760 Sherry Dr DEMO21-0028 DemoOWNER:ADDRESS:CITY:STATE:ZIP:
AF AB VENTURE LLC 1738 SELVA MARINA DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
REALCO RECYCLING 8707 SOMERS RD JACKSONVILLE FL 32226
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170395 0000 SALTAIR SEC 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
760 SHERRY DR DEMO COMPLETE DEMO HOUSE $10000.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
Notes:
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.
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 3Issued Date: 9/14/2021
PERMIT NUMBER
DEMO21-0028
ISSUED: 9/14/2021
EXPIRES: 3/13/2022
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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 DISCONNECT AND CAP INFORMATIONAL
Notes:
Disconnect and cap water and sewer lines.
6 PUBLIC UTILITIES INSPECTION PRIOR TO DEMOLITION INFORMATIONAL
Notes:
7 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL
Notes:
8 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.
9 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
10 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.
11 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
12 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
13 PUBLIC WORKS DOCUMENT IMPERVIOUS AREA INFORMATIONAL
Notes:
Strongly suggest thorough documentation of impervious areas be recorded.
2 of 3Issued Date: 9/14/2021
PERMIT NUMBER
DEMO21-0028
ISSUED: 9/14/2021
EXPIRES: 3/13/2022
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
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
14 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL
Notes:
Slab and driveway to be fully removed.
15 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
16 PUBLIC WORKS DEBRIS INFORMATIONAL
Notes:
Roadway must be kept free of debris, mud, dirt, etc. during and after project by Contractor. All holes that have been dug and any property that has been
disturbed must have barriers and flags placed during project by Contractor.
3 of 3Issued Date: 9/14/2021
PERMIT NUMBER
DEMO21-0028
ISSUED: 9/14/2021
EXPIRES: 3/13/2022
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $129.00
DEMO21-0028 Address: 760 SHERRY DR APN: 170395 0000 $129.00
BUILDING $100.00
DEMOLITION 455-0000-322-1000 0 $100.00
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R17125 $129.00
Printed: Tuesday, September 14, 2021 11:33 AM
Date Paid: Tuesday, September 14, 2021
Paid By: REALCO RECYCLING
Pay Method: CREDIT CARD 511933731
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17125
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
1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC 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.
2
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
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: Application #:
Project Address:
APPLICATION TRACKING COMMENTS
Check Box
to Add
Comment
Check
Box to
Print
Underground
Water Sewer
Utilities
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.
Meter Boxes
Sewer
Cleanout
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade
and visible.
RT1 Sewer
Cleanout
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.
RPZ Backflow
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.
Sensus
Touch-Read
Meter
Plans note the building will be unsprinkled. If plans change, any fire line
installed must be metered with a Sensus touch-read meter in a properly sized
vault and an appropriate backflow preventer installed. Backflow preventer
must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Fire Sprinkler
Backflow
Requirement
If fire sprinkler system is provided, call 247-5878 for backflow requirements.
At a minimum, will require a double check backflow preventer.
Fire Line
Meter
Fire lines must be metered with a Sensus touch-read meter. Meters larger
than 2” must be installed in a vault as noted in JEA specifications.
Utility Map See attached Utility Map.
Disconnect
& Cap
Disconnect and cap water and sewer lines.
Inspection
Prior
MUST call the Inspection Line at 247-5814 to request an inspection of the
disconnected and capped water and sewer lines PRIOR to demolition.
Utility
Inspections
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 schedule utility connections may result in failed
inspections and additional fees, and delays in utility services.
System
Development
Fees
All fees must be paid for water & sewer connections before meters will be set.
Please call the finance department customer service line 247-5816 to
coordinate payment of fees.
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: • 414L.J 4 • / i 4, Date: 4 - l
Number Pages:1 Before me this Z day of - 2-0 G (in the StfDuval, 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:
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 DrdUPermitNutuber. '`Q
N.), SFrILOIS ra.l,.nt.mtxa NO,ll/MO.tln412.el]42la1tr-rasn
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-nonene thiotypeofwok"nil be complied mot whether specifiedrohereinorroc 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 IMYCOMMISSION#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 Cfd) 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). 1arse 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
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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