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230 10TH ST - PERMIT DEMO18-0011 1i'Pr CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC_BEACH,FL 32233 'r j INSPECTION PHONE LINE 247-5814 DEMO - COMPLETE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DEM018-0011 Description: HOUSE Estimated Value: 7000 Issue Date: 5/16/2018 Expiration Date: 11/12/2018 PROPERTY ADDRESS: Address: 230 10TH ST RE Number: 170357 0000 PROPERTY OWNER: Name: JAMES &SHIRLEY FRANCIS Address: 1311 HERITAGE MANOR DR JACKSONVILLE, FL 32207 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: LOCKWOOD QUALITY DEMOLITION Address: 2116 W BEAVER ST JACKSONVILLE, FL 32209 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. �I City of Atlantic Beach APPLICATION NUMBER � *. Building Department (To be assigned by the Building Department.) 800 Seminole Road I Atlantic Beach, Florida 32233-5445 L Cry\© 0o «o- Phone(904)247-5826 • Fax(904)247-5845 c- �•tlr]�} E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 23 0 10 Department review required Yes No _ ( II n '�- �i rine_`' Applicant: L©G<w O©d Qup�L'uc�( G nning &Zoning L-6 ,' Tree Administrator Project: L-6 as C71'`t ublic Wor s is Utilities Public batety Fire Services :Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date C� of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers 4 �` Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. []Not applicable (Circle one.) Comments: BUI�®;ING :, _N — PLANNING &ZONING Reviewed by: Date:-S"?44 �2�d TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: UBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department f ` ` G (To be assigned by the Building Department.) r ` 800 Seminole Road C� Atlantic Beach, Florida 32233-5445 r RAY Cry\© � sr g Phone (904)247-5826 • Fax(904)247-5845 Z018 �- E-mail: building-dept@coab.us ll:' � `: Date routed: --D City web-site: http://www.coab.us " APPLICATION REVIEW AND TRACKING FORM Property Address: Z13 �� � Department review required Yes No ui in ( r Fnnin Applicant: L oC=i'w o 0 d �;3�(,�.'Z�l/ C`� 9 &Zoning I Tree Administrator Project: L40 0-S C- (� - �Yt �ublic�Wor s �" , 91 F Ni I-Bie-s— Ilublic batety Fire Services Revlew fee $ Deptignature _ 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 c Division of Hotels and Restaurants L Division of Alcoholic Beverages and Tobacco Other: . APPLICATION STATUS Reviewing Department First-Review: [/Approved.- ❑Denied. . ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b% Date: 410 (04 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable + I311.C4lIVORK Comments.: UBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER ,..* Building Department ;� (Tobe assigned by the Building Department.) 800 Seminole Road r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-58y 02 201 ? C- +�„�� E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us t l:°mow APPLICATION REVIEW AND TRACKING FORM 0 1 0� S 1 Department review required Yes No Property Address: p q ui in { ®�� C� Q r nnin &Zonin Applicant: �,t�A-�,t��/ �� 9 9 Tree Administrator Project: k 0- eL (� ) ublic Wor s Tic,Utilities_-''�, Public Satety Fire Services `Review feel �, �� Dept-Signature�Xci,ll�- � ^� Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By �. Florida.Dept. of Environmental Protection �04 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: Approved. ❑Denied. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ” / v v--_�Date:5� 3 TREE ADMIN. Second Review: ❑Approved as revised. [-]Denied. ❑Not applicable PU WORKS Comments: �U;BL UTILITY IES . PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 � z OFFICE gOPY Buildin Permit Application ated / 17 ,.. City of Atlantic Beach .sa 800 Seminole Road,Atlantic Beach,FL 32233 2 "l" Phone:(904)247-5826 Fax:(904)247-5845 j� Job Address: J O 1 O �'J �I '�-' �M� vQ� ` L�p� n n Permit Number: ^� Legal Description %� (,OLY— I 1^t LPOTI L PPr RE# 1-7 o.3 S J —d MO Valuation of Work(Replacement Cost)$7 U O 0,0 Heated/Cooled SF 104e Non-Heated/Cooled f(a • Class of Work(Circle one): New Addition Alteration Repair Move emo Pool Window/Door .