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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 � 1 1 BUYER:JACOB CHAMBERLIN — MEMBERS E 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>; This is page 1 of 2 and is not valid without all pages. L8#7337 P.866-735-1916-F.866-744-2882iveSuiyemF33913 11940 Fairway Lakes Drive,Suite 1•Ft Myers,FL 33913