Permit Int Demo 741 Sherry 2011 , `$` CITY OF ATLANTIC BEACH
r" j 800 SEMINOLE ROAD
J ="4 ATLANTIC BEACH, FL 32233
''''''t INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002337 Date 7/14/11
Property Address 741 SHERRY DR
Application type description DEMOLITION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
DEMO INTERIOR
Owner Contractor
TOLBERT GENESIS BUILDING CORP
741 SHERRY DRIVE 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -0320
Permit DEMOLITION PERMIT
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/10/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 104.00 104.00 .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: 1 3{''errq iri �� D Permit Number:
I � Lotrj
Legal Description2O'YS / b -25- 296- 51 r r ctcsc. J Parcel #
Floor Area of ' Sq.Ft. Sq.Ft
Valuation of Work $ Proposed Work heated /cooled ( 0 3 non- heated /cooled q
Class of Work (circle one): New Addition (Alteration ) Repair Move emoliti pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial �'Residentia
If an existing structure, is a fire sprinkler system installed? (Circle one): es o N /A
Florida Product Approval #
For multiple products use product approval form o N /y
Describe in detail the type of work to be performed: De,i1 /if-12 75 r,, GE11 Ri2i5E5555Ey
Propertye n � ;n QI , n I ff �ormmation:
Name? / '- of'O .J Ore-D, C /1. (/c. ,t � .. • Address: /4 lJ.Q 1,
City ..i_,..,. 0 > State CC-Zip 3 J 3 Phone 90 y- 2`//— x 7
E -Mail or Fax # (Optional)
Contractor Information:
Company Name:( ,'iQ5i.5 Ai6 b 3,4 &5(4 Cas-Nr'. t 'Quali in Agent: - (Xc(d 11 / C_p
Address:/ 5' re fi vr c. et City t, i State Zip 3 33
Office Phone G 0 - .L -0 _ - 0 Job Site/ Contact Number C 9 - 5 3 = / 60 Fax # ?`05/ ,2 V/ ( 33:2 (
State Certification/Registration # I. " /3,...c021 dL
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 laws regulating construction in this jurisdiction. This permit becomes null
and void of work is not commenced within six (6) months, or if construction or work is suspended or abandoned for apenod of six 6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo Heaters,
Tanks 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.
I 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
type of work will be complies wit ether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other Feder, , st ' • . 1. o l t , r:; i ti on c. o - : ' on or the performance of construction.
Signature of Owne 4 _.. . •••••• w ,
„j ` , Signature of Contractor ` _ ' 40
Print Name 0 Mr Print Name /a 0 W i e '
Sworn to and subscribed before me Sworn to and subscribed before me
this ± Day of .Su y , 20 / 1 this 1 Z- Day of Li)/(-1 , 20 (1'
11 A
Notary Public Nola ry Pu ��
Revised 01.26.10
WILLIAM L POPE
Notary Public, State of Florida
My comm. exp. Oct 19, 2011 WILLIAM L POPE
Comm. No. DD 714216 Notary Public, State of Florida
My comm. exp. Oct 19, 2011
Comm. No. DO 714216
Permit Number Tax Folio Number
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information is
provided in this Notice of Commencement.
•
1. Description of property (Address): L / f7 (� 0 V , %` C 1,
0 _ /S-- S- z 5 e■iy - /Cccri k/P
2. General description of improvement: 'l ;4 -6., (;Ad . e,N,
l c la
3. Owner information: �
1. Name and Address. :P rs i T6. ; d _AC :' _ - \_
2. Interest in property: ,:)
3. Name and address of fee simple titleholder (other than owner):
4. Contactor's name and address: 64,i1".„5/ 5 &,' Ic;C „ic� ( c � 9 1�`:,4 �)5c7 (_'c' ft) et as
a. Phone number: CCU ,-/ c// 03A.0
y
b. Fax number: 9 0 yc/ /;
,.?)k-i-P
5. Surety Information:
a. Naive and address:.
b. Phone Number:
c. Fax Number:
d. Amount of Bond:
6. :Lender's name and address:
a. Name and address:
b. Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other
documents maybe served as provided by 713.12(1)(a), Florida Statutes.
a. Name and address:
b. Phone number:
c. Fax number:
8. In addition to himself/herself, owner designates of
to receive a copy of the Lienor's Notice as provided in
Section 713.12(1)(b), Florida Statutes.
lb
9. Expiration date of Not' , of . 4 cement (the expiration date is one (1) year from the
date of Recording unl: : d r • j i t ' i' s• ' ed)
Signature of Owner: ft
Sworn to and subscribed before me this / e day of 5 v4 q, , 20 ( / .
