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1860 Francis Ave 2013 Door C, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 W1 Application Number . . . . . 13-00002588 Date 5/06/13 Property Address . . . . . . 1860 FRANCIS AVE Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200 ---------------------- ----------------------------------------------------- Application desc REPLACE EXTERIOR DOOR ----------------------------------------------------- Owner Contractor ------------------------ ------------------------ HENDERSON, DARREN AND KIMBERLY VARIETY CONTRACTING LLC 1735 HOPKINS CREEK LN 364 W 3RD ST NEPTUNE BEACH FL 32266 ATLANTIC BEACH FL ATLANTIC BEACH FL 32233 (904) 568-4976 -- ------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc - - 55 . 00 Plan Check Fee 27 . 50 Permit Fee . . . . Valuation . . . . 200 Issue Date . . . . Expiration Date . . 11/02/13 ----------------------- -------------------------------------------- ------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE To THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ------ - -------- ---------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 - 00 55 - 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 86 . 50 86 . 50 . 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: I fS(00_ F PermitNumber: ir 1 9k_r dw T rt tj 49 07 n e_,- Legal Description '�s -14 17- .15 -2 1 IF Danew-r !S/D Parcel N Floor Area of Sq.Ft. Sq'Ft Valuation of Work Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration (KQpai Move Demolition pooUspa window/door Use of existing/proposed (circle one): Commercial yle S i structure(s) 6 7ia;i! If an existing structure,is a fire sprinkler system installed9 (Circle.one): Yes N N/A Florida Product Approval 4 1�), 7 to q -- I For multiple products use product approval torm Describe in detail the type of work to be performed: r?-e4 OLC-C- f-CC:T (-Xke-I . C:Pr Apor �Xf3cOwtiv Property Owner Information: Cre,-_I�._ LcAe- Name:_�)C,ffe-l\ VkeAA4irSor\ Address: 1 -7 'SS- 00o'ns city N rt- - L —StatefELZip 32_-L(A& Phone '104 -,@L4 I -903t E-Mail or Fax#(Optional Contractor Information: Company Name: 1� Qualifying A�ent: A4 Zip Address: _264,'emf�g 4 -City- —State Fqy Office Phon Job Sit State Certification/Registration 0 Architect Name&Phone# JAMMOT 03MOU WVT-,OF-F " C,C Engineer's Name&Phone# C1 IYUF ATLANTIC B Fee Simple Title Holder Name and ddress— ERMITS FOR ADDMONAL Bonding Company Name and Address UIREMENIZ5 AND CONDI Mortgage Lender Name and Address n 011-P PRIMINzon has commencedprior to the this jurisdiction. This permit becomes null a eriod ofsixP6)months at any time after Wells,Pools, �urnaces,Boilers,Heaters, Tanks andAir 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this Vlwork will be coTplied with whether s cifi'ed herein or not. The granting ofapermit does not*presume to give authority to violate or cancel the provisions of any otherfederal,state, or local regulating construction or the pe�fbrmance of constru C D 2 6 Signature of Owner Signature of Con ractor PrintName ...................................... Print Name __DartsA . .................... ............................................ .................................................. Befor Bef 20 I-S t t hi Day 2 0 thiso;PmDay of x 0�� Notary u c SHIRLEY L GRAHAM UUM; V MY OOMMISSION#DD 957760 EXPIRES:Fgbruary 14,2014 JENNffRwNjVevise( 0.24.12 Bwded Thru Public Uriderwriters MYCMUSSMIFF01480 EXPIRE&Ald 24.2017 &"W Thfu N*q POW Ur4embil SALE CONTRACT - FLORIDA ;zz-r7PEEN REE SERVICING LLG CASH SALE FILE CUr y This Sale Contract made this__L2 th o 201 between KimberIv F Henderqnn Married & Darren E Her hereinafter referred to as "Buyer", whose address is_1735 Hopkins Creek Lane, Neptune Beach, FL, 32266 and GREEN TREE SERVICING LLC, a Del�\_�are-5mited liability company, having its principal office at 1100 Landmark Towers, 345 St. Peter Street, St. Paul, MN 55102, and its loc,61 place of business at Jacksonville hereinafter referreFto as_"Seller." WITNESSETH: In consideration of the payment by Buyer to Seller of the sum hereinafter set