2020 DUNA VISTA CT - DWAY20-0042 01 :-'''''' Building Permit Application Updated 10/9/18
t ` City of Atlantic Beach Building Department **ALL INFORMATION
N800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
ji ii-
IS REQUIRED.
Phone: (904,)/2,47 82/66 Email: Building-Dept@coab.us I� n
Job Address: 'O 441 6/ m- �`-� Number:DU)AVO , o 4 Z
Legal Description L 5 ✓I y P/44461104VRE# Z
/W10/4-�
Ida,.
06
Valuation of Work(Replacement Cost)$ da,. Heated/Cooled SF Non-Heated/Cooled
• Class of Work: , 4 ew DAddition DAlteration DRepair ❑Move J Demo ❑Pool DWindow/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
• If an existing structure,is a fire sprinkler system installed?: DYes jANo
• Will tree(s)be removed in association with proposed project? DYes(must submit separate Tree Removal Permit) No
Describe in detail the typ of work to be performed:
,Ogn46 61 Wi, UJ , gA114✓ 4 //, %€ -(i/tV of �%i✓.iI/ t/
Florida Product Approval# for multiple products use product approval for
Pro•ert Ow e nformation �(,� h /f n
Nam: 44 ii r ,7";:4 14o'4Add rens i/ ,1 L/ll/44 � � -. 0
City - �/ �4 �Ir/�, State !'/�(� Zip n Phone ' j '��f►j a
E-Mail d VE)ie S ' `•-� Iia ,Q ! fr . ,
Owner or Age (If Agent, Power of Attorney gency Letter Required)
ilisk ontractor Information
Name of Company ASC6:W '7Ai/P/ j CIO S; .J• Qualifying Agent P 4t-'f'
Address 2 Y c'$- lie r(I). e. }-rci f t. ,"'A1r (07 City .4/lc -�'c'et/ '.'-Ge State /-7<- Zip 3 1.,_"2-f–}--
Office Phone 7405•-b-6 ' o.s'.-S Job Site Contact Number
State Certification/Registration# E-Mail [\)e.. ) P. veers d e s tcs,-, & cyna, I , co M
Architect Name&Phone#
Engineer's Name&Phone# _
Workers Compensation Insurer rex) LO QIO3 7/ D .. OR Exempt o Expiration Date d a/0.�/2,i
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS,POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this
permit,there 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 Fl ANCING, Ce SULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORD ; 0 ,:I,;;•;'!_ . ''d__ O ENCEMENT.
v ' ` .�
4.ig ature • Owner or Agent (;�" Signature of Contractor)
n �,
ccAg
ned nd swo ! to(or a it -d)before me th' 0 .y of ,Si§ned nd sworn to(or a Irm:•)before me this_) -day .
y _ , ,
UM
-t r .a P5 TONIGI LESPEI lyr .`
at: Notary) Or
MY COMMISSI 0353178
'a;` EXPIRES:October 6,2023
[ ]Personally Known O' .. NIG D SPERGER �••. 6•��: taryPublicUnderwriters
Y�.�;. ]psHnall
�'c�= MY COMMISSION#GG 353178
[ ]Produced Identificati t ' . ti� .: o.uce• dentification
�. o EXPIRES:October 6,2023 `a 2_F
Type of Identification: I:74;. , c.• ,r ndecwrlters Type of Identification: 111(2 2 z 'C]� �l
5 1/r
,, ,,,,„ REVOCABLE ENCROACHMENT AGREEMENT
✓ y ��• City of Atlantic Beach **ALL INFORMATION
HIGHLIGHTED IN GRAY
J�'� 800 Seminole Road,Atlantic Beach, FL 32233
IS REQUIRED.
-,_211K%/
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
exis Ing and the laws oft t off Florida, her afte referr d to as "CITY" and
J Lind -
7;74 a v 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,off Atlantic Beach. _This work is generally described as �/Q/� gif-/ ' &I%/� Ail/ ke
Any facility maintained, repaired, erected, and/or inst Iled in the exercise of the privilege g anted remains subject to
relocation or removal on thirty(30)days' notice by CITY to USER said tice,to USER sh4ll be iv n in cf fied mail, re rn
z
receipt requested, to the following address o i- 1.,/i, f"/ �9 /Jt//'7 nT' 4/44/za �7
• 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 h- epy ass l-d by the U. R.
f/
cyN)k.
411151eti L hJ—_ •
� '�`��' ••, Date /..i� z i
Proper y\Ow - /Agen (signe. in •resence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this -1 day of_ , 202 0
f(
by I < ice,_., �._.t �0_,_ ve-tr---- re_Q , who personally appeared before me and
(printed name of Signer)
ac Qwledged that he she signed the instrument voluntarily for the purpose expressed in it.