• Use of existing/proposed structure(s)(Circle one): Commercial esidenti • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: /' Ly L ?1!� U vQ or— Florida f Florida Product Approval# 'for multiple products use product approval form Property Owner Information �n Name: Address: 1311 We(2. rA64 'fW00- 1UV67 UN730•3 City V r- State Zip T7,L07 Phone ( 31- '.3C6 E-Mail 4.0M ? Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information 1 Name of Company: (Surcy ��M(�t{Tidn)' - —Qualifying Agent: Address Co� Cit y:Qje,WWu.t„d State 11 - Zip '3 22,01 t Office Phone 150Y —7'I/ t 3 3 Job Site/Contact Number 1/0 State Certification/Registration# 111s E-Mail M 1 K.0 C7 I y_W UO o. c..aM Architect Name&Phone# ^fO3 Engineer's Name&Phone# W10. Workers Compensation ri /0 -ZG • ZO! Exempt/Insurer/Lease Employees/Expiration Date 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 the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc NOTICE In,a,ddition'to the requirements of this _ per„mit;there maybe additional restnctioris applicable to this property that maybe found'm the public records of this county,an4d there may'be'addit onal permits required from other governmental entitles such as water management districts,state agencies,or. federal agencies - OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PR ERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY-SE.ORE, RECORDI R NOTICE OF COMMENCEMENT. C i nat re of Vwner or Agent) (Signature of Contractor) (including contractor) j- Si ned and sworn t or affirmed)before me this A by of Signed and sworn to(or affirmed)before me this 01 d ay of �, fb r fth-ova by D y (Signature of Notary) Ce,ce UnIfer Malice Personal. Personal. Known OR ;,', � ':, RACHELANNWALTERS [ ] Notary Public [ 1 v �, [ roduced I� n c n State of Florida .Produced Identificati n NotaryPublic-StateofFlorida Commission#GG 093356 —Type of Iden iExpires T0711%2021ype of Identification: =,� t Bonded through National Notary Assn. Commission No.GG 124154 PREPARED BY&RETURN TO: "'F I C COPY LeeAnn Chea Crockett Law P.L. 10033 Sawgrass Drive W.,Suite 125 Foote Vedra Beach,FL 32082 File Number.2017-243 (Space Above This Line For Recording Data) Warranty Deed This Warranty Deed made this 6th day of April,2018,between William F.Hopkins,a married man, William C.Slater,a married man,Frank M.Slater,a married man,Richard N.Slater,a married man, Gary H.Hopkins,a married man,Margaret Howell Nolen,a married woman,individually and as personal representative of The Estate of Carol Ann Howell,John Lummus,a single man,Nancy Ann Thomas,a married woman,Beth McNally,a married woman,Janice McCormack,a single woman, Allison Kuett Stover,a married woman,Doug John Kuctt,a married man,David B.Bowers,a married man and Andrew H.Bowers,married man,hereinafter called Grantor(s),whose address is 12334 Windstream Lane,Jacksonville,FL 32258 and James D.Francis and Shirley W.Francis,husband and wife,whose address is 1311 Heritage Manor Drive,Unit 303,Jacksonville,FL 32207,hereinafter called Grantee. (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 N011 00 DOLLARS ($10.00).and other good and valuable considerations,the receipt whereof is hereby acknowledged, hereby grants,bargains,sells,aliens,remises,releases,conveys and confirms unto the Grantee,all that certain land situate,lying and being in Duval County,Florida,to-wit: The East 21.67 feet of Lot 17 and all of Lot 18,Black 1,Atlantic Beach Parkway,a subdivision according to the plat thereof recorded at Plat Book 15,Page 61,in the Public Records of Duval County,Florida. Parcel Identification Number. 170357-0000. SUBJECT TO taxes accruing subsequent to December 31,2017. SUBJECT TO covenants,restrictions and easements of record,if any;however,this reference thereto shall not operate to reimpose same. 