309 Plaza DEMO21-0009 Demo 2 Structures ,:x--�- DEMO PERMIT PERMIT NUMBER
,0-,- -"x,,,
'` DEM021-0009
. . CITY OF ATLANTIC BEACH ISSUED: 5/7/2021
800 SEMINOLE ROAD
`�.���;
EXPIRES: 11/3/2021
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION:n
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:
309 PLAZA DEMO COMPLETE DEMO TWO STRUCTURES $18732.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
169990 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
DUVAL CONSTRUCTION 13221 Mendenhall PI JACKSONVILLE FL 32224
INC
OWNER: ADDRESS: CITY: STATE: ZIP:
STEVEN AND REBECCA
GOLDWASSER REVOCABLE 8483 STABLES RD JACKSONVILLE fl 32256
TRUST
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT It
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.
LIS :_ CONDITIONS
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
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.
Issued Date 5/7/2021 1 of 3
'.. LA'r'' DEMO PERMIT PERMIT NUMBER
iii,. `� DEM021-0009
CITY OF ATLANTIC BEACH
,Y y 800 SEMINOLE ROAD ISSUED: 5/7/2021
\-';0s:»' ATLANTIC BEACH. FL 32233 EXPIRES: 11/3/2021
2 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL
Notes:
Ensure all meter boxes,sewer cleanouts and valve covers are set to grade and visible.
3 PUBLIC UTILITIES RT1 SEWER CLEANOUT INFORMATIONAL
Notes:
A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade
and visible.
4 PUBLIC UTILITIES RPZ BACKFLOW INFORMATIONAL
Notes:
A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow
preventer must be tested by a certified tester and a copy of the results sent to Public Utilities.
5 PUBLIC UTILITIES INSPECTION PRIOR TO DEMOLITION INFORMATIONAL
Notes:
MUST CALL 247-5814 FOR A PRE DEMO INSPECTION OF THE DISCONNECTED AND CAPPED WATER AND SEWER LINES PRIOR TO DEMOLITION.
6 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL
Notes:
All water&sewer utility connections must be inspected prior to cover up.Please call the inspection line at 247-5814 to schedule inspections 24 hours in
advance.Failure to do so will result in future failed inspections and additional fees.
7 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.
8 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
9 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
10 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
11 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
12 PUBLIC WORKS DOCUMENT IMPERVIOUS AREA INFORMATIONAL
Notes:
Strongly suggest thorough documentation of impervious areas be recorded.
Issued Date:5/7/2021 2 of 3
c-'' PERMIT NUMBER
DEMO PERMIT
� DEMO21-0009
�� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 5/7/2021
°In* ATLANTIC BEACH. FL 32233 EXPIRES: 11/3/2021
13 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing and debris must be removed from job site by Contractor.
14 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
15 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
: FEES
_ 4 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
DEMOLITION 455-0000-322-1000 0 $100.00
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:$129.00
Issued Date:5/7/2021 3 of 3
CITY OF ATLANTIC BEACH
\.f 800 SEMINOLE ROAD
)71ATLANTIC BEACH,FL 32233
/ (904)247-5800
BULLETIN 4-18
To: All Permit Applicants.
From: Dan Arlington, CBO
City Building Official
Date: October 30, 2018
Re: DEMOLITION OF STRUCTURES.
Please use the general Building Permit Application Form for Demo Permits and include a Site
Management Plan, showing all structures to be demolished and to remain, erosion and sediment
control plans with installation details, proposed use of the right-of-way and parking; a property
survey; and the contractor's documents needed to obtain a building permit.
1. It is the responsibility of the contractor to:
a. Contact JEA to disconnect electric power.
b. Disconnect and cap off water, sewer, and gas lines. The contractor must call to
schedule an inspection of the disconnected and capped water and sewer lines prior to
demolition.
c. Start a Construction Water Account. (See Items 8 — 11 on Page 2)
2. The demolition contractor must provide written notice to the owners of all adjacent
properties, not less than 10 Days prior to start of demolition, per FBC-EB, Section
1502. Adjacent properties must be protected from damage during excavation,
demolition, and construction activities.
