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513 AQUATIC DR - INTERIOR REMODEL , %SyL�1r 6' ' s, CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD j - "-= X ATLANTIC BEACH, FL 32233 \ INSPECTION PHONE LINE 247-5814 . 0 il>r' RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-2572 Job Type: RESIDENTIAL ALTERATION Description: INTERIOR REMODEL - REPLACE DRYWALL Estimated Value: $500.00 Issue Date: 11/4/2015 Expiration Date: 5/2/2016 PROPERTY ADDRESS: Address: 513 AQUATIC DR RE Number: 171818-5316 PROPERTY OWNER: Name: ATNIP, DOLORES M Address: 513 AQUATIC DR GENERAL CONTRACTOR INFORMATION: Name: GREAT WHITE CONSTRUCTION INC Address: 4320 DEERWOOD TRAVIS SLAUGHTER Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $27.50 BUILDING PERMIT FEE $55.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $86.50 PERMIT IS APPROVED ONLY IN ACCORDANCE W1"1'II ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r\,�l\ �' ,_� CITY OF ATLANTIC BEACH '� ' = s v 800 SEMINOLE ROAD j`` — ATLANTIC BEACH,FL 32233 \ Vr /,3 R AA fZ --- 7z (904)247-5800 BUILDING DEPARTMENT REVIEW COMMENTS Date: 1 0/26/15 ,5 _1Z�4 _7-57Z, Permit: / - Applicant: Travis Slaughter Review: 1 Address: Site Address: 513 Aquatic Dr. Phone: RE#: Email: Correction Comments: This work includes structural wall framing, window installation, wall sheathing, possible electrical work, insulation, and possible other work and was done without a building permit or inspections. Please schedule a preliminary inspection,pursuant to FBC-B, Section 110.2,to determine the scope of work done before the permit was applied for and work necessary to complete the project. NOTE 1: No building permits will be issued until the above preliminary inspection is completed and no work is authorized until the permit is issued and posted on site. All unpermitted work must remain open for inspection,pursuant to FBC-B, Sections 110.1 and 110.6. NOTE 2: On October 20, 2014, Great White Construction, qualifying agent: Travis Slaughter, applied for Permit Number 14-DEMO-287 and did the work without paying for and posting the permit. $204.00 for Permit 14-DEMO-287 must be paid before any other permit will be issued. Pursuant to FBC-B, Section 105.1, no work should be started before a building permit is obtained. 014. v 154 DO t.A 0--c— k •--)i- ls\ ?*7 i4 14 - pc..14so - e.)? -T) ..% AA t ?,,,■•-D sr- cn ir.--b %.....21ric...4.-r-t.6, y pAA. _if-2„,0 4 .C3C) .j r\J`l j, �� � '" �s, CITY OF ATLANTIC BEACH c� l 800 SEMINOLE ROAD J �r ATLANTIC BEACH,FL 32233 (904)247-5800 }<4_0.29‘1... I S— RRAf - ZS7l BUILDING DEPARTMENT REVIEW COMMENTS Date: 10/26/15 Permit: Applicant: Travis Slaughter Review: 1 Address: Site Address: 513 Aquatic Dr. Phone: RE#: 1 S - R R A(-Z - Z57 Z. Email: Correction Comments: This work includes structural wall framing, window installation,wall sheathing, possible electrical work, insulation,and possible other work and was done without a building permit or inspections. Please schedule a preliminary inspection,pursuant to FBC-B, Section 110.2,to determine the scope of work done before the permit was applied for and work necessary to complete the project. NOTE 1: No building permits will be issued until the above preliminary inspection is completed and no work is authorized until the permit is issued and posted on site. All unpermitted work must remain open for inspection,pursuant to FBC-B, Sections 110.1 and 110.6. NOTE 2: On October 20,2014, Great White Construction,qualifying agent: Travis Slaughter,applied for Permit Number 14-DEMO-287 and did the work without paying for and posting the permit. $204.00 for Permit 14-DEMO-287 must be paid before any other permit will be issued. Pursuant to FBC-B, Section 105.1,no work should be started before a building permit is obtained. r. i /Z./15 f X... -- 1 ,; pec{ A61 cc o 4 - GI 3 --7004 ,o\, �,�� o ag q) �v BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: '')(3 ?o1r10.h1.L Or t 1 &Ct.c), 3,aa-33 Permit Number: Legal Description (q ut ctkl C l rd or,s LO to - B Parcel# loor Area of q.1-t. Sq.Ft Valuation of Work$ SOO , - Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repai Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential 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 Describe in detail the type of work to be performed: 3 pi.e c es of sh.e G t— , vcs rOCA( Property Owner Information: Name: V ljSe oesyv 1CO Address: S 13 Pt6tVCA -i c, D r City A.4-(co- rt C-- Gee. c. h State fZip 3a-a-33Phone (v 13 — 7oo4- E-Mail or Fax# (Optional) Contractor Information: Company Name: lJY',QGIA INonk}e Co v\skr ocil Oh Qualifying Agent:T t V\S 3 Vii-Pr Address:H 3ab Oe x Wcod ( G.v_e p -LAAI City ax State Zip 3 " t't O Office Phonec14 (e-11- 1 3-S Job Site/Contact Number itwAs Q?35%-lief" Fax# Fi4jz(e --1 Li(e -(et 0 State Certification/Registration# CC C \ e9.01 1 C-B a ( a.S t,a-t-t s Architect Name& Phone# Engineer's Name& Phone# o - •. .• @.• . . _• 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. I 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 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 work is commenced. /understand that separate permits must be secured for Electrical-Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, 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/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified red herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction.a....._...___ Signature of Owner / Signature of Contractor Print Name Remise mi.' i...c Q Print Name (tow\s st jG�1(� -ex- Sworn to and subscribed before me Sworn to and subscribed before me v is D-" Day of Q Cm b - - - - 'n'' _ _ , _ . this a3 Day of ik a Qit-r,_ _,`d''1 r` • � ""' ( '� ?o". ,,� ASHLEY RIDGEWAY 1 0 """' ,, ASHLEY RIDGEWAY ���; alir∎ ,�= c-State of Florida•! ' ,∎Ii 0". ,..tali..) . . • , ,ride aJ Notary Publ'' My Comm.Expires Jun 20,2017 ► Notary Public ( s.4 11.0 My Com xpires Jun 20,2017 ry a ' %. --.4 •o;or,,,, Corn ' sion # FF 29966 -',;E��.��. Commission X fF 29966 ■ — —- - R i4.4 L'4.-14-- Doc # 2015228952, OR BK 17325 Page 2286, Number Pages: 2, Recorded 10/06/2015 at 10:05 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 DEED DOC ST $710.50 4 - -d . .n• r- it Greenspoon Marder PA 525 Okeechobee Blvd,Suite 1570 West Palm Beach,Fl. 33401 File Number: FNMA-155130REO Property Identification Number Grantee's NameDenise Demico Property Address:513 Aquatic Dr. Atlantic Beach,FL 32233 (Space Above This Line For Recording Data) Special Warranty Deed This Special Warranty Deed made this 2n�ay of October,2015,between Fannie Mae a/k/a Federal National Mortgage Association whose post office address is: P.O. Box 650043, Dallas, Tx 75265-0043 , grantor, and Denise 7l aC. rie kW �� �c 1!1 -t-t_ o� ,grdantee: is (Whenever used herein the terms grantor and grantee include all the parties to this instrument and the heirs,legal representatives,and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate,lying and being in the Duval County,Florida,to-wit: Lot 26-B,Aquatic Gardens,according to the map or plat thereof,as recorded in Plat Book 38,Page(s)71,of the Public Records of Duval County,Florida. Parcel Identification Number: 171818-5316 Grantee herein shall be prohibited from conveying captioned property for a sales price of greater than$121,800.00 for a period of 3 months from the date of the recording of this deed.Grantee shall also be prohibited from encumbering subject property with a security interest in the principal amount of greater than$121,800.00 for a period of 3 months from the date of the recording of this deed.These restrictions shall run with the land and are not personal to grantee.This restriction shall terminate immediately upon conveyance at any foreclosure sale related to a mortgage or deed of trust. Subject to covenants, conditions, restrictions, limitations, easements and agreements of record, if any, taxes and assessments for the year 2015 and subsequent years, and to all applicable zoning ordinances and or restrictions and prohibitions imposed by governmental authorities,if any. Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold,the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons claiming by,through or under grantors. In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. Special Warranty Deed-Page I OR BK 17325 PAGE 2287 Signed,sealed and delivered in our presence: lit Fannie Mae a/k/a Federal National Mortgage Association ,/ organized and existing under the laws of the United' States of America Witness N.' e: `� .eAir By: Greenspoon Marder,PA,as Atto ey-in-Fact j6 )?film BY: 0—/ Ulr` Print Name ; t iL1I Witness Name: Ashley D'Alessandro Title:Attorney in fact for Fannie Mae as authorized signatory of Greenspoon Marder PA,pursuant to the Corporate Resolution recorded in the County Records State of Florida County of Palm Beach The foregoing instrument was acknowledged before me this Viet of (0 Cfb ,2015,by t'(y ) a. f Greenspoon Marder PA as Attorney-in-Fact for Fannie u ' • . ' • : •s eral National Mortgage Association existing under the laws of the United States of America. Who i• .ersonally know to me or who { }has/have produced a valid drivers license as identification. ,,ffill11llliliiii. / z,:... 4„4,-• ;t` pyk,.O ftr otary Public °'-c°' °,∎'': .r ( Ashley D'Alessandro "r '$ �,asap r: <c Printed Name: r a,., ,i ;� �� My Commission Expires: Ili Special Warranty Deed-Page 2 .� 1 e DATE(MMIDDIYYYY) ACC) 0 CERTIFICATE OF LIABILITY INSURANCE 9/22/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER , SUNZ Insurance Solutions, LLC ID: (Essential) CON NAME: Jennifer Hauger do Essential HR, Inc. dba First Star HR PHONE FAX 4455 LBJ Freeway, Suite 1080 (A/C.No.Extl: 972-404-0295 (ac.Nel: E-MAIL Dallas, TX 75244 ADDRESS: iennifer.hauger0,firststarhr.COm INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: SUNZ Insurance Company 34762 INSURED INSURER B: Aspen Re-London-Best Rating"A" Essential HR Inc FirstStar HR INSURER C: Catlin Syndicate-Lloyds-Best Rating"A" 4455 LBJ Freeway INSURER D: Brit Syndicate-Lloyds-Best Rating"A" Suite 1080 INSURER E: Dallas TX 75244 INSURER F: COVERAGES CERTIFICATE NUMBER: 26512432 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MDD/YYYYI (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Eaoccurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE UABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS HIRED AUTOS NON-OWNED N PROPERTY DAMAGE $ (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTIONS $ A WORKERS COMPENSATION WCPE00000184 03 10/1/2015 10/1/2016 s/ STATUTE I OTH- ER AND EMPLOYERS'LIABILITY YIN WCPE00000184 02 10/1/2014 10/1/2015 ANY PROPRIETOR/PARTNER/EXECUTIVE n N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 B Workers Compensation This is for informational purposes C Excess Coverage and nothing shall create any right D under such reinsurance. DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Coverage provided for all leased employees but not subcontractors of:GREAT WHITE CONSTRUCTION INC.4320 DEERWOOD LAKE PARKWAY#403 Effective date: 10/1/2013 CERTIFICATE HOLDER CANCELLATION 60700008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Atlantic Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 800 Seminole Road ACCORDANCE WITH THE POLICY PROVISIONS. Atlantic Beach FL 32233 AUTHORIZED REPRESENTATIVE '////���//J 4 1 Glen J Distefano ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 26512432 I 1 Master Certificate 1 Todd Trowbridge 1 9/22/2015 9:40:07 AM (CDT) 1 Page 1 of 1