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1370 Camelia St Certificate of Occupancy # CERTIFICATE OF OCCUPANCY PERMANENT Issue Date: 11/0212016 RE Number: 171050-0215 Address: 1370 CAMELIA ST Zoning: RS-2 Owner: PATRICK GLEBER INC Contractor: BUILDING UNLIMITED ROOFING & SOLAR (954) 235-8307 Application 16-SFR-1041 Number: Description of NEW HOME Work: Construction Type: V B Occupancy Type: R-3 Approved: 0—ju 0,f"-,W ru �L Oan �V- /, Y,�10"\ Building Offi�/ial VOID UNLESS SIGNED BY BUILDING OFFICIAL Doc # 2016220723, OR HK 17719 Page 155, Number Pages: 2, Recorded 09/23/2016 at 08:14 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COuNTy RECORDING $18.50 DEED DOC ST $651.00 OFFICE COPY P,qmmd by and town,0 Emily M.Hicks, Brady Hicks PA 10161 Confusion Pkwy N.Suite 160 Jacksonville,FL 32256 904-385-3800 File Number: 16-1044 fSpoa Above Tos Une For RaeordiRg Vand Warranty Deed This Warmnly Deed mado this 1st day of September,2016 between Fate Roger Witchear,2 Tonrcied men whom post office address is 51 Word High Street,Atlantic Beach,FL 32233,grantor,and TCI TWO,LLfC,a Florida limited liability company whom post office address is 9191 RG Sidurser Flury#501,Jacksonville,FL 32256,grantee: (Wtheamer need herein The tons'cannon'ad -hoarsen"include a the parties to this instrument and The heire,kPI raora�.oafi�ad assistant of individuals,and the surocsoom and seven,of connotations,tronts ad homes) Witneialseth, that mid grantor,for and in consideration of the am of TEN AND NO/10D DOLLARS($10.00) and other good and voluble censiderations to said grantor in hand paid by mid greater,the receipt whereof is hereby acknowledged, has granted,bargained, and sald to [he said grantee,and grandlxe� heirs and aterigns forever, the following described land, situate,lying and being in Do"]County,Florida to-wit: Lat 19 Block 5,ROYAL PALMS,UNrr 1,according to the plat thereof se,recorded in Plat Bank 30, Page(s)60,Public Records of Duval County,Florida, Parcel Identification Nouralood,. 171204-OW Property Address: 760 Sailfish Drive,Atlantic Beand,FL 32233 Together with all the teenesmans,heredilaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold,the sourne,in fee simple forever. And the grantor hereby covemanda with mid grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to wit and convey said land;that the grantor hereby fully wearounts the title to mid land ad will defend the same against the lawful claim of all persans whomsoever; and that said Ind is free of all encumbrances,except=as scanning subsequent to December 31,201& In Witness Whemof,grantor has hereunto m(grantor's hand and sonal the day and year first above written. Denman. OR BK 17719 PAGE 156 OFFICE COPY Signed,stated and delivered in our presence: 7 Vitne Fate Roger Wilebir vimlem Na*e: 131,r kj rX M 0 Stant.fFlaraida County of Duval The foregoing insimnsent was acknowledged ptembet,2016 Fare Roger Wilchet, who Ll is p em a n all y k n o o r X I It a a poo d u ced a d"'ve 11i0.1m.`:11.S'!P"o nRe [Notary Seat) N.4 K=HIGKl Printed Narne: *FF =koG MY CtHuruiSiOn EXpi=: W—�� PW2 Doolol.T.. CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUpANCY WORKSHEET Date Requested: to ( ),(,t ((0 Contractor Name: ;�)&64 *b Permit # 1(0 is FP__ Property Address: 11 ,Tb L&ftA Luck Legal Description: improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: zr�smgle-Family Residence r-1 Commercial F-1 Other: Lowest Floor Elevation: Requimd As Built FFE _: : -i- ! Sw rt(ftcate of occupancy: The fol uing natst be comp Z i I Department Date otified Date Approved Approved By Fire Dept. Public Works I C) I ar to 3 <1 lic tilities 0 Building _ /_/6 Zoning 2) Tree Mitigattion Satisfied Backflow %VV 10 Final Survey with FFE —ZYe3 _ No All Re-inspect Fees Paid _V_ Yes _ No Termite Treatment Yes _ No Updated 9/15/16 mm .......................... mom .... ...0 .....m .Me "llaw"o ... 