3. Silt fences must be in place and approved by Public Works before beginning
demolition.
4. All underground tanks, concrete slabs and foundations must be removed with the
buildings, unless otherwise approved by the City. The site should be left graded and
clean for Final Inspection.
5. Removal of any trees requires a separate Tree Removal Permit, per COAB Code
Of Ordinances, Section 23-21.
1
6. Protection of trees and vegetation during construction is required, per COAB Code
Of Ordinances, Section 23-32.
7. Prior approval, from the Building Department, is required before blocking any part of
the right-of-way or side walk.
Dust and wind-borne debris generated from the demolition of a structure is considered
unsafe and a hazard to the public health, safety, and welfare of residents in the
surrounding areas.
When demolishing a structure, the following steps are required to ensure that the
minimum dust and debris leaves the property:
8. At least two hoses, with nozzles, capable of reaching to all areas of the property must be
on site with an adequate water supply.
9. The structure must be sprayed with water for one hour before demolition begins.
10.The hoses must be used continuously during demolition, wetting down the structure, the
debris pile, and truck beds when being filled.
ASBESTOS.
11. All roofing and siding made from asbestos containing materials (ACM) are considered
friable and must be removed from the structure, following NESHAP Guidelines, before
demolition begins. This includes all commercial and one and two family residential
dwellings.
Please call for a Pre-Demolition Inspection, before demolition begins, and a Final
Inspection,when demolition is complete.
NOTES.
1. A construction water account can be obtained at the Water Department in City Hall.
2. Any new residence using the original building sewer piping shall be internally examined
to verify correct size, slope, is not broken or obstructed, and a clean out at the property
line with an RT-1 concrete cover is required to comply with current City requirements.
10/30/18, 12/28/18, 10/23/2020
2
- ., Building Permit Application JQR rC)PY
, • City of Atlantic Beach Building Department REVIEWED
800 Seminole Road, Atlantic Beach, FL 32233 By Mike Jones at 9:10 am, Apr 22, 2021
utt$9;-
Phone: (904)> 247-5826 Email: Building-Dept
Job Address: 30 / P21) 2IA A"T(/�7 iG i DEM021-0009
/6 c d;�,./ , Permit f �1
Legal Description .--C—‘9 -25 r o2 /��� 7'�7)' 22 A 0 20 6o w RE# ! 6 7 q 9O., o oo
Valuation of Work(Replacement Cost)$ /�f732 Oc ]eated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑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 '&bNo
• Will tree(s)be removed in association with proposed proiect?,Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed:
0 g PO f Lei O 6x157/m lv ,SJ,eeE.5
Florida Product Approval# for multiple products use product approval form
Property OwnerpInformationrt / ,..,,/�/',,� �j ���.� eD
Name IPg3F-GG A- 6G�Dlv03 2 Address 6 ?
City State Zip 32454, Phone O
E-Mail 3E 6�!O�-5Q 40172(1-. ,,Fe
Owner or Agent(If�ent, Power of Attorney or Agency Letter Required)
Contractor Information �
Name of Company CONl-- c�/ aOl
et/ O ' Qualifying Agent f "J r,,___
Address j3ge1� n.. PL City i� State Zip ... 271714t
Office Phone 00.41- c e7- 2.93 9 Job Site Contact Number Ob V14-74
State Certification/Registration# C66 L:5241 20 E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempts Expiration Date
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 FINANCING, CONSULT WITH YOUR LEND R iyi N ATTORNEY BEF - RE
RECOR ING UR NOTICE OF COMMENCEMENT.
,, - (Signature of Owner or Agent) ''' (Signature of Contractor)
Signed and sworn to(or affirmed)before me this f; -day of ' ned and sworn to(or affr ed before me this/ day of
tF�I j0.-t.wL�/ 2-6 2i 7(2.6:1f,t-(41 6t.�11 W/f? � i r ' ,s���� •!�'ie Vril4
41 (Siknature of Notary) .."-'- IS 'gna e-6f' o ry) .
