331 Seminole Rd safety elec 2013 CITY OF ATLANTIC BEACH
sty
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r 1119)
Application Number . . . . 13-00002966 Date 6/27/13
Property Address . . . . . . 331 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY INSPECTION
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Owner Contractor
-
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SYNAN, TRACY SILVER STRAND ELEC INC
1875 BEACH AVE 249 MYRA ST
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 422-4200
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc .
Permit Fee 90 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 12/24/13
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Other Fees .
. STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited ----Due---
----------------- ---------- ---------- -----
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: Aryl i 1Vdf. M A.0 UI PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
FJ Residential(Main) Service
0 0-100 amps 0101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool ❑ Sign 0 Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can afety Inspection ❑Panel Change ❑OH to UG
OOther:
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. 1%
Property Owners Name. l r"q SQ X lAN Phone Number �Q
Electrical Company J tj�lt�f' S"C�Np E-kecTr(C 1:KC Office Phone �-�y" rax
Cit KfhUae VState�Zip&A6
Co.Address: � y
License Holder(Print): 6 e State Certification/Registration# 39
Notarized Signature of License Holder
Beforeme s d 20—L�–
Signature of Notary Pub
�Q - 7 -!�
27-JUN-2013 13:13 From:Ponte Uedra Title 9842805510 To:92475845 Page:3,5
A, Settlement Statement U.S.Department of Housing OMB No.1502-0205
and Urban Development
B.Type of Lean
1. O MIA 2. ❑ Ire fA 3. d Con nins Pilo Number 7,l pAn NomBU 8,Mortgage les Crit Numbcr
a. ❑ vA 5. ❑ Cmnv Ins. 6.❑ SeBet vitt 30591
C.Nate: This fnrm is fumtshed to give ytru a state ni Of 3QUAl�tkmcm costs. AMOUht.%paid to ant by ihC selllCtttenl agcnl are xh(w7l. l(cons mafkul
" .v.c."w7:rc id Ulsidc rht ukui -tit arc shown haft for inform n91 purrow and am included in the totals.
E).Name&Address of FtWtawcr C.Ng R dmA or Seller F.Name&Address of Moor
Tracy 5yoao,a married woman I sor(fa Croy 'air Uk/a Sonja Groes,a
1075 Fkach BFcd, marr4ttl roam
Athritie Bcaeh,ri,32233 2540 White 110IM L
Jackso am alit t. .32246
G.1'mpeuy mention tf.Settlement Agee Maitre
Ponta vedra Title,LLC
SSltnir$ection Na.2.IA(280,Dural County 50 A to North,Suitt 105
331 Scretieole Road Ponte Vtdrs Fleach.Fl,32082 Tax FD;59•3679036
Atlantic Beach,Fl,322,13 Unda-Tineo By:Otieigo Title
FN4a of Settlement i.'kulement D-11C
Poole Vtdra Title,LLC 6(26(2013
50 A1A North,SOftc 108 I-Upd;
lbote Vcdro Beach,F1,32052
J,Sumagry of Borrower's Transaction K.Summary of Seller's TrawAcO6n
Groins Arnnaat Out from 11101" 400,Gras;Amouot flat:to Seller
101.Co $65,200,09 401,Contract Safem Iki4v S6H 00.00
102, Prm;naf Pro d02. Persotatl P rlv
101. ScttkmoniCha tobomtwcr $20826.41 403,
104. 404.
105, 405.
A 'ustmcrits for tterm paid by Seller IR advance Ad O%OWau for itraru Paid by seller in advance
1(k,. Hood INvmrKz 406. Flood Insmmw
107,Countx EEPLrLy taxes 407. ('puny promoy taxes
IOR.COD-nits 4nR, MDTSxec
104). HOA Dues 409. I(DA F)uc%
110.Othcr bn xcs 410. Odw(Ates
M.(- 411,
112. 412,
113. 413.
114, 414,
115. 4l$.
l lf, klf++
120.Gram Ammarg but From Borrower $89,026.41 42Q.Cross Amount Out to Seller 568,200.00
200.Alrt0oa16 Paid By Or to Behalf Or Borrower 500.Redactions to Arobunt Due to Semi
'-01, A;fxrsit or earned money Sl.l1fM7-00 501. Ex4ess pgwttil
202. Prinei alamoumorntwluao(x) 502 SenkrtkntCharestOSeller Iinrt4001 $6,461,55
201. Vxiraio ltd s taken sub act to 503, Kiivi Laan(s)TAkn Sob-ecl to
204. (,vuo Amount 2m1 lien 504. Payoff of rrR rnorigge loan $48.673.54
205. 505. Patynn'of second mvtt a e loan $61M.73
2061. 506. Coop Rclocartioa Ireenfivc ro:xlkr 5,2.500.00
207. 507, ylN loccntlive m$eller $719-99
208 50.3. MN(WrItivc to Rest-rirMc 2nd MI . $2,385.27
2M 509.
Ad-uxlmtnts for Item ua nid h seller Arljustwuts for itemm unpaid tZ seller
210. MMvj irrsamnce 510, Fkwd InFunmeo
211.Countz emrtytaxes O1/(11/llthrot76,2.5/11 $1,340.92 511. County rt�Inxes 01/01/11lbru06/25114 $1.3+4,92
212. CW Taxes $12. CDD TaxL,
213. 1IOA Dues 513. HOA Dues
210. Other taxa Sid. Other iemes
315. 515.
2l6, ,516.
217. 517.
218.
219. 514.
220.To!A1 raid FtlF or Bnrr war $2,344.92 S2¢Total Reduction Amount fX*Seller $692M M1
300.(:ash M Settlement FromiTo Borrower 600.CMib A(Scttlrmtnt To/From$efitr
.101.Gross Amount due from bofrowcr(line 120) 559,026-41 601.Oros%Amount due to%clkr lint 420)
$6R,2Ut1.00
102.lAss xmoums aid by/foo bofrower(line 220) 52}44.92 602.Lcss reductions in ami.duc sedcr(line 5211) 568,2(10.00
303,Cash From Ilnrtower $86.681.49 603.Cash Seller $0.00
tiGClilin 5 of rhe Scat P:ctale 'Senkm m PAKedures Ael(R(MPA)1.9-s the ScuiWn 4(4)of tt0,5PA msudata thvt FUD tkvelop a J praeitt rhfs erandard
fnllmvisf; "HUD mirst 410p x Spe tial Information Murklet to help persons kvm in he aced at the time of loan settlea4:nt to pnrvide full ditclosam of d1 r:h:M.
tmnnwing money to finance the purchase of rcxidcntlal real gsmc to txttet impnred aix h the borrower And:eller. rhes arc third pany kN.%clewrgc the aro
und;r;tand the nowre and coats of real cmate."eltiemem wtmmt: designed M prnvidc the borrower milh penlncni information dr,inF the soolement
"Faeh 1-0cr muci prnvidc rho buultlet to kit;applicant%firm whom it tcceive4 o,for PAW.Ac io order ui he a hatler shvpper.
whom it prepSrs%a written applicmion it)borrow money to Prance the purchase of The Publie RePotlin8 HuNcn for thts%vutdimi of inf.x,nation is emimmQ4 Io
teidemini rayl caiNr. "lewk must prepan:and dklribure with the Booklet a eratec nrre lour per rcspoase,ineluding the time For tevtewios lnciruction%
Gail Faith Wmate of the retiktrrem come chat The h maw-k,ukety r.,j.,in ;`•areiai-F cxfmiaa t41a"nonan,gObtrin8 Sad m:riYOWn(t rhe data needed,and
cnnrrrcuoa a34b the sctd-KnL Thea dkdo..vres art maneiutory. cumpfesfne and ruvkwing.Ow cvlleaton of information.
This agency miry cot WTI=]his inforttration,and y0v arc not rapimd 10 compicic
this form,unlc%s it displays a carrcotly.ralid OMO ra,wrot namrcr.
ThC io[orraalinn rc0urcicd dOM not lend itcdf to conftdenujilAy. _
Ptevim Edition%arc Obsolete Page i ham 11UD-1(3/8(,)
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