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817 BONITA RD - INTERIOR REMODEL 1'�'yr, RESIDENTIAL PERMIT PERMIT NUMBER i/' 4 CITY OF ATLANTIC BEACH RES18-0384 `\ 800 SEMINOLE ROAD ISSUED: 11/28/2018 °s;s!r ATLANTIC BEACH. FL 32233 EXPIRES: 5/27/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 817 BONITA RD RESIDENTIAL ALTERATION INTERIOR REMODEL $15000.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171153 0000 ROYAL PALMS UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: CHRISTOPHER J ROOD 509 9TH ST JACKSONVILLE FL 32250 BEACH WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS !Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $130.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $65.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.93 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $199.93 Issued Date: 11/28/2018 1 of 2 or .r,,, City of Atlantic Beach APPLICATION NUMBER .t4s ri� Building Department (To be assigned by the Building Department.) 800 Seminole Road /- /., �~ 0 Atlantic Beach, Florida 32233-5445 R GS(C'p) (j r 4. Phone(904)247-5826 • Fax(904)247-5845 s 9), E-mail: building-dept@coab.us Date routed: r City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 13 6(u k- Department review required Yes No �uildmg Applicant: QUO &L un c�z ^ lanning &Zoning Tree Administrator Project: f 10 '�C��©(� ��� (^gyp F L Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 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 Other: APPLICATION STATUS Reviewing Department First Review: proved. ❑Denied. ❑Not applicable (Circle one.) Comments: c24 J BUILDING PLANNING &ZONING Reviewed by: rn Date: /1 'aS'/ (9- TREE TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 r __- Building Permit Application Updated 10/9/18 P. si • . City of Atlantic Beach Building Department **ALL INFORMATION J 800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHTED IN GRAY �''' ' Phone: (904)247 5826 Fax: (904)247 5845 Email: Building-Dept@coab.us IS REQUIRED. Job Address: R)7 Bor, i -t-c, 2 rA Permit Number: Legal Description 0 S 2 d g 6 y ti) fO% I Ms U n r 4t 0 i RE# -1 -7 ) 153 -0000 Valuation of Work(Replacement Cost)$- )S 1 0 0 C) Heated/Cooled SF 2 20 Non-Heated/Cooled • Class of Work: elNew ❑Addition DAlteration G3Repair :Wove Demo ❑Pool DWindow/Door • Use of existing/proposed structure(s): Commercial residential i • If an existing structure,is a fire sprinkler system installed?: QYes Cliocr-t01- C-2I ce_ • Will tree(s)be removed in association with proposed proiect?Eyes must submit separate Tree Removal Permit) io �f mu Describe in detail the type of work to be performed: 7,„„... .}�,V r� c V 0(v•c tt IOt rtf0,/,(a/ o,c,cl rep 4-c.Qci. --1-1., 1,ck n c.--c�� -cts L,),tI be e.r-a./ed 0.nd r4-p (.. c-c--d, 1--,,c.bc- n r-c� .< w; \\ be Jpck -ed . LU Florida Product Approval# for multiple products use product aroval form Property Owner Information < J cn Name CI,r;Tcop'' c C 3 Ecc9i Address 6.6S 9"` �} rJ r 0z City T -& s o mf AC e 6 ct, State Ft- Zip 3 22 $0 Phone ''O -# 2..2. ( 75§ 02.3 w E-Mail 400 a.2c1 @ a)M�t l.t o� (Q CO — Z VI- Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a Z U 0 Contractor Information R< i L'CL1 & q rY►c�_i( , e-r"r6L aLij s cc o Name of Company ' ) Qualifying Agent 0 dZ 2 .4 Address City State Zip U Fes- N i- Office Phone Job Site Contact Number Q d r� State Certification/Registration# E-Mail Lt. ,'.'''(X x O ur r Architect Name&Phone# 0 a. X In Engineer's Name&Phone# til F•- 2 ,?., W Workers Compensation Insurer OR Exempt o Expiration Date LU U N CC w Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or ins> lation has j commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating ce 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 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. 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 PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO i ENEEMENT. 7 (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or a'irme• before me this day of Signed and sworn to(or affirmed)before me this day of Zo' by ` O. . r 10 . ,1 y ,by - - fl S . •-. --.__._.._.__ �,�, (Signature of Notary) 4"`! ;., JAMIE D.SMrIH . YYCOMMISSICN#GG 255331 `• [ ]Per nally Known OR 4.;!..."-A: OXIRES:September 5,2022 [ D °" TinRO►a►YPut* den�itora_ Personally Known OR Produced Identification roduced Identification���,D,� Tvnp of identifiratinn• voe of Identification: SIL.-1,J'r IL` CITY OF ATLANTIC BEACH }s U ‘40 OWNER / BUILDER AFFIDAVIT Ji 0 I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 50 5 9'^ ik) 904./ ?2% 3513 ADDRESS PHONE NUMBER gi;,„,,,‘A.Gok,c(-- T .t/��Ube'P7 NAME It / l1 ' $ SIGN U � / DATE Before me this 1 L day oy\ V ,20'CiiT((�)the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are truce arid accurate. ��\ Notary Public at Large,St-te of ' l ,County of J 0 Vn✓ tt ❑Personally Known IP � �� �i t-J I ^7 1.._ $Rroduced Identification t 6_,0 :-_,',::::r , .. -- r �' ;otter P_4,,T,..6.,?,,;;: � .__...`-^�.._ - 4.• �,: mNl cxln�c�ESF'Egr;rR`- • _ ; .