45;01"�e, Notary Public Stale of Florida
Greg Stephan [ ]Personally Known OR ;.• d'lb�;- "
[ ]Per ovally Known Cr*^_ My Commission GG 349481 ' ;??.•.i.�•�e TONT G;NCLESPERGER
[• roduced Identific. 'oit*x,,,, Exprr�o¢r 7r op3, [ ]Produced Identification _
Type of Identification: ,,,., 2 i r Y S L1 _- - Type of Identification::1
f, . ': i,, M}COMMISSIOf:h GG 353118
t : C 3'Cr 6,2023
, Bonded Thcu Notary Public Underwriters
JOB COPY DEM021-0009
�//�
y� NOTICE OF COMMENCEMENT
State of P221 iat Tax Folio No. to 9Q`1n
0- Oc
County of b1/1492„
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 i this NO,��E O�AjC MMEN 7NT
Legal Description of property bein improved: 5 stated
19,;q rr/r✓ ,9 209- 6 11 2oW
Address of property being improved: 09 1:51//9?"--A i 4 n�'6
'0G�/i
General description of improvements: t / 2 tjG2frt
1/ -
44'0
Owner: a%BF ("01,0 44,93.4::k Address: P4 3 d 31 E3
JO - ZD
Owner's interest in site of the improvement: mOO c
o$ 3 0
Fee Simple Titleholder(if other than owner): o{_ o
Z rr 'ao
Name: o'/ yy� — tn
c
Contractor:/�l/!i o
n p� y yy�,� �` o rNJO)
Address: /3 0 / .6.00-' 1//21 P-4 cliWi 322 o m�
cu
Telephone No.:`7 i!' p r G(/.7 q Fax No: 55 p -
Surety(if any) a �t
n v
o
Address: Amount of Bond$ c
N
Telephone No: Fax No: o
Name and address of any person making a loan for the construction of the improvements
r
Name:
Address:
Phone No: Fax No: �.
Name of person within the State of Florida, her 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 Owne 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 date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:
Before me this day of L fes,>1j3� 3Ecit'L4yti`(4).-46 the County of Duval,State
vs+NNotary Public State of Florida Of Florida,has personally appeared '- 6-01. 0.1,1 5S(
4'4 !`-LGreg Stephan Notary Public at Large,State of lorid County of Duval.
w My Commission GG 349461
Expires 06/27/2023 My commission expires: to 2-7720i2i
%O' Personally Known: or
Produced Identification: i C.oL-(.)A it 1,' 5 LjC
MAP SHOWING SURVEY OF
THE WESTERLY 30 FEET OF LOT 4, TOGETHER WITH ALL OF LOT 6, BLOCK 11, ATLANTIC BEACH AS
RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
DEMO G/-80 V'
cy-(5-7-/fr G
co2Ti - .. �
LOT 7 I )/g 5 7 8- (FIELD) LOT I LOT 1
FOUND 1/2" ' p FOUND /2"IRON I JOB COPY
RPE.NO . • 4 80.00' 'AGOG FENCE 0.2' %P. 010
,_
�� 1
90.1 50.00 0 a 30.00 In '-"°♦ 21.00• ---
•..5'O 33.1' a 10.0' .'
0. n 10.1' 26.5'
Yp. ' � i2 STORY 10 1
5'METAL�F_N. 7�IN B�OCK/BRICK ° "
0 CA K
AROUND sHDAER . IRESI1ENCE NO. 307 P t.
