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1862 Tierra Verde Drive RESO21-0068 Wooden Bulkhead WallOWNER:ADDRESS:CITY:STATE:ZIP: DAVENPORT MARK 1862 TIERRA VERDE DR ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: BAREFOOT MARINE CONSTRUCTION 10945 PATTON RD JACKSONVILLE FL 32246 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169542 5066 SELVA TIERRA JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1862 TIERRA VERDE DR RESIDENTIAL OTHER SINGLE OR TWO FAMILY RESIDENTIAL OTHER WOODEN BULKHEAD WALL $35000.00 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 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. 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. 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. 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. 1 of 2Issued Date: 8/11/2021 PERMIT NUMBER RESO21-0068 ISSUED: 8/11/2021 EXPIRES: 2/7/2022 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $230.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $115.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.18 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.45 TOTAL: $353.63 2 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. 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 4 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking and debris must be removed from job site by Contractor. 6 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 7 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL Notes: A staked down turbidity barrier must be used upstream and downstream of work area. 2 of 2Issued Date: 8/11/2021 PERMIT NUMBER RESO21-0068 ISSUED: 8/11/2021 EXPIRES: 2/7/2022 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $353.63 RESO21-0068 Address: 1862 TIERRA VERDE DR APN: 169542 5066 $353.63 BUILDING $230.00 BUILDING PERMIT 455-0000-322-1000 0 $230.00 BUILDING PLAN REVIEW $115.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $115.00 STATE SURCHARGES $8.63 STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.18 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.45 TOTAL FEES PAID BY RECEIPT: R16591 $353.63 Printed: Wednesday, August 11, 2021 11:58 AM Date Paid: Wednesday, August 11, 2021 Paid By: BAREFOOT MARINE CONSTRUCTION Pay Method: CREDIT CARD 495781867 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R16591 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION 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 Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: /b62_ T rEPRAI Vi-24f 4,g. Permit Number: Legal Description 037 01 SEL-V l4 '7Z Kv2 ebzc RE# / 6c/S92 5-0C,6 Valuation of Work(Replacement Cost)$ 3.5I WO'. 4'4) Heated/Cooled SF Non-Hea Class of Work: New Addition Alteration Repair Move Demo Pool Wind DooArUG O 3 2021Useofexisting/proposed structure(s): Commercial f tesidential I1 If an existing structure,is a fire sprinkler system installed?: Yes WifVo BY. Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) IlNo Describe in detail the type of work to be performed: Florida Product Approval# for multiple products use product approval form Property Owner Information Name MAC- DA 54UrvP-I Address /861., 7TirAgaa VEL4t D fi City fmtkiJTTC C State ft Zip 31.213 Phone 'pray pby_3yzyE-Mail (1(1{VE/4 U('....j 601E • On Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Informationatnn 4 _ Name of Company M, f' Ca.r Qualing Agent /QK C© t4t Address 109115 Prevrtoi,-I City-J $c ti.:4 State ' < Zip 3%2-70 Office Phone cloy (i2! -6-717yJob Site Contact Number re' ' 7 - '• State Certification/Registration#48(C /26gJ7y E-Mail CKPg/4+ ' 0' %/i?e4-e..-C-0/44 Architect Name& Phone# Engineer's Name&Phone# Re . _ plea{. ^ yU y- Il . OWorkersCompensationInsurertii/VIAICk /Ns .OR Exempt o Expiration Date 7/ 2.0 2. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or i stat lation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORi EY BEFORE RECO DISI UR NOTICE OF COMMENCEMENT. nature of Owner or Agent) Signature of Contractor) 4 neo and sworn to(or ffi _.)before e this •ay of Signed a d sworn to(or affirmed)before me this .day of jib i r i$ , Awe, Ft i7`flows-1702.12./,b ignatu ”C d .f at :, it INGSTON i yiyyyn Notary• •lic S • I. da Wi• Commission#GG 365471 or r` ` My Comm.Expires Aug 13.2023 Personally Known O• '1 ix. tC 4l la h fsL $PERGER Personally Known OR Bonded through National Notary Assn. s R2' 1r.EIS$ION0GG . 3178 [ ]Produced IdentificatioProducedIdentificat, r} x; ,_ 1TypeofIdentification: `:I'Vi' t% Iltit,0:Ct2„r 27323 Type of Identification: 7 • ' Bon';,TNNI ri,R ,U xraTttets k' RESO21-0068 v ; REVOCABLE ENCROACHMENT AGREEMENT ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach,FL 32233 IS REQUIRED. REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Flo ida, he einafreferred to as "CITY" and C F6, Z 'j p_-(.`c ei-d i t-- Tr_ 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 4i Q,, Cam ' 0‘(x, 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 pSER shall be given by certified mail,return receipt requested,to the following address lI Z T,, ,,, o kis„,e r/t,_ 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 Iiablitie reby assumed by the USER. 4t Date Q/ 3 Z I Property Owner/Age t(signed in presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL The foregoing instrument was acknowledged this El, day of 20 Z `, 73 by_ / 1'1C4r _ r:pir e,r-f-' who personally appeared before me and p 'nted name of Signer) ack owl:dge'at 17/she sit. ed the instrument voluntarily for the purpose expressed in it. vi b xP6e4,, TONI GINDLESPERGER L 41 ••;: MY COMMISSION#GG 353178 Department Approval: Signature of Notary Public,State • lorida EXPIRES:October 6,2023 FOF F;°`•' Bonded Thru Nctary Public Underwriters Personally Known Produced Identification(Type) b t_____t Scott Williams, Public Works Director H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/ 31/18 CAP W.2l(z CCA,60 LENT DOUBLE 2b7'CCA.W FASTENED W:Y YWIi$,HANNEn Nals I NMX 3` O iLj(. CAP W,7.12 CCA 60 PILES TO BE SF Y MT LONG CGA 2.6 0FL1405.0542 841,137 I/°• c 4' 0.$TENEDW MN f 3'RiNG61 WCED YGG BOUNDARYSURVEY4pc. ` •/ Ofd a NAL SATFOCAPILE a+rcc.ATTOP ELEVATION OCNEW WLLLNOT TOIMPEDE COUNTYDWALLtON ANT DRAINAGE CBOMADJACENT 5»" la2)36• . S4 CO WA;FR TOW EL FINISHEDORADE T NEWM'ALL TO MATCH EXISTING411111t,1V 577'2)63'&(P..CI g NU to v T aMNINTAS tiERDW: I..' ELEVATION tP n 5'' RA)• 2D.o-TE BACKS .' NCO ID MEL EVERY PLE EA aC.K MAMA Q` r W BEND TURNED DOWN IWO THE MIN BLaITPWLPNGRETE 1CW)WeLroP' hlrJ CONCRETE MADMEN AS SHOWN pEAOMEN sPAcec W sEE 5.6 I PLAN 3P DEPTH TO SE MIN.3Fi BELOW WALERS DOUBLE zkY CC- TOP OF WALL y C T CGN,_ ASTENED W'MIN i NEW APPROX 75 FT LONG Y ; LOT 33 N l _ MEAN HIGH WNL A•T eAG" CONACE wNPNRE I• V' 2gry DOUBLE WALER FASTENED I WOODEN RETAINING WALL TO SRT BowE as' urTOGETHERETHERW.2'RS Nn•aJ,' O.C.STAGGEREDBEINFRONTOFEXISTINGgs° wO 0/ TOP a BOTTOM BOTH:J 27 y. J 910E9 Ali. FAILING WALL NOT MORE THAN as a G '+ L P ll B" 4.5.N U LC. FILTER FABRIC OVERLAPPED k` •• 6QR W- AND COMINUWS WITH WAL• pNJbC D . z7.p. C 1 1 An LONG CCA. FASTENEDTOTHESTW,RS W/MN 2•J'PoNGSNANED l Q N' R\ NNIS AT EACH CONTACT W,CRIBBING m e61 u PILES TO BE YT 16 LONG CCA SS lylrewrl^'- a SCALEswr ') --- ig scc NOT TO o 82.2,- 1N• 2 45 Q P. o A v N PNn2....45.,„,,,,0,56,° ) ( Cj3.4'ro _aD°--._ JIL To ..<>ro v y ff WI N TAE1If: L- N 02455 W 6.7 1'(PITC) w.,OM 4 1-2 N 16.08'20'E 65.00(P) P.c N 16'08'45•E 84.95'(C)r C-I C-2 C-3 rG 0.a R=516.64'(PIC) R=5 6.64'(F4M) R-516.64'( M) o g p. L-68.29'(P)68.03(C) L=83.53'(P83.55(M) L=75.00(P)75.01'(M; 4 PLAN VIEW 7°3424'(P)7.32'40 (C) D=91 5'45(P)9.1557 (M) 0-6°1903 (P)a°1907•)M(wmE SECTION WING WALL DETAILCM=N 3°22'1 9'E.68.24'(P) CH=5 20°06'28"W,83.44'(P) CH=S I 151902'W.74.93'(P) NNWN3.19'20•E.67.98'(C) 5 20'03'10'W,83.46'(M) 5 i 1.17'29'W.74.94'(M) 33 LL"' a 17-1.7.. NK arra N Date: m li..M.NIV . 2021 .07.2 . „ - =MAT - 9 17:02:39 -. 04'00' rite p Pe WOMB III ••MOW 7-28.21 J°='U°111N 1 OF 1RESO21-0068 EARTMAR-01 JREDFEARN ACORO YYY)D/YE(MM/D CERTIFICATE OF LIABILITY INSURANCE DATE Y THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jennifer Redfearn,CRIS,AISNAME: Insuramerica of Florida,Inc.PHONE FAX 4348 Southpoint Blvd Ste 200 A/C,No,Ext):(904) 596-0411 ac,NO(904) 296-1888 Jacksonville,FL 32216 ADDAILRESS:jredfearn@insuramerica-fi.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:XL Specialty Insurance Company 37885 INSURED Jacksonville Marine Construction Inc.dba Barefoot Marine INSURER B:Benchmark Insurance Company 41394 Construction INSURER c:Safe Harbor Insurance Company 12563 Earthwise Marine,Inc INSURER D 10945 Patton Road Jacksonville,FL 32246 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITSLTRINSDWVDMM/DD/YYYYI (MM/DD/YYYY) A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE X OCCUR UM00042903MA20A 8/27/2020 8/27/2021 DAMAGE TO RENTED 50,000 PREMISES(Ea occurrence) $ X Marine Liability MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PE LOC PRODUCTS-COMP/OP AGG _$ 2,000,000 OTHER: PROTECTION INDE $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ AUTODS ONLY NON-OWNEDONEYY PROPERTYacciidentDAMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ B WORKERS COMPENSATION XOTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N MWC2100012-00 7/26/2021 7/26/2022 E.L.EACH ACCIDENT 1,000,000 OFFICER/MEMBER EXCLUDED? N/A Mandatory in NH) E.L.DISEASE- EA EMPLOYEE $ 1,000,000 If yes.describe under 1,000,000DESCRIPTIONOFOPERATIONSbelowE.L.DISEASE- POLICY LIMIT $ C Pollution Liability V1666720 8/28/2020 8/27/2021 See Attached Limits A Rented/Leased Equip. UM00042903MA20A 8/27/2020 8/27/2021 Limit 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation coverage includes Longshore&Harbor Act Coverage. Richard Powell is exempt from Work Comp. PROTECTION&INDEMNITY- VESSEL SCHEDULE 1.2005 32x80 American Dumb Barge -$1,000,000 limit 2.1981 Monarch 24"Crew with Twin engines-$1,000,000 limit 3.2010 24x48 Little Giant Barge with Pedestal Crane.-$1,000,000 limit SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Atlantic Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 800 Seminole Road Atlantic Beach,FL 32233 AUTHORIZED REPRESENTATIVEACORD25(2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4-7. • . Ron DeSantis,Governor Julie I. Brown, Secretary borfir: a e. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE BUILDING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES 0 . . 1- Rd tT: D OWELL, RICHARD D d BAREFOOT MARINE CONSTRUCTION 10945 PATTON RD. 4. ,, JACKSONVILLE , : FL 32246 LICENSE NUMBER: CBC1258374 J EXPIRATION DATE: AUGUST 31, 2022 Always verify licenses online at MyFloridaLicense.com E3 irei.d7111:1 4` ?-' '`' Do not alter this document in any form. T. i. ir• r+...''' This isyour license. It is unlawful for anyone other than the licensee to use this document. a Y 2021-2022 LOCAL BUSINESS TAX RECEIPT 1 JIM OVERTON, DUVAL COUNTY TAX COLLECTOR 231 E.Forsyth Street,Suite 130.Jacksonville, FL 32202-3370 Phone: (904)630-1916,option 3 Fax:( 904) 630- 1432 www.duvaltaxcollect.net taxcollector@coj.net Note—A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. This business tax receipt is furnished pursuant to Municipal Ordinance Code,Chapters 770-772, for the period October 1, 2021 through September 30,2022. POWELL, RICHARD D BAREFOOT MARINE CONSTRUCTION 10945 PATTON RD JACKSONVILLE, FL 32246 ACCOUNT NUMBER: 317762 BUSINESS NAME: POWELL, RICHARD D PHYSICAL ADDRESS: 10945 PATTON RD JACKSONVILLE. FL 32246 CLASSIFICATION CODE: 000005 -QUALIFYING AGENT, CONTRACTORS COUNTY TAX: 0.00 STATE LICENSE NO: CBC1258374 MUNICIPAL TAX:100.00 TOTAL TAX: 100.00 VALID UNTIL September 30, 2022 ATTENTION*** THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY. CERTAIN BUSINESSES MAY REQUIRE ADDITIONAL STATE LICENSING. This is a business tax receipt only. It does not permit the receipt holder to violate any existing regulatory or zoning laws of the County or City. It does not exempt the receipt holder from any other license or permit required by law. This is not a certification of the receipt holder's qualifications. OVERTON, TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION. PAID-5506450. 0001 -0001 WEB 08/02/2021 100 . 00 2021-2022 LOCAL BUSINESS TAX RECEIPT JIM OVERTON, DUVAL COUNTY TAX COLLECTOR 231 E.Forsyth Street,Suite 130,Jacksonville,FL 32202-3370 Phone:(904) 630-1916,option 3 Fax:(904)630-1432 www.duvaltaxcollect.net taxcollector@coj.net Note—A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. This business tax receipt is furnished pursuant to Municipal Ordinance Code, Chapters 770-772,for the period October 1. 2021 through September 30,2022. BAREFOOT MARINE CONSTRUCTION JACKSONVILLE MARINE CONSTRUCTION INC 10945 PATTON RD JACKSONVILLE, FL 32246 ACCOUNT NUMBER: 193655 BUSINESS NAME: BAREFOOT MARINE CONSTRUCTION PHYSICAL ADDRESS: 10945 PATTON RD JACKSONVILLE, FL 32246 CLASSIFICATION CODE: 307001 -CONTRACTOR- ALL TYPES COUNTY TAX: 11.25 STATE LICENSE NO: MUNICIPAL TAX: 41.25 TOTAL TAX: 52.50 VALID UNTIL September 30, 2022 ATTENTION*** THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY. CERTAIN BUSINESSES MAY REQUIRE ADDITIONAL STATE LICENSING. This is a business tax receipt only. It does not permit the receipt holder to violate any existing regulatory or zoning laws of the County or City. It does not exempt the receipt holder from any other license or permit required by law. This is not a certification of the receipt holder's qualifications. OVERTON, TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION. PAID-5506481 . 0001-0001 WEB 08/02/2021 52 . 50