forth,! payable as hereinafter set forth, Buyer and Seller hereby agree as follows: 1. Description of Property, Seller agrees to sell and Buyer agrees to purchase, upon and subject to the terms and conditions set forth herein and in Exhibits "A", "E" and "F", as applicable, and "D", each 6'f which is executed in conjuction herewith, attached hereto and made part hereof as if fully rewritten herein Seller's inte4st in the real property and house in DUVAL County, Florida, located at 1860 FRAN61S ST, ATLAN,TIC BEACH, FL (the"Property")and i more fully described as follows: Please see Legal Description attached hereto. 2. Additional Materials and/or Labor. Seller, through Seller's choice of contract6r(s), [circle one]:(will) (will not) provide additional materials and/or labor in conjunction with the sale of the Property. If so, such additional materials an/or labor is/are described on the said Exhibit "A" which, if applicable, is also executed in �onjunction herewith and hereby made a part of this contract. Further, if Exhibit"A" is made a part of this contract, then tije disclosures attached hereto as Exhibit"E" are also made a part of this contract. i 3. Price of Property: PaVment Arrangement. Buyer shall pay as the purchase price for the Property, the sum of $ 60,000.00 1 payable in cash or certified check as follows[select one]: (a) Deposit of $ upon execution of this contract and the remaining unpaid balance of$ 60,000.00 upon either delivery by Seller to Buyer of 'a deed, or upon completion of the contract(whichever is applicable); or (b) Payment in full upon delivery by Seller to buyer of a deed, or upon complebon of the contract (whichever is applicable). 4. Evidence of.Ownership Upon Final Pavment: Deed. In the event Buyer is purchLing both the house and the real property upon which it is located, upon receipt of the purchase price, Seller will transfer it's interest in the Property to Buyer by quit claim deed on a form provided by Seller. 5. Performance and_P�isqbgr a Buyer's acceptance of the deed a6d possession by Buyer shall be deemed to be a full performance and discharge of every agreement and obligation of Seller herein contained or expressed. 6. Termination of Contract, Retention of Deposit as Liquidated Damages. If Buyer!shall fail to make payment in full when due this contract may be voided and terminated by Seller, at its option, and all de�osits made hereunder by Buyer shall be retained by Seller as liquidated darnages. The parties acknowledge that the aniount of such deposits is a good faith pre-estimate of the damages which Seller would suffer upon non-payment, that it is impossible to determine more precisely in advance the actual damages which Seller would suffer in such instance, and ithat the retention of the deposits is intended as full and complete liquidated damages and not as a penalty. 7. Payment of Taxes. Unless otherwise agreed upon in writing between the parties' herein, as shown on Exhibit "A" I hereto, if Buyer is purchasing from Seller both the real property and hcuse located there6n, Buyer assumes responsibility I for payment of any delinquent and/or current real property taxes, special assessments an,d/or homeowners assessments, if anV. IF THE PROPERTY IR I C)r.ATP:n i�,i A P9:iZ1n=K1-r1 A 1 01 1 r3r-NII/I L'O^k 1 -1 kw� lr� BUYER SHOULD NOT RELY ON SELLER'S CURRENT PROPERTY TAXES AS THE AMOUNT OF PROPERTY TAXES THAT BUYER MAY BE OBLIGATED TO PAY IN THE YEARS SUBSEQUENT TO PURCHASE. A CHANGE OF OWNERSHIP OR PROERTY IMPROVEMENTS TRIGGERS REASSESSMENTS OF THE PROPERTY THAT COULD RESULT IN HIGHER PROPERTY TAXES. IF YOU HAVE A�Y QUESTIONS CONCERNING VALUATION, CONTACT THE COUNTY PROPERTY APPRAISER'S OFFICE FOR INFORMATION. BUYER SHOULD NOT EXECUTE THIS CONTRACT UNTIL BUYER HA I S URE SUMMARY REQUIRED BY SECTION 689.261, FLORIDA STATUTES. NOTICE TO BUYER cupy A. DO NOT SIGN THIS BEFORE YOU READ IT OR IF IT CONTAINS ANY BLAW4�� 71 ZrTrrw'� B. YOU ARE ENTITLED TO AN EXACT COPY OF THE CONTRACT YOU SIGN.. KEE-PIR6 PRdTL1:!= LEGAL RIGHTS. IN WITN SS WHEREOF, Buyer and Seller have hereunto set their hands and seals,: the Buyer on the ay '2:, of ' 20 and Seller on the----day of.,---.