436 Beach Ave Demo 2012 I Ob\j,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
19
Application Number . . . . . 12-00001505 Date 10/24/12
Property Address . . . . . . 436 BEACH AVE
Application type description DEMOLITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
Demo existing house
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Owner Contractor
------------------------ ------------------------
TOLBERT LINDLEY DESIGNS BOSCO BUILDING CONTRACTORS
465 BEACH AVE 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
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Permit DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/22/13
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Special Notes and Comments
Roll off container company must be on City approved list
and container cannot be placed on City Right-of-Way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management. )
Full erosion control measures must be installed and
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection prior to start of
construction.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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.
CITY OF ATLANTIC BEACH
DEMOLITIQN PERMIT APPLICATION
-05-2012
Date: 10
Job Address: iv%F Atlantic Beach
Owner of Property:
Address: ka- Bma-,"it, tt!x-e X� '�Z-Z-75 Telephone: V Z
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: Realco Recycling Coffpany, Inc. State License Number: CGC55166
Contractor's Address: 8707 Sorrers Road, Jacksonville, Florida 32226
Telephone: 904-757-7311 Fax: 904-751-6611
Describe proposed use and work to be done: Lza--t�
Present use of land or building(s):
Is approval of Homeowner's Association or other private entity required?�L If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees?
,0-�O. Applicant certifies that no change in site grade or rill material will be used on this project.
YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
NO. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In,order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Attach Tree Removal Application if trees are to be removed or relocated.
I hereby certify that all inform6tion provided wi this ap correct.
Signature of Owner: Date:
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type 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 provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
D-1 . A 11111-AZAAIZ
Telephone: (904)247-5800 -Fax: (904)247-5845 http://www.ci.atiantic-beach.fl.us
Page I Revised 1/14/03
Signature of Contractor: Date:
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: C-7c, 3062 S3
mailing Address: ,? 000 i - 4---
Telephone: CIO Lf Fax: qQq—ON/—0-3.46 E-Mail!
AS TO OWNER:
Sworn to and subscribed before me this day of 604—& 7 20
State of Florida,County of Duval A
Notary's Signature: JA0
MARIA PIMIENTA --11 Ur
Notaty Public-Stag of Florift
MY Comm.Expires Jan 26.2015 Ur'P-ersonally known
CO"sslon 0 EE 5 9NMN Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
MARIA PIMIENTA M--Personally known
oy
NotarY Public-State of FlorWs Produced identification
My Comm.Expires Jan 26.2015 Type of identification produced
Corntifission 0 EE 5908o
800 Seminole Road -Atlantic Beach, Florida 32233-5445
Page 2 Telephone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/14/03
31l Ai
A- Settlement Statement (HUD-1)
B.Type of *an
rHA 2 It Fill
j
UNIMS U-N." c—
cc., 12A241
C�fill This lonri is Vnishel Ill,gi
you a IL"i of 00i Aff—Pad to andbythatediel
fil"a*si'voc"he,W,rdornsitil pmp-es and are m it"del in he j". Nel jj_p.Aw c)._.,,W,,A
i L M—a Add, es
linall&=gn Ernest L Russell Jr.,Trustee Of the Julia K.
465 Beach Avenue
Russell Uving Trust
jaCksonvits,%"W 32233 460 Ocean Blvd.
Jackwitiville,Rodue 3=
N7(r=lBhd
Atlantic Beach.Florida 32233 Kelth Wets L
on Tide Services,Inc. DCVJer Z 2M
Duval County,Florida 1326 Thiro St South Suite 2
Jacksonville Beach,Florida 322�
(904)Z73 7OD9 tax:(qD4)425.3227
Karl Watson Title Services,Inc-
1326 Third St South Suile 2
Jacksonville Beach,Florida 32250
Phone:(904)Z73-7009
Summary of Buyer's Transaction 11L &-"-Y Of Sellers Transaction
11011,11111ii oil f ..
. rom .. ......
101. tract Sobs iiii'llitill lilli 5�;To War..
750,00(). 401.
Pe.
Personal Poop" _1l�ajes rrice
W4. ersonal P __�100�000
_Z103.
