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Permit Remodel 250 Beach 2011 ry , S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t ) �� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 -JF3 ' Application Number 11- 00001707 Date 3/01/11 Property Address 250 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 50000 Application desc REMODEL Owner Contractor CRAVEN RICH AND WEED WENDY CHAPIN CARPENTRY LLC 250 BEACH AVENUE 511 N WILDERNESS TRAIL ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 993 -1756 Permit BUILDING PERMIT Additional desc . REMODELING Permit Fee . . . 300.00 Plan Check Fee . . 150.00 Issue Date . . . Valuation . . . . 50000 Expiration Date . 8/28/11 Special Notes and Comments need contractors liability insurance *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE DCA SURCHARGE 4.50 STATE DBPR SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 300.00 300.00 .00 .00 Plan Check Total 150.00 150.00 .00 .00 Other Fee Total 9.00 9.00 .00 .00 Grand Total 459.00 459.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: Z5 9e-a•e. 14 l e_. Permit Number: //— /w Legal Description SCC-. 6(6. TA,Shp 02,5' ?JOCK dt Zt" 1,i Parcel # Floor Area of Sq.N't. Sq.Ft Valuation of Work $ 50 K Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door Use of existing /proposed structure(s) (circle one): Commercial ' esidenti. . - � 4 . If an existing structure, is a fire sprinkler system installed? (Circle one): ' es up Florida Product Approval # For multiple products use product approva of r� m Describe in detail the type of work to be performed: ( ' ewlotie C ii n es-i n in i2 - 44' K ei ee( Mod tM &, IC - R.Chn, fprovt c1d LK5/J np i1e PI)l, jenodd ime.si -- @lvset 444 1/ry.,lddd y 000/144 , '5 An t. d c kykt_91) In Pro erty Owner 1 o II ation: I .II-- /� Name: )1411,4 Wa cLWd �t �1 l: 'eir1 Address: Z.. I ? flt 5+ City , .' , C .. State Zip 32233 Phone D ( -1 - 60 fr- 5 5'° 4 /2-$ E -M. • or Fax # (Optional) Contractor Information: Company Name: _ � / . , _ ' ," I Qu 'in: A:ent• deity Ail, ' C44.p/1i 4ddress: T . , �■, . / •.1 4 4 : '. [. .t o PC- Zip 3Zd'�Z ‘--.. Jffice Phone '6 - ` � 6 Job W •n .ct ► .i . - �_ ikL� ay _ 7 _ ; State Certification/Registration # 3 Z- ; i��J t kAl 7 u li Di llt": 41 ill In 414"-11i Architect Name & Phone # I NNEN Y Y'LI) ay v ma Y cst ' --- ?ngineer's Name & Phone # 1 S E PERMITS FOR ADDITIONAL + , :lee Simple Title Holder Name and Address 1 REQUIREMENTS AND CONDITIONS. ( 11 41111141111111 3onding Company Name and Address F vlort a e Lender Name and Address i �'i t �A a Di a �� a g g eft � "as, 1'. ..: _�...: 1 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 ssuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null Ind void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six 6) months at any time after vork is commenced I understand that separate permits must be secured for Electrical Nark, Plumbing, Signs, Wells, Pools, F urnaces, Boilers, Seaters, ranks and Air Conditioners, etc. 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. hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this vpe of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the rovisions of any other federal, state, or local 1, egulating construction or the performance of construction. signature of O . / Signature of Contractor i �� 'tint Name .. _ , d Cr".e Print Name , 44 (� , / 0'( � _n 1 wo . • • ): •� , •r- me Swo , subscribe •f.e re me / Es Day of ii_ _: 1 // this ay of �t.. ,t...