-- _' 20 BUYER ACKNOWLEDGES THAT BUYER RECEIVED A COPY OF THIS AG EEMENT AND THAT BEFORE SIGNING THE SAME, THE CONTRACT CONTAINED THE ENTIRE TERMS AND ALL BLANK SPACES HAD BEEN FILLED IN PRIOR TO THE SIGNING OF THE SAME. Signature Witneped By: BUYER: Printed Name: HA Lfe, Z3�r—h,%I,` Printed Na?ne�Kim�berlCv F�H,enderson Printed Name.'- Printed Name: L?9 e,,k a T Wf4%Lb:�4 Printed Name: Darren E Henderson Printed Name: A Y,J,�r, T_ CTV C k tQ r--F— As to Buyer Signature Witnessed By: SELLER: GR TREE N ��R I G LLC Printed Name: Ziff Printed Name: Title: \j PrintedName: ( 'ar\n1tj0 ,Q V As to Seller BUYER'S RIGHT TO CANCEL IF THIS IS A HOME SOLICITATION SALE, AND IF YOU DO NOT WANT THE!GOODS AND SERVICES, YOU MAY CANCEL THIS AGREEMENT BY PROVIDING WRITTEN NOTICE TO THE SELLER IN PERSON, BY TELEGRAPH, OR BY MAIL. THIS NOTICE MUST INDICATE THAT YOU DO NOT WANT THE GOODS OR SERVICES AND MUST BE DELIVERED OR POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER YOU SIGN THIS AGREEMENT. IF YOU CANCEL THIS AGREEMENT, THE SELLER MAYI�NOT KEEP ALL OR PART OF ANY CASH DOWN PAYMENT.SEE ALSO THE ATTACHED NOTICE OF CANCELLATION FORM. .INSURED OLD DOMINION INSURANCE COMPANY 4601 Touchton Road East, Ste.3300 FILE CU y P.O. Box 16100, Jacksonville, FL 32245-6100 Telephone: 1-904-642-3000/ 1-800-226-0875 LF1 L P 11 Wan CONTRACTORS POLICY DECLARATIO Named Insured and Mailing Address THOMAS E GIBSON DBA Policy Number: MPG79857 VARIETY CONTRACTING Account Number: CACG79857 364 W 3RD ST ATLANTIC BEACH, FL 32233 Agent: TO INSURANCE INC Producer Code: 0 9 0 16 0 0 0 3 AGENT PHONE 904 855 0744 0 POLICYHOLDER INFORMATION Named Insureds Business: CARPENTRY HOC Entity: INDIVIDUAL Policy Term: 12 (12:01 A.M. Standard Time at the address Effective: 06/21/12 Expiration: 06/21/13 of the Named Insured stated above) In return for the payment of the premium and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. See the attached schedules for Description of Premises, Property Coverage, Optional Coverages, Forms and Endorsements applying to this policy and Mortgagee Schedule if applicable. BUSINESSOWNERS LIABILITY COVERAGE LIMITS OF INSURANCE Liability & Medical Expenses - each occurrence 11000 , 000 Personal and Advertising Injury Limit 11000 , 000 Prod u cts-Com pl eted Operations Aggregate Limit 2, 000 , 000 General Aggregate Limit 2 , 000 , 000 Fire Legal Liability - any one fire or explosion 500 , 000 Medical Expense Limit - per person 10 , 000 Business Liability and Medical Expense: Except for Fire Legal Liability, each paid claim for the above cover- ages reduces the amount of insurance we provide during the applicable annual period. Please refer to section DA. of the Businessowners Liability Coverage Form. For policies subject to premium audit: Annual Audit Applies. Estimated Annual Premium: 674 FL RECOUPMENT : 13. 20 TOTAL PREMIUM AND CHARGES 687 . 20 Countersigned: By: _j /124REN 64-5470(7/07) 04/ /1 EWAL TM FFILE COPY � Ef 1 . AC# G2qlC:, S3lz' STATE OF FLORIDA �RTMENT OF BUSINESS AND DEPI' PROFESSIONAL REGULATION C13C1258005 08/22/12 1200831377,�-` CERTIFIED BUILDING CONTRAC GIBSON, THOMAS E C VARIETY C WXRA 0 89 S CERTIkED I L12082202098 gmpiratiou date- A' 3 1 City of Atlantic Beach c be assigned, by Vne R_ 0 Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us .:i�v Date routed: ............. Cityweb-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING. FORM Property Address: DQ=rtment review required S _No ,,�'—Building Applicant: Planning &Zoning Tree Administrator Project: e�v Y-V il� Public Works —lee Public Utilities Public Safety Fire Services 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 DDilher: APPLICATION STATUS Reviewing Department First Review: FjApproved. ETD/enied. (Circle one.) Comments: eds. 6� �/I C o�szj (/V 4 40 PLANNING&ZONING /Reviewed by: Date: TREEADMIN. SeconVeFf d as revised. F]DenieW PUBLIC WORKS Comm PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: RApproved as revised. RDenied. Comments: Reviewed by: Date: Revised 07127110