1099 CORNELL LN DWAY21-0038 ''~ Building Permit Application Updated
l0/9/18
r
.�. I City of Atlantic Beach Building Department **ALL INFORMATION
+'�. ,.,... //`�� 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
-�nasl/ IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us 1' p
Job Address: / r • 'b�t`,1� 1— O o3
. _ • Permit Number:
Legal Description -b/",/��Yd'cra[� c•
4,A/ )7 2f.2 517' / RE# } y^''' ''-'—'"i''''''144'2& ,___/ F1
Valuation of Work(Replacement Cost)$ .5-3 a?,p Heated/Cooled SF Non-Heateamooled
•
• Class of Work: ew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo OPool ❑Window/Door
• Use of existing/proposed structurels): ECommercial t<siclential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ET‘
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) leNo
Describe in detail the type of work to be performed: ,�,,`, , // //��
Po*17t1105 �1v Q 04,41444 d' .. V R k9 Rtf )Z K 2�7 vvciteY 4l{MY 9:10/
w,/')^.! rfLcil,x 1,itY pi ehsf ZO` x 2 7 f
Florida Product Approval# for multiple products use product approval form
Property Owner Informatiopp
Name Qavig F410.7O•✓d/ A Address /D 7 7 4'.•.• "1/v(AV
City 4441 fG Qe,Atcli State if] Zip ' Z23J Phone R'G 5 24t 7 31�4�
E-Mail f eaflu`-k, `Qr-, in 7 L b L -t i -.CD .cc
Owner or Agent(If Agent,Power of-Attorney or Agency Letter Required) �O4 -72Cd--0Fn 4
Contractor Information
Name of Company L74‘,,,W /91i-,/z)( Qualifying Agent
Address /OF 7 Cvr,v&li L/]fCity , 4d L Q,a„� tate j / Zip 32233
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone It
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt a 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 W ust 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-¢roperty 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 ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Sgnatuce of Owner or Agent.‘ (Signausse of C. cactosl
S
' ned a d sworn to(or of m-•)before e this - d.y of Signed and sworn to(or affirme• before me this day of
- ,?c)2- I,by 0 e -i 4 ., / ,by
Willig .
I ':n.to?; (Signature of Notary)
ersonall Know* R "av-, TONT GINDLESPERGER [ ]Personally Known OR
.[-ice v �!Q :"�'`'.�;
[ ]Produced!dent atlo ;.: MY COMMISSION#GG 353178 [ ]Produced Identification
Type of Identificati :: ..1. EXPIRES:October 6,2023 Type of Identification:
Bonded i nru Notary Pu. . -
NOTICE OF COMMENCEMENT
State of Ai Tax Folio No.
County of Dv u�,
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: CLQ o y, reYYeR (ie ,Sea a►ry $Y,7e,4„V y/p
Address of property being improved: /O�f ��•�..,,Ao�.� . �/� ��/�jr7Ti arlelFz 4 FL
General description of improvements: h/r,v w41/
i atone Clet cid _2 7x22,
Owner: Address: i` 14/ 1, J; r 01-„ g
Owner's interest in site of the improvement: np (WI/uv
Fee Simple Titleholder f if other
/thann owner): n
Name: 4/`CJ Pune/ 2J 2 _
Contractor: J
Address: J ? 9 Oariv�// Ah 1;4411.7/L ��1¢G�1 I/y
Telephone No.: -97--rYOT Fax No: J
Surety(if any)
Address: Amount of Bond$
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:
Expiration date of Notice of Commencement(the expiration date is one (1)yea •, 1 i,ess.a. Si ent date is
specified):
kYCOMMLL'ION#CG353178 —
°a•. ?� EXPIRES:October 6,2023
THIS SPACE FOR RECORDER'S USE ONLY OWNER
%;�OF F;�• Bcndad Thru Notary Public Underwrite
7
Signed: � • Date: Z
Before e this day of ��j in the Couaty)of Duva,State
Of Florida,has personally appeared`/ t, ,L efr-
Notary Public at Large,State of Florida,County of D
My commission expires:
Personally Known: . e ( I)
or
Produced Identification:
LESS AND EXCEPT ANY ROAD RIGHT OF WAYS OF RECORD.
CERTIFIED TO:
DAVID LEE ALMOND.