— • , 20 HeorAt i i / i _.d..... , iiiir ,,, _ ._ . . .Ce : - e d atary Public Not. I, 3:1 1, ` I TE : MY COM MISSION # DD 634126 i •-s o EXPI May 21, 2011 Re i . ed 01.26. , e , n Bonded Tht____________ u Notary Public ters I � FEB -22 -2011 16:54 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1 /1 t NOTICE OF COM.MENCEM Permit No. /7 1707 Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if available): 2. General Description of improvements: ,, I f /• 0I ftPr riey err ,i',/, F 2f 475 er , ; ' " 3. Owner Information: Z33 a) Name and Address: ..' , .' ' • • r IC . It, v'.4 ' r i/ ' I, L--' r. b) Interest in property: , � .fir ' r c) Name and address of simple ti eholdcr (if other than owner): e , 4. Contractor Name a d Information: � T� ,,` f%ll Sil ,, / �` J�f S dJ ( ankUe • 3ZO a Name and Address: ym C.T? M• �t b) Phone Number: 0 . Surety Information: WA • Name and Address: b) Phone Number: c) Amount of Bond: S_ 6. Lender Information: a) Name and Address: li I b) Phone Number: - 7, Person within the State of .Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Fl rida tatutes: a) Name and Address: ti.r i • Irr i .4. ' 1 / , r)/ _41 ' i " , R. .s b) Phone Numbers of Designated • erson Qi y - 993 /75-6 8. In addition to himself/herself, Owner designates of to receive a copy of the Licnor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. a) Name and Address: b) Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE. BY THE OWNER AFTER TUE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this Lam/ day of , 20 // eiei 0 4 .1d. W.,41 , r. ,.,. DEBORAH A. WHIT / i -J MYCOMM1391DMeDD:14 (((( ,( . , eed ,m � 0 e t NOTARY PUBLIC, STATE OF FLORIDA Print Name: ❑ Personally Known irt2G c6i.r 7tt Wdent ifi cation/Typ e: Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledz a and • elie 000 rc.Itt lU412l5• CJr2 BK I5022 Page !Ore, Si@fiittufo l' Properly Owner Number Pages 1 R ecord ed 02 1 at 04.02 PM, .11 F ULLER CLERK. CIRCUIT CO URT DUVAL COLIN RECORDING 510,00 Revised 10/1/2009 l L ,, OMB Approval No. 2502 -0265 l A. Settlement Statement (HUD -1) B. Type of Loan 1 . J FHA 2 . j 1 RHS 3. ,7 CONV. UNINS. 8. File Number: 1 7 . Loan Number: , 8. Mortgage Insurance Case Number: -- 10A610 ( RMC101029800 4. _ I VA 5. Li CONV. INS. ` I C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)" were paid outside the closing; they are shown here for informational purposes and are not Included in the totals. - - �-- D. Name & Address of Borrower: E. Named Address of Seller: F. Name & Address of Lender: Wendy A. Weed and Richard A. Craven Mason Hardaway Lampton and Suzanna Reliant Mortgage Company, LLC 250 Beach Avenue Lampton 100 Cummings Center, Suite 303C Atlantic Beach, Florida 32233 945 Broadway, Suite 300 Beverly, Massachusetts 01915 Columbus, Georgia 31901 i G. Property Location: H. Settlement Agent: 1. Settlement Date: 250 Beach Avenue Keith Watson Title Services, Inc. February 18, 2011 Atlantic Beach, Duval County, Florida 32233 208 Ponte Vedra Park Drive, Suite 101 1 Ponte Vedra Beach, Florida 32082 1 (904) 273 -7009 fax: (904) 273 -6370 I Place of Settlement: 1 Keith Watson Title Services, Inc. j 208 Ponte Vedra Park Drive, Suite 101 Ponte Vedra Beach, Florida 32082 St. Johns County Phone: (904) 273 -7009 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. _Gross Amount Due From Borrower: 400. Gross Amount Due To Seller: 1 C Sales Price 795,000.00 401. Contract Sales Price 795,000.00 102. Personal Property 402. Personal Property 103. Settlement Charges to Borrower (line 14002 6,305.78 403. Adjustments for Items Paid by Seller in Advance: Adjustments for Items Paid by Seller in Advance: 1 06._City / Town Taxes _ 406. City/ Town Taxes 107. County / Parish Taxes 407. County / Parish Taxes 108. Assessments 408. Assessments __ 120. Gross Amount Due from Borrower: 801,305.78 ( 420. Gross Amount Due to Seller: 795,000.00 200. Amounts Paid by or in Behalf of Borrower: 500. Reductions in Amount Due to Seller: 201. Depositor Earnest Money 100,000.00 501. Excess Deposit (see instructions) _202. Principal Amount of New Loan 417,000.00 502. Settlement Charges to Seller (Line 1400) 42,263.50 203. Existing Loan(s) taken subject to 503. Existing Loan(s) taken subject to -- 204. Daily interest credit 504. Payoff of First Mortgage Loan to Central 407,128.96 _ Mortgage ayoff of Second Mort -_ -_ _ _ _ _ - - - - Pgage Loan to Columbus 205. Proceeds 2nd Mortgage 167,591.79 Bank &Trust 1,004.51 2 06. 