= MY CQ::::::925951 te Notary Signature: • °?; 'a= EXPI 2019 ,,fa; O! H , - Bonded Thrndervai!ers F:BLDG/Owner-Builder Affadavit REVISED:4/16/2009 - Prepared by and Return to: LAWRENCE J.BERNARD,P.A. 480 Busch Drive Jacksonville,Florida 32218 TRUSTEE'S DEED THIS DEED is made as of this 19th day of November,2018 between Robert Altman, Trustee (and not individually)("Trustee"or the"Grantor")of the Bankruptcy Estate of Nelson and Emma Cruz, (the "Debtors"), which is pending in the United States Bankruptcy Court, Middle District of Florida,Jacksonville Division,Case No.: 18-01846,whose mailing address is fogglx-_92Z Pei.(Zvi)44%.FL 32.1 7 and Christopher J.Rood,whose mailing address is 0a 9 S+ p t,N,.,TCU .(3ep,cb.,FL i (the"Buyers" or"Grantees'). WHEREAS,the Trustee was duly appointed as the Trustee in bankruptcy of the Debtors' estate and qualified as such and is serving as such;and WHEREAS,the undersigned filed and served in the Debtors' case a motion for authority to sell certain property of the bankruptcy estate (the "Motion") under which the sale of the property described herein was described, and no objection or request for a hearing was filed in response, and the Court entered an Order granting the Motion, and the Trustee is therefore authorized to complete the sale. NOW,THEREFORE,the Grantor in consideration of the sum of Ten Dollars and No/00 ($10.00) and other valuable considerations paid by the Buyers, the receipt and sufficiency of which is hereby acknowledged,has granted, bargained and sold to the Buyers, their heirs and assigns forever,to have and to hold,all of the Grantor's interest in the following described land, referred to herein as the"Property",to-wit: 817 Bonita Road,Atlantic Beach,Florida 32233 (Parcel Identification Number 171153-0000) Lot 13,Block 3,Royal Palms Unit One,according to the map or plat thereof,as recorded in Plat Book 30,Page(s)60,of the Public Records of Duval County, Florida. SEE EXHIBIT "A" ATTACHED HERETO AND BY THIS REFERENCE INCORPORATED HEREIN AND MADE A PART HEREOF. This conveyance is expressly subject to all covenants, restrictions, easements, limitations, assessments and other matters of record(although reference to such matters shall not serve to extend the same)existing zoning and/or restrictions imposed by governmental authority,and ad valorem taxes. By acceptance of this Deed, Grantees agree that Grantor is not making and specifically disclaims any warranties or representations of any kind or character, express or implied, with respect to the Property,including,but not limited to,warranties or representations as to matters of title,zoning, tax consequences,physical or environmental conditions,availability of access, ingress or egress, operating history or projections, valuation, governmental approvals, governmental regulations or any other matter or thing relating to or affecting the Property including,without limitation:(i)the value,condition,merchantability,habitability,marketability, profitability,suitability or fitness for a particular use or purpose of the Property;(ii)the manner 136221923;I} or quality of the construction or materials incorporated into any of the Property; and (iii) the manner,quality,state of repair or lack of repair of the Property. Buyers agree that with respect to the Property,Buyers have not relied upon and will not rely upon,either directly or indirectly,any representation or warranty of Grantor or any agent of Grantor. Buyers represent that they are relying solely on their own expertise and that of Buyers' consultants, and that Buyers will conduct such inspections and investigations of the Property, including but not limited to, the physical and environmental conditions thereof,and shall rely upon same,and upon closing,shall assume the risk that adverse matters, including but not limited to adverse physical and environmental conditions,may not have been revealed by Buyers'inspections and investigations. Buyers have acknowledged and agreed that Grantor sells and conveys the Property under this Deed to Buyers and that Buyers accept said Property"as is,where is,"with all faults,liens and encumbrances. Buyers further acknowledge and agree that there are no oral agreements, warranties or representations, collateral to or affecting the Property by Grantor, any agent of Grantor or any third party. IN WITNESS WHEREOF,I,Robert Altman,Trustee (and not individually)of the Bankruptcy Estate of Nelson and Emma Cruz under case#18-01846,executed this Trustee's Deed. Signed,sealed and delivered in the presence of: /---L-----1 ".------- Print Nan--;e?SCC1fait1 G46.1f...11. Robert Altman,Trustee(and not individually)of the Bankruptcy Estate of Nelson and Emma Cruz under case#18-01846 • Print Name: Cbl)-V1l\,I C AXQ3" STATE OF Flo 'da COUNTY OF The foregoing instrument was executed and aclmowledged before me this 1S day of November,2018,by Robert Altman,Trustee of the Bankruptcy Estate of Nelson and Emma Cruz under case#18-01846,and who is( g)personally known to me or( )did produce _ _ as identification. '� t _)C1.... 0 VW-A' .0::* JENNIFER S.PAUL Commission#FF 935235 P i Nam Y11` ' a�Q, y Expkes November 11,2019 Notary Public,State of Florida at Large e..�wn.dnelr+rnxw.,..eooa1sn» ` My Commission Number: My Commission Expires:_ — {36227923;1{ 2