0 all" 11 L 0.0 ........use.... I.M.W.UUMMUMMIZ. MIUMCM U..... ME......a... .............ON............... ...w............. ON ...... MEN MONMM ....ONE" 0 ... IMMUNE No MMOMMO no Mom MMOMOOMO WOMOMMMIMMMO ..... .......HHUM.C.I.M.M.M.. MUNN HHUMMM So .......Now......0...... CUM.M.M.M.M.0 UUMIUMUNSIM. ON 0 ....... ..... .....U ................ M ....... ..... 0 HHUMMUMOU ...............a .... . No HHHHHUM.....ON..... .... i mom.nu .....8...........on...a .. .......H... ... ... ......0....ME .... ........ U No ON In, IN ............. ............... I .......... .......... 0 ..UUMSINUM.......... .. ...........a...... SM .0 ......... HIH .......... ..... ON ....a. ............... ..... ...uz .....ON non...No ;; ..............................MUM ME 0 No: .............. .....MUNN ..........ON..............memo ..HHUM...own 0 ......U.S.M.U.MHUH .......mono.... ......so. .. ...........WERE ....... . .... .........memo.........m.............. 'a Unm .........sm"..0 ..No No flew Construction Subterranean Termite OMBApphoval No.2502-0525 Service Record (exp.05/3012018) !"a 10:ir;dC2Z=Q1Lijcen`m.1f est Control Company ftbjl� P. .9 . .cinni Enformation is estimated to average 15 minutes per response.including the time for reviewing instihictnons."arching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information. This inforhiation is required to obtain benelits.HUD may not wiled this information and you am not required to complete this fDm,unless it displays a currently valid OMBcontrol number. Section 24 CFR 200 926d(b)(3)requires that the sites for HUD insured structures must be free of termite huards.This Mformabon collection requires the builder to minify Met an authorized Pest Control company performed all required treatment for teminites,and that the builder guarantees the treated area against infestation for one year. guilders,"at control companies, ortgage lenders,homebuyers,and HUD as a newid!of treatment for oles will ue"the!�LQE;oLofl coherdt,;T a inform8fion a not considered confidential,therefore no assurance of n 2 ti2 is L MN is S�b�iii�d or hit. btm�j pu p to Me builder on proposed(new)construction cases when treatment for"P. nilion'?f s.=n termite infestation is.;oscified by Me builder,architect..1 reqWned by the lend.,MchnsciT FHA,or VA. All contracts for servions;am between the Pest Control comeany and builder,union stated 2 themes. Section i:General Information(Post Conox"Company Information) Company Name B&B Exterminating C, In, Company Addrw b usceom 61 City Jackson0fis State FL Zip 32204-2623 Company BusinesslLicerse No JB 178' Company PhonW—No 904-Mg-3323 — FH�A Caw No (if any) Section 2:Builder Informal Company Name SOLAR HOME DEVELOPERS Phone No. Section 3:Property Information Location of Structure(s)Treated(Street Address or Legal Description.City,State and Zip) 1370 CAME1JAST,ATLANTIC BEACH,FL. 32233-1811 Section 4:Treatment Information Carets)of Service(s) Type of Construction(Mom than one box may be checked) 0 SlabEDBasement El crawl 1:1 Other Check all that apply: Z A.Soil Applied Liquid Terrinfificide Brand Name of PREMISE PRO EPA Registration 4321221 Tonniticide No. Approx,Dilubon(%f .05 Approx Total Gallons Mix Applied: 200 Treatment completed on exterior Yes No B.Wood Applied Liquid Tennnificide Brand Name of Temnifickle: EPA Registration No. Approx.Dilution Approx.Total Gallons Mix Applied: 71 C. Bait system Installed Name of System. EPA Registration Number of Stations No. installed E] D�Physiciii Bamisr System Installed Name of Systemi� Attach installation information(required) Service Agreement Available? Z Yes El No Note Some state laws require service agreements to be issued,This fici does not preempt state law Attachments(List) Comments Name of Applidi JOHN SALMON Certificalion No.