♦ WOOp 1151sHHHH FLOOR ELEVATION '
► 14"PALM 5-='N 10.I (NAW 1968) m
` X9.9
i` 4TALMINiAl )'.HAC(: •. TOOP 9^ ��•01111111111 .1W VV
0 ---
''''P)33.1' x.7 10.3 21.• 1
COVE' S "� :.e-..127TRIPLE I '
V \ . CONCRETE - 14'PALM WOOD \ Aa 91 E. LAUREL OAK
• PAD 13'PALIA 14-PALIA CONCRETE
/ x 1 i/ STOOP
,B 13•PALM le 13•PAW /C I / I K • I /�IIW)
A X9.8 / /
/ �*' % 1/ b0;/ TU1
` I3•PAU1 / I I-
, J/
nI-0 Izvuu / 1
CC J Lil
LOT 8 �u1',v.0 GD XjFEN /D� CC4 Ov k_K3
Lc
illt5 ci O �\ BRI/ 1-'•Alun, VI .O i't L.,,,--
1
pj 4- '� ri-CHINABERRY •$ 2� 3,- KJ w (�
CO \\ cQ it 11.5' _ I =� a F-
9 to
0
p IYCAMPHOR Imo' 19.2' I 9.8
O O
v ` 0.3' ONCRETE I )�g7
CAMPH, ��I,a 2 STORY PUMP PAD 1 U
13Adia 'CAMPHOR �� BRICK/FRAME I-
-,a TWBF �4 q RESIDENCE NO. 309 b 12'PALu '' (/)
CAMPHOR 1,, w FM115H FLOOR ELEVATION /A I Q
1/ 1 11.24(5450 1988) \ I I • 3// I w
5'/ COVERED I I �'0
I,..5'
10 TILE PORCH 4'%1.4'CONCRE
■ OLUNN(TYP.)
j3 D' 10.3' - . Y 3.0 9 42.1'
0 12'PAIM •int 1.'^O I o 15'PA_M •
' \ TIPS 1.6
0 Q u
( 11•PALM I \N N 1 1 ALN 1 ai 'PALM ' ■ ///
i6'PAW N 9.8 CONCRETE
.. �y� WALI( 3"PA�it dy 1140
,�
i� V..1 13-PALM• fiZ 1 I •PAW 2 I _ --
0
14 PjW 1 P Jam.
FOUND
PIPE•NO K) IRON.,1mmin'/'ntic.� `�� A9- 0 C . ON 70.00
D"HACK•�1 [a��.��,'.,� /+ ,, (� '/
WHACK: '• ' Ammo FIELD " Auc COs PA (/Y..Y F'-/"
•,RB OFC • A?' ' __- " -__
' ,-CHOR-', , R„
q...)./.2)
1111
2-°/ ///
`' 1M RK: SET MAO NAIL
' LEVATI. =9.80(NAW 1988)
80' RIGHT OF S WA (PAVED l'UBLI ROAD)
NOTES: / 0
1. THIS IS A BOUNDARY AND TOPOGRAPHIC SUR .1TH
2REE LOCATION.
2. INTERIOR ANGLES AS PER FIELD SURVEY. IC) 3'
3. NO BUILDING RESTRICTION LINES AS PER PLAT.
4. NORTH PROTRACTED FROM PLAT. .
5. BENCHMARK USED: SET MAG NAIL & DISK, LB 3672,
SHOWN HEREON. ELEVATION=9.80 (NAND 1988). - 4 10 40
°
6. BENCHMARK ESTABLISHED BY GPS USING SPECTRA PRECISION 1 ^ SCALE: 1" = 20'
EPOCH L1/L2 80 EQUIPMENT AND TRIMBLE VRS SOFTWARE. / ✓.7
7. THE TOTAL AREA OF THE PROPERTY DESCRIBED ABOVE HAS I C I , .N`
APPROXIMATELY 10,392 SQUARE FEET. J
8. CR DENOTES CABLE RISER.
9. OHE DENOTES OVERHEAD ELECTRIC.
10. STMH DENOTES STORM MANHOLE.
11. TR DENOTES TELEPHONE RISER.
12. WM DENOTES WATER METER.
13. WPP DENOTES WOOD POWER POLE.
DEMO21-0009
THIS SURVEY WAS MADE FOR THE BENEFIT OF
THE PROPERTY DESCRIBED HEREON LIES IN FLOOD ZONE CARL E. RUSSELL.
"X" (AREA OF MINIMAL FLOOD HAZARD) AS WELL AS CAN
BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP
NUMBER 12031C0409J, REVISED NOVEMBER 02, 2018 FOR
DUVAL COUNTY, FLORIDA. -_
JASON D. B.;ti 149I(.::1-dT, P.S.M.
