1952 W Sevilla Blvd RES19-0270 Interior Reno ,,,: ,_,ARESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0270
.)y, z ISSUED: 10/1/2019
800 SEMINOLE ROAD
r;�;Ii� ATLANTIC BEACH, FL 32233 EXPIRES: 3/29/2020
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:
1952 W SEVILLA BLVD RESIDENTIAL ALTERATION INTERIOR RENO - REMOVE $17000.00
RESIDENTIAL WALL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169462 0435 SEVILLA GARDENS UNIT
02
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
JENNIFER and ANTHONY 1952 SEVILLA BLVD W ATLANTIC BEACH FL 32233
PALHETE
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $140.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $70.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.10
TOTAL: $215.25
Issued Date: 10/1/2019 1 of 2
RESIDENTIAL PERMIT PERMIT NUMBER
JV¢1
CITY OF ATLANTIC BEACH RES19-0270
ISSUED:SEMINOLE ROAD 10/1/2019
01-119',>-/ EXPIRES: 3/29/2020
ATLANTIC BEACH, FL 32233
Issued Date: 10/1/2019 2 of 2
/LAn; City of Atlantic Beach APPLICATION NUMBER
s � Building Department (To be assigned by the Building Department.)
800 Seminole Road ��•- t C — 02-
7 C.�
e• Atlantic Beach, Florida 32233-5445 l��
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: I s-z. sEv 4LL(a (12)Lf,D Vv" Depa ment review required Ye No
�;� Buildin {
Applicant: (�tOPlanning&Zoning
Tree Administrator
Project: I Lf1AOVI✓ I Public Works
Public Utilities
Loo O(Zl K-_-.)G\ Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By t
Florida Dept. of Environmental Protection •c
Florida Dept. of Transportation
St. Johns River Water Management District �lv cP
Army Corps of Engineers _
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other: L
APPLICATION STATUS
Reviewing Department First Review: proved. nDenied. nNot applicable
(Circle one.) Comments:
BUILDINr
PLANNING &ZONING Reviewed by: Date:/0/ /
TREE ADMIN. Second Review:
nApproved as revised. nDenie nNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. I 'Denied. nNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
r". - Building Permit Application OFFICE COPY Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
�, ` 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
" i;l IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
G ��. 3z233 ReS(c -Oz70
Job Address: " 4 S �N• l Qj\ Vq_. (A) C"C L Permit Number:
Legal Description Lit- 310, S�vC. t 1°- o. 's Uko- -1.. t1 P( k-4s RE#
Valuation of Work(Replacement Cost)$ III 0O0 . 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 ❑Residential
• If an existing structure, is a fire sprinkler system installed?: DYes ❑No
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed:
iis:...no.,` wa-lt (✓-on-toad I,ea. )f A,V cCec414_47-( o�c, P:`A-Ci-, 01,-1,,.1a.t,
-�,.c e- ,,,--el,l�C.E 4 Lc... -r-t rte- C.)�S tz-k l \ "e-w d-co✓S
S
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 1\--....“- .•-o-1/4,1 .� ."..• (PQ-(te1/4-e_ Address t'\cc)- Se`."A- s' (jlvcC. tA.J
City Ar{-`a�-hh' - (3 cry-c.!-- State Pc Zip ?ja- -33 Phone g`-{ 3 -S---19 —Ci39g
E-Mailt-{,n..c,/-lam® w--E.c l - c.. -�
Owner or Agent(If Agent, Pow of Attorney or Agency Letter Required)
Contractor Information RECEIVED--
Name of Company -'i- - Qualifying Agent
Address City Statep 20,6
Office Phone Job Site Contact Number �E�
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name& Phone# Building Department
Workers Compensation Insurer OR Exempt❑ GitpoilAtiantic Beach, FL
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 ATTORNEY BEFORE
RECORDING YOUR TICE OF COMMENCEMENT.
Sigpa re of Owner or Agent)------(A-1
(Signature of Contractor)
Signed and sworn to(or affirmed)before me this S day of Signed and sworn to(or affirmed) before me this day of
stpkto.„, apt r
y 3:trt..t`-e Gi t l..{Q- , , by
/ O.
JENNIFERJOHNSTON lk
._
,., • MY COMMISSION#GG 042984 �:n. ,re of Notary) (Signature of Notary)
t'' '*` EXPIRES:October 27,2020
j;ot.°, Bonded Thru Notary Public Undefveiters
•"" t 7 PersahalKnown"oR
A [ ] Personally Known OR
(y
[..]15roduced Identification rr'' [ ] Produced Identification
Type of Identification: riD1 &C4 j IA 9-.‘,S .LLtn.S4 Type of Identification:
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
y 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: /9
OFFICE COPY Q
El Revision to Issued Permit OR Corrections to Comments Date: !////9
Project Address: / (//L ,5/U1) LJG�
Contractor/Contact Name: ,/ 47/V by /1//C
Contact Phone: p0 760 -- Email: /—Ly/ 757 2/9/G . C.071-A-
Description of Proposed Revision/Corrections:
A7 ' 74i .TP00/eS t)//i 5'47,-76. Z2CO,S le-il/C7c E 77 E
/i A 1 I-) 77G / -1‘7 c' /A/-7 /(2,, /1/O c/—GOA,b ,BE-9,Pifv 6-
I Ati7 t1 /Y ,., Z4'F7C affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
No C Yes (additional s.f. to be added:
• Will proposed revision/corrections add additional increase in building value to original submittal?