(if required by State law) JE 205903 The applicator has used a product in accordance with the product label and state requirements. AM Materials and methods used comply with ittale and federal regulations Authorized Signature Data 06113/16 C�...Y�ultin�ftnale�orwi��,(i$U.SC.iool.ioi0.1012;31U�SC,37N.3802) to.HUDWEP13"(02-008) Subterranean Termite Protection Builder's Guarantee 01 Approval No 25l This form is completed by the builder. (ext).05/30018) Public reporting burden for this collection of information is estimated to average 5 minutes per response, including Me time for reviewing instruction,, marching existing data sources gathering and maintaining the data needed,and completing and reviewing the collection of information,This information is required to obtain benefits.HU D may not colleid this information,and you am not required to complete this form,unless it displays a currently valid OMB control number Section 24 CFR 200,926d(b)(3)requires that the sites for HUD insured structures must be free of termite hazards.This information collection requires a licensed Pest Control company to pmvide the builder a record of soiscific treamnert infunnation in Mow causes when if any method other than use of pressure treated lumber is used for prevention of subterranean termits infestation.When applicable form H UD-NPMl Must accompany the farm HU D-NPMA-99-A.Builders,pest control companies,mortgage lenders, homebuyers.and HU D as a record of treatment for specific homes will Use Me information collected.The information is not considered confidential therefore no assurance of confidentiality is provided This form 1.witionateol for proposed(now)instruction ouses when prevention of subterranean hunts infestation is Specified by the builder or required by the lender,Me archited.FHA or VA, This form is to be completed by the builder.This guarantee is issued by the builder So the buyer This guarantee is not to be considered as a waiver of,or in place of my legal Kgms or monsuffirea Mat me buyer may have against the builder. FHA�A Ca.NO.: Location Of Sinsiums(S)(Sitnest Address.or Legal Description.City,State and Zipi, 1370 CAMELIA ST.ATLANTIC BEACH.FL.32233-1811 BuWs Name Wilder is to chrecli and complete either box 1 or box 2. 1. Past Control Company Applied Treatment(Sw HUD-NPMA 99B forgartners information) The undersigned builder hereby camfles that a State licensed or canines authorized Mest comml company(where required by State law)was contracted to seat the pmpem,at me location referenced above to prevand subterranean Ismages The builder further cartel that the contract with Me Pest control company required the treatment materials and methods used 0 toe in conlomance with all applicable State and Fedi requirements.All work required by Me cbmtract has ban completed unless noted on HUD-NPMA 99B,Verde not prohibited by applicable Slam requirements Me buyer.for an additional fee payable to the Fast control company,may mend Me protection against Subterranean terrintes.Contact the"at comics company listed on the imachment for further information. The builder hereby guarantees Oat,if subterranean Samate infiestmon nouki occur within one year"in the date of dosing,the Wilder will ensure that a licensed or othemise State aunduained past Wo"I company will"at as necessary M control infestations in Me structure,This further"anent will he without cost to the buyer.If Penrutted by State low,Me buyer may oundract duaOdy,at Me Wysn§E�s expenus.with a past contral company to inspect the Property on a periodic basis and use EPA registered!products to control any infestation,The builder win not be responsible for guaranteeing sucn cormucted iw*rli�The Wilder further agrees to repair all damage by Subterranean termites within Me one,year builderAE'vii,warranty pariod.This guarantee does not apply