10 10th St #65 16-RAAR-151 remodel permit ; s , CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
tr , ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
�Jj31�?
RESIDENTIAL ALT /OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -RAAR -151
Job Type: RESIDENTIAL ALTERATION
Description: Remodel
Estimated Value: $150,000.00
Issue Date: 2/3/2016
Expiration Date: 8/1/2016
PROPERTY ADDRESS:
Address: 10 10TH ST 65
RE Number: 170237 -0142
PROPERTY OWNER:
Name: FORT, ELIZABETH LEE
Address: 10 10TH ST APT 65
GENERAL CONTRACTOR INFORMATION:
Name: TDB CONSTRUCTION INC
Address: 423 ST AUGUSTINE BLVD QA THEODORE DAVID
BERKSTRESSER
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $315.00
BUILDING PERMIT FEE $630.00
STATE DCA SURCHARGE $9.45
STATE DBPR SURCHARGE $9.45
Total Payments: $963.90
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT OFFICE COPY
State of L Tax Folio No.
County of va..1
To Whom It May Concern: Pc r m 7 T 4 /6 - i
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 COMWNCCEME T.
Legal Description of property being improved: — — "1e C I S.1G r l oyy't
Address of property being improved: I 'Q • u m+ 6 it an , &a 3
A .
General description of improvements: • a/o r
Owner: t c‘• U 1 +: f It . Address:
1 IoYa Rooy.,l Oct . tavien ,�'(, 143456
Owner's interest in site oft e improvement:
Fee Simple Titleholder (if other than owner):
Name:
Contractor: TD e C.ovts--tr'o
-f ' yyi
Address: 3 S • ki U 341 vv. NO , htla0VI V((� 1;�� ,11. 3» 5 0
Telephone No.: oy' • (p4 1 • 1 q- Fax No: t,i4 1. r
1D"c
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: - � /71 D ate: VIA"
Doc # 201601 Befor me this day of 6 V in the County of Duval, State
Number Pa 01/2 Of Florida, has personally appeared
3 . ORBK17 1
Recorded 1/2 1 0/2016 at 03: ` Page 759, E� Notary Public at Large, State of Florida, County'n Duval. I
t
Ronnie Fussell CLERK `� , My commission expires: t2 • . • ��`
r
COUNTY PMCOURT DUVAL Personally Known: ✓ r
RECORDING $1000 Produced Identification:
•
'• . EXPIRES August 23.2019
g4.0151 f4rid+tlou iu� ,r.
Doc # 2013001378, OR BK 16202 Page 1489, Number Pages: 1, Recorded
01/03/2013 at 07:15 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00 DEED DOC ST $3605.00
Prepared by & Return to:
OFFICE COPY
Christine Micieli- Pickett
America's Choice Title Company
170AlANorth
Ponte Vedra Beach, Florida 32082
File Number: 12 -747
Property Appraiser's Parcel I.D. (folio) Number(s):
1 7023 7 0142
Documentary Stamps have been paid in
amount of $3,605.00
Purchase Price: $515,000.00
General Warranty Deed
Made this 28 day of December, 2012, by Elizabeth L. Milne, formerly known as Elizabeth Lee Fort, a single person, whose Post
Office Address is 800 Ironwood Drive, Unit 833, Ponte Vedra Beach, Florida 32082; hereinafter referred to as the Grantor; to Hugh D.
Campbell and Mary Beth Campbell, husband and wife; whose Post Office Address is 1622 Royal Oak Road, Darien, 1L 60561;
hereinafter referred to as the Grantees;
(Whenever used herein the tens "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) 1
Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other valuable
considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms
unto the grantee, all that certain land situate in Duval County, Florida, viz:
Unit 65 of The Cloister Condominium, a Condominium according to the Declaration of Condominium thereof, recorded in
Official Records Book 3876, Page(s) 450, of the Public Records of Duval County, Florida, and any amendments thereto, together
with its undivided share in the common elements.
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 except taxes
accruing subsequent to December 31, 2013.
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 t: So°a kw L a'D ,, 9� Elizabdh L. Milne, f /k/a Eltz h
t Lee Fort
J . �
Witness 52: Christine Micieli Pickett
State of Florida
County of St. Johns
The foregoing instrument was acknowledged before me this 28 day of December, 2012, by Elizabeth L. Milne, f /k/a Elizabeth Lee Fort,
who produced a Driver's License as identification.
SEABRON CHAD FEARS Notary Public
'o MY COMMISSION itEE157803 Print Name: Eirrstirre
SCxr. bron C,�f
y�•": ` (NOTARY SEAL
,; EXPIRES Janu2ry O B, 2018
(son 94.0169 Flor(deNo Service cam
Doc # 2013227734, OR BK 16514 Page 1245, Number Pages: 2, Recorded
09/04/2013 at 08:51 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18.50 DEED DOC ST $2796.50
Pr:pared by:
Beth Murphy
Richard T. Morehead Title & Escrow, Inc.
