591 Aquatic Dr FNCE19-0112 6' ri',,''''�r% FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
��' `� '\�\ FNCE19-0112
-P ) CITY OF ATLANTIC BEACH
\ . 800 SEMINOLE ROAD
ISSUED: 10/16/2019
`�`'%;�'` ATLANTIC BEACH. FL 32233 EXPIRES: 4/13/2020
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:
591 AQUATIC DR FENCE WALL OR BARRIER FENCE 6' FENCE $3300.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171818 5342 AQUATIC GARDENS
COMPANY: ADDRESS: CITY: STATE: ZIP:
Fences By Gator, LLC 13142 Ebbtide Court Jacksonville FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
HUNLEY LOUISE A ET AL 591 AQUATIC DR ATLANTIC BEACH FL 32233-3842
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 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: 10/16/2019 1 of 2
•s�'''�'fe FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
- t� CITY OF ATLANTIC BEACH FNCE19-0112
o� ISSUED: 10/16/2019
800 SEMINOLE ROAD
aS3 }' ATLANTIC BEACH. FL 32233 EXPIRES:4/13/2020
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing and debris must be removed from job site by Contractor.
5 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL
Notes:
A Revocable Encroachment Agreement must be submitted.
-.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
FENCE 455-0000-322-1000 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 455-0000-208-0600 0 $2.00
TOTAL:$81.50
Issued Date: 10/16/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
(;:i!-Aliv,
M , Building Department (To be assigned by the Building Department.)
-5p 800 Seminole Road 1A.` 0
r! Atlantic Beach, Florida 32233-5445 �1�Q i I
fir Phone(904)247-5826 • Fax(904)247-5845
cz-
.oa qr E-mail: building-dept@coab.us Date routed: •
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: SR I A QT [? tf? De artment review required Yes No
Buildin_g_
Applicant: Fe CC_S IJ - C ( - TOIL- _arming .zg
(
Tree Administrator
Project: 6, -r---�,K)C� blic Work
.�blic 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: ❑Approved. ❑Denied. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:�%� Date: Cl-Ig-I 9
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. I 'Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
•_;.'...'-'14%.,,, Building Permit Application Updated 10/9/18
Y ') City of Atlantic Beach Building Department **ALL INFORMATION
"aiV 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
p ost yr IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us >—
Job Address: 59I f�(Aedic. C,Vei Permit Number: F NC,E Il q C I I
Legal Description Loi' 0/0 A A@JAT(( V/ l peocos RE# V
Valuation of Work(Replacement Cost) $ 3i 3°0 Heated/Cooled SF Non-Heated/Cooled �W♦
• Class of Work: ❑New ❑Addition ❑Alteration Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial [H'Residential LL..
• If an existing structure,is a fire sprinkler system installed?: ❑Yes Ilio
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) Lilo
Describe in detail the type of work to be performed:
2ep Lace, mac: -E-iln (`pi'tv act( - W
()
Florida Product Approval# for multiple products use product apprpval form N
Property Owner Information I Q Z \
Name Lo uSSG Ann 4-ILLYIUAA Address 5 1 RotUdcii,G-D1" ' o.. t O f a'
City PI-HATIARC, Bead State FL Zip _3c2a33 Phone 401.1 •3u1. L2fSS2;-, Lu — 0 1i
E-Mail (d Mf, nAnle 1Q5-0 gmai I. CCM ��// o a
Owner or Agent(If Agent, ower of Attorhey or Agency Letter Required) (.. UV .C. tit CNet lel U1 p Q U
Contractor Information ETC/WS f 41tric'Q (�'} z O a
Name of Company Qualifying Agent ect4-7+S kter4- f U J (n
Address 13 i�(2 C`s trlJt- ( T, City , State ft- Zip 31z� f-2
Office Phone /04- c - ZNuc Job Site Contact Number qt Y.- 3q9- G-r?Cs 0L W
Lt_ LL
State Certification/Registration# E-Mail awes 4A--ria mit-fL,co--, O w w
Architect Name& Phone# 010 LiJ >- a
Engineer's Name&Phone# _ C3 LL
Workers Compensation Insurer _ OR Exempt 0 Expiration Date > cc u
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal ion has u
commenced prior to the issuance of a permit angelpat Ill1vo2b7g1l be performed to meet the standards of all the laws regulating a
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 restrictspalacako this ro er that may be found in the public records of this county,and
there may be additional permits requ Om.Ati � 6thities such as water management districts,state agencies,or
federal agencies. CIjjjjj3 T Atlantic t c Beac ,
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 LEN 7 OR A ATTORNEY BEFORE
RECORDING Y ' NOTICE OF COMMENCEMENT.
r / r cmc,'s y �.+r v2.