to additions or allarations that am made by Me Wyer,which effects Me original Sunni or mustment.Examples include but am not mided to landsows,and mulch afterinnins which disturb the heated area and create new subterranean units hazants or Interfare with the control measures If within the guarantee perod Me builder questions Me validity of a claim by Me buyer,Me claim wilt be Investigated by an unbiased expert mutually agreeable to the buyer and builder.The report of the ex,pert will 1,S accepted as Me basis for discussion of Me was.The non-arevaiting party wis pay Me cost of any Inspections made to invesill the claim.For further Infornation,contact your Suits structuml pest control regulany agency.All service must be In compliance wifin Me International Residential Code. ,Type of Service: Termite Sail System 0 Field ApRited vwddl Treatment 0 Soil Treatment Installed Physical Earner system 2,0 Builder Instilled!Subterranean Tensile Prevention using Pressure Treated Lumber The builder cartifies that subterranean temate Prevention was mrstsled using Pressure treated lumber only and cersfies that use of the pir ..us treated lumber Is In compliance with applicable building codes and HUD requirements including Mortgages Letter 2001-04,NON:Using pressure treated stile as &$010 method of timmite prevention is NOT acceptable and violate*the mquirminents of Mortgages Liumur 2001 Initial of Builder Date Attachments Buildlees Company Name, Phone No. Buildees Signature, Dow: 0611MO16 Consumer Rialfflumance Ad Wary regarding Integrated Post Management for promotion of Wood Dersar"Ing Insects.Information regarding prevention wood destroying Insect Infestation is helpful to any property Owner Interested in Proencting Me sWMm"in infestation.My structure on be liftickt,twiwo.dof destroying OSOcts Periodic nuume nence Should include an.to oriniorvi,.possibilities ofaifteitation in and around a stnichins.Factors which. a , d Infestation from wood destroying inseds include foam insulation at foundation,lumh-wood abreast.faulty grade,finewood!against str�dum.insuffx',ient ventilation, hature.wood Sales in crawl space wood mulch,mus branches touching Stroctums. andsci,oa finithem,and wood mt.Should these or other suc Id Si ormeofive measure should be taken by Me oviner in Older W reduce Me chances of infielations by wood des"ing Insects,and the need rOr t on tion. matment. MO An original and one copy of this Quammuse am W be prepared by Me builder and ant to Me lender The lender provides one copy to the buyer at dosing and includes a clo,in Me VA loan packerge or HUD Insummoa case binder.The builder ends one cioy to the ficeread past wmrol company which performed me aneatorent. Attached is a ct;oy of the state authorized!past durml comparry's Now Construction Subterranean Termite Service Record,HUD-NPIVIVi-99-8. Mming HUD will Vosenoure false claims and statunnerle Con,,latin may result in criminal andlor civil penalties.0 8 U.S.C.1001.1010,1012:31 U,S.0 37293802) (on HU15­-NPMA-99-A rM-08) .wiiimi .111. 0102:0 ............. ........No. Noun ......... . OR an"im- OF I HM. MO SHHHHHHE HMEHO-HRMOSM.M. im-HERHME-11.........MMEHO-Effffi! MMMOMM N . m Mo N.M. No MMONO I 0.0 RMEHHH.H.-His U ......... ... a ........... SMUHHHHHOMO-Mia- MHOO.MOMM.M. am am. ONWO. m ..M. iON .0000 Olis Apipvo�l No.25M-0626 Now construction Subterranean Termite leap.000/2018) Service Record �n n�rol Corn an n n Ud, 1�theftef-'Mvl-09 information, "d he ch or "for"nato It deploys W "ho'd as to I " eaded oi as I ni' a'm0'0'Mv" Mis n,�and ' I-Is 0 un n ld' " th to 5""noand com" uM to "m 0 0 0 be M to 6-rage, d ccmp� d 'd to ring 0 a on and you n Mq th In -all P C n' In -0"0 a' 2 0 ring and n's of -It. rdo 0 ��a HUD may 0 u in 'on 0 0 in n do -u_" Pie 'c rep "am"W"'0 a' to I myti main 'onsabon -Ihid - - W NIS combot mb Me ion