XNo ❑*Yes (additional increase in building value: $ (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
/ (Office Use Only)
VApproved C Denied — Not Applicable to Department Permit Fee Due$ CD—U
Revision/Plan Review Comments
Department Review Required:
4EZZE -1
Planning&Zoning eviewed By
Tree Administrator
Public Works
Public Utilities •'/O -/ - a 017
Public Safety Date
Fire Services Updated 10/17/18
OFFICE COPY **ALL INFORMATION
(----,, ,r;; Owner Builder Affidavit HIGHLIGHTED IN
ilo rt' City of Atlantic Beach Building Department GRAY IS REQUIRED.
lw.. fl
" 800 Seminole Rd, Atlantic Beach, FL 32233
( ) j2 / 6276
°`S '`� Phone: 904 247-5826 Email: Building-Dept@coab.us PERMIT#: '�
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. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US) 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.
Job Address: t - 1 c Ci Ji j 1 tom 6(v 0C- ( p--�lc„,,fl L 1` eac,(-, c-----c_
3�-- -3'3
Owner Name: AnA.-A-t-Lo---ky c7 - L J - -<< Ce-,/ VOL kg-4-e- Phone Number: 3 `-ZS ici-9.3 1 O
Mailing Address: (�S a SJc \ .& (kik W . City: kc••'4lL deNc L-. State: FL- Zip: 32-2-33
Notarized Signature of Owner t/i. ----
The feregoing,instrument was ack owle g before me this S day of St -Q r f, 20 (el in the State of Florida, County
of trl 4 1
(1/4bSignature of Notary Public -
[ ] Personally Known OR [,,] oduced Identification
I ?.0.'!;',:�0'' JENNIFER JOHNSTON c 1
�, " MY COMMISSION#GG 042984 Type of Identification: T l of;b1,C 16.1'44,1_ S \t-L�nJ-Q
fo,fr., i'""' • s EXPIRES:October 21,2020
%;
4, rm7 p es 19 - a-.70
NOTICE OF COMMENCEMENT
State of .(c A cf--0`— Tax Folio No.
County of "D,--, \ic--c OFFICE COPY
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 in this NOTICE OF COMMENCEMENT. (�
Legal Description of property being improved: L A 3\4,1 Sex/M.0- Cs��-`S U K`k r\---•,-)- i `� (°"4 —
V-- L i c
Address of property being improved: 161S— D--- ll- Q
c's` om( 22
w"j A '"�`c' 6c_ ( r C 333
General description of improvements:C`C)tte,,,..�4tie. vl�- c*e1•• Le 0---v%\----3 %... c-k( ` �� e.�c..4-, c-°`(
wCeNic 5.... -ck-. f C0.4-d., dam^ , s`v( CQ ac-+‘A_o.< k (2-4 o_c._t_ .-c ( ^S t
Ai I Owner: 24.-• ..1---e.........--, � 0"? Address: visa, Stv�1�� k'ic� (.�
`� fk-tea-fi c_fl cx0L, k—L 3.2 33
Owner's interest in site of the improvement: Ck -1,'�'
/ Fee Simple Titleholder(if other than owner): n
Name: cEi. A's OL,//j/e,(
Contractor: —
Address:
Telephone No.: Fax No:
Surety(if any)
•
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
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
Signed:1 ' C
Date: \- i ci
Before me this 3 day of S pliV cI r `�Count);of Duval,State
Doc#2019208451,OR BK 18926 Page 349, Of Florida,has personally appeared �n n t1/4k-
Number Pages:1 Notary Public at Large,Staf F "da, unty of D .
Recorded 09/10/2019 11:27 AM, `j`J --
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires: ,r % - JENNIFER JOHNSTON
Personally Known: ;sg , ';:.-ti MY rnMMI$S,ON#4142984
COUNTY VL h-(yJ `S\,LCA ; 1 r-4= EXPIRES:October 27.2020
RECORDING $10.00 Produced Identification: 9•f
"'Zt,:b.F,,,' Bonded TFvu Notary Public Underwriters
urrIUt UUIY
American Land Title Association ALTA Settlement Statement-Combined
Adopted 05-01-2015
Gibraltar Title Services, LLC
ALTA Universal ID:
4190 Belfort Rd., Suite 475
Jacksonville, FL 32216
File No./Escrow No. : GTS-1950717
Print Date &Time: August 28, 2019 12:25 pm
Officer/Escrow Officer: Kristen Arranz
Settlement Location : 4190 Belfort Rd., Suite 475
Jacksonville, FL 32216
Property Address: 1952 Sevilla Boulevard West
Atlantic Beach, FL 32233-4578
Borrower: Jennifer E. Palhete and Anthony D. Palhete •
1952 Sevilla Boulevard West
Atlantic Beach, FL 32233-4578
Seller: Sean G. Traynor and Geraldine M. Traynor
1650 Park Terrace East
Atlantic Beach, FL 32233-5824
Lender: Prosperity Home Mortgage LLC
Settlement Date: August 28, 2019
Disbursement Date: August 28, 2019
Seller Description Borrower
Debit Credit Debit Credit
Financial
845,000.00 Sale Price of Property 845,000.00
Deposit 5,000.00
Loan Amount 445,000.00
Prorations/Adjustments
24.03 Homeowner's Association Dues 24.03
08/28/19-08/31/19
4,300.00 Owner's Title Insurance Premium Paid By Seller 4,300.00
4,480.74 County Taxes 4,480.74
01/01/19- 08/28/19
Loan Charges to Prosperity Home Mortgage
LLC
Origination Fee 750.00
Appraisal Fee to Spencer Gregg & Associates, Inc.
$455.00 paid outside closing by Borrower
Credit Report Fee to CoreLogic CREDCO 26.15
Copyright 2015 American Land Title Association File#GTS-1950717/37
All rights reserved Page 1 of 3 Printed on 08/28/19 at 12:25:55PM by KArranz