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 whomsoever,and that said land is free of all encumbrances. The property described in this instrument is not,nor has it ever been,the constitutional homestead of the Grantor(s)under the laws and constitution of the State of Florida in that neither Grantor(s)nor any members of the household(s)of Grantors)reside thereon or have ever resided thereon. The Grantors herein are the sole heirs at law of Margaret Merrick Middleton. In Witness Whereof,the said Grantor has signed and sealed these presents the day and year first above written. Signed,sealed an delivered in our presence: Witness gnatureart Howell Nolen,individually andiey/ T. Hunter Reed spersonalrepresentative 2��zGc,CLLT�•1� Witness 1 Printed Name Witness 2 Signature Gr Z4- 6.1,a11 Witness 2 Printed Name State of: County of: ( \H(NI rL The foregoing instrument was acknowledged before me this, day of April,2018,by Margaret Howell Nolen,individual y d as personal representative who C—)ispersonally known to me or L--j' . have produced as identification. Notary Public: i` Printed Name: T d•'A''9 T.Hunter Reed My Commission Expires: fi �F C061MISSIORAR9057G6 - - EXPIRES:Augwt a,2079 ''jTFq;p`p.•`� WWW'.AARONNOTARY.COM W ryPmd•Paae 13 In Witness Whereof the said Grantor has signed and sealed these presents the day and year first above written. Signed,sealed / 'yerein our presence: Witness'l Signature William F.Hopkins P ' T, Hunter Reed Witness 1 Printed Name Witness 2 Signature Witness 2 Printed Name State of. County of: I The foregoing instrument was acknowledged before me this 6 day of April,201$,by 'Ili F. Hopkins who(_)is personally known to me or(,Z)have produced i as identification. fI, Notary Public: _ " T.Hunter Reed Printed Name: �, �ter eed yr; My Commission Expires: COMMISs1ON-057" -_� ?-9 DORM.worst 3•pts '! VMWARRORt1oTARY.CON u ams W,YD.d-Pagl In Witness Whereof,the said Grantor has signed and scaled these presents the day and year first above written. SigneMsealliv ed in our presence: Witne s I S7gnam Gary H.Hopkins T.Hunter Reed Witness Printed Name l/t Vft.s2�Sig..� `��'Y•11'tf�l��� Witness 2 Printed Name State of: County of: wok✓ The foregoing instrument was acknowledged before me this, day of April,-,201 H. Hopkins who(_)is personally known to me or(J/,have produced /'�.`t� as identification Notary Public: Printed Name: I,.Hunter Keed T.Hunter Reed My Commission Pxpires• ya COMMISSION OFF909746 p(pi m August 3.2079 a0.`a`a�c WKWAFNONNOTARY.COM W 1yed-P.P3 In Witness W'hereoC the said Grantor has signed and sealed these presents the day and year first above written. Si sealed an eliv ed in our presence: &44a V.r4ess 1 S- Andrew H.Bowers 'a v-[&Ic b Witness 1 Printed Name A fitness 2 Signature Witness 2 Printed Name"'�l State of. o County of: -�j 1fP —4 _ The foregoing inswmpz was acknowledged before me this day of March,20 ,by w H.Bowers who(_}is personally known to me or C—)have prod. as identification. Notary P.blic- Printed Name: f DOFONPAMONM My Commission E ires: NY CDtN6SSJ(W#FFZM FJIPIHES Sopimft 16,2016 @e,� baMeElM6uEgaNOFrySnH� Wmm�rynerd-Hge U 52 a O�AW°: i 5 i NOISSIWW, 3 i BCI DOM 3» x g C*4 WIT ,I n .meNGaWd 711G�d LYNN _ Tal�mlimaGl G>+�Wd o�y�)m w m ww1-`rayK���1 Bi9o9vu1•V1 9noa/A't102 V 191^bGy g I siT am v%s9LP�G]IV%�in w� Y lamT9 •' amsNGmWd Lsf !N a•�152 �1 :min»,no h roam v Gw wn�•wm is vNW snoq.nsU rta(G'vbGw swsadaniG p;ss.Gw•P�P-mW]mm-P.vyA tsm4A%LI In Witness Whereof the said Grantor has signed and sealed these presents the day and year first above written. Signed,sealed and delivered in our presence: W' ess ignature Nancy Ann TUamas Jer V, Da V' S Witness I 'ted Name Witness 2 Si ature yN l�l LL Witness 2 Printed Name State of: County of. Cwt:'— The foregoing instrument was acknowledged before me this 674-day of March,2018,by Nancy Ann Thomas who A/f is personally(mown to me or(�have produced ga5gLrxc.k as identification. Notary Public: ✓ ��••• Printed Name: L G My Commission Expires: •OF MISg�.. •CF•:�pRY'Ptj.SS. I�Ji U.13467 : CARO LVN RILEY 't Commission Expires ••.9�oN•�QUN�•' W-YDr d.Pagr9 In wm—Whereof.the said Grantor has signed and sealed these ptesanv the Ery and year first above vnift— Sipped,waled and delivered i¢—prcsevee: Witness 1 s ip,ahue wdliam c slater W IPliated 2 S' W.t 2Printed Name state o£ County oL icy -7 The foregoing msw—t was.1--edged befnm me this day of M 2018.,by Wifi3am C.slm who(_�is personally la—to me w