledgedfore me this day o _ 20 1 in the State of Florida, County
of
Signature of Notary Public
%.
�rsona lly Known OR [ ] Produced Identification
Type of Identification:
Updated 10124118
TONI GINDLESPERGER
1 = MY COMMISSION#FF 924951
*' , EXPIRES:October 6.2019
ry l .'�•P,,}y Bonded Thru Noa+Y
Public Underwriers
-51 ,V] City of Atlantic Beach APPLICATION NUMBER
Building Department (To be ass�yi ned by the Building Department.)
800 Seminole Road
9 Atlantic Beach, Florida 32233-5445 ( lJ J
Phone(904)247-5826 • Fax(904)247-5845
r; E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / e � I C)ND (y i(-1 I Department review required Yes No
i�uildin
Applicant: ����� _ _
Panning &Zoning
Tree Administrator
Project: Cts l� F�u6ifc works
u lic Utilities -
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: pproved. ❑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
SrLyr�. City of Atlantic Beach APPLICATION NUMBER
Building Department ECEIV (To be assigned by the Building Department.)
800 Seminole Road I_ CIN `/�� I
�r Atlantic Beach, Florida 32233-5445 JUL 0 219 1
Phone(904)247-5826 - Fax(904)247- 5 J
-o'll" E-mail: building-dept@coab.us Date routed:
79 P)l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ( (9 C)ND l74� RDD-epartment review required Yes No
uildin _
Applicant: anning &Zoning
Tree Administrator
Project: C(� �E�C u lic works
u lic Utilities
Public 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: [/Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING <
PLANNING &ZONING Reviewed b 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
•S�'L�r
j
REVOCABLE ENCROACHMENT PERMIT
t S1il1��'
REVOCABLE ENCROACHMENT PERMIT by the City of Atlantic Beach, Florida,a municipal corporation
organized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and
^ �:&, ahe-MbM t h 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 T' o
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirty (30) days' notice by CITY to USER, said notice to USER shall be given by certified mail,
return receipt requested,to the following address 7 �10 r1 -,A
• 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.
Date
Prope caner/ nt(sign 'n ce of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this � day of L `c ,20
by �+ �6rl�t , who personally appeared before me and
( rint d name of Si e
acknow a ed that he/sh sig he instrument vol y for the purpose expressed in it.
Signature of Not Pub ' , State of rids
Approved/Public Works Department:
Personally Kno •
Produced Identification(Type)
NDLESPERGER Scott tlliams, Pu lic orks Director
MYCOMMISSION#FF 924951
EXPIRES:October 6,2019
�' Bonded Thru Notary Public Undemriters
,s RIGHT—OF—WAY/ EASEMENT PERMIT APPLICATION "ALL INFORMATION
°t 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
Job Address -7 � EE
o ► —:)&lA 4--C , Permit Number
Contractor Information
Company fie✓ Qualifying Agent
Address City State Zip
Phone Email
State Certification/Registration#
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurer OR Exempt❑ 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 (Project Superintendent)
with(Company Name) Phone
• 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�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.
• The Public Works Director shall be notified hours prior to starting work and again immediately upoll com etio .
' Date
Permittee(signed presence of tary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of -7yU``/ 20 J
y S<•� �,-e —who personally appeared before me and
rrinted name of Permittee) = '`a
TONI GINDLESPERGER
ackno ledged that h gnedZinstr voluntarily for the purpose expresse #ftp MY COMMISSION#FF 924951
'a= EXPIRES:October 6,2019
Bonded Thru Notary Public Underwriters
H-Ve—rsonally Known
Signature of Notary Public,State o FI rida [ ) Produced Identification(Type)
H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
-51 'Vi City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road (—
Atlantic Beach, Florida 32233-5445 ll✓✓ �J
Phone(904)247-5826• Fax(904)247-5845
9;1»r E-mail: building-dept@coab.us IL Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -7 e�� RD Department review required Yes No
1 �I�� l(��
/-E i I d i nA_�"__
Applicant: t,:,,e�2� Panning &Zoning
Tree Administrator
Project: (0 �•- �_ In u lic works
u lic Utilities
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:
APPLICION STATUS
Reviewing Department First Review: Approved. []Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONINGReviewed by: -/���Date: �— 9
TREE ADMIN. Second Review: ❑Approved as revis ❑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 p►
Date: 41 fl Application#: IFN C ' ! — 060'
Project Address: 7 S D (TA
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 Sprinkler if fire sprinkler system is provided,call 247-5878 for backflow requirements.