'NOT VALID WITHOUT ME SIGNATURE AND THE ORIGINAL FLORIDA LICENSED SURVEYOR and MAPPER No. LS 7292
SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.' FLORIDA LICENSED SURVEYING & MAPPING BUSINESS No. LB 3672
;CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE:FEBRUARY 11, 2021
DRAWN BY: DAF
FILE: 2021-0148 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA (904)241-8550 SHEET 1 OF 1
or)
Building Permit Application . . (I. -
i City of Atlantic Beach Building Department REVIEWED
800 Seminole Road, Atlantic Beach, FL 32233 By Mike Jones at 9:10 am, Apr 22, 2021
f::::,
' .
Phone: (904) 247-5826 Email: Building-Dept
309 P2.1) 24 1}7"w✓i 'I�1G se-galDEMO21-0009
Job Address: / t��]. - Permit� �Number: / (� (�
Legal Description C�Z1 /6 -25 - 27E "' � 2 (o L4'RE# ! 6 7 q 7 O-. 0 L20
Valuation of Work(Replacement Cost)$ ! 6j 73 2 ?eated/Cooled SF Non-Heated/Cooled
- cPAinrk: ❑New ❑Addition ❑Alteration ❑Repair °Move Nllemo ❑Pool ❑Window/Door
• Use of existing/proposed su -._;_i. r-ICommercial KResidential
• If an existing structure,is a fire sprinkler system installed!: =. •rbNo
• Will tree(s)be removed in association with proposed proiect? }Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed:
D6/4d cUo ex/57/.v6 52,esi 7 AE5
Florida Product Approval# for multiple products use product approval form
PropertyOwner Information OZ
n/ y� G� (�
Name �'/ /31C 4 6I tj4 Address
LZ`J4 554 & S G.0
City Z State i Zip 32 5 Phone 0
E-Mail 6E 60e,0(l445E-s Q ech . A r,;
Owner or Agent(Ifent, Power of Attorney or Agency Letter Required)
Contractor Information y� / cam-
Name of Company , (1f/ILL co,"5 ecicvf9x/ Qualifying Agent tO'W A/0 v
Address 00,& A-n.0, - PL City 3p& State Zip �G�
Office Phone 9 ' eD 7j 3 e Job Site Contact Number .0"D V)4-74
State Certification/Registration# (7.6c 132.4/20 E-Mail
Architect Name&Phone# /
Engineer's Name&Phone Si
Workers Compensation Insurer OR Exemp i Expiration Date
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 FINANCING, CONSULT WITH YOUR LENDERibo N ATTORNEY BEF RE
RECORDING/YPUR NOTICE OF COMMENCEMENT. /
6 A (Signature of Owner or Agent) iprw (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 2, day of • ned and sworn to(or affr ed before me this/ day of
f30.44Prz y 2-6 2 I b �Y»_. - .1Wfli.s2,__. i C _ ,b ' 1 111 V/`r 34
r � mi
` (Siknature of Notary) .."----,-- ill 'gna • - ;f-',o ry)
N., Notary Public State of Florida x,a,U
[ ]Per onall Known Cr.`• . Greg Stephan [ ]Personally Known OR ;.rte„
y M My Commission GG 349481 ;•2•. ;•Y;•„ 7ONI G;NDLESPERGER
[r roduced Identific. o ' ti/ Exp,riao�§/27r2o�3, ( ]Produced Identification : . •a
((11 :.i MY COMMISSION k GG 35317E
'`>� 1 � � - Type of Identification: '�®'c;. :"' '
Type of Identification: �.. - _ ...:~.' _ -
':.F�:�p�• •i C 3ICii s.der:
_ Bonded Th;u Naery'PubCc Underwriters
JOB copy DEM021-0009
ff% ,r� NOTICE OF COMMENCEMENT
State of 7 ieei///1,.J/y�- Tax Folio No. /6 9 t7 O- UO p)
County of �v
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 i this N0, I E 0 C MMEN NT
Legal Description of property bein: improved: .57— j .... ^ � E.