L,"� vo peodueed ideati6catioa. �^�J�/1.Q Notary Public: PrintedNsme: V,•v My Commission Epi-: s w In Witness Whereof the said Grantor has signed and sealed these presents the day and year first above written. Signed,sealed and delivered in our presence: Witness I�Srgnarure Richard N. dater Sorn-Lf0. "--m Witness 1 Printed Name Witness Oignature T�e.trA A,ti7,lsnn Witness PrintedName State of. FL County of: BrpuJa The foregoing trmn twas acknowledged before me this P1 day of March,2018,by Richard N.Slater who L personally known to me or(--)have produced as identification. Notary Public: Printed Name: ArL E04G My Commission Expires: GALGEUM s waynak-s5aa�a • w�a�accrat� ,.R mmam�nwaway� w�o�m-r.s�s In Witness Whereof,the said Grantor has signed and sealed these presents the day and year first above written. Signed,sealed and delivered in our presence: IM4 Witness 1'Sigoatire Frank Slater 3t iC�•J.ctGk- `1t110111q/// . Witness 1 PrmtedName %% FkA A4 / CpIomissoo �l�clN 4� Nora y a 2 Sigoahue M In' -r t-1 C.Je t'y� O QVSLIG V : Witness 2 Printed Name - : �,9 03 State of �- '"I ON COVN����` County of. P /(Ig111111, The foregoing instwnent was aclmowiedged before me I day of Mara 201s by Frank M. Slater who L,)is personally known to me or(have produced Dt- as identification. /1 Notary Pllijnllt,. PrintedName: --rr--Ley,A M S My Commission Expires: In Witness whereof;the said Grantor has signed and sealed these presents the day and year fust above written. Signed,sealed and deliverrA in our presence: Witness 1 Si Beth McNally Witness 1 Pnnted Name Witness Vsigiurture witness 2 Printed�)tame State of: (V C� Countyot Tei t✓-p4r The foregoing instrument was acknowledged before me this day of March,2018,by Beth McNally who C--j is personally known to me or Lam,have produced t:)r .ter S L e -,-e as identification. Notary Public. Printed Name: N,✓ c o ALWIORA p0M My Commission Expires. F�b'Z-9,, 707n amvwFKR oow .OW . 2A 2= In Witness Whereof;the said Grantor has signed and sealed these presents the day and year first above written Signed,sealed and delivered in our presence: a�C-SslSignature Afardoe McCormack &ajNA 60nlDAL Witness I Printed Name / `� •u eat Witness 2 Signature g4��I yfr7 #•M�s�J�, Witness 2 Printedxame Stam of U i t� County of rrt,ceL VoLk s_-,— The foregoing instnmreat was acknowledged before me day of March,2018 by Janice McCormack who U is personally known to me or(have produced U IFO.in,' Ppgqas identification. - Notary Public &�1 4 1 -Y- GANIYATADEOLAADEDSH Printed Name: ��Ez NOTARYPUSUG7703296 My Commission Expired. U919 11209 Z� CDMMOWEXTH OF VIRGINIA W COMWSSION EXPIRES 0731-2020 In Witness Whe,eof.the said Grz r has sigomd utd waled these preswa the day and year first above written. SPA awl anddelivraed inaorpreseome, rmess l signat— Allison Kuen Smver Witney 1 Prin Name Wi Si GGPI S a.,AladE Witness 2 Prino-d Name C Smreof.. D�Q lonatyof: The foregoi g]astrumm[was ad=wtedged before me this��Q�day of M=b,201&by Allison Kuett Swvu who f—j is personally k—m me or produced . rl idendliwtion. �rMmruu.ttr. Notary Publi. � Priomd Mame: '..NO..,. ��'•.� MY Commission Facpins �,6�ao!r9 _Myr c ti. eOm Q• CO,y�slo_ 3 y9 r T/f OFsM tR��J roorw.a•r,r,u In Witness Whereof;the said Grantor has signed and sealed these presents the day and year first above written. Signed,sealed and delivered in our presence: Witness I W6itug `-John L m Witness 1 rim � Printed Nan Wit>Ses 2 Signature Witness 2 Printed Name State of. County of: The foregoing instrument was acknowledged before me this 4` day of March,2018,by John Lummus who is personally known to me or(✓)have produced VL-Daa^ LAu„x.as identification. ,Pp1KAU r", Notary Public: ' i PrintedName: My Commission Expires: i 48yPUg\V�• �r�ir�nnta�� W yD-d-Pagad ' mvnmeotvm.o[menm a>ew n.,.iwdw....wb�vn.mu Aea.ymg yeasm.m.. wlwd w Ism o.vd e.owm. sv Iltinud wm, .ast�wm wmn+a 1lCeGA^O�d. sw..r. —lor� \ t'<wOaf: Mfwegoi�iwgmW wo.hvuwledgd 6ckm me W'vZ1 dyr of Much,Lllg,by DaNd B. Bawcn wha�j li p�®elly hm�m b me m U hcc pmCrcd igmtlprybn NavyyWk� lotd4 SHARIF.WF4FCOMB MY�inmo� ,�mb erccaw,nass�moaume BXPUTS i 24,2021