Notary: /..- /c..- --...-
nawn y /ID shown: WILLIAM POPE
Notary Public, Stt ate of Florida
My commission expires: My comm. exp. Oct 19, 2011
Y p Comm. No DD 714218
Doc # 21.f11 152756 OR BK i5655 Page i2i1
Number Pages: 1
Recorded 07!1312011 at 02:33 PM
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
VVE HEREBY ,;,_r?i! ThfS DOCUMENT
TO BE A TRUE AND CORRECT COPYQs
•
TH IGINAL INSTRUMENT
BY.
ANSBACHER & SCHNEIDER, P,A,
This instrument prepared by:
Ansbacher & Schneider, P.A.
5150 Belfort Rd. South Bldg. 100
Jacksonville, FL 32256
•
When recorded return to:
Ansbacher & Schneider, P.A.
5150 Belfort Rd. South Bldg. 100
Jacksonville, FL 32256
WARRANTY DEED
IDENTIFICATION OF GRANTOR
Grantor's name and address is: Daniel Alien Colborn, a single person
770 Triton Road
Atlantic Beach, FL 32233
The word "I" or "me" as hereafter used means the Grantor.
IDENTIFICATION OF GRANTEE
Grantee's name and address is: Lindley Tolbert Design, Inc., a Florida Corporation
465 Beach Avenue
Atlantic Beach, FL 32233
Grantee's tax identification number is:
The word "you" as hereafter used means the Grantee.
MEANINGS OF TERMS
The terms "I," "me," or "you" shall be non - gender specific ((i) masculine, (ii) feminine, or (iii) neuter, such as
corporations, partnerships or trusts), singular or plural, as the context permits or requires, and include heirs,
personal representatives, successors or assigns where applicable and permitted.
DESCRIPTION OF REAL PROPERTY CONVEYED
Property hereby conveyed (the "Real Property") is described as follows:
Lot 5, SHERRY TERRACE, according to the plat thereof as recorded in Plat Book 20, Page 45, Public Records of
Duval County, Florida
together with all tenements (property capable of being held with unconditional power of disposition), hereditaments
(inheritable interest in property), easements (right to use land of another) and appurtenances (right used with land
for its benefit) belonging to or benefiting such property.
The Property Appraiser's Parcel Identification Number is 169947 -0000.
(1 10308. P F D/ 11030 8/40 )
CONSIDERATION
Good and valuable consideration plus the sum of Ten Dollars ($10.00) received by me from you.
CONVEYANCE OF REAL PROPERTY
For the consideration described above, I have granted, bargained and sold to you the Real Property to have and to
hold in fee simple (estate in property unlimited as to duration, disposition and descendability) forever.
WARRANTY
I fully warrant the title to the Real Property and will defend the same against the lawful claims of all persons
whomsoever except for covenants, reservations, restrictions and easements of record if any (which this instrument
shall not operate to reimpose) and taxes subsequent to year of execution hereof.
I have executed this instrument effective as on July 14, 2011.
Signed, sealed and delivered in the presence of:
( 004.3 1 (1101"" --..,
. Daniel Allen Colborn
•
04 1 ilk (1,3
• t e: M. Silver •
Prin ame: ,AEON TRAGE i
State of Florida
County of Duval
The foregoing instrument was acknowledged before me this 1 4tLa July by Daniel Allen Colbom, a
si .le person who has produced a Florida Driver License as iden.
rh e rit 01.&_■(--""
• , ry Public _ —
My Commission Expires: ''' -. ', f LMY o ut WR 8 6 1
(SEAL) „ta'� BondedTj� P ' 1a Ma
(110308. PFD/11 0308/40 )