1917- 1,4,77C- B, i„' • .� 6- � 30Wie " C1.G� . _-
�_
Address of property being improved: 0 -z /l'',, CC d�Q
General description of improvements: £i`�� ���"' �(/"d $ ��/oit%O
Owner: k/8f i 'ovO 4495 4Q Address: 9413 (N-,9161.-E=53 4
JO,-Xizo
Owner's interest in site of the improvement: o c a o 2 #
Fee Simple Titleholder(if other than owner): a;`Na'
2
��to o
to
Name:
//��'' // yyyy�� ,,QQ�� 69 (nNN
Contra ctor: £YL/1/0 �'�'�'0(/�/J�d't'' o C)o
n�A ,y G'y�yy�,� Q� �}�j O m-
Address: //��1���,,//y��! /���//`�/�/�G �L ✓/i� 4 A_� m
Telephone No.:'7�f1819� -2e39 Fax No: o oo -
A
p c� 1
Surety(if any) _+
Address: Amount of Bond$
/ 10 w
N
Telephone No: Fax No: o
C
Name and address of any person making a loan for the construction of the improvements D
r-
Name:
Address: t
Phone No: Fax No: 1.
Name of person within the State of Florida, her 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 Owne 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 date is
specified): —
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: i. t Date: �!:/
4/-2,ZY
Before me thii4_,:-... .-
day of f ij fli.t4-til 70216 the County of Duval,State
.ro oc�, Notary Public State of Florida Of Florida,has personally appeared (2-E:3t.L? /---,-0(.01,-Vi/---,-0(.01,-Vi.556e
`f: Greg Stephan Notary Public at Large,State offlorid Countyof Duval.
My Commission GG 349491
Expires 06/270023My commission expires: C( 2-7 2 �G
�OF wk Personally Known: or
Produced Identification: I LC)L4' X / t' 5 L-jL
MAP SHOWING SURVEY OF
THE WESTERLY 30 FEET OF LOT 4, TOGETHER WITH ALL OF LOT 6, BLOCK 11, ATLANTIC BEACH AS
RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
DE/1-1,0Z/7/6)Av ' 1/ I. ,cyt 57-/fr 6,
to DI /-7P.�C- S p
C0Ti • ' (,�ioon r,-6'
LOT 7 I 5 _7e,citr.5 LOT LOT 1
// 79.81' (FIELD) Found /Y IRON
JOB COPY
1 V 5 1
FOUND 1/Y 'ON / p
PIPE,NO v G)0.00 WCCC FENCE PIPE. 0 ID
0.2'
90.1 50.00 0 e` 30.00 in s' °� •2u 0 •
0
tip1..5'00. 33.1` °I a to.z' I ss.5. a 10.0' ,'
p0, �j- I 12 STORY
s'METAL FENCE DECK BLOCK/BRICK ° i �
((2(i--
�/�/fit/�,/'AJ��
AROUND SHOWER DECK 9. IRESI ENCE NO. 307 p 011110t l E % ,� WMD N I FlNI FLOOR ELEVATION,
"`../// ► 14"PALM STEPS 10.po(NAVD 1988) III
.‘ %9.9 dC
C2,fi- Wrrr I 1/'�,�y/
r` 4`PAL'3 I DECK 2"HACK: . vV
1 'n'�',_
0aT 10.3 1 21. n
\ .� CO ' '� q;.d- 12"TRIPLE G i..
WOOD Pr' 'LAUREL OAK
CONCRETE - 14'PALM / \\ a a O. I
PAD 13`PALM 14"PALN CONCRE1E'
B /(14---'-- x lni/ STOOP
_ 13•PALM O-' 13"PALM /�j I / r K • 1
X9B / 1 /
- ' /X 10.0
O
•
13"P ALP� . / .S' 0 1 W
0 I W
/� LOT 8 •8�,`TSPAu.1 1.9X/=NCE w4 0" ate' Lc >
N 'gs \ BRICX 1'"•ALK, 6611 p :�rl w 1 �'
4' cn I.-)N 1•]'CHINABERRY 'S _ L. 3 W ,-O W 1 1
i� \\ C9 11.5' .�o I L WW 2 ,��
ul
13`CAMPHr- �My 19.2. 9 s.B p0 a
41, Q
-1D- I• OS CONCRETE 0
CAMPHOR 'Ha 2 STORY PUMP PAD X19.) u U
13`CMIPHOR :� BRICK/FRAME z LI)
-� CR. P RESIDENCE NO. 309 ry IrPALLI (n
CAMPHOR w FINISH FLOOR ELEVATION ♦p I Q
1, ,J 11.24(NAVD 1988) \ 1 Is ,3� 1 w
\ 5'/ COVERED I /�j
y.5.:9/
r,� TILE PORCH 1.4'X1.4'CONCRE
0 ■ OLUMN(TIP.)