A or 1!110"f%MbY.Iglw,*in A 7 d �Nid S�aWl Ad.—.
,cls,antiss-'- ,
'"ital
1=06. /Town jams for Mum Paid In
T-
7. sins. Ay I
_10
'05� 407 m* Pa Ish Taxe—s ---
Idur. o"Anno
urd Due or: MOD
'200.-;Anml Pow
..........
21 or Earnest Mona -U&fAD S~.:
2M Prini I Amount of New .00
enneWCta: lCiSellistri)e140 ?290,000.00
21 Jill L011l taken 51 ibilect to J. Will I roes 6T 7.M4A5
LOal Men 3ubject to
M. OV4. I'a off of First Viongage Loan to Bank of America —
2D6. 5. Pa off 1`410rua 4493934
I. U 7 rurcrlase Morgymorloal
210. Town T Ad �11111san,VnprAd by SaIller
11. Parish 510. Ci /Town Taxes
2012 5 56.73 5111. C
/Parish Taxes Jan 1,2012 thru Oct 1.20_L2_ 5,55673
a 12- Assessments
j otal PM )V I for Buyer: Wl--
:&L fromito �77 711
3D;. UMi A due I - r( I.ine kl-;Io
rill
12D
is"cill.
Qr
301 Cash Fmm Buyer: Mill Gli Cash To Saner. SM,299.08
The Pui ReporUig Burden for this roliecoon of intormation is estimated at 35 minutes per response to(collecting,reviev, a
This agency rnay not collect this informatiol and you are not required b oc)mplete this form,unless 0 cis i nd'ecortrigthe data.
confidentiality is assured;this disclosure is mandatory. plays a currenily valid 011 control number.No
Itne settlement pmcess. This Is designed to provide the parties to a RESPA covered transaction wth information during
P—agel of 4 HUD-1
Di 2.a�'2 10:35 Am
Settlement Date.OMber 2,2012 F,ie'Jumeer.1,2A241
-IT------—�- qEO 12A241
706- Total Sales�SiWe-r'v�offm-%90n-, P'11�from pw—f,,,
— Division 91 Coffwg
.Jkl-700) .f*xQw a. O.Ye"$; Sellers
7,12. �:unds 31 Fu"ds it
70�). C��j-iisii6n—P Setifouer" Setilerrienj
er�abl"i�6;W,�t-lon With Lo&rL-
801
$D.00
.--YOui-
7�- =Fee Originelion cl qpS
-,,Qa (from GFN-01�1))
-805. Credit%
80k TaxSerAci------
807. Flood
P*d—InAdai
11 me R ir-d Len
90 "all '--I dkvw from OEQ:�—�12 - Wort,
2- Mort �'—Ina,rance P_M" 010
ne"
1�92�02�3.�Homeown8r'$Insuran tmm FE f3
A000i:-, ce
Tow*-"WLWKkr- fromm GFE#11)
-io-01. 1,30alue for your
p8a,0�
1002 Hom
'---'7'e I - �Iro�MGF
-E 19)
e
- 10 Keith Watsm Title Service, kx. —iffOM UVE#4)
N
1103 360.00
!2 KOlth VV41tsc)n Tide Services w,
--3 1 Me Insurance(�m fi�Fx-b�NW-.W
Lendees Premitmn TIIe I---�Cnpr�—) 3,825.00
1105. Lender,3T-.lJGp,
22-1 it's PolcV Umit
TI fq!q Limit .50.000.W-
110i Mr's
plmnrs Pq p
Vnclerwriter-S p Rxn
arr 2 me I 9tal I me hmmm 677.50
1 147-M
Rep!L Nallowl Title I trM Cornpany
.-,.y
ID Angbacher Ider,RA 100.00
199. GCI.R4bea2!--
200.: �R .00
2D,,. t 4w 250.00
emment -UI7.15
nma
m bl-t:#7 -TOTOC
1203. TransferTaixie-3 .00 .00-
1204. C1 u 77�lii il ill i5i: from 6 E 111a 20.00.
-- —tawsan ---
1206 Inta. Jbl-T- wrtuacie$0.00
12D7. r Tax 2
to of Trint
to 0-1,m II.- from GFE
es that
--�WE�#6 ---
bD��hvNlht Land Sum
.. ........