requires "1 0 or "d Th 0 co"Won-q-1 a the our- y I""M o"a 'to ac. in nt I"a I th ri� . for measmant for ch to U ned inux" "'x"build.,"M R 0)(3)_W as I a use pas Ce a thourrant for Mmrha.,"a that as d �D Mq` HU record is v1ded. ad ociI Odd Mma M a rill m ht 24 F 2W hot H I all - to go land hw.b�y", do 1.11 "a _n art I I re ca on ce th to I or t 1, P.V build to 'bly " n h re - I ny P, th ,nld d fid on, I f,, nt.n of sU n led area nilirxitj station , no Year P 'a W i oil. e,he" 11 . .inforriniul. coll into_ lion ,ois he P - 0 1,. ife to po 0 the ,on ora� ,d - A. n th, n Thle W in liton d 'I. .so ..I P r ass build. rV mirles Infestation 1.specified by 0,bolder,inci 'Mq�rd by th tender rctit F� All COMM As for serviCag A.InGimrsen the Post COMAW Wm 2 ,and builder unless stated Otherwise Soodonj:GamoralInformatioll(POStCon '�ampomylnformuadkxi) Company Noma 0&0 Exterminating CZI__ State H. Zip 32204-2523 Comp*nyAdd,,,, 21508MG185t C joalmnVille company P�66 904.389-3323 Company Business conse, 0, JB I FHAIVA Cam No.If my) Section 2;Belli IntimmatiOn Company Name SOLAR HOME Phoane No. Section 3:property Information BEACH,FL, Location of Structure(,)Treated(StreetAcIdness,or Legal De5WPdOA.City.State end Zip) 1370CAMELLAST,ATLANTIC 32233-1811 fterpon 4:Treatment InfomBUOn 0,16(s)of S,mice(s) 06113/la Type of Construction(MOM than one box my be chocked) 0 Slab 0 Basement EJ Cr"' 0 Other Check all that OPPly; A.Soil Applied Liquid Tornificide Brand Name of PREMISF PRO EPA Registration 4321221 Tormitickle. No. — [,led on"d0r: Yea No Approx.Dilution I%): Apprax.Total Gallons Mix Applied: 200 Trurbruant comp S.Wood Applied Liquid TorninillOW6 Brand Name of EPA Registration No. Tonmitioldc Approx Dilution(%): _ Approx.Total Gallons Mix Applied: Q Bali system Installed Number of Stations EPA Registration Installed Name of System: No. 0.Physical Sorrier System Installed Name of System; _Aftach Installation information(required) Service Agreement Available? Sye5 [I No NoWt Some state ,,require ser%(,M agnaernents to be Issued.This form does not )MOmPt state 18W Attachments(List) Comments NomeofAipplicat0r(s) JOHNSALMON CortillcolknNo.(IfireclukadloyStRii JE205903 The applicator has Used a product in Scoordence with the product label and state r"Whomenta, All Materials and methods used Wmipty with state and federal r8gulutiOnS -1) Dole 081131118 Aumorzed Signature 64,Q- LL�5A WRixin,,HUDwsicr,axxoulo,xein..nd�,ront- G.Yktian m9y U.aC.Join,jong,1012:51 UAG.Was-son) omB Approval No 2502-0526 Subterranean Termite Protection Builders Guarantee (up.0513012018) This forrn is completed by the builder. PulAo reporting burden forihis Collection of Information Is estimated to average a minutes per teripstruss,Including the time for MARY11119 hatructions. Sources,gathering and maintaining the data needed,and Completing ahad reviewing the collection of Information.This searching eAsUng data 1 Ilea this InfOM1190011,and you am not required to Complete this form,unless It displays a Infamwilion Is resulted 63 obtain MnOMB HUD may not W 0 low HUD insured Structures must be free of taffli Sol number,Section 24 CFR 200.926d(b)(3)motuhnse that the SRO a stment Information in those Currently valid 01AB oci builder a record Of SPOCIfic Via When applicable,form hazards.This infornmaticin coledom requires a licensed Peat Control ompany to provide th led lumber is urged for prevention of Subterranean minnhe Infestation cameawhan 0 any method other then use of PM"M them parties Mortgage lendsm�homebuyers.and HUD as a HUD-NpMA-9"must a=mpamy the form HUDAPMA-99-A,Builders,Mat Control"ohn not i�mskisred Confidential.therefore no assurance of record of treatment for apeb"IC homes rII Use the Information collected.Tjje information is confidantelity is provided. ThiA mhn 16 Submitted for POPOSed in")"Krucoon cases when previrrition of subterranean Whole Infestation is specified by Ow builder or required by the lander.the weliki FHA Or VA UW by Me buster W the buy0f.This guarantee Is not W be Considered as a warver of,or in Place 01, This form 10 W be Compared by the builder This gwrwintim Is M any"at rights Or remedies that the buyer May have againg the builder. FKWACe..M.: LOOKICA Of&MMm(e)(Stimat Address Or Legal Description,City,State end ZJP)! 