(Signature of 0lb-r or Agent) (Signature of Contractor)
Signed and sworn to (or affirmed) before me this // day of Signed and sworn to(or affirmed) before me this L day of
5 V.ex-L, 2,:-.) 19. , b A t7 4, z SQiA 1-M. 601 .y 4. r i LVk g
v 1 0,� s� I' 1 1
;' JOHN MARTIN ',./G---_--. r� ,rte',• " - 1
*•' ,J (Si nature of Notary) f{ a, ^�' ' ig �., •
:;.Commission#GG 328915 tutu C0MMISSI:f' ��0429aa
?;-�-s`, ExplresApr129 2023 ' EXPIRES:October2?,2020
'%}•►'•" Pau Fein Insurance ~ACV
90Mir Y o°^ Bonded Thru Notary Public Undentriters
"� [ J Personally Known 0",.�
[y-Pf`duced Identification✓„/ [\).PToduced Identification 1 I
Type of Identification: f l% Jam-- Dr.----Ve-f L Len s-L Type of Identification: FOA &� 6, 1'114.3 Vt ct -e—
riyLi , City of Atlantic Beach APPLICATION NUMBER
JS t Building Department (To be assigned by the Building Department.)
r 800 Seminole Road tA�`` n
j Atlantic Beach, Florida 32233-5445 F1.�I — C) ( ( Z
} Phone(904)247-5826 - Fax(904)247-5845
"��;s �� E-mail: building-dept@coab.us Date routed: 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: SA N v ' t ) 116 De artment review required Yes No
Buildin +
Applicant: Few b G ore___, arming
Tree Administrator
Project: ( F-c-s-.K.)ce-_--- iii,:115---- -(s .,,,. blic 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: roved. Denied. Not applicable
(Circle one.) Comments: /i 9 D
BUILDIN /V
PLANNING &ZONING
Reviewed by: Date: 9'/9'19
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. nDenied. nNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
1.0-v City of Atlantic Beach APPLICATION NUMBER
ri k Building Department ECEIVE (To be assigned by the Building Department.)
800 Seminole Road n - 0 ( '
j.,, a . Atlantic Beach, Florida 32233-
'1.1r
2233- �� �(�Q �` �I
Phone(904)247-5826 Fax(9 24 �845 ��h+
j;;�r Email: building-dept@coab.0 Date routed:
City web-site: http://www.coab.iBY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: S• 604 - -( ) 111 De•artment review required Yes No
Buildin.
Applicant: FEE C& CM fl\- [O(� 6-7PlanrIrlag
Tree Administrator
Project: C
R---=-.occ -- (--:5"--1—Dllc Works
.�blic Utilities.
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of 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: t Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING -
PLANNING &ZONING Reviewed Date: t--47,
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. I 'Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
ON
1:11.Aiik- HIGHLIGHTED IN
-- 474111.+6" City of Atlantic Beach Building Department GRAY IS REQUIRED.
V ' - 800 Seminole Rd, Atlantic Beach, FL 32233
--CM`'" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: rNOR.I(+ol j2
L Revision to Issued Permit OR Corrections to Comments Date: /'7 SLP 2O(
Project Address: VI I AQJA-rlc- .bQ. r4-74-. g Gtk, 32233
Contractor/Contact Name: 'Ct-t -5 13..E Ce A-roF-
Contact Phone: q04-1`-tat - (09 off' Email: ECNte Y 2- G 4"tL• Cbl
Description of Proposed Revision/Corrections:
t2-L oocv41L ItN'f
I atP-16S F-"rCt`E 60 S 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?
to ❑ Yes (additional s.f. to be added: )
• Will proposed revision/corrections add additional inc ase in building value to original submittal?
KNo _*Yes (additional increase in building : (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: W.
(Office Use Only)
Zpproved - Denied - Not Applicable to Department Permit Fee Due $
Revision/Plan Review Comments
Department Review Required: l';e°.tit0. er',--n
Building --
Planning&Zoning Reviewed By
Tree Administrator
• if SEP 2 0 2��9
u is Utilities (...-.7Ey_.../t
ii
Public Safety BY: Date
Fire Services Updated10/17/18
rerr REVOCABLE ENCROACHMENT AGREEMENT
id` � City of Atlantic Beach **ALL INFORMATION
R .' HIGHLIGHTED IN GRAY
L; ��! 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED.
`mayrJis %
REVOCABLE ENCROACHMENT AGREEMENT 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
FF&CCi ".f GPc-1'02- 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
Illic
the property for the purpose as described in the City of Atlantic Beach.
This work is generally described as f C-NCJ C QE.PL t vkA•c.T
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 SI t tkcR,s4T,C. Dlz-.