TIER 1 LENDING,
O513011'lt at nt.rriCL.0 ,I it,. .._,,.,--.; ..•.. __ -
FIRST AMERICAN TITLE INSURANCE COMPANY, (V
AND CONNIE WIDMANN.
\*
ATLANTIC BEACH VILLA UNIT NO. 2
PLAT BOOK 31. PAGE 13
Lvi
1 /NT s i0T6
N68'50'50" W99.60' (M)
N 68'45'00" W 100.00' (R) I b, 0 1/2.
I/2' " ° ° ,, ,.
" I IRON PIPE
IRON PIPE O½7.°... " ° "
1 � '0.6'n1.0' I 1.8'
Q
0.8_.1-U
6.0'8.9' METAL SHED I L 2.8' ^
M .. I WOOD FLOORce
Co
`3 M I o �
2 0 'x CO®®NC ' p Lil
�G N G� •n .F ROOD DECK I O i0 (a
" Q I=- ❑ Amu a lcr.
a, x
a I 22.0' 42.2' r,f 3.5.7' ( 2.5' w ►\
N N 1-STORY FRAME 3
r _ I 11DEpt.E 1098 iv G]... v n ^—x t�S O SV
N n O COVERED ii. o= N
lk O ��pp
N p I n n n A WOOD N _ a. I Y V!lbLA
•' r' U !n '-x 17.8' i ; I -,..Z • Z
CO •0.3 I a 12.2'4L. =::. +122' i a\. x gym~ .`•.� 03
0 N I 22.2' Swow = Z -'
cn
POINT OF BEGINNING I r ^' g. I' I 4
�II 1 Lx
1/2' 100.00' (R) j 1 S
IRON PIPE 99.70' (Al J I+2.5'
'� •-''�4 0.4' x—x— •
.6....:war to n.I'UT AC WAY t INF .� C C St•A c'el n" ' I, 1 1 1/2'
._.
S 68'45'00' E 300.00' IRON PIPE 1 00.00' (R) I 1 LB 3672
CURB & GUTTER
UTILITY S 68'45'00" E 100.27' (N)
POLE BEARING REFERENCE UNE
CORNELL LANE
(50' RIGHT OF WAY)
• OETERMNED TO BE OUTSIDE THE 0.2%ANNUAL CHANCE FLOOD PLAIN /FLOOD ZONE"X (SHADED)" - AREAS OF au ANNUAL CHANCE FLOOD; AREAS OF 1%ANNUAL
FLOOD ZONE"X"- AREAS PROTECTED
MATH AVERAGE DEPTHS OF LESS THAN 1 FOOT OR NTH DRAINAGE AREAS LESS THAN i SQUARE MILE: AND AREAS BY LEVEES FROM 1x ANNUAL CHANCE FLOOD.
GENERAL NOTES:
EY 0 R1. BEARINGS ARE BASED ON THE LEGAL DESCRIPTION AS PROVIDED.
R 2. STRUCTURE N01I SHOWN HEREON UES MATHN FLOOD ZONE__AS BEST OElEf 1FD
(0‹
/c�/ DcFROM F.E.M.A.FLOOD MAPS PANEL N0.408 DATED 06-03-2013
S gi*A r•I e T O I' S 11 R Y F 7 O R S INC J. THIS ISA SURFACE SURWY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS.PIPES AND
WILIDES, F ANY,NOT DETERMINED.
• •.exvwrilfWal ARO/OR ENVIRONMENTALLY SENSITIVE_AREAS F ANYY,NOT LOCATED•BY B1FIS SUM
LAND & ENGINEERING SURVEYS NOT SEARCHED a THIS SURVEYOR FOR F.A;SEMEINTS: ,COVETNANTS.B.R.L'S
Ill
• 3846 B(,4NDING BOULEVARD THE HEAVY
CLOSURES, TAKINGS OR ORDINANCES, ETC
6. THE HEAVY UNE SHOWN HEREON.MAY NOT INDICATE ACTUAL OWNERSHIP.
� pp!---
JACKSONVILLE, FLORIDA 32210 7.UNI.E55 OTHERMISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICA110N.
