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471 IREX RD RES ALT PERMIT RESIDENTIAL PERMIT PERMIT NUMBER RES19-0027 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 2/6/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 8/5/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . A LL 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 471 IREX RD RESIDENTIAL ALTERATION WINDOWS, KITCHEN & BATH $20000.00 RESIDENTIAL RENO TYPE OF • • GROUP: 171408 0000 ROYAL PALMS UNIT 02A3.00 COMPANY: ADDRESS: PHILLIPS BUILDERS LLC 1250 SELVA MARINA CIR ATLANTIC BEACH FL 32233 • ADDRESS: FORDPHILLIPS PROPERTIES 1835 3RD ST N JACKSONVILLE FL 32250 L L C 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 $155.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $77.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.49 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.33 Issued Date: 2/6/2019 1 of 2 RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES19-0027 ?. rr 800 SEMINOLE ROAD ISSUED: 2/6/2019 Ji3 ATLANTIC BEACH. FL 32233 EXPIRES: 8/5/2019 TOTAL: $238.32 Issued Date: 2/6/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) f 800 Seminole Road '7 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: REX l De artment review required Yes No Building Applicant: 11 ( _1 U l L F 2 S arming &Zoning / Tree Administrator Project:J _ l"� t TC � Public Works t N�n� _ 64 E, Public Utilities lzs r-�`r-(—1 cti 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDf•N PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. Denied. ❑ pp ❑ [—]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 Building Permit Application OFFICE COPY Updoted10/9/18 J p\ City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: 4-7 1 1 9-Kk A. 0. +-t. 3 2,7-3 1 Permit Number: "` �� — UQZ- 7 Legal Descriptions -016, 1-7-Zq"2Q r Q/P OF FT OFPotAA PAIM Lb n RE# 71 4yq- 600D Valuation of Work(Replacement Cost)$ Z©. 00D, Heated/Cooled SF J. I 0�)_Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑RepaZesid ve ❑Demo ❑Pool G�lindow/Door • Use of existing/proposed structure(s): ❑Commercial ntial • If an existing structure,is a fire sprinkler system installed?: ❑Yes 221 o • Will trees be removed in association with proposed ro'ect?❑Yes must submit separate Tree Removal Per ❑No Describe in detail the type of work to be performed: L) _ 2 1ti 6 tj �t11''tl�tit�lJs 1 K fTGM�•�1 1 -!( SM,S a = Q z CIL Florida Product Approval# for multiple products use product a&;r4l Qrg Property Owner Information O m 0 z0 Name � ,� a" P 14 1 LPL b S Address o V V 0 V D City Art> State V—", , Zip _3 ZZ 3 v Phone OJC� 24q e E-Mail p �7 OZ O Q Owner or Agent(If Agent,Power of Attorne or Agency Letter Required) N Contractor Information Q i? Name of Company Pl+1( bA PSC-,) a NAe K I i C Qualifying Agent LL a � Address !q 12- OLAFb J R.,V/) • City �. /1, _ State �'�, Zip CC m Office Phone Q04 ��G} �2�_G�O� Job Site Contact Number &4, w :3 G 161611 a W State Certification/Regi rati�C'C 1 Z;7�� 1� E-Mail 1 1 I�, c`T (T W V N W Architect Name&Phone# —� W Engineer's Name&Phone# W Workers Compensation Insurer �EM P-r OR Exempt❑ Expiration Date S cc 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 regulating 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 ORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT. (Signature orowner Agent) (Si9A re of Contractor) Signed and sworn to(or affirmed)before me this 11, day of Igned and sworn to affir e befor me this y pf JaA-Ar A0 b — 1. 11 f--"A by (Signature of Notdry) (Signatu otary NOTA PUBLIC �l [ Personally Known Personally Known OR TONT GINDLESPERGER gTATE OF FLORID► R g;<; [ ]Produced Identifica [ ]Produced Identificatio' MY COMMISSION#FF 924951 ca,,,,r,R FFeosoa '* Type of Identification: W Type of Identification: ., 4i a %.E od... •' Bonded Thru Notary Public Undenrrters P[S /�-Oaa 7 OFFICE COPY NOTICE OF COMMENCEMENT State of -F I cx (Op, Tax Folio No. County of b(2� (..r To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated'n thioOTICE OF COMMENCEMENT. Legal Description of property being improved:_ _ _ t J :jj+(1 R—(3o0 0 3) - 016 11- 2-S--29 C 121P OE T O F -t-?� a�►�R�+�S UN T ZA Lai-7 bikes 1 0 - Address of property being improved: :!i— i i PZE)( i2o, o A, _ FL_ 3 General description of improvements: W 11 ows Owner: P0P.0 PV+VWPS LLC, Address: OGFAAv !?�i4n. Ipj, 6-1 32-a Owner's interest in site of the improvement: n z c mOOM c o Fee Simple Titleholder(if other than owner): 0 c z o 3 0 OOzzam* Name: Oma; o n ,n z Co�) m Contractor: A/+t u f'y k�lr.