/ t
I
""� / . �' - •t,:,.„,(,•., TONI GINDLESPERGER Department Approval:
Signature of Notary Public, to of Florida _• 0% •;_ MY COMMISSION#GG353178
''-'' .•o EXPIRES:October 6,2023
[ ] Personally Known o-,-- .'3'' BondedThruNotary Public Underwrite
[ ] Produced Identification (Type) � cott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
0 . NOTICE OF COMMENCEMENT
State of '/` / Tax Folio No. / 'I 4'7 1i
County of tn/vrep/
To Whom It May Concern: . dvet_ 4o C_
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 stall,• in thi O I n F C MM NCE E . a/�
Legal Descriptio of ope berin�CE-4/
�J 111". �� VI A 04—of
l0 CE-4 '2 'A��>49 14,40 h e. S J ka9/6
Address of property being improved: 20 26J ACYAN j, 1' _
General description of improvements: iI` ' ii_ ���:
_ 41. = ' 1
owner. ' _ / ; ,. / , .. ss 749/0_6114,11,5-4'
Owner's interest in site of the improvement: 47 �/ ..,a07/744i49, cJ
11)4/
Fee Simple Titleholder(if other than owner): 44
'1
Name: 714
Contractor: 40*
lS ` 84/11\-e-2— 4e23 eat,vw< !�j /�
Address:
Telephone No.: Fax No:
Surety(if any) —
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of an , ersoon making loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person withinthState 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/-St�>•,yes. (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 da a of recp. ce - • ,
specified): � TONI GINDLESPERGER
T•% :; MY COMMISSION#GG 353178
�. '
THIS SPACE FOR RECORDER'S USE ONLY OWNER + ,oP:oEXPIRES: tober6,2023
41/� PF F;, Bonded Thru N. . Publiersc nde ;
Doc#2020215908,OR BK 19391 Page 848, ign% 1 /�/`7 _ ate:,. 4r •
Number Pages: 1
Recorded 09/30/2020 02:40 PM, efore me this TO .,
day of I i Count 1•f a uvpI, ate
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL if Florida,has personally appeare �': e�S'�t'ee_ --
COUNTY rotary Public at Large,State • •'da,Cou • • D va.
RECORDING $10.00
1y commission expires: Cc.- !
ersonally Known: / or
eroduced Identification: L)
RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION **ALL INFORMATION
4� (#72 ,, , City of Atlantic Beach HIGHLIGHTED IN GRAY IS
' 800 Seminole Road, Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE OR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address Z'" !/' 454 Z '+ 4012 P it Number
Contractor Information
Company /1J& 4_- 10A e25, ,ie S'; i Qualifying Agent "1-
Address
YAddress 210- /-k/, „ye-' f-cc ;, City 4J' >i State 1-›-L Zip 3`2,'L )—
Phone /� 8 3 - 05.--+s- Email �JC2 u;Qcc Ue�Sd¢s: r� g Jtfci.Z : L�✓1
State Certification/Registration#
Architect /�/ Phone Email
Engineer Phone Email
Workers Compensation Insurers OR ExemptfExpiration 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 Atla is Beach or Florida Department of Transportation Standards and be performed under the
supervision of QTR v'F r� (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. ' in: in any anner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
• .• P.�]1 �4 Di !tor shall be notified 24 hours prior to starting work and again immediately u.. co '•letion.
�w`'ky/! Date ���sf • ' _c
V, ,Permitt•• (signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL ` '
The foregoing instrument was acknowledged this, day of `�Q`'/
)t ,20 2 C 1,
by O, Lt.----,._) -__� �___ VQ z-c-,-4- �--'_-e_ ,who personally appeared before me and
(printed name of Permittee) DL
'.a7;-%' TONT GiNDLESPERGER
ackno •dged tha�'he/she igned th instrument voluntarily for the purpose expressed in it. _*I I 1,i MY COMMISSION#GG 353178
L /
_rFim�`�� EXPIRES:,,ctober 3023
OSF .•
Bonded Thru Naar;Public Underwriters
J [ ] Personally Known �\
Signature of Notary Public,State of Florida [ ] Produced Identification (Type) `'
H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
ORDERED BY: P 7' _§.
The Law Offices of Rod Schloth "` '101 K~ na,. '�'
2187SThirdSt ;� r `i."; � 71
'
e A Y > •• e , +-est" ....
