760 SHERRY DR DEMO21-0028 Submittal BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 760 Sherry DrdU
Permit Nutuber. ��'`Q
&N.), SFrILOIS ra.l,.nt.mtxa NO,ll/MO.tln412.el]42la1tr-ras
n
Legal Description Farrel M 170395-0000
rloot Area ol Sq.Ft. Sq.Ft
Valuation of Work S 10,000 Proposed Work heated/cooled 1756 non-heated/cooled 2355
('lass of Work(circle one). Nets Addition Alteration Repair Mos e�)emolitio)pool spa window door
1 Se of existing/proposed structures)(circle one). Commercial 4{ I?
If an existing structure,is a fire sprinkler system installed?(Circle one). c' is 4111120
4onda Product Approsat ss
For multiple products use product approval Form
I)c:.nhe in detail the tt pe of stork to be pertiinned Complete demolition of house structure
Pronerts 0%neo Information: 7�/ r"� '
u'Name p tiv 1 O uI reds J D 5C° /1�C�1VFW° 1b`)tCo% f 1' .tattlip -.• "��oG^� 'fr(v
I-Madsir l•a�s, t)porno!t _e61, (16A45,;.0(*C0/1
Contra-tor Information: C
Compan>Name Realco Recycling Co Inc Qualifying AgencJerty Doherty _
Address:8707omera RW City Jecksonvile State FL Zip 32226
Office Phone 7S7-7311 Job Site Contact Number 555-3581 Fax a 751.6611
State Certification Registration= CGC 055166
Architect Name&Phone_ n/a
Engineer's Name R Phone s, n/a
Fee Simple Title Holder Name and Address n/a
Bonding Compam Name and Address n/a
Mortgage lender Name and Address n/a
.i pphwnsn ss hereby made to obtain a prow us di the NON and rnsrallananr as sntcvred l.erne that no ware or rnrlaltanon has commenced poor to rhe
rssuartie of a perms and that all work urn he per/brined to meet the standard,if all laws reetsInrre construction in rhra)unsdnirnn TM,permit hemmer null
and turd If sort is not commenced m akn six red months.,w it.,nanctum or wort er in,p vuled,b abandoned lira penod at scr r61 months at any once refer
ort is cammenaed f understand that separate permits must he,ecvrad for Electrical-Work.numbing.Signs.Melt,Pool,,Ammer,.Bailee,.Heaters,
Tams,end Ii,Corediti,mar,.ter.
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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby serriii that I hare read and e, red this ryrphrurnon and knowthe sae ro ha nue and so :ill pnnt.s nm u i tans and orsbnuu:es Si wet-none ne thio
type of wok"nil be complied mot whether specifiedro
herein or roc The
some,
he grassing of a permit skier not presume re gore mho h'to violate or cartel the
,✓ern utter h-Jaid..mare.,r local fins regulanne coeur .run or the p romance of euntrurmon
r 1
Signature of Owner .l. - u Signature of Ctnnrac
PrinttName - f SdM o-(ati Print Name Jorry ohorty
Sws)to-and ri,-, r ore me Sworn t and sobscri r before me
thi. •C-f)ay • cn • t this Day ' •
/
`PRIMP ..F . _WNW-. Nota is /
1 Revised 01.26.10
Ypu'•,, TONI GINDLESPERGER AMY M.GADAPEE
, . MY COMMISSION#GG 353178 Notary Public,State of Florida
EXPIRES:October 6,2023 My Comm.Expires 10129!2024
Commission No.HH58644
-SFoFf�.
' ,o•`. Bonded Thru Notary Public Underwriters
Prepared By:
Gibraltar Title Services, LLC
Attn: Kristen Arranz
4190 Belfort Rd., Suite 475
Jacksonville, FL 32216
Return To:
Gibraltar Title Services, LLC
Attn: David Ubbens
4190 Belfort Rd., Suite 475
Jacksonville, FL 32216
Order No.: GTS-2171162
Property Appraiser's Parcel I.D. (folio) Number:
170395-0000
WARRANTY DEED
THIS WARRANTY DEED dated August 27, 2021, by Margaret S. Hopson, an unmarried woman, as to an
undivided 1/3 interest, whose post office address is 12022 Stone Crossing Circle, Tampa, Florida
33635-6227 (the "Grantor"), to AF AB Venture, LLC, a Florida limited liability company, whose post office
address is 1738 Selva Marina Drive, Atlantic Beach, Florida, 32233-5618 (the "Gra i4
62 L aai
(Wherever used herein the terms "Grantor" and "Grantee" include all the parties to t I the
heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations)
WITNESSETH: That the Grantor, for and in consideration of the sum of Ten And No/100 Dollars ($10.00)
and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells,
aliens, remises, releases, conveys, and confirms unto the Grantee, all that certain land situated in County
of Duval, State of Florida, viz:
Lots 73, 74, 75 and 76, SALTAIR SECTION NO. 3, a subdivision according to the plat thereof recorded in
Plat Book 10, Page 16, of the Public Records of Duval County, Florida.
Said property is not the homestead of the Grantor(s) under the laws and constitution of the State
of Florida in that neither Grantor(s) or any members of the household of Grantor(s) reside thereon.
Subject to easements, restrictions, reservations and limitations of record, if any.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining.
TO HAVE AND TO HOLD the same in Fee Simple forever.
AND the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee
simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor
hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons
whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent
to: December 31, 2020.
rS,,,,,,!; ATLANTIC BEACH BUILDING DEPT.
t ', � DEMOLITION — PROPERTY OWNER
._ s RELEASE FORM
s—
8 /30/?
Date: /3 OP (
To Whom It May Concern:
I / We the current property owners of: Lot 73,74,75,76
Block 1317-593,1377-282, 3472-825,4121-1181,5256-626
Legal Description of Property
AKA 760 Sherry Dr have contracted with to have
(Address of Property)
Realco Recycling Co Inc to remove the single family home
(Company Name) (Single Family,Duplex,Commercial,etc.)
Prior to the construction of : AU 14
As a condition of issuing the permit we agree to the following:
1. All utilities are to be located and clearly marked.
2. Once house is removed, lot is to be graded and leveled.
3. All construction debris is to be removed from the property.
4. Affected area is to have grass or seed in place.
5. Erosion control devices will be put in place and will remain in place until grass
has covered affected area or new structure is completed and landscaping is in
place. _
V. G ► -,
Signature
Signature
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
Signed: \J U ,014:A tI• r( ,fr Dater a 0/Z
Before me this 3 O day of Fes( ZO2. i •• ths_Coun of vat,State
Of Florida,has personally appeared,' ' f} �,`S�� , 1-0 fl'
Notary Public at Large,State of F irida, L.sunty ofIRR
My commission expires: C I�
Personally Known: l( ,S or
Produced Identification:
j ..-,‘:,'!:;1k4,'',. TONI GINDLESPERGER
+' ,•M. ; MY COMMISSION#GG 353178
tcri
} ' EXPIRES:October 6,2023
il_. of?::°•'' Bonded Thru Notary Public Underwriters
,..-A-...,
EXHIBIT A. LETTER OF AUTHORIZATION DRTV 10- I
Realco Recycling Co Inc is hereby authorized to act on behalf of
fidi'5 o,k Es-CS criN the owner(s)of those lands described within
the attached application,and as described in the attached deed or other such proof of ownership as may
be required by the City of Atlantic Beach in applying for a development permit.
BY: V (1A4/141'64/1 A.1_ -r-oniaA-W-N
Signature of Owner or Owner's Legal Representative
17 , PI 1" �—
c�l 1.) �a{''1 L,
Printed Name
11 35(p__ f u a a a 741 . 141, UC1( Th
Mailing Address
Phone Cell Fax mai
State of: F (
countyof: u V'(
Signed and sworn before me on thi3--1"-' day of ` `')S , 2°2 (,by
Identification verified:
Oath sworn: r Yes r No
Q c_
Ci(_ Lr--
Notary Signature
My Commission expires:
s�PG •,, TONT GINDLESPERGER I
'- MY COMMISSION#GG 353178
...- ..e EXPIRES:October 6,2023
;?6 F;° Bonded Thru Notary Public Underwriters
EXHIBIT A_Letter of Authorization_vo5.io.io
lA ric, TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY
:' I> .` City of Atlantic Beach PERMIT#
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
-on v. (P)904-247-5800
SITE INFORMATION
ADDRESS (O Skp\A,g_A •
SUBDIVISION sol�gl �� C-�t � BLOCK LOT ;344,
RE# � �}Q �q � ` zO Q ESIDENTIAL COMMERCIAL ❑j OTHER
APPLICANT INFORMATION
NAME t /I►r5 cnl'1 t • l/-
PHONE# q0c/ -3-'4, 37V-
ADDRESS
7g 'ADDRESS ( J c2._f is r v l euwinek CELL#
CITY /9-0 , /3c,A STATE , CODE 5
EMAIL C fd) S / Clean apl , CCy --\ WNER ❑ LEGAL AUTHORIZED AGENT
I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", of
the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre-
application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated
trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described
property and/or adjacent properties including right-of-way.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent
I�' (Ww ( I1),- — V AllfS6 /1 Lt). 1 arse - �6- /
SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE
SIGNATURE OF APPLICANT(2) PRINT OR TYPE NAME DATE
Signed and sworn before me on this day of ,?(-22_ ( by State of
County of 'L)V Q
Identification verified:
Oath Sworn: ❑ Yes ❑ Ne - "
TONI GINDLESPERGER ` � �
*' c MY COMMISSION#GO 353178 Notary Signaturetc)--
ri, 'e EXPIRES:October 6,2023
FpFr?" Bonded'Nu Notary Public Underwriters My Commission expires
04 TREE AND VEGETATION AFFIDAVIT 03.01.2018
MAP SHOWING SURVEY OF
LOTS 73, 74, 75 AND 76, SALTAIR SECTION 3, AS RECORDED IN PLAT BOOK
10, PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
I FFaun 1 maN
[ ea 18.
PRE,CAP rIR E
I I
L 0 T 9 6I L 0 T 7 2
I
100.10' (FIELD)
_.,e2>2...,11_ 6'11h700 FENCE '00.00' 4•
P .NO CAPS ef._o.o' 4 01419 U�N\K FENCE p®AR,121337.9 CiY
.— M oy • X0.6'
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LOT 94 . I0
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RESIDENCE .nt 0 I
, No. 760 J Cr 2
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, 9 = m
LOT 9J OO 20.9' ,6 •0 0
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0.41 //////2SY7//// 1 Jar l 90.14'
\ F -�t2�� 6
_ x' FLOOD ZONE'K' l 0 T 7 a 72
FLOOD ZONE'�' C
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4'OWN 1914 F7 _K / •
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PIPE.192672 f.2' 100.00' SET PIPE.1/r193672
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LOT 77 g I
$ I
NOTES:
1. THIS IS A BOUNDARY SURVEY.
2. INTERIOR ANGLES AS PER FIELD SURVEY.
3. NO BUILDING RESTRICTION ONES PER PLAT.
4. NORTH PROTRACTED FROM PLAT. THIS SURVEY IS CERTIFIED TO:
AF AB VENTURE LLC
THE PROPERTY DESCRIBED HEREON UES IN FLOOD
ZONE 'X' (AREA OF MINIMAL FLOOD HAZARD) AND
FLOOD ZONE "A" AS DETERMINED FROM THE FLOOD
INSURANCE RATE MAP No. 12031C0409J, REVISED
NOVEMBER 2, 2018 FOR DUVAL COUNTY, FLORIDA.
J......._.
NOT VALID WITHOUT THE SIGNATURE AND ? 1Li;ami0 41O JASON D. BOATWRIGHT, P.S.M.
THE ORIGINAL SEAL OF A FLORIDA SCALE: 1' = 20' FLORIDA UCENSED SURVEYOR and MAPPER No. LS 7292
UCENSED SURVEYOR AND MAPPER.' FLORIDA UCENSED SURVEYING and MAPPING BUSINESS No.LB 3672
CHECKED BY: BOATWRIGHT LAND SURVEYORS INC. DATE:
DRAWN BY: Jon r AUGUST 26, 2021
FILE: 2021-1212 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET l OF 1
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. 1703954)000
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:
16-2S-29E SALTAIR SEC 3 LOTS 73,74,75,76 0/R BKS 1317-593,1377-282, 3472-825,4121-1181,5256-626
Address of property being improved: 760 Sherry Dr,Atlantic Beach,FL 32233
General description of improvements: Complete demolition of single family home
Owner: hi: A13 \e.; ;Aitp___ . L.LL Address: -Y3 S CL \Itk. Kew/VIOL W`. —
Owner's interest in site of the improvement: -T c%e- 5 ^t le., ag_otiet ( —
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Realco Recycling Co Inc
Address: 8707 Somers Rd,Jacksovnille,FL 32226
Telephone No.: (904)757-7311 Fax No: (904)751-6611
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
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: DLESPERGER
`'f`Y'•u&c: GG 353178
Expiration date of Notice of Commencement(the expiration date is one(1)year fr, Th.:;ssat}e c r t t lehss iffe i t date is
specified): •=w;• i :o EXPIRES: ctober o,4v. ars
I —
',f-, ,? Bon.-• ' •• .
THIS SPACE FOR RECORDER'S USE ONLY OWNER �—
— lDoc#202?230363,OR BK?ogo4 cage Eng Signed: • 414 L. J 4 • / i 4, Date: 4 - l
Number Pages:1 Before me this Z day of - 2-0 G (in the 1Cou St f Duval, e
Recorded 09/02/2021 11:44 AM, Of Florida,has personally appeared:. Y t
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Florida, my of Qt�yak
COUNTY My commission expires:
RECORDING $10.00 Personally Known: vt _ _or
Produced Identification: