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1212 Jasmine St FNCE19-0101 4' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER r CITY OF ATLANTIC BEACH FNCE19-0101 800 SEMINOLE ROAD ISSUED: 8/16/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 2/12/2020 ._._I MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE, ' OF ATLANTIC BEACH CODEOF ORDINANCES . ALL CONDITIONS OF • 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: 1212 JASMINE ST FENCE WALL OR BARRIER FENCE 4' FENCE $1000.00 TYPE OF • • GROUP: 171020 0020 ATLANTIC BEACH SEC H COMPANY: ADDRESS: • ADDRESS: ' ROBERT & SHERRI 2208 MARSH POINT RD JACKSONVILLE FL EMAHISER 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. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. �I 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling,Shapells, Inc., Republic Services,Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. Issued Date: 8/16/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0101 ISSUED: 8/16/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 2/12/2020 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing and debris must be removed from job site by Contractor. 5 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Fence cannot be installed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50 FENCE 455-0000-322-1000 0 $35.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $81.50 Issued Date:8/16/2019 2 of 2 Yir1l�Jjl� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r l 800 Seminole Road ` Atlantic Beach, Florida 32233-5445 F I\'1 -L— q Phone(904)247-5826 - Fax(904)247-5845 �J;s yr E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 7t p,Sr" Department review required Yesehio Buildin _ Applicant: ( -Planning &Zoning / Tree Adminis ra or Project: ( Piabli ks Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: []Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: �UILDM_G PLANNING &ZONING Reviewed by: iT Date: '�S � 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 �7 Building Permit Application �, Updated10/9/18 City of Atlantic Beach Building Department E Co "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: I� r CJ Permit Number: F y (O l Legal Description RE# Valuation of Work(Replacement Cost)$ /,�J� Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial Xesidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No • Will trees be removed in association with proposed romect? ❑Yes must submit separate Tree Removal Permit o Describe in detail the typ of ork to.,be performed: Y�w Florida Product Approval# for multiple products use product approval foFm _j cn Property Owner Information cL ._ < :) Name h Address v� t ' •' LEJ p City State, Zip Phone 0 t� E-Mail - r rr 17–Wo nk Owner or Agent(If Agen lPower of Attorney or Agency Letter Required) l Contractor Information OO of Name of Company Qualifying Agent V.: Address City State Zi 0 •; W z Office Phone Job Site Contact Number 71 CC sL State Certification/Registration# E-Mail �n it a Architect Name&Phone# '� Fs L'1 C LL Engineer's Name& Phone# L[1 NW Workers Compensation Insurer OR Exempt❑ Expiration Date W j Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installatian has w commenced prior to the issuance of a permit and .'at 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 rU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE F COMMENCEMENT. (Sig a ure of Owner or Agent) (Signature