,D• 10.3' - 17 7' 3.0 0.9 42.'
pP 12`PALM lop 1.i' O 1 0 15 PA,9
GUSTRVLII
tO 9 IEP• !01 ,
n x 4 n
11"PALM I \N M "CONCRETE $$jj 2 �''A�'PAW
16`PALM \Vy{ N 9.8%WALK 3`PAt,A'. 1 -,•ALM - I ,3 b
_ ,1110.1 13'PALM % .Bl ^1r ♦ "PALM() • I
0...
iP • 14"PALM . ,,yy !� 1. f.hie ,..
FOUNO 1/Y IRON w pOH �� -MR)._
� mon
PIPE,NO ID A1lti ��I���i [��� •� A" .,. 70.00' [��-(�/�
15'HACK: • , -_� FIELD "�, In. A"`,,s `',.
OP{� YI"J R.F�1 f�rj'
/ ���IK4�Qliii��1ET 4ii�1i4k�:-__ OP 1
/ •,RB OFC R µp ' '
CHOR -
0 x OSTM. X
(il ,c,: : :
P AZAEVAT OR=9. L
80(NAW: SET NAG N988)
80' RIGHT OF WA (PAVED "UREIC ROAD) I
NOTES: tie 0
1. THIS A BOUNDARY AND TOPOGRAPHIC SUR .I TH
TREE LOCATION. 3
2. INTERIOR ANGLES AS PER FIELD SURVEY.
3. NO BUILDING RESTRICTION LINES AS PER PLAT.
4. NORTH PROTRACTED FROM PLAT. .
5. BENCHMARK USED: SET MAG NAIL & DISK, LB 3672, �
SHOWN HEREON. ELEVATION=9.80 (NAVD 1988). 4 10 40 I
6. BENCHMARK ESTABLISHED BY GPS USING SPECTRA PRECISION' SCALE: 1" = 20'
EPOCH L1/L2 80 EQUIPMENT AND TRIMBLE VRS SOFTWARE.
7. THE TOTAL AREA OF THE PROPERTY DESCRIBED ABOVE HAS I C ) �� ^ '
APPROXIMATELY 10,392 SQUARE FEET. J C�
8. CR DENOTES CABLE RISER.
9. OHE DENOTES OVERHEAD ELECTRIC.
10. STMH DENOTES STORM MANHOLE.
11. TR DENOTES TELEPHONE RISER.
12. WM DENOTES WATER METER.
13. WPP DENOTES WOOD POWER POLE.
DEM 021-0009
THIS SURVEY WAS MADE FOR THE BENEFIT OF
THE PROPERTY DESCRIBED HEREON LIES IN FLOOD ZONE CARL E. RUSSELL.
"X" (AREA OF MINIMAL FLOOD HAZARD) AS WELL AS CAN
BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP
NUMBER 12031C0409J, REVISED NOVEMBER 02, 2018 FOR -
DUVAL COUNTY, FLORIDA. 1��
JASON D. B,, T49RICHT, P.S.M.
'NOT VALID WITHOUT THE SIGNATURE ANO THE ORIGINAL FLORIDA LICENSED SURVEYOR and MAPPER No. LS 7292
SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.." FLORIDA LICENSED SURVEYING & MAPPING BUSINESS No. LB 3672
;CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. FEBRUARY 11, 2021
'DRAM BY: DAF
FILE: 2021-0148 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA (904)241-8550 SHEET 1 OF 1