1791 Sea Oats Dr DWAY19-0054 Paver Driveway DRIVEWAY PERMIT PERMIT NUMBER
DWAY19-0054
cn CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 12/23/2019
ATLANTIC BEACH. FL 32233
EXPIRES: 6/20/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. k.
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:
DRIVEWAY SINGLE OR TWO
1791 SEA OATS DR FAMILY DRIVEWAY paver driveway $13000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0452 SELVA MARINA UNIT 08
COMPANY: ADDRESS: CITY: STATE: ZIP:
HOMECORE BUILDERS 11235 ST JOHNS INDUSTERIAL JACKSONVILLE FL 32246
PARKWAY N #5
OWNER: ADDRESS: CITY: STATE: ZIP:
ROBERT CHRISMAN AND
SARAH ROGERS 4100 QUEEN EMMAS DR #31 PRINCEVILLE HI 96722
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
Issued Date: 12/23/2019 1 of 2
(;1.11.1.V.Ir� DRIVEWAY PERMIT PERMIT NUMBER
,kY '* Ll" DWAY19-0054
ti CITY OF ATLANTIC BEACH ISSUED: 12/23/2019
�� 800 SEMINOLE ROAD
,'-z<c:3 9r ATLANTIC BEACH. FL 32233 EXPIRES: 6/20/2020
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
3 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.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
5 PUBLIC WORKS CIRCULAR DRIVEWAY INFORMATIONAL
Notes:
Maximum circular driveway width within the City right-of-way is 12 feet.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $125.00
Issued Date: 12/23/2019 2 of 2
flECEIVEFi
s..Ly City of Atlantic Beach .,, C APPLICATION NUMBER
Building Department , DEC 12 2019 (To be assigned by the Building Department.)
j 800 Seminole Road j ' .y t t c1 — OO(`ntC
�? Atlantic Beach, Florida 32233 5445_f?`:_.._________` W t` `�, Oa -1
\fl''''
Phone(904)247-5826 • Fax(904)247-5845 r 1 ltD
la- E-mail: building-dept@coab.us Date routed: -
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l I l.I Se-0. 0 itt 5 0( • Department review required Yes No
(
Building__
Applicant: \ 1' LccD'i &u`(J 5 Hing &Zonin9)
Tree Administrator
Project: f &AJU rt-J LW�t ublic W
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified ByOP
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corpe of Engineers •
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPL CATION STATUS
Reviewing Department First Review: Approved. ❑Denied. ['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING /n /2 /�j
Reviewed �P%/� ; . Date: J �! J
TREE ADMIN. Second Review: ❑Approved as revised. [1]Denied. [1]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
:-+ );;,\ REVOCABLE ENCROACHMENT AGREEMENT
1�ia+1 City of Atlantic Beach **ALL INFORMATION
-'r' 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
exis ' g under tete la�i S StateofofFlorida,, hereinafter referred to as "CITY" and
,, 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. 1,�/ d-(n ��,�1 is
This work is generally described as Y.Q, 4..t ('AY)ake4� d�1\1Q 1 V w1 1► ! UTA -no i
Any facility maintained, repaired, erected, and/or installed in the exercise of the rivilege gra tli ed remains subject till 1
relocation or removal on thirty(30)days' notice y CI to SER sad,,, notice to USER shall be given by certified mail,return
1 I ��
receipt requested,to the following address l �Jt'1V .
• 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 assumedby the USER.
cf,„.00.$4.1. Date 12 1 119
Property wner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL beata0e,Ar
�� 'The foregoing instrument was acknowledged this /it& day of20
by 2 Obe.V4M5ma(i ,who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
—rOkiLek
Cli/UAtitimilitt7 TARA RENNINGER DepartmentAppro�ral:
� �f:State of Florida-Notary Public
nature of Notary Public,State of Flo '.P_"_ Commission # GG 166501
M1�(�'D , ' M Commission Expires
ersonally Known
--,ho, December 10, 2021 ��Y"
[ ) Produced Identification(Type) S t Williams, Public orks Director
H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 /Ag'�� —7/
ow-YIN RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION **ALL INFORMATION
' City of Atlantic Beach HIGHLIGHTED IN GRAY IS
it 1 800 Seminole Road, Atlantic Beach, FL 32233 REQUIRED.