of ntractor) Signed and sworn to(fir ffir ed) re e this, day of Signed and sworn to(or aff' ed)before me this day of ( igna r a (Signature of Notary) —[ )Personally Known ORTONT GINDLESPERGER [ )Personally Known OR [ )Produced Identification MY COMMISSION#FF 924951 [ 1 Produced Identification Type of Identification: Type of Identification: Bonded Thru Notary Public Underwriters MAP SHOWING BOUNDARY SURVEY OF �c //��LOOTp 2. BLOCKOOR 204. ACCORDING �TOO THE uPLAT or BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: RYAN SPRADLLN, FIRST AMERICAN TITLE INSURANCE COHPANY, CAPITAL SOUTH MNK AND CRBTKEE 6 FALLAR, P.A. JASA&WE STREE[�T (JO.RAJ ! 50.00 (R) „r RERAR RMAR .. 49.90'CNJ Le N Sl r fM3 ASSOC.U68 TAi�sr - ms«(R) 1 $A I14M (0) Cimc' gpAnEl � o wAEx NTIOp r^ YIOm OCCK Y8• vrep T a• J4 2 9O $y 1 miss,I'RANE Ir 'IN RC9OCNCt q O y W/1 EAVES O O U Q .0 ITV 1 � m ti 7,A' TF i /.a i +l:RFE,IfIi vxm \_.v L'CCK fNAM[SIIFA '� � /H.p•EAKS ,t. N t ,ALrf LOTw2 BLOCK 204 .19.97(M1 ON �._ 1/YI\ I/T AEBAR no. ar :f0.00'11R) ONE Assoc Supv la s.aa LOT 1U LOT 2 LOT 3 BLACK 205 I BLOCK 205 BLOCK 205 n c•n r-art'v-.Nan anaANm ro R RurpC nE axA Alwu w neap AI/A/NGOp mNE"[la.�.a.i.MYn rr n TE w�µn.uxi ru:.0 • ■ .nowt c..xce wn AH a.oI eH.r:ila a Its IKN,1 nor a MIR aur. .AA!uss TI41x r SPUME NKI uu W..A:IwaN..R�ar UwT•.Re�I rA.wNiAl,[N�Ra'ri 1.ANGLES AS SHOWN ON THISGffi&L KI �. .. 2.STRUCTURE ND. 1712 SIM 107111170N LIES MININ I=EDNE_ + AS BE51 DEIERNINEO FROM T.CMA FLOW MAPS PANEL NO-1—D40114-1/-NaP A$SOCIATED SURVEYORS INC. 3,THS 15 A SURFACE SURVEY OILY.THE EXTENT OF UNDERGROUND FOOTNCS, LAND a ENGINEERING SURVEYS PPES ANB UTIUTIM K ANY,NOT DETERMINED ' 4=W MCRONAL AND OR ENMONMENTAIJ_Y SENSInVE AREAS■ANY.NOT 3446 BlAi1pRK'BOULEVARD LOCATED BY THIS=Y. '- S �^ JArKS Lt,7q IA 37410 S THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLIC i+ RECORDS WERE NOT SEARCHED BY TMS SURVEYOR FOR EASEMENT.TITLE CERTFMAIE OF AUTHOW4ATgN ND,LB D3054@8 COVENANTS,B.R.L'S.RESTRICTIONS,CLOSURES,TAKINn OR ORLXNANCES.ETC. THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT MS PARCEL s.VNIESS Ol.ICR A 4 STATED ALL IRON PIPES FOA10 HAVE NO CEN71FIGlTION, DIREC1 HEREBY CERTIFY THIS MECI l` WAS MINIMUMDONE UNDER MY 1d•ENDA/LIRMlYIATgW9 NICAL STAND SUPERVISION ANO MEIN THE JANTT TFC CHAPTER D SET MON PIPE OR REUM PC-POW OF C��R!yL¢E lal Cpy�AED $TANOARD$ FOR LAND SURVEYING F'UI�IIAFFI TO F:HAPTEq •'ASSOC.SUTNEY WOROL B 5488 P f.»POM LY fMICENCI'ER_f1EC R d0E 8)('417 FLORIDA AD N15 ATI`. CQ E,L PTFN 47Z, F•.$. • FOUND IRON PN OR RPE(IP) PRC. PAINT OF RRERSE CURVE S ■ FOUND CONCRETE 1100 Efil It U) PC C PONT DF CDANOAID CLAVE BY• ■ CROSS CUT OR DRf L HOLE (C) C(NIPVI(D OAIA A/N AGO[Q-,y (R) RECORD (M)r NEASU$D CONC. CONCRETE B T..BIALpNG TIE CH 'L D. HATC 'R FLORIDA L'.iIFICATE Nli ;//1 R+RApIUS L. ARC LENGIN A\C sAEi LY1tAR10NER(CT).CAVE TIE CI' LES L. $TARLIN FLORIDA .ERTIFICAIr NG 4579 0.0.8�OFFtCNL RECORD dODF ® ,NATER METER .g.o UAUry ROLE RAYMOND J. 5CHAE k FLORIDA CERTIFICATE NO 6132 O R V +Oil:wT.AEI;g7p VOLeIE•E P EO _roa EOINNOTT -..IM AN CKOK JOB NO _54809 P.RM PEAIWIDIT WTOENCE IaN111RRt -ORI.• M'D4 IIFAD NRTi1E5 CH-CHORD DATE OS 2WB B.R.L+PU1WING NESIRETLON LINE X—X CIKN 0 FENCE BM. -ffIWEEN SCALE: i" z.Z Do OHAFTF.H_.*_5. J.EA ..,ax N:aLEAEL cIrHC AU4iMgY C k RW-C(NENAETS 8 AL^,wTRIC&CE NOT VALID W11hCUT THE SICNATURF AND TNF UR1!RNAL ITA!SED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER OFFICE COPY Fidelity National Title of Florida, Inc. License #: A090982 601 Riverside Avenue, Bldg V—5th Floor, Jacksonville, FL 32204 Phone: (904)854-8708 1 Fax: (904)212-0875 FINAL BORROWER'S STATEMENT Settlement Date: August 12, 2019 Escrow Number: 52-19-0292 Disbursement Date: August 12, 2019 Escrow Officer: Michele Pierce Email: michele.pierce@fnf.com Borrower: Robert Jeffrey Emahiser and Sherri Lynn Emahiser 2208 Marsh Point Rd Seller: Patrick J Gallagher 1212 Jasmine St Atlantic Beach, FL 32233 Property: 1212 Jasmine St Atlantic Beach, FL 32233 Lender: USAA Federal Savings Bank and/or the Secretary of the Department of Veterans 10750 McDermott Freeway San Antonio, TX 78288 Loan Number: 3001916164 $ DEBITS $ CREDITS FINANCIAL CONSIDERATION Sale Price of Property 203,100.00 Deposit or earnest money 1,900.00 Loan Amount USAA Federal Savings Bank and/or the Secretary 207,466.00 of the Department of Veterans Seller Credit 5,000.00 PRORATIONS/ADJUSTMENTS County Taxes at$2,085.18 01/01/19 to 08/12/19($2,085.18/365 X 223 days) 1,273.96 COMMISSIONS Transaction Fee Ancient City Real Estate 0.00 NEW LOAN CHARGES - USAA Federal Savings Bank and/or the Secretary of the Department of Veterans Total Loan Charges: $7,342.25 0.125% of Loan Amount(Points) USAA Federal Savings Bank and/or the Secretary 259.33 of the Department of Veterans Appraisal Fee Irwin Howard Appraisal $450.00 paid outside closing by Borrower Credit Report CoreLogic 26.32 Flood Certification CoreLogic Flood Services 4,97 VA Funding Fee Department of Veterans Affairs 4,366.65 Pest Inspection Fee USAA Federal Savings Bank and/or the Secretary 145.00 of the Department of Veterans Prepaid Interest 454.80 $22.74 per day from 08/12/19 to 09/01/19 USAA Federal Savings Bank and/or the Secretary of the Department of Veterans Homeowner's Insurance USAA Federal Savings Bank and/or the Secretary 566.79 of the Department of Veterans 3.000 Months at$188.93 per Month CERTIFIED COPY Page 1 of 3 (52-19-0292/53)August 09,2019 03:21 PM Vf 1 IVL VVF I FINAL BORROWER'S STATEMENT- Continued $ DEBITS $ CREDITS NEW LOAN CHARGES - USAA Federal Savings Bank and/or the Secretary of the Department of Veterans Total Loan Charges: $7,342.25 Property Taxes USAA Federal Savings Bank and/or the Secretary 2,085.12 of the Department of Veterans 12.000 Months at$173.76 per Month Aggregate Adjustment USAA Federal Savings Bank and/or the Secretary 566.73 of the Department of Veterans TITLE & ESCROW CHARGES Title-e-Recording to Simplifile Duval County Clerk of Court 9.00 Title-ALTA 8.1-06- Environmental Fidelity National Title of Florida, Inc. 50.00 Protection Lien (with Florida Modifications) Title-ALTA 9-06- Restrictions, Fidelity National Title of Florida, Inc. 116.85 Encroachments, Minerals (with Florida Modifications)2006 Title-ALTA 9.2-06- Restrictions, Fidelity National Title of Florida, Inc. 116.85 Encroachments, Minerals-Improved Land (with Florida Modificati Title-Lender's Title Insurance Fidelity National Title of Florida, Inc. 397.00 Policies to be issued: Loan Policy Underwriter: Fidelity National Title Insurance Company Coverage: $207,466.00 Premium: $397.00 Version: ALTA Loan Policy 2006 (with Florida Modifications) GOVERNMENT CHARGES Recording Fees Duval County Clerk of Court 164.50 Transfer Taxes ($2,562.88) Duval County Clerk of Court 1,141.18 MISCELLANEOUS CHARGES Homeowner's Insurance Premium USAA 2,267.17 12 months Subtotals _ Balance Due TO Borrower 215,271.53 216,206.69935.16 TOTALS 216,206.69 216,206.69 The undersigned hereby certify that they have carefully received the Closing Disclosure or other settlement statement form, and they approve and agree to the payment of all fees, costs, expenses and disbursement as reflected on the Closing Disclosure or other settlement statement form to be paid on their behalf. We further certify that we have received a copy of the Closing Disclosure or other settlement statement. BORROWER: Robert J rey E ahl er h rri ynn E s r CERTIFIED COPY Page 2 of 3 (52-19-0292/53)August 09,2019 03:21 PM FINAL BORROWER'S STATEMENT- Continued have reviewed the Closing Disclosure, the settlement statement, the lender's closing instructions and any and all other forms relative to the funds held in escrow, including any disclosure of the Florida title insurance premiums bei�� a Imr disburse the escrow funds in accordance with the terms of this transaction and Florida law. I C Copy Fidelity National Title of Florida, Inc. Michele Pierce License Number: A090982 : .................................................................................................................. THIS IS A CERTIFIED COPY OF THE ORIGINAL DOCUMENT(S) BY FIDELITY NATIONAL TITLE OF FLORIDA, INC. Fidelity National Title of Florida, Inc., Settlement Agent ....................................................................................................................: SAVE THIS STATEMENT FOR INCOME TAX PURPOSES CERTIFIED COPY Page 3 of 3 (52-19-0292/53)August 09,2019 0121 PM rsJa T—_ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road X Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 xi"J:i �r E-mail: building-dept@coab.us Date routed: Cityweb-site: http://www.coab.us — APPLICATION REVIEW AND TRACKING FORM l Z z. c Property Address: I�`�x`1(1 DqqxigpLent review required Yes No Buildin Applicant: (A�) � fanning &Zoning 4'— Tree A minis,ra or Project: _4„�� t 1— ubli ks lic Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: []Approved. ❑Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revise ❑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 City of Atlantic Beach ,--•.t 7 ".— APPLICATION NUMBER Building Department be assigned by the Building Department.) . r 800 Seminole Road _ Atlantic Beach, Florida 32233-5445 AUG 13 201 Phone(904)247-5826• Fax(904)247-5845 E-mail: building-dept@coab.us gY ate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: l z- �-' h�- Sr1n t 'y �( DpAylilent review required Yes No Buildin Applicant: (��) K�j Le- Planning &Zoning Tree A minis.ra or Project: i �� ubli s lic 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: [/Approved. []Denied. []Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed b �.��Date: .' 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 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 r ( U Phone(904)247-5826 Fax(904)247-5845 F�COM E-mail: building-dept@coab.us Date routed: �. City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z I Z. J RSnA t,ye �( DqpAftent review required Yes No Buildin Applicant: C CA3 ti &Z- fl—anning &Zoning Tree A minis.ra or Project: f �� ublic ks blic 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: Approved. ❑Denied. []Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING �/'�� Reviewed by: 'W- Date: 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