506. Purchase Money Mortgage _ Adjustments for Items Unpaid by Seller: - - � Adjustments for Items Unpaid by Seller. 210 City l Town Taxes 510. City / Town Taxes _ 211 County / Parish Taxes Jan 1, 2011 thru Feb 17, 1,145.70 511. County / Parish Taxes Jan 1, 2011 thru Feb 17, 1,145.70 2011 I _ 2011 212._ Assessments 512. Assessments ___ 213. 513. _ 214. 514. 215. _ 515. -_ 216. 516. ---- - 217. 517. 220. Total Paid by / for Borrower: 685,737.49 520. Total Reductions in Amount Due Seller: 451,542.67 300. Cash at Settlement from / to Borrower: 600. Cash at Settlement to / from Seller: 301. Gross Amount due from Borrower (line 120) 801,305.78 601. Gross Amount due to Seller (line 420) 795,000.00 302. Less Amount Paid by /for Borrower (line 220) 685,737.49 602. Less Reductions Amount due Seiler (line 520) 451,542.67 303. Cash From Borrower: $115,568.29 ! 603. Cash To Seller: $343,457.33 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. No confidentiality is assured; this disclosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information during the settlement process. zs`�r,,�, City of Atlantic Beach APPLICATION NUMBER v 1 Building Department (To be assigned by the Building Department.) _ // ` - . � A ;� 800 Seminole Road j, 'i Atlantic Beach, Florida 32233 -5445 J 9'S 4 Phone (904) 247 -5826 • Fax (904) 247- 5845 / „rri D I' E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Add Tess: A4-6 w t review required Yes o / ,. Buildi Applicant: — Planning & Zoning Tree Administrator Project: �-�-e� Public Works Public Utilities Public Safety Fire Services Bile = e , ' . *4 '_;, De Sgnat4 Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. (Circle one.) Comments: N )ii 72 i e /S /L'!fl - i S 7 EP /AT 4 ? 2 ) BUILDING Quill t /,,,r- CA. Gif=t /(/e_P it oP Of 0-tt ,,— PLANNING & ZONING (, Reviewed by: / Date: 027? 3" /1 TREE ADMIN. Second Review: Approved as revised. L? Ienied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH aa 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001707 Date 3/07/11 Property Address 250 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 50000 Application desc REMODEL Owner Contractor CRAVEN RICH AND WEED WENDY CHAPIN CARPENTRY LLC 250 BEACH AVENUE 511 N WILDERNESS TRAIL ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 993 -1756 Permit PLUMBING PERMIT Additional desc . REMODEL Permit Fee . . . 118.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/03/11 Special Notes and Comments need contractors liability insurance *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 118.00 118.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 122.00 122.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax ax (904) 247 -5845 ' 2_ JOB ADDRESS: • v (3e4 � �r� _ et PERMIT # _ r l / 7-0 ?- NEW OR REPLACEMENT INSTALLATION: Project Value $ 2 m aw TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub t Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan - 2, Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Z Kitchen Sink Urinal Laundry Tray ___ __ Vacuum Breakers Lavatory 3 Water Connected Appliances Other Fixtures Water Heater Water Treating System / RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name / Phone Number Plumbing Company P ( , ` or' t ,,/� (�c� L- LC_ Office Phone 7 i'27,-$ Fax Co. Address: / ./Y C y License ` City 1-AK State �' C Zip �ZZO 2 se Holder (Print): Pet n4e(/ State Certification/Registration # C Fe. iY Z 0 4 Notarized Signature of License Holder ,.w!'_-_.,..- Swo � J s�ab�tl' SHIRLEY iEisb� � . � 1 o � ,� . �.\- ; EXPIRES: Februa 1 2014 d 20/ Si• 6 -'F`� '. ;': - Unde' /I p 4 • V •