1370 QAMIEUA Buyer's Name I.. man IS I -NPMA 998 far" ot InformalJor) I,Control Company Applied Treatment(Sre HUD 'L, C past Cosmic Company mmaing required by SWA law)was connected to 11cansed or ditherNIM Unhorsed uIlder further carfifies maMO wIlsonoi with the post Control The undersigned builder hereby derfifigs built 8 State st ,ffgMnbmmms�Thet Maine.Ail muri,maluired 1by welthe prop" rose location referenced above is PrOve as be in memo,with all applicabl�Suarst and Federal require ;7.pa,n,y it the reatment Missing,and methods used 10 pla Sam%mumemarm.the buyer,for an addhoWl fee applies m I has been Completed pulses noted On HU"PMA 99B.Whers not prohlbrund by nmct the Feet Control campany listed on the�hment payable Its the post Control compsiny.may extend Me protection against subtagarriam termites.cc for further Information. The builder hereby guarantees that,It subterranean termits integration should Occur within Ong year from the data of cloomal the builder will Mium that R limmed or otherah,State BUthoraed peg con"I Company will Seat as necessary to Control infestations In the structeni This further thindivert vAll be without Mat to the by0r.it permitted by State law,the buyer May Contract directly.at the buyes"Ims e)MOMM,with a past uDnni Company to ImPed the The builder will not N,mappormit,le far guaranteeing such Contra ted property on a Periodic basis and use EPA Wigarrad products to Control any Imagination. not work.The builder further agrees W MPIr 211 damage by inabserraneon WmItes within thaorm-year buildGmEwS warranty Carol.Ting guarantee does apply to addiglons,or 21hustonz that am made by in,,buyer which effects,the Original Kmoome 0 ft,"and,EAMPM include.on t am not limited W, madend I area and press new suWaMeni temshe hazards.or interfaira a Control in 5u -If landscape and mulch altanglons.which dWWM the t,%tidily of a claim by the buyer,the claim will pia in"gowaso by an unbiased eatfied muenilly as big within the guara,u,period the builder question*th,I be accepted as the basis for displi Of the rese.The nortphervailing loarty will pay the met of any ' 7" �"'en�" All ouli'"in to the CUYU end builder The mwd of the an's"wil r Information,contact YOkff Stlift litrucluml post dpn�Arol regulators seen A166m MuNk 10 'I P . sigrr� Inspectit)[15..�"to mWagige,the Claim.For herthe Compliance with the International ritasidental Ift. T. In ad. i..l Awirr R in -1 In yph of Service; 13 "'Id Appl Mod Treatment Q son Treatment 2. Builder mankind Subterranean Termite Prevention win piwaggesTrouland Lumber he agerand lumber privy and cuttings own use OF the pleasure mignad The builder cartilles that Subterranean Wmax prevention gms Installed VON Prowu pmeum twased 51115 lumber Is in asmplianwwIth applicable building cosme and HUD neplinamem,induding Mortgages Leder20014VI WOU'lusing 6 requirements of Mortgages Left a Safe method of games ii,mvention 15 NOT s"Opleble and vioung,r, Attachments: Phone No.: Builders Company Nam- Date! ORM312010 Builders sonature; of W. 0 nestroying i-6011111.Information rearm"")o"' of regard nif rated Past Management to seven no ad by d .y Ind W we n, wind he t M. Ing and rrhw�the .S.C�3729.3802) R"M49aOO8) R O:E S. ID 'C' rp 3 C, (D ca 0 CD CD 00 (D 3 W'. 0 o rp Fr re) Fr m �a Z s 45 0 A SD A 0 0 . 0 Fr @ 0 Fr c RL 0 A 0 3E 7 0 1 c EL A m u 3E A re) 0 . 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