Backflow
Requirement At a minimum,will require a double check backflow preventer. ❑ 13
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 IEA specifications.
Utility Map See attached Utility Map.
Disconnect
DCap Disconnect and cap water and sewer lines. 13 E3
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.
❑ ❑
❑ ❑
❑ ❑
5g.
�w
r
i .
-
r � r,
E,z �,,..,■ e
r-_
i
r ORDERED BY: 0 An"
The Law Offices of Rod Schloth
2187 S Third St °� ---
�• Bea Ntl __
.wrn.r
Jacksonvitte Bch, FL 32250
904-372-9351
beach@rod-taw.com
PROPERTY ADDRESS: 780 BONITA ROAD ATLANTIC BEACH, FLORIDA 32233 SURVEY NUMBER: FL1509.1829
FIELD WORK DATE:9/16/2015 REVISION DATE(S):(REV.0 9/22/2015)
'r
FL 1509.1829
BOUNDARYSURVEY
DUVAL COUNTY B,R. (PER PLAT)
5 85°20'02"E 747 50,
S (M)
85°20'02"E 747.87'(P)
TABLE:
Ll 5 85020'02" E 667.22' (P)
5 85°20'34" E 667.13' (M)
o r}.
a
L 1
INO FI .9'OF 5 85020'02"E 80.65 * FIP
@ B.C. I/2°FIP NO ID
NO ID
I
25'S.B.L.
13.5' :;.
�. ;
m m 44.3'
� F ^• iL—•
W W LOT 10 w - o LOT 9 i' O,7' r
o co BLK I N :. oFF o
tV
u u ;' n
BLK I
V �t I.o'OFF 9090 22.0' 10.0'
W LOT 8
15TY. o BLK I E3 m f
NOTES: 3 1.9' RE5#780 _ 0I _
mm
SETBACK INFORMATION SHOWN ON PLAT,NOT VERIFIED U •
FENCE OWNERSHIP NOT DETERMINED 2.0
V F.
O 18.3' 0.2'ON (n
N \SCR., N 3
3 HED b Epcl 121 0
OFF
0.3'OFF p
0.I'OFF
6'W.F. �+�M U5 0,7'OFF
I/2°FIP m 5'D.U.E. 0.5'OFF
NO ID Z N N 85°20'02'W 80 65' ON LINE
LOT 25 op �' N 85°20'38"W 80.6 (P)
5'(M) Z FND. "X"cur
BLK I - p
5LT26
Ko LOT 27
BLK I
gb A Jori
Y1Q11SE IVp
l hereby cerci at this Survey f e hereon described
properly s e n made under m directio, nd to the best ofmy
knowledge a a`tb'e tion of
survey that the Standards ra a et forth by the Florida
Board ofPrfe a/SAN&A Map in Chapter 5J-17 of the
Florida Adminis ode. 30 0 15 30
sURV8Y0�
t,
Mark A.Johnson GRAPHIC SCALE (In Feet) N
State of Florida Professional Surveyor and Mapper 1 inch = 30' ft.
License No.8572
Use of This Survey for Purposes other than Intended,Without Written verification,will be at 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 1.6'VINYL FENCE OVER 5'DRAINAGE AND UTILITY EASEMENT 2.6'WOOD FENCE OVER
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE T DRAINAGE AND UTILITY EASEMENT 3.SHED OVER 5'DRAINAGE AND UTILITY
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF EASEMENT 4.CONCRETE OVER 5'DRAINAGEAND UTILITY EASEMENT
ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03/13.
CLIENT NUMBER:RS15-3194 DATE: 9/22/2015 ' ' AFFILIATE
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BUYER:JACOB CHAMBERLIN — MEMBERS
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SELLER: WILLIE&ALICE DAVIS
CERTIFIED TO:JACOB C REPUBLIC
NATIONAL
THE LAW OFFICES OF ROD SCHLOTH,P.A.; E=- q C T
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY;BANK q
OF ENGLAND;ITS SUCCESSORS AND/OR ASSIGNS;AS THEIR
INTERESTS MAY APPEAR
Land Surveyors, Inc. www•exactaland.com>;
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11940 Fairway Lakes Drive,Suite 1•Ft Myers,FL 33913