J 904 771-6468LAC = AIR CONDITIONER
r3 BRL = BUILDING RESTRICTION LINE PSM = PROFESSIONAL SURVEYOR R MAPPI
p • CERTIFICATE OF AUTHORIZATION NO.. LB 0005488 E BT = BUILDING TIE R = RADIUS
$ S d • E (CTM) = COMPUTED FROM RECORD BETVEEN IRDS ; RECORD
LAND SURVEYOR
CR = COVENANTS L RESTRICTIONS RN = RIGHT OF WAY
...rr. •'v N CH = CHORD t TYP) = TYPICAL
I HEREBY CERTWY 1HIJ SUrcvLT su vv.._ . ... . ...•�, e mmit o. . . . . •>E1 Is:ixa e�� w ham,
DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL cave =my "ASSOC SUMP OR LB. 54
STANDARDS FOR LAND SURVEYIN PURSUANT TO CHAPTER 5J-17.050 EB = ELECTRIC BOX • - FOIND IRC+ PIPE (IP)OR F
THROUGH 052, FLORIDA ISTRATIVE CODE, RAFTER 4 F.S. k Er UAtTELECc ITMiE�p CL TH PPAD ITY ' ' foufa CROSSCUT r(,c
/ 8 L LENGTH ARC NAN N
g LB = LICENSED BUSINESS• _%X—x—X—X—%XCHAIN—
LS = LICENSED SURVEYOR --c—.--+—:—K— METAL FEN
E 00 = MEASURED V V V V V V V MIRE FEN
N&D = NAIL L DISC n n n n n n n WOW FEN
BYut, I c 13 uATr.I- R FLORIDA CERTIFIC'�'' NO. 3771 S • a�RB - OFFICIAL RECORDS BOOK _ OVERHEADVINYL1 ED
I ! . r.n, iaiar! CI Warne C`FRTIhK.AIc IVU. 43/7 1 A Irz =ri 1irrr u, __ .r. . 1.1.1a4c ar
•
..
r ... MAP SHOWING BOUNDARY SURVEY OF
A PART OF THE CASTRO Y. FERRER GRANT, SECTION 38, TOWNSHIP 2 SOUTH, RANGE 29 EAST, DUVAL COUNTY,
FLORIDA, MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGIN AT AN IRON IN THE NORTHERLY LINE OF CORNELL LANE (A 50.0 FOOT RIGHT OF WAY) THAT IS SOUTH
68 DEGREES 45 MINUTES EAST, 300.00 FEET FROM ITS INTERSECTION WITH THE EASTERLY LINE OF MAYPORT
ROAD (A 120.0 FOOT RIGHT OF WAY); THENCE CONTINUE SOUTH 68 DEGREES 45 MINUTES EAST, 100.0 FEET
ALONG THE NORTHERLY LINE OF SAID CORNELL LANE; THENCE NORTH 21 DEGREES 15 MINUTES EAST, 100.0
FEET TO THE SOUTHERLY LINE OF ATLANTIC BEACH VILLA, UNIT NO. 2 AS RECORDED IN PLAT BOOK 31, PAGE
13, OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY; THENCE NORTH 68 DEGREES 45 MINUTES WEST, 100.0
FEET ALONG THE SOUTHERLY LINE OF SAID ATLANTIC BEACH VILLA, UNIT NO. 2; THENCE SOUTH 21 DEGREES
1C 1111111TCC 1411CCT Inn nn CCC," Tr TUC' CIntktT rr cm-rinlnunlr_
LESS AND EXCEPT ANY ROAD RIGHT OF WAYS OF RECORD.
CERTIFIED TO:
\it.
DAVID LEE ALMOND,
TIER 1 LENDING,
k..r nvr r't OL Jrllr r ILLLJ i t ILL JLR V iLLJ, L.L.\_..;
FIRST AMERICAN TITLE INSURANCE COMPANY,
AND CONNIE WIDMANN.
(V.
ATLANTIC BEACH VILLA UNIT NO. 2
PLAT BOOK 31, PAGE 13
LUi LU; 3 LOT 6
N 68'50'50" W 99.60' (M) )K
1 2' c ;,N 68'45'00" W 100.00' (R) 'Cl ,R
2'
IRON PIPE o o n 0 K o o IRON PIPE
C
n 4 In n t n n
n kr0.6' „ lin „i' IIn 0 r 3.2'
7.0 s''1 I ,' 1,0'--114.-
.0 I�
O0.8' 1,,. ••1 G 9.9' x
6.0'8.9' METAL SHED i 2.8'
OC WOOD FLOOROK
M ....„ .� CO
O
x
lk 3 Q Q '?
