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469 Skate Rd RES20-0325 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP: KENNETH and EMILY MILLER 469 SKATE RD ATLANTIC BEACH FL 32233-3821 COMPANY:ADDRESS:CITY:STATE:ZIP: BOSCO BUILDING CONTRACTORS 2158 MAYPORT RD ATLANTIC BEACH FL 32233 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 171522 0000 ROYAL PALMS UNIT 02A3.00 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 469 SKATE RD RESIDENTIAL ALTERATION RESIDENTIAL INTERIOR REMODEL $37000.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $240.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $120.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.40 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 11/30/2020 PERMIT NUMBER RES20-0325 ISSUED: 11/30/2020 EXPIRES: 5/29/2021 RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.60 TOTAL: $369.00 2 of 2Issued Date: 11/30/2020 PERMIT NUMBER RES20-0325 ISSUED: 11/30/2020 EXPIRES: 5/29/2021 RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $369.00 RES20-0325 Address: 469 SKATE RD APN: 171522 0000 $369.00 BUILDING $240.00 BUILDING PERMIT 455-0000-322-1000 0 $240.00 BUILDING PLAN REVIEW $120.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $120.00 STATE SURCHARGES $9.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.40 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.60 TOTAL FEES PAID BY RECEIPT: R14231 $369.00 Printed: Monday, November 30, 2020 10:06 AM Date Paid: Monday, November 30, 2020 Paid By: BOSCO BUILDING CONTRACTORS Pay Method: CREDIT CARD 399535748 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R14231 ~+; CENTRALSQUARE R E S 2 0 - 0 3 2 5 Building Permit Application 1 City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us I G ./J fl ,.--, . :J .3 U p d a t e d 1 0 / 9 / 1 8 * * A L L I N F O R M A T I O N H I G H L I G H T E D I N G R A Y I S R E Q U I R E D . Job Address: ± &? L 5 Kil 'Tf r<. P -,&,n. Cff. 1-L -:?.)..7--Permit Number: . I ' - - - - - - - - - - - Legal Description "1 J -l)Jv LZ-~_s-::,...ff:. /fU fLr> F' /<IJ Ytll-· r'Ht/J I ll -1/11-r ;l_ ~ '-!i ~ BJ.:K 1.8" i.:i tir7f.K tT/:Z. <;. -JC$; RE # _ _ _ _ _ _ _ _ _ _ Valuation of Work (Replacement Costi $ :311 ooo~ -Heated/Coored SF ____ Non - H e a t e d / C o o l e d _ _ _ _ _ • Class of Work: □New □Addition )\fAlteration □Repair □Move □Demo □Pool □ W i n d o w / D o o r • Use of existing/proposed structure(s): □Commercial '.t)IBesidential • If an existing structure, is a fire sprinkler system installed?: □Yes ~o • Will trees be removed in association with ro osed ro·ect? □Yes must submit se arat e T r e e R e m o v a l P e r m i t □ N o Describe in detail the type of work to be performed: Florida Product Approval# -. for multiple pro d u c t s u s e p r o d u c t a p p r o v a l f o r m Property Owner Information Name . (Ul-0 it-/?Alb'-/ .1'1/11-tB, Address Ile -t-9 /rrJ., lkJf / . J I < r J 1 r t / J C J t 1 £ t . . . City ,/f-rl,,,•lCi-fJ {?L--State Pt-Zip £~?-.3..3 Phone_.cJ,S " f / = - r 3 0 . . - 7 7 7 e , E-Mail e.11, /....Y ..J\IJ ,'11-a.-11, 7 7 A. YIJ.H9D , C,gi/'f I l • Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) _________ _ _ _ _ _ _ _ _ _ _ Contractor Information <... Na me of Company 't>-6t{) rJ u. 1 42 Id f Gc>t"I"( ,1,1c;Vte f £ tua lifying Agent _V~c9~!2i~~~ / $ i ~ O . ~ ! X : : - O _ _ _ _ _ _ _ _ Address ·-;J..,/£l L"id'j &fJ..'1 ,ta City ,ax Stat e C L - Z i p 3 ' ~ > - V Office Phone '9D .f: -'-+1-() X ?-() Job Site Contact Number 9/J f -:A-3 3 - o ? o f State Certification/Registration# ?13 t,-p ro ~,2-E-Mail rin;z p 6!,., /fh,J. y(; c. e o , C d / I f Architect Name & Phone# _______________________ _ _ _ _ _ _ _ _ _ _ Engineer's Name & Phone# ____________ -=----------- - - - - - - ~ - - - Workers Compensation Insurer ':J:/1)JA7: sr;p-re f,e,4fl¥{ hl.(..... OR Exemp·,. ~ Expira t i o n D a t e 3 ' / J s / / - D 7 f Application is hereby made to obtain a permit to do the work and installations as indicated. I certify t h a t n o w o r k o r i n s t a l l a t i o n h a s commenced prior to the issuance of a permit and that all work will be performed to meet the stand a r d s o f a l l t h e l a w s r e g u l a t i n g construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICA L W O R K , P L U M B I N G , S I G N S , WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE: In add i t i o n t o t h e r e q u i r e m e n t s o f t h i s permit, there may be additional restrictions applicable to this property that may be found in the pu b l i c r e c o r d s o f t h i s c o u n t y , a n d there may be additional permits required from other governmental entities such as water manage m e n t d i s t r i c t s , s t a t e a g e n c i e s , o r federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be d o n e i n c o m p l i a n c e w i t h a l l applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM M E N C E M E N T M A Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP E R T Y . I F Y O U I N T E N D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR N E Y B E F O R E RECOR½'~G ~ ~E OF COMMENCEMENT. -#) (S<aat",e of ow,., o, Ageot) f}wyp CA-ll y P/1,s:.,r-~ . p,-1ys;c,~~l-'-/ flf'!.J6'/JT k"-. . ' fi+fJ/C-/ J ) - . L ' f / ~ e : J e f . , J J Signed and sworn to (or affirmed) before me this .!..J..:_ day of Signed and sworn to (or affirme d ) b e f o r e m e t h i s 1 ! f . : ! . . _ d a y o f IJ/2,~, ?--OJ{) by [;1"1,'J,.i /!,'If.er .,M)~nl)e~, 2<).J.o by ' 7 1 " / l . P I f . f f e , . l c . 0 , W~l/2; £. tJt,-L_ ( . ) ~ I • f ' ~ M Personally Known O [ ] Produced ldentificat · ( S i E m a t u r e o f N o t a r y ) /~~~~.__ WILLIAM L POPE /~~~,_ _ W I L L I A M L P O P E f.. ·:.1 MYCOMMISSION#GG348645 JX €•:~":,;_: M Y C 0 M M I S S I O N # G G 3 4 D " • s : :,.: EXP R S Personally Known C ... . . . , . , \ ff I E : October 19, 2023 "'0\·.z;.,0 •• :;.0:f/ E X P I R E S : O c t o b e r 1 9 , 2 0 2 3 •• n .............. N""'"'PublicUnd .. •-'••-[ ] Produced ldentifiec ,t.-Fr• • n . . . . ""'"""' n•u v-1 .,..,....,~ ,,,.,.,,.,,, . . . . . , . . , e c f l h l u N o l a / y P t d l l i c U n c f e f w n t e r s Type of ldentification:~~~~ ~ ~ ~ ~ ~ ~ = = : J l _ Type of Identification: ____________ _ RES2 0 - 0 3 2 5 NOTICE OF COMMENCEMENT State of __ r+,~~()_/\,_,_{...__P_l-l-_____ _ Tax Folio No. __ _ _ _ _ _ _ _ _ _ _ _ _ County of /:>y, l/"r i To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, an d i n a c c o r d a n c e w i t h S e c t i o n 7 1 3 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. LegalDescriptionofpropertybeingimproved: C J...-f)/6 17-J.,S---;J.'!F /?If' f'r ~ P ' f \ u Y n t - f ' / 1 - t r M f \A/,'r >-fl 1,.~r .:I fJJ...~ 1% t1/t? f!K 6/.).. J . . - / 0 7 . . r - Address of property being improved: __ ±~G_r~_,,,s~/_(.~~~r_e_~l!.~D __ ..--_n~1~11-..;__~t1_c_t1.....,· Jf-1 ~P ~ i - _ > _ ; , . . _ " ) . . _ ' 3 _ - > _ , . . , . _ _ _ _ _ _ General description of improvements: __.R'-"-QN\.41?....,_ __ a.;__....,,Oe....,rc._...,,62-=-_a4111 __ ,,l----'~:........:..\ ~-=---'-----ll---'-f:-l : _ ~ _ . . = _ _ 1 _ _ ~ _ , _ ~ - - C . 1 - ' - , v 1 _ \ _ _ _ Address: I 6 4-1 · A--rJ.. · /8 v H ( } R - ; f t f ' 3 ; ; - ; J J J Owner's interest in site of the improvement: __ Yc_-e_J~_1_:'J_e_r1_c-_·, _t' __________ _ _ _ _ _ _ _ _ _ _ _ Fee Simple Titleholder (if other than owner):--------------------- - - - - - - - - - - .-...... Name: _____________________________ _ _ _ _ _ _ _ _ _ _ _ Contractor: .ifw t:,,-(9 (1 J/J.-IJ I ',vf CJP/Y" T7</t C 'TcJ<I.J , £He_ ' Address: ?-/;,-g //l-/itr7N2r f<O, T/1G/(JC!/VV[ (le-, f:/,--:x ;.i. ~;3 : J 7 Telephone No.: o//1)4;,.. ~ f:I ~ {I) 1 .:)..(j Fax No: 9& f -_:j.... t/ --ti Y ? - £ Surety (if any) ______________________________ _ _ _ _ _ _ _ _ _ _ _ --Address: _______________________ Amount of Bo n d $ _ _ _ _ _ _ _ _ _ _ _ _.....---.._ 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 n o t i c e s o r o t h e r d o c u m e n t s m a y 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 N o t i c e a s p r o v i d e d i n S e c t i o n 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 r e c o r d i n g u n l e s s a d i f f e r e n t d a t e i s specified): ______________________________ _ _ _ _ _ _ _ _ _ _ _ _ THIS SPACE FOR RECORDER'S USE ONLY Doc # 2020259383, OR BK 19461 Page 1653 Number Pages: 1 ' Recorded 11/20/2020 10:08 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 y commission expir irsonally Known: ---1~-t::! , ,educed ldentificati Todd Bosco SECTION502 REPAIRS 502.1Scope. Repairs, as defined in Chapter 2, include the patching or restoration or r e p l a c e m e n t o f d a m a g e d materials, elements, equipment or fixtures for the purpose of maintaining su c h c o m p o n e n t s i n g o o d o r sound condition with respect to existing loads or performance requirements. 502.2Application. Repairs shall comply with the provisions of Chapter 6. Reroofing shall c o m p l y w i t h t h e p r o v i s i o n s of Section 706. 502.3Related work. Work on nondamaged components that is necessary for the required repai r o f d a m a g e d c o m p o n e n t s shall be considered part of the repair and shall not be subject to t h e p r o v i s i o n s o f C h a p t e r 7, 8, 9, 10 or 11. SECTION503 ALTERATION-LEVEL 1 503.1Scope. Level 1 alterations include the removal and replacement or the covering of e x i s t i n g m a t e r i a l s , e l e m e n t s , equipment, or fixtures using new materials, elements, equipment, or fixt u r e s t h a t s e r v e t h e s a m e purpose. 503.2Application. Level 1 alterations shall comply with the provisions of Chapter 7. SECTION504 AL TERA TION-LEVEL 2 504.1 Scope. Level 2 alterations include the reconfiguration of space, the addition or e l i m i n a t i o n o f a n y d o o r o r window, the reconfiguration or extension of any system, or the installation of a n y a d d i t i o n a l e q u i p m e n t . 504.2Application. Level 2 alterations shall comply with the provisions of Chapter 7 for Level 1 a l t e r a t i o n s a s w e l l a s t h e provisions of Chapter 8. SECTION SOS ALTERATION-LEVEL 3 505.1Scope. Level 3 alterations apply where the work area exceeds 50 percent of the bui l d i n g a r e a . 505.2Application. Level 3 alterations shall comply with the provisions of Chapters 7 and 8 for L e v e l 1 a n d 2 a l t e r a t i o n s , respectively, as well as the provisions of Chapter 9. SECTION506 CHANGE OF OCCUPANCY 506.1 Scope. Change of occupancy provisions apply where the activity is classified as a c h a n g e o f o c c u p a n c y a s defined in Chapter 2. 506.2Application. Changes of occupancy shall comply with the provisions of Chapter 10. SECTION507 ADDITIONS 507.1Scope. 1 Provisions for additions shall apply where work is classified as an addition a s d e f i n e d i n C h a p t e r 2 . 507 .2Application. Additions to existing buildings shall comply with the provisions of Chapter 11 . SECTION508 HISTORIC BUILDINGS 508.1 Scope. Historic building provisions shall apply to buildings classified as historic as d e f i n e d i n C h a p t e r 1 2 . 508.2Application. Except as specifically provided for in Chapter 12, historic buildings shal l c o m p l y w i t h a p p l i c a b l e provisions of this code for the type of work being performed. SECTION509 RELOCATED BUILDINGS 509.1Scope. Relocated building provisions shall apply to relocated or moved buildings. 509.2Application. Relocated buildings shall comply with the provisions of Chapter 13. SECTION510 RETROFITTING 510.1 Scope. Retrofitting of buildings, as defined in Chapter 2, includes work of a volunta r y n a t u r e f o r t h e p u r p o s e s of improving the ability of the building or building elements or building comp o n e n t s t o b e t t e r s e r v e t h e purpose for which they were originally intended or the purpose that curr e n t b u i l d i n g c o d e s i n t e n d . Retrofit work shall not include repair work as defined in Chapter 2 and descr i b e d i n S e c t i o n 5 0 2 . 1 . 510.2Application. Retrofitting of existing buildings shall comply with the provisions of Chapter 1 7 o f t h i s c o d e . arrow_drop_up Todd A. Bosco Bosco Building Contractors, Inc. 2158 Mayport Road Jacksonville, FL 32233 Phone: 904-241-0320 Cell: 904-233-0904 2 DocuSign Envelope ID: 1DOCFDBE-D60B--4A40-AEDD-99A5479497AA A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLE'>'IE~T STATE\1E.NT Trademark Title Services, Inc. 1845 East Wes1 Parkway, Su[te 5 Fleming Island, Florida 32003 B. TYPE O F L O A N 904•579-4~68 fox: 904•579-4054 TM20-495 0 1 4 & 3 0 4 9 8 3 C. }VOTE: Thi.rjOr·m b:.fiu-,,i.,.hed tn give you a .irtlleme11I t?! 11,cl:w/ Xl'lileme,u ,·o.tl.t. Ammmts poid 1'> utJd hy 1he se11Jemen 1 a g e n t a r e s l w w u . J r e m . f m ( 1 , - k e a · _______ ,J;:1>() H'i•,r,J Pili4 m11,;_if11~ (},~· t.·hi.'iing. ]"f;f,..•J m·v ~~fuH:·,r_ 11,-·r,:j,11· 11,j[!_E]>J_(1/if)1J{1.! J-IJ/Qu.1!-.',••: um..l 11n: ;wJ :ndir'1 .. ,I 111 ! h l ~ 1 0 1 0 ! . - . : . D. Buyer: E. Seller; F. Lender: G. Property: H. Settlement Agent: Kenneth Roben Miller and Emily S. Miller 469 Skare Road Atlantic Beach, Florida 32233 Ronald R. Walker 13800 Herons Landing Way, #2 . ,Ta~J;sQnvil)e,_Florida 32224 S\\TBC Mongage, 93 I 1 San Pedro Ave., Suite 100 ···-· )i./ln Antonio, Texas 782 l 6 469 Skate Road 469 Skate Road Atiamit: Beuch._Florida .3.7.7.~) Atlantic Beach, Duval County, Florida 32233 .Lo\ 3, B!od<.18,)~QY/ll Pali\1s, Unit 2A. Book 31. Page !6, Duval Covnly, Flo r i d a Trademark Title Services, Inc. . Pla.c.~ QfS..enl~Jn~I: ... 1~4$. ,l;?,~!Wi;.HPai:~way, Suite 5, Fl~nli11g 1.!lhmd, fJorl.da JZQQJ.. ~lµyC::,nµJ ! Y . . . November 9.. :;!O:?O . J. Summary of Buyel''S Transaction K. Summary of Seller's T r a n s a c t i o n 100. Gross Amount.Due.From Buver: .. . . .. _ i 400. Gro$s Amount D.~.c; T~ .. $~R ~ r ; . . . . · · · · · · · - - · . . . . . . . . . . . 11) l .... Contract. S1iks_ Price·········-· .................. . 102.. Pl!f~Onal .l"r9pe1ty IQ3 .. S~tllemi;.nt.C.harges to Buyer (line 149Q) Adjustment$ for Items Paid by Seller in Advance: IOo Ci:y I Town Taxes Nov 9, 2020 thru Det 3 l, . 2020. l 07. County./ Pari~h Taxes 108. Assessments .2~2.0P.0.().0 4()1. C,m1r.1c1 S;d.;:;; Price . ······ · · - · · · · · · · . . · · · · · - - _ _ _ _ _ . . . J Q ~ < W O . ( l J ! . 402. Personal Prop~1ty . . . . . . . . . . . - - · · - - · · · - - . . . - . - . . . . . . . . . . . . . . . 59.00' 4QJ, 69.75 Adjustmcnls for Jterns Paid l > y S ~ ! l