�e, trs LI L ^ m tQ Ln Address: Q.q -2 oc t_, A, ewo . es , P( . o c� O (� Q X Telephone No.:- 3 2 9 9 1 Fax No: rn w co Surety(if any) C-)v 0� m c Address: Amount of Bond$ C N ::i _ Telephone No: Fax No: n o M Name and address of any person making a loan for the construction of the improvements cn Name: C Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served:Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): _ THIS SPACE FOR RECORDER'S USE ONLY OWNER C�Grady Signe - Date: Before me this da of in the County of Duval,State NOTARY PUSUC • Of Florida,has personally appeared r ar STATE OF F1'OPJOA Notary Public at Large,State of Florida,County of D val. C. C T"FFI M My commission expires: Florida, — f g a0me 8/4/2019 Personally Known: or Produced Identification: OFFICE COPY Prepared by and return to: Beth Murphy Richard T.Morehead Title&Escrow,Inc. 444 Third Street Neptune Beach,Florida 32266 HeNumber: 19932643 M 0 aD A maw Corporate Warranty Deed This Indenture, made,January 15,2019 A.D. Between The Investment Network Limited Partnership whose post office address is:P.O. Box 5580,Santa Monica,California 90409 a corporation existing under the laws of the State of Nevada,Grantor and FordPhillips Properties,LLC whose post office address is:1835 Third Street North,Jacksonville Beach,Florida 32250,Grantee, Witnesseth,that the said Grantor,for and in consideration of the sum of Ten and No/100 Dollars($10.00),to It in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said Grantee forever, the following described land,situate,lying and being in the County of Duval, State of Florida,to wlt: Lot 17 Block 10,REPLAT OF PART OF ROYAL PALMS UNIT TWO A,according to the plat thereof as recorded in Plat Book 31,Pages 16,16A,16B,16C and 16D,of the Current Public Records of Duval County, Florida. Subject to taxes for the current year,covenants,restrictions and easements of record,if any. Parcel Identification Number:171408-0000 And the said 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. Florida Corporate NedA otter OFFICE COPY Prepared by: Beth Murphy Richard T.Morehead Title&Escrow,Inc. 444 Third Street Neptune Beach,Florida 32266 File Number: 19B2643 In Witness Whereof, the said Grantor has caused this instrument to be executed in its name by its duly authorized officer and caused its corporate seal to be affixed the day and year first above written. The Investment Network Limited Partnership By:R.E.Network,Inc.,as General Partner Signed and Seated in Our V Presence: By: Timothy JfbsKald its: President wn.d.rum n. 4-1 0 it LA AML (Corporate Seal) Wllnu.Pn�l N.mu ��yt]fiTr'r rT` /�'blL State of Florida County of Duval The foregoing instrument was acknowledged before me this 15th day of January,2019,by Timothy J.Oswald,the President of R.E. Network,Inc.,General Partner of The Investment Network Limited Partnership,a corporation existing under the laws of the State of Nevada,on behalf of the corporation. He/She is personally known tome or has produced �QtU FLft Lt G .f£— as identification. (Seal) N Public ary Punted Nome' My Commission Expires;. Y Ndery Puda sub d F toeEllzabetn A.MurphyMy comrnfwlon o 2-70,79 Wmii 1110=22 Florida Corporate Dwd/Letter OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: -f-2 / `A261 A. e, A;/. .3 ZZ3 Permit#: RES 19— 0c).-)—/ *Owner/Project Name: P 11'0A( As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72, please provide the information and product approval number(s)for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www.floridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS 3s U) GU 1J 1.Swinging R_ 2.Sliding 3. Sectional 4. Garage Roll-Up S.Automatic 6. Other B.WINDOWS 5iLVt4_ LrNC 1+9 1.Single hung 2. Horizontal slider 3. Casement 4. Double hung 5. Fixed 6.Awning 7. pass-through 8. Projected 9. Mullion 10.Wind breaker 11. Dual action 12. Other Page 1 of 4 Updated 10/17/18 Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C. PANEL WALL 1. Siding 2. Soffits B. EIFS 4.Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10.Synthetic stucco 11. Other D. ROOFING PRODUCTS 1.Asphalt shingles 2. Underlayments 3. Roofing fasteners 4. Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen 7.Single ply roofing 8. Roofing tiles 9. Roofing insulation 10.Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16.Spray applied polyurethane roof 17. Other Page 2 of 4 Updated 10/17/18 Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1. Accordion 2. Bahama 3.Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F.STRUCTURAL COMPONENTS 1. Wood connector/anchor 2.Truss plates 3. Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9. Plastics 10. Deck-roof 11.Wall 12.Sheds 13. Other G. SKYLIGHTS 1.Skylight 2. Other H. NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. Page 3 of 4 Updated 10117118 OFFICE COPY In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. *Contractor Namenatur Print Name): *Contractor Si e: � ) g *Company Name:Pquli. s eU"aK'_CS U-C, *Mailing Address: 9q Z oC eA►J *City: iq.w F`- 2 *State: ��- *Zip Code: 6 J �Zv3 *Telephone Number: ` *E-mail Address: D41kL �(x �LA&0,carce, T: (,,Np5— Cell Phone Number: Fax Number: Page 4 of 4 Updated 10/17/18