444 Third Street
Neptune Beach, Florida 32266
File Number; 13B1273
General Warranty Deed
Made this August 23, 2013 A.D. By Denise E. Schenk, a married person conveying eon- homestead property, whose address is: 1450
Riverside Ave., Baltimore, Maryland 21230, hereinafter called the grantor, to Jordan M. Cuddeford and Jennifer S. Coburn, as Joint
tenants with rights of survivorship, whose post office address is: 701 Valley Forge Road North, Neptune Beach, Florida 32266,
hereinafter called the grantee:
(Whenever used heroin the term 'grantor' and 'grantee include all the parties to this instrument and the heirs, legal representatives and assign of
indivIdtal>, and the successors and assigns of corporations)
Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, (S 10.00) and other valuable considerations,
receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee,
all that certain land situate in Duval County, Florida, viz:
Lot 7, Block 6, Bal Harbour Estates Unit No. 3, a subdivision according to the plat thereof recorded at
Plat Book 35, Pages 4 and 4A, in the Public Records of Duval County, Florida.
Parcel 1D Number: 172481 -0082
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 lawflilly seized of said lend 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 except taxes accruing
subsequent to December 31, 2012.
DEED Individual Warranty Deed . Legal on Face
OR BK 16514 PAGE 1246
Prepared by:
Beth Murphy
Richard T. Morehead Title & Escrow, Inc.
444 Third Street
Neptune Beach, Florida 32266
File Number. 13B1273
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:
C-YlAbFr■Irl,2/1 a (Seal)
/�, Denise E. Schank
Witnea Prim. Name _.,j ' • A' L Address: 1450 Riverside Ave., Baltimore, Maryland 21230
• . I IIat. /� te (Seal)
Witness Primed Name ! 1 I M L l �.�' ' A A:
State of r l ,
County of Oa Arl� 'el1to a Gi
The foregoing instrument was acknowledged before me this e ag_ day of August, 2013, by gsnise E. Schenk, a married person
Al
conveying non- homestead property, who is/are personally known to me or who has produced }_ E.
identification. 11 , �„
l��j/
LANA JO HILL oM Pablle / / / L`
NOTARY PUBLIC Prlat Naree �•s�a/Y /T�
BALTIMORE CITY sty Commission Expire: O WOIP/� ( L I
MARYLAND
MY COMMISSION EXPIRES JUNE 2, 2014
DEED Individual Wartanty Deed - Legal on Faro
e.! .. e n -� .s.• +. _. T < «.T.IR .. ....•� u.. r .rr.i �� ...-., �• m� l'!A .q� .-.. T-r •r. w�..v.�r- o c�"s •+n sPa..�n +rre� ^.'^ — . -m.
. City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road n \�
o s Atlantic Beach, Florida 32233 -5445 • k f\ p ` \� •
Phone (904) 247 -5826 • Fax (904) 247 -5845 �`
- „1. E -mail: building- dept @coab.us Date routed: V
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 10 \C CO5 Department review required Ye No
(Building
Applicant: Cc (\5fir v. 'L , C� Planning & Zoning
Tree Administrator
Project: kexV\cAL-PA 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: Approved. nDenied.
(Circle one.) Comments:
BUILD
PLANNING & ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: I 'Approved as revised. ❑Deni .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: ((DR(/(4-4/) st- ( 4.6. 31-1-33 Permit Number: /C -RiAK i s
Legal Description (6 '45" IE` 1QC1bl erclonitNIUWIParcel
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 1 156 /W v Proposed Work heated /cooled j CV non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # iv en.:?
For multiple products use product approval form
Describe in detail the type of work to be performed: f e- fin 0 je. L L t 0
Property Owner Information: / ✓Ak
Name: $i . , ' U ! L ', _ ..1 1 r_ Address: _ i •' 0 • -
City .f :;; . ;.....,r 1 r r' Stat Zip 3-1-141 Phone ,. - 111 t � / ///
E -Mail or Fax # (Optional) — L (oo$lo 114 V
Contractor Information: Mate Company Na ∎
Name: I ■ -& f L ,1 Qual' yin bd
Agent: " ove s-h ' sae--
Address: 4'' . ' • US eV V 0 City �•_/U rtorn ♦ State Zip 31-2•50
Office Phone ' • • , .'7 Job Site/ Contact Number 'O • , Fax # ' 6 • lo • ,'7 •
State Certification/Registration # G I O(
Architect Name & Phone # r
Engineer's Name & Phone # ate Ca Si, ii U Ctr13v P 904. • bW 0. 0-79
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended a_
period or abandoned for aeriod of six f6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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
COMMENCEMENT.
I hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner L� Signature of P
g j g Contractor -
Print Name /u6E( 2), ?,AEI L. Print Name 11.," Rite b h.a./.2..kS7.ges...S
Sworn to and subscribed before me Sworn to and subscribed before me
this Day of , 20 this Day of , 20
Notary Pub`Tic Notary Public
Revised 01.26.10
;''° KIMBERLY A LAW
MY COMMISSION * FF911850 A LAW
�`' . MY COMMISSION # FF911851
' ' `r • EXPIRES August 23, 2018 +� .
I40i) 796 -0+33 7b,Ida Not y3ervirw.oar ''•.p! r EXPIRES August 23. 2019 J
1407 393-0133 Rb,bsNou
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