x
L s, LA Q qC 0 LI
r v s AC n1+w Vcw L
Q of I 0 AND STEPS
0k a 3 js as
22.0' 42.2' 35.T � • 2.5' W w
e
O N 6n > I 1-STORY FRAME ' D �j
N N ;n Q x c in RESIDENCE NO. 1099 Ty/-1.,9304--1:1- 1- -"-max ap 6
v-- z.-, Q n n n N COVERED N > I 1.5 N 0 N '--
to Ln 0.3' x 17.8' WOOD 8 Ir, -}'a o Z
(Y1 I 1/9';r •,--..•1_.,7•1• �` I wmz ' m
O (V I 212' W000 .� I-77 t-0 z C1
I O
IA I
STEPS - { x
POINT OF BEGINNING I I I I S I I ' z
1/2' 100.00' (R)�i 0' c4 1 1 I
1 o i
IRON PIPE 9.9-.�70' (M) 0.4.,44_,,Z__x-x-x-X-x-x-x-X I I�2.5'
S 68'45'00' E 300.00' 1�2' L 0 3 CIO `+ t LH V•' o I I IRON PIPE
IRON PIPE 100.00' (R) s I I ', LB 3672
uT1uTY S 68'45'00' E 100.27' (M) CURB & GUTTER
POLE BEARING REFERENCE UNE
CORNELL LANE
(50' RIGHT OF WAY)
FLOOD ZONE "X'.. AREAS DETERMINED TO BE OUTSIDE THE 0.2%ANNUAL.CHANCE FLOOD PLAIN /FLOOD ZONE"X (SHADED)" - AREAS OF 0.2%ANNUAL CHANCE FLOOD; AREAS OF 1%ANNUM
CHANCE WITH AVERAGE DEPTHS OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN I SQUARE MILE; AND AREAS PROTECTED 8Y LEVEES FROM 1%ANNUAL CHANCE FLOOD.
Ni E Y 0 ii, GENERAL NOTES:
S 1. BEARINGS ARE BASED ON THE LEGAL DESCRIPTION AS PROVIDED.
J 2. STRUCTURE NO 1099 SHOWN HEREON UES WHIN FL00D ZONES BEST DETERMINED
Gj FROM F.E.M.A. FLOOD MAPS PANEL NO.408 DATED 06-03-2013
A C41/1/"I A T C % C 1 R VP V A C 1 3. IS SURFACE SURVEY EXTENT OF UNDERGROUND FOOR"`S'PIPES AND
NTEYERMY
101 "" - -'. ""•... " " - -- v ` - - -- : -- - ._ - I 4, ,.'Unl.Aun,III.RYAI.AfCJ/urc cnv+n4ivklcn TALLr XflAI I(VC Af{CAZ Ir r,n 1. ntrI u..,Icu 01 I111.3 34115
F�rP�j RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION **ALL INFORMATION
#41 City of Atlantic Beach HIGHLIGHTED IN GRAY IS
7 800 Seminole Road, Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address !0 qq 4,rv,eL.G Af/,,4 /arc' '1 ermit Number
Contractor Information
Company seig lglm pi/el Qualifying Agent
Address /D?1 apv-AJug.11 City 4114,,v 4 8e p..c.A. State Fl Zi 37
37
Phone 6,4 .747 fir-/D`/ Email 9s'Oq/.ov r A• r�%-e �+-�DC�T/G§A,
State Certification/Registration# Jl 1L Op,X/cGY
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurer OR Exempt ❑ Expiration 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 Atl ntic Beach or Flori a Department of Transportation Standards and be performed under the
supervision of him 49 (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 /O 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 arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
• The Public Works Director shall be notified 24 hours prior to starting work and again immediately upon completion.
Date
Permit e(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL /
The foregoing instrument was acknowledged this day of ���>pc) ,20 ,
by ak.fig f/ ry S ,who personally appeared before me and
(printed name of Permittee)
acknow ed that e/she gned the instrument voluntarily for the purpose express TONT GINDLESPERGER
;,: MY COMMISSION#GG 353178 .
u j°; Po EXPIRES:October 6,2023
0 (/ [ )yrs > ,i'ac:tC ponded Thru Notary Public Underwriters
Signature of Notary Public,State of Flor a [ )Produced Identification(Type)
H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18