peL PERMITTEE RESPONSIB� p
LE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 1191 f . MO- VE Permit Number DWAy «' oo 5 4
Contractor Information f' �,�1 N j
Company }� C� t'U C;k,VS Qualifying Agent OACI , Li,t' 'n
•
Address , itti. a III I . `, k., State Zip ��al131
Phone- 32 2
- Jo Sou Email KCfl Y W, e 1` V u.CLU/S . CM)
)
State Certification/Registration# (...SC—0514-1f31 1
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurer C—A A. i i hi II IU•R Exempt o Expiration Date \ I 1 j ZOZ
• Permittee declares that prior to filing this application they have ascertaine. 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 m t City of Atlantic Beach or F .rida De.artment of Transportation Standards and be performed under the
supervision of �'� \N • 0 I Q (Pro'ecctt 1Superintte--"enndeent)
with(Company Name) 9La�/'e ill>� �( ,,k� J Phone `� -�(u-L � t I
• 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 ‘t-1 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.
• Thblic Wor s Director shall be notified 24 hours prior to starting work and again immediately uponnccompletion.
Date 1-2_1
- 1 ` 't
Permittee signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL ,, n 1� c'i
The foregoing instrument was acknowledged this day ofsA JCS���,� Cy ,20 ' ,
by i 7f V t \S V'✓lC '.. ,who personally appeared before me and
(printed name of Permittee)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. a41,,, TARA BENN I NG E R
?� \\,=State of Florida-Notary Public
`• * Commission # GG 166501
CLVIAMAA
i'F ,Pc My Commission Expires
�PersonallyKnowr °;;, December 10, 2021
Signature of Notary Public,State of Florida [ ]Produced IdentifaMpewtilippe
H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
lf3tit� IS REQUIRED.
Phone: (904)` 247-5826` Email: Building-Dept@coab.us �,y
Job Address: 1101 S Oafs Permit Number: 13W 'N�-L- 00
Legal Description $5 - - •
•- '2- '2 VQ MOX k RE#t. . 0 ��2.020-oq C-
r iv�ac c. -IJ► • i ■-- -I -L-k i
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition J$[,Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes No
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit se arate Tree Removal Permit) ' Jo
Describe in detail the type of work to be performed: reyym ve OCT'1'1ate `CJ� the
Florida Product Approval# for multiple products use product approval form
Property Owner Information , �p
Name SILL L t:-&I 'LI
Aim• I Address y1im aw)...lZ�
City w� _ • State in\ Zip gl_p1ZZ, Phone 7 -���-�7C]
E-Mail ►T♦f. cs81 • 0 Y Y\OY)@ cncl,l .CDYY1
Owner or Agent(If Agent, Power of Attorney or Agency tetter Required)
Contractor Inform-tion 1t
Name of Company • �C e- I l A ' S •ual'fying Agent L-k t_ k .4
Address 4, _ 1TMTAILS ► IW it _ O. �))A at ! States Zi• I _
Office Phone ...1-7111"--- -/...9-2-1 p Jib Site Contac Numbq(r _ • - • 111112 •r
G -
State Certification/Registration# 7 017). E-Mail KA jC ,l / Ir-771011, ' •ui 111' F'
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer • 1 ��� • .e )• • Exempt❑ Expiration Date j, j 2,020
Application is hereby made to obtain a permit to do the work and installatio Is 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 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.
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 ATT RNEY BEFORE
RECORDING 7,34111 TICE OF COMMENCEMENT. �..�
(Signature of Owner or Agent) (Signature of Contractor)
1ThSigned end sworn to r affir _._.befor- m- hi u .ay of S neor�n7t�o or affirme•I before me this say of
�IVyYV nvA"'`r,CJ/, b �J/� .1 ll. 6 L IJ�� , b Y l. . .1 ._ ►. .
S 4'. NI ._0 .il M
so:0,;i,, TARA RENNINGER ;;BJP', TARA RENNING R
_° ��-State of Florida-Notary Public' hilt State of Florida-Notary Public
��. n,
Personally Kno �'-��- = Commission # GG 166501Personally Known OR ' - dc Commission # GG 166501
[ ]Produced Identi j
My CoDecembmemisr 10sion,E2021 xpires [ ]Produced
F a; My Commission Expires
Identificatio ' ° December 10, 2021
Type of Identificati. • Type of Identification:
Y t—evijy„ City of Atlantic Beach APPLICATION NUMBER
.i1 ` - Building Department (To be assigned by the Building Department.)
f� 800 Seminole Road ff� '' /n`�� (�
, � �� Atlantic Beach, Florida 32233-5445 ,�W k • ~ VW
Phone(904)247-5826 Fax(904)247-5845 fe V rLl, L
//a
r wil>�' E-mail: building-dept@coab.us Date routed: l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ['Mt SLI o a 5 0( • Department review required Yes No
r ,Q Buildin
Applicant: hAt.(o('_ 6Gt IGC�S Hing &tonin
Tree Administrator
Project: of VlittY ublic Wor s
Public 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 Engineers0
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. Denied. I 'Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by: / / Date: / — 1 3 -(Q
1
TREE ADMIN. Second Review: Approved as revised. ❑Denied. F /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
i i
MAP SHOWING BOUNDARY SURVEY OF
LOT 10, BLOC~( 15, SELVA MARINA UNIT NO. 8, ACCORDING TO THE MAP OR PLAT THEREOF AS
RECORDED IN PLAT 800K 34, PAGE 85, PUBUC RECORDS OF DUVAL COUNTY, FLORIDA. TOGETHER
WITH THAT PART OF TRACT 'C" LYING BETWEEN LOT 10 AND THE WEST RIGHT Cf WAY UNE OF
SEMINOLE ROAD (COUNTY ROAD NO. 808), A 100 FOOT RIGHT OF WAY AS NOW ESTABLISHED
CERTIFIED TO: JEFFREY E. VENN AND HARGARET R. VENNI, CHICAGO TITLE INSURANCE COMPANY,
CROSSLAND TITLE SERVICES, LLC AND FIRST BANK
---.....--,A'0144. SEM/NOL E ROAD
(100 R?)i)
RIzA
AS',D:.51 S 00'08'20" W 95.80' (R) iR3�yS
L8. 5416 0,4* S OUOSb4' W 65.40'N) 0 T OUFdJEN
--
_t'../n n r i n r. n n 1 n lab
m
�u au
TRACT 'C' a.r-1 r
PC45E 3 2,
Z
SP`.-01
P:ANTL� -
STA
STA OQVCREIY'
v CON
14.Y
PATIO .cr • 70' me... . . '
-
•
23.4'
v d COIDn
LOT-11 ,j r' 1-STORY r
BLOCK 15 W a BRICKr 3 LCT-9
,,` NO. 1791 'R BLOCK 15
S n b E Cx I?.7' n TER g
c oz ► try as wt '0
0 1i OH
14; rl
•�ci"a 5 �• �1 �ciG)tcrE' 1 ULE
r ,r' .,
VI I
lir IDC.3"'(R) 1/2' g •
P.?i PPE 100.24' Y A 0 EFE/Esau.pg R t/2`
c () woN PIPE • •.••' N r „.••• RCN aFE
'.5'Nile k WrIVF
SEA OATS DRIVE
(80'PAY)
LIR tow Y.Ants LETl7MEn re FE dram'S[tax Nq,m.CNA.,'X n.cr]p RA../rum 24Q N{ 0 )'•PREAs OF C.m AMMIAAL CHANCE COCCI A'SAT Cr IX ANA:K
'MICE WN Avo.A E CCPT.S Cr LIC 1,4mo°,r➢➢'CA WO%DWu4t AREAS LITS TUN 1 SCIAPE ML:AA0 MEM Pi147,MD iT:LvaS flYao!X ANN5 .RIMS.m:
Q ,) C Y 0 R OENENAL_
s>;....."-...T.4‘
//.T t E•..1.bKS A,q..$Co t .➢L9Ctar'LUv 9 R,,,S.i','
2 Sr4V':TWE'o ,71t ,•7...Ml'YLP L�r�t Ii=PO o7oL➢1t/T➢N,} ..1 AS 11EST OETroa ED
1 1N[6 I 11SOPA0C ARSC'r h4:r.00 U"N i'OF tAE1EFQ. -MO!ZelI rTD'1.Ci rP.S Alt
A SOCIATED SURVEYORS INC. 4. r.�T . >.
`//, '- LAND & ENGINEERING SURVEYS `�'A^6414401,1454V1.1.• AREAS r NCr,NOT l.➢cwrt0 Cr
ncz sur Er.
V
'84S BLANDING BOULEVARD • �Sf*V1 945�° , " „ ar ''t1rJtE
' s s4�.xSOhMLLE. FLORIDA 322105 TAMNSS M OPS000 M VS.
��` 504-7/1-e4e8 s:14.1.0^.4o�tTn+Fstu Au PIN t fR5 FOLK NA E to.➢Or1FTGAIga
L2CTMD/A661tE•,TATICRtS
S 3 0' C£RIIFIGTE OF AUTNOAL1ARON NO. LB 000548$ K A:R CJ.i[TIOfcR P.: AR.7'FL.'112,ra.V+,➢ G&YF.'rtA
liCifillo
1•I WILDING RESTS ItTID.lilt yl •?WESIt3r t. ^.DK"JR l•,APMP
IT 9J::Sr:t,d 11C R .RA:IIA
HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY 111400
pR c7(t A'TS•t1FSTRICrum IL/ .� �. Llr,7 9RYS(CP
IRECT SUPERVISION AND MEETS TIE MINIMUM TFt HN'A <aow ° 11151 READ
VI/ 'Aron Dr wt
rAN:kPD5 FOR LAND SURVEYING PURSUANT TO CHAPTER 5J-17.050 E o T Pal
{ROUGH 17.057. FLORIDA ADMINISTRATIVE CODE. CHAPTER 472. F.S d ctrl•:c fa. • -1000 PO.StlAr a M UN
R ,I IAic fa.F.IItC" j E rAn •• •POI/O cors.'{4il.•'.AEfT(a
.EA JACRE2AYIU.E t1rC'l is AUOcrit n •....010; OJT a MAA
L ttM➢7fi O'Art ��.
n: , _.1� ICDCL^aLtTnE ■_i_... x-n-s--A—a+ut -,..r.--.
r ��i�:l ��.. t5 LICS}rSF2 S.rtL171 --I-T--r-t-:-1-:- .Eill' ro•NX
CHARLES B. HATCHER FLORIDA .ERTIf;C!, NO. 377' i�o wl PEAS-PED :-v v v MAX.
CHARLES L. STARUNG FLORIDA CERTIF1C/LTE NO. 4579 Ix crrjcci.v ��""o-
RAYMOND J. SCHAEFER FLORIDA CERTIFICATE NO. 6132 Zra:xr;aaK cu.< "SAO rt4r~T`
rCI' , S CSV(I C1A,i - ME MXRA4'
08 N0. 660 7 recta rvONTi CF:M-mrcrr:a o . ::
DATE. 01/25L2018 roc r'Clttr or am2=Claw .' WATER.Ean
vnrrr rat
;('.ALE: 1" ,. 30' DRAFTER CTAH rot Moo/CHI 4CYTl1514X,w.fl.; 0_: .. ..au,°u a�aa
rt 00118 1T TA4X11CT
OT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER •
Doc # 2019292278, OR BK 19047 Page 814 , Number Pages : 1 ,
Recorded 12/23/2019 01 :36 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. 464180-0408
County of Duval ,
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 34-85-09-25-29E.316 Selva Marina Unit 8 Lot 10,PT Tract C RECD O/R
17449-1441 BLK 15
Address of property being improved: 1791 Sea Oats Drive,Atlantic Beach,FL 32233
General description of improvements: Remove concrete driveway and replace with pavers
:Owner: Chrisman Living Trust Address: 4100 Queen Emmas Drive,Princeville,HI 96722
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): _
Name:
Contractor: HomeCore Builders
Address: 11235 St.Johns Industrial Pkwy N Ste 5,Jacksonville,FL 32246
Telephone No.: (904)329-2101 Fax No:
Surety(if any)
Address: Amount of Bond$ _
Telephone No: Fax Na
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
'Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served:Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different.�a�iri-o`a�,
specified): Z-S-;
c�
ZZc-Dg°
THIS SPACE FOR RECORDER'S USE ONLY OWN a W c y m
Signed: Tei, _f Q
_
(`ft 1219111cooEE
�+- y a g
Before me thi day of 1° i the County f Duval, pt_o E uo
Of Florida,has personally appeared %1Ij 1s(I1� qEM
Notary Public at Large, of Flori Co 943 val. rn
om
My commission expirgs � ��f 11 l -S�`��;
Personally Known:
Produced Identification: O
S r ;� CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION
DWAY19-0054
DRIVEWAY SINGLE OR TWO FAMILY DRIVEWAY
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
1/7/2020 1791 SEA OATS DR 172020 0452
DESCRIPTION OF WORK:
paver driveway
OWNER: CONTRACTOR:
ROBERT CHRISMAN AND SARAH ROGERS HOMECORE BUILDERS
4100 QUEEN EMMAS DR #31 11235 STJOHNS INDUSTERIAL PARKWAY N #5
PRINCEVILLE, HI 96722 JACKSONVILLE, FL 32246
APPROVED: k-- (611411C-6$
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL