315 2nd St DEMO19-0020 Interior/Siding DEMO PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH DEM019-0020
800 SEMINOLE ROAD ISSUED: 6/7/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 12/4/2019
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: VALUEOFWORK:
315 2ND ST DEMO PARTIAL INTERIOR & SIDING DEMO $5000.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1697790010 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
DSM RENOVATIONS LLC 1433 PONTE VEDRA BLVD PONTEVEDRA FIL 32082
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
DSM RENOVATIONS LLC 1433 PONTE VEDRA BLVD PONTEVEDRA FL 32082
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.
------------
7DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
DEMOLITION 455-0000-322-1000 0 $100.00
PW'RE�IEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
TOTAL: $129.00
Issued Date: 6/7/2019 1 of 2
Building Permit Application Updated 1019118
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email: Build ing-Dept@coab.us
Job Address: 6 15 2_t'l 1�, -:�T- Permit Number: C� 0_Z0
Legal Description I (D -2-S -z9c- AT-LAI\STIC JBGAC�H i5 112- L")T-(y —RE#
Valuation of Work(Replacement Cost)$2�— 0040K Heated/Cooled SIF Non-Heated/Cooled
• ClassofWork: ONew ElAddition OAlteration E]Repair DMove Memo E]Pool oWindow/Door
• Use of existing/proposed structure(s): DCommercial EIResidential
• If an existing structure, is a fire sprinkler system installed?: E]Yes ONo
• Will tree(s) be removed in association with proposed project? E]Yes(must submit separate Tree Removal Permit) FINo
Eedetail the type of work to be performed: -:r W;EZR110p, P_C-AJ00el- 1?�' I-Jj 12>A-T'Q I 0tr"c;QA4_
c-> .64 o"-re JA4 (eePI&(,k5 W bo
Florida Product Approval# 113 192- R5 for multiple products use prociuct approval form
Property Owner Information
Name 61S�A UW00A.�n1)QS LLC Address t C)U TI+
cit PorA� Vtd& eyo State f�� Zip 7�0 P h o n e Qr)4-Z-19 00'S 9
E-Mail cYS,U C 0 h a CAQ im ca iCt_ -
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company _D�M k WQJA-Mt�5 LU, Qu lif - Agent -L
Address I q;�5 A 14 �So V-n-�- City � lJgJt& State rL, Zip 32,D 3
Office Phone Job Site Contact Number cl C4 Z�!�-C)o
State Certification/Registration# C-,g(,vL1515 cl 2-2- E-Mail HSr0CQhQrtor4ca-sr.jna
Architect Name&Phone# W/4
Engineer's Name&Phone# t1i/111
Workers Compensation Insurer OR Exempt*1 Expiration Date
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 P TY. IF YOU INTEND
TO OBTAI IN;,,CONSULT WITH YOUR LENDE ATTORNEY BEFORE
RECORDI; tR N CE OF COMMENCEMENT. 5
(Signature of Contractor)
Si ned and sworn to(or ed) befor d f Aigned and sworn to(or af ed) b o e th' 7da of
qrwi Y
LLD f)P f ed e tl
C
0
I
TONI GiNDLESPERGE na r o N a (Signa t�_rA
MY commil 1
EXPIRES,
er 6,2019
Bonded Thru Not
ry P blic Undewters ,f-�Personally Known OR TONI GINDLESPERGER
e My COMMISSION#FF 924951
Produced Identification Produced Identification EXPIRES:October 6,2019
Type of Identification: Type of Identification: ��nded Thru Nctary Puhfir I
Prepared by 4nd return to:
Lynn Shippee
Ponte Vedra Title, LLC
50 AIA North,Suite 108
Pointe Vedra Beach,FL 32082
File Number: 19-1397
(Space Above This Line For Recording Data)
Warranty Deed
This Warranty Deed made this 28"'day of May,2019, between Kevin S. Fagan,a married man,whose post office
address is 89 Sherman Street, Brooklyn, NY 11218, Jennifer Robert, a married woman, whose post office address is
19700 Douglass Lane,Saratoga,CA 95070,John Aylward,an unmarried man,whose post office address is 2502 North
Dixie Highway,Suite 43, Lake Worth, FL 33460 and Laura Tran,a married woman,whose post office address is 2791
Goularte Drive, Pinole, CA 94564, grantor, and DSM Renovations, LLC,a Florida Limited Liability Company, whose
post office address is 1433 Ponte Vedra Boulevard, Ponte Vedra Beach, FL 32082,grantee:
(Whenever used herein the terms"grantor" and"grantee"include all the parties to this instrument and the heirs, legal representatives.and
assigns of individuals,and the successors and assigns ofcorporations,trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate,lying and being in Duval County,Florida,to-wit:
The East half of Lot 6,Block 4,less and except the South 10 feet thereof,Atlantic Beach Subdivision
according to the map or plat thereof, as recorded in Plat Book 5, Page(s) 69, of the Public Records of
Duval County,Florida.
Parcel Identification Number: 169779-0010
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.
SUBJECT TO covenants,conditions,restrictions,easements of record and taxes for the current year.
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 as specified herein.
The property described in this instrument is not,nor has it ever been,the constitutional homestead of the Grantor(s)under the
laws and constitution of the State of Florida in that neither Grantor(s) nor any members of the household(s) of Grantor(s)
reside thereon or have ever resided thereon.
Wdffanty Deed Page I of 2
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written.
TWO DIFFERENT WITNESSES HAVE SIGNED BELOW(THE NOTARY MAY BE ONE OF THE WITNESSES)AND
NEITHER WITNESS NOR THE NOTARY IS RELATED TO THE GRANTOR OR HAS A BENEFICIAL INTEREST IN
THE SALE OF THE PROPERTY DESCRIBED IN THIS WARRANTY DEED.
Signed,sealed and delivered in our presence: Sip
L1 �'�Ax Here
ycvin S.Fagan
Witne� I Signatu
sip
o 0-en4 Mt Here
Witness I Printed Nable k1ghnifer obe�rt by Kevin F n,her Attor -11n-Fact
Sip
Here
J7'1�' Aylward b Kevin Fagan,his Attorney-in-Fact
�K
Witness 2 Signature
6 Of? Sip
r�il Here
Witness 2 Printed Name Laura Tran by Kevin Fagan,her Attorney-In-Fact
State of New York
County of Kings
The foregoing instrument was acknowledged before me this 2811 day of May,2019,by Kevin S.Fagan,a married man,
Jennifer Robert,a married woman,by Kevin Fagan,her Attorney-in-Fact,John Aylward,an unmarried man,by
Kevin Fagan,his Attorney-In-Fact,ax�d j/hura Tran,a madried woman by Ket Fagan,her Attorney-In-Fact who
are personally known to meor(V_,)have produced j9r[A/M 111PA., s identification. notarize
here
EKBAN A RICHARI)SON
S a', *NA R PUB�'
,of NTw y"i' T Y
R, V. P ,
g" n d Name.
'ou"t
Notary public-State of New Yo(� N TARY PUBhI1?
NO.DIRIMS709 P nted Name: �-'q
civardied in Kings County
ImAy conrliml,E,Oms DOC 18,2021', My Commission Expires:
-
WarTartry Deed Page 2 of2