.... ...........
........... --------------------------------- 250.00
7=7'.
714QO..:Totgj Settii��
bitili
J Ind
Hite 562� K):::
............
Page 2 Ct 4 Ht Ml.i
Ouct,Dr 2. 10:-,�AM
Set1t)fnent:)aia:Dctober 2,2,Ui2 FO Numter.'2A,141
CLO REP 2me.I
UD ar
Charges That Cannot Increase
HUD Une No. HUD
ES*Mt
(>ur onr,25on Shaige
Yourcr��Cha ei Is tor- cific into es'.rate chosen .1 —0.0-0j
ina-an cte!g2s --r-6.66
Your a $802 00,
__yknsle,taxes L�--JE3
$1203 O.Do
Ch-W.T.In. I To*tRI Cannot f-clefise Mom The.1"� —14uo-U-n-e—N�.. G=Falth
HUD
-corJ12U Charges Mate
#1201 0.00 10.00
7777777777�7 7 ToW
10.00
—between GFE and HUD Chfirgelf; IU.Uo 100.00%
ho CM-Chan"
jfUD tj_Wo GoodTi*
Lim
Inteal dep-It For YOU escrow acwjnt
#1001
P3Ik1qF-%9—Ch5WNnOc1 2.2012 �21
901 0.00
Loan Terffn
Your initivill*an anfowl��-
loun Winn I*
VGA
re
%
TOM folittill InoWthly armin- -�—1 —
Aowcd for Inc UC14.
any,n*ftaWjnWjr,n,j lie::: q:
X Prtnc"
X Interest
In.?— X 4N!q-nDNtLrt&---
D� Yes.t Can rise jTa Mad.Urn of
on
and can change again every—after Every
change date.your enietest nile can increese of decrease
bV Over the Ile of
the loan,your interest(W IS W0111011I to never be LOWER than
or
HIGHER thart %. i
JW b.ano. 7—7j.— ---
No.[ Fq;;.I Z�n nse ,,,u of S
:I!vm N Wait.—p.Vao,*
"n YOM I X)No- f Yes.the—fiWWWWse can be-on—Md the Mirthly amount
aM0Ulnt?w0dJkW 'A'40:: 0WVd M fte to$
how The nwiffun it Can ever fte to Is
-j*MsIty7
Po-_WW x NO. urn pfelpaymeni penefty is
r k-, X No.
y
es Ou D16100h Payment V due In
on years
Total mon of".
I X I You do not have a monthly escrow payment for s,such�1311DMrly�flms-�ind
P"r" horheowners inswance.YOU MUSI PAY theN Items directly yWrW,
f
I You have an a"ttonai monthly escrow payment of reSLAts In a
total'WIN--#y&MOMI 01 Of$--This ift*xles prindpW.interest,
any Mortgagpe Insurance and any rt"S checked below.
..........- Property taxes
Flood Insurance
-J±Mtw�o—wneefts�insura-nce
Note:It ycxj have any qesfjO,,S about ft SOtWmrd Charges and Loan Temvs Itstect on fli,form,please contact your lender.
9 edtions are cbsole*.e Page 3 of 4 f-UC-1
2C 12 113�29 AMI
.0 . City of Atlantic Beach C?_r'C!9f WD.
APPLICATION NUMBER
Building Department OCT 15 20127 (To be assigned by the Building Department)
3, 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)24.-.46
E-mail: building-dept@?coab.us Date routed:
City web-site: http:/twww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review re4uired Yes No
--i , Building
Applicant: t7�p(
'�v CA3 f'14 0-VC-Uln V"el r Planning&zoning
Tree Administrator
Project: av Public Works
Public Utilities
ty
�s
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
I 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: [:JApproved. XDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date: 0
TREE ADMIN_ Second Review: [YApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: ate:
FIRE SERVICES Third Review: DApproved as revised. ElDenied.
Comments:
Reviewed by: Date:
fzevised 07127/10