• 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 easement or 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 easements, 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 cif/ /ab UCr
1
Property Owner Agent (sig in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this t d 4A^ day of 5e,, ocb..4 , 20 tit ,
by Lb 1113G All ill M( A , who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
1-\ , c il___
;;o,'.:'a `, TIMOTHY KELLY Department Approval:
Sig ure of Not ry Public,State of Florida ' 44‘ ., Commission#FF 925374
`'d? Expires February 7,2020 �j�, /�/�
[ ] Personally Known --4:8 ;•' Boded Tin Troy Fein InsurMwvW44IS7079 �6G%rT� .1"a":�� 72,_
}-Produced Identification (Type) S-( 0 Scott Williams, Public Works Director
H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 ✓��,�j
City of Atlantic Beach,rjAPPLICATION NUMBER
S t Building Department (To be assigned by the Building Department.)
'` 800 Seminole Road ��e�I _ ( '
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
—r,t E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: SC1I A R--rl e 1 R De artment review required Yes No
+ Building
Applicant: 1— CCAS 1Dit C pv i Q re_. (-.131anning
Tree Administrator
Project: � ( r---- --= K.)Ce-i— blic Works
blic 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
r_
Reviewing Department First Review: ❑Approved. ❑Denied. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: 'c•-•----/A---4------ Date: 9-/7r/Q
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
•
MAP SHOWING BOUNDARY SURVEY OF
LOT 29A, AQUATIC GARDENS, AS RECORDED IN PLAT BOOK 38, PAGES 71 AND 71A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
WILLIAM H. HUNLEY
NAVY FEDERAL CREDIT UNION
STEWART TITLE OF JACKSONVILLE, INC.
WATSON AND OSBORNE, P.A.
•
AQUATIC DRIVE
(50.0' RIGHT OF WAY)
S 07'16'02" E
45.00' (PLAT)
S 0725'03. E
POINT or TANGENCY 44.93' (MEASURED) - FOUND 1/2 IRON PIPE
OSTAMPED 'PLS 1576'
FOUND 5/8' REBAR '
4430.00'(PLAT) NO IDENTIFlCATIGN I
• 1.4'
1 , +
'4•,
4 .J
• 1.
' X
a 4.E' X '
W 4
pr I , . I
J U) X 11.0' v ENTRY Y 12.2' 1
CL W I E.O' N W
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01 FRAME # w
of POSTED # 591 b o
I Rv °
cH
x 9RCI1gE
LOT 28—F z rn ' Pp . CPc
E
z ti of LOT 29-9 OF A " oTOG u
cNC &
AXI P� N11999
, /
I25•B' a
i AIR[r.:1 1 I i ,Alif
lKNDITIONER
LAI 3
w
!n X LOT 29-A _1n °
071-:, ,,
z .,,,,
*Ngj RECEI E
Z4
0
z Z 4.5' N
X ^�.°' F APR 1 2 1999
FOUND 1/2�At:OPE
7-\,...:(1
-\' °FOUND 1/2" IR°I�.Pllt� of Atlantic Deach
OAP TRDYED N 07'21'28" W NO IDENTIFICATION,I.IiI[�in And Zoning
45.02' (MEASURED) [j
LOT 23-A N 07'16'02" W LOT 22-F
45.00' (PLAT)
NOTES; - ACCEPTED BY:
LEGEND:
—X— = FENCE
•7+ - CONCRETE
NOTICE OF COMMENCEMENT
r
State of Lv f-1 b ' \ Tax Folio No. /.7(Pk-5 sq-2—
County of bt.t.V Ar(.
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: 3S - 1' ).-) - -2'--- 21 C AQJ t ie CAQ1 t ) Lug " 4
Address of property being improved: 6e1 f AGM 1 c. 912 t i( 4'Ct- -nc 4:t4i PLTS
General description of improvements: 3'2:2:33
Owner: 10019:- 1-LIAA L_ I Address: I AZ-74-'4C 1)P_t‘ifr A7L. gCr 1 PL 3-21
Owner's interest in site of the improvement: 3 223_3
Fee Simple Titleholder(if other than owner):
Name:
Contractor: FE r`t-C g."( 6 A iQR S 2,22
Address: 13142 E84Tto61 C7 - j8%*4. I OL -3--a:23
Telephone No.: 90W- a- ZU q Fax No:
Surety(if any) kJ(
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: N.)/ A
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: 13 I A`
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 Stat4..r�s.(Fill in at Owner's option)
Name: �J I ry
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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc#2019217582 OR BK 18938 Paye 1282, i
Number Pages: 1 Signed: V . ' Date: q/i/ lig
Recorded 09/19/2019 01:39 PM, Before me this /7 da,•' Sereirs,die/ in the County of Duval,State
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY Of Florida,has personally appeared Lov Asa_ 14%2 n lug
RECORDING $10.00 otary Public at Large,State of Florida,County of Duval.
;,tSS%ieZ•,,• JOHN MARTIN y commission expires: /4,c,'i 2/, 202 3
�; s CommissionitGG328915 ersonally Known: , or
i Expires ApdI29,2023 roduced Identification: ./e,,-,dc. Dcavec L<<c.�SL
7 ° 8ondsd 1Aru Troy Fein Insu►Mnce 80048S701A
1 cr- ss7 /1-