Jacksonville Bch, FL 32250 �. ,{ i
c -'14;W;-4. :_ --i, �' ,
904-372-9351 ;.
beach®rod-law.com
PROPERTY ADDRESS: 2020 DL NA VISTA COURT ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL1303.2743
FIELD WORK DATE:3/29/2013 REVISION DATE(S):(REV.1 3/30/2013)
C-I C-2 TABLE:
FL 1303.2743 R=130.00'(PSM) R=I 100.00'(P4M) L I S 3°0000" E 10.87' (P)
BOUNDARY SURVEY L=33.59'(P) 33.62'(M) L=35.57'(P)35.6 I'(M) S 2°53'32"E 10.90' (M)
A=14°45'20"(P) I 4°490 I"(M) A=I°52'06"(P) 1°5 I'18"(M)
DUVAL COUNTY Ch=5 4°24'10"W, 33.50'(P) Ch=S 2°03'57"E, 35.57(P)
S 4°24'10"W, 33.52'(M) 5 2°11'04"E, 35.61'(M)
1 LOT 59
a
1 4 S 89°41'36"E 125.59'(M)
ti / hose S 89°29'23"E 128.53'(P) it-a
O ~ fin! ap
^ `
O kr-.-1/---11-11 nr
~i 40,, // ll-//-//-/l 4'W.F-//--�7.4' ° NC 0 �_}L{j�
T 22.3'
ti • O/ v, 2.8' a .3' •
OVCV A - a0 UW
2 ��� _ _, a . CONC"D Vf a
T� // ,,5 2.8' LOT 58 N '
�i J
2 STY. 3.3'\ 1
d tp �O 4.2' RES#2020 f 15.7' 1
�� co CO�� BRICK F2• 1� 30.0' •
8B0 I.4'/ ai R1 •100
cr.
m
O O W' z 2CI) .2' •G. �ii:�p ��
°O°� O 0 4.1'
v
COU) J. ^ '� II
22 .....,„0/ 7.3' 4.� �p - r 000
u
2.7 74-. N i ° •
v in U p
it: -
38.3' 2.3'
m
a d b
A ,. G _ �•r
ll/ ,, ,l_ll_l1I._. 0z 1
.e.
,o.
Tl�ll- 6'W.F. p0 I I u-a
t�0 5 89°03'56"W 146.51'(M) ri
lax laI N
SIRC / S 89°08'46"W 15 I.76'(P) JEA-E. - 25 e
LB#7337 S 59°03'5G'W 15 I.5 I'(C)
W.C.
LOT 57
4115E B.NicfiZ
I hereby certify that thi ,-hid Ay of ifle•e •on described property has NOTES:
been made under my ir•ction - I a ft1e best of, knowledge and belief,it is LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER
a true and accurate r,.p es-,-.Y lo• .,� - rvey that rmets the minimum technical FENCE OWNERSHIP NOT DETERMINED
fj r , JEA-E.-JACKSONVILLE ELECTRIC AUTHORITY EASEMENT
standards set forth b t•e A. ': �p�,,,. ' i es . al Land Surveyors as
described in Chapter 617 of • STATE a dminisa. ve Code.
.,nom FLORIDA P flip.%
sf0�4`SURVEYO�� 3a 2a l a 0 15' 3a.iii.
Wesley B.Haas 1 -n'
State of Florida Professional Surveyor and Mapper GRAPHIC SCALE
License No.3708 I inch = 30 feet
Use ofThis 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)4'W.F.OVER 25'U.E.&D.E.
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE
LOCATED IN ZONE A&X(WITH A BASE FLOOD ELEVATION OF FEMA aiii
UNDETERMINED IN ZONE A).THIS PROPERTY WAS FOUND IN THE
CITY OF ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED
04/17/89.um ram Florida Land
ram r'... AFFILIATE
CLIENT NUMBER:RS13-1295 DATE: 3/30/2013 Title Association
all■���wP
BUYER:MARK G OVERSTREET AND TIA L OVERSTREET
FL'-TA MEMBERS
s_
SELLER: SHIRLLY A•v1ARSH AND LAURA VALLOW
itsaimimasau.. T.
CERTIFIED TO:MARK G OVERSTREET AND TIA L #OVERSTREET;THE _-AcTA
LAW OFFICES;OLD REPUBLIC NATIONALTIONALTITLE
INSURANCE COMPANY;MEGASTAR FINANCIAL CORP 1111.
www.surveystars.com
`- �' "' "`+ .y,... .. , Land Surveyors, Inc. P 866-735-1916• F866-744-2882
This is page 1 of 2 and is not valid without all pages. LBu 7377 12220 Towne Lake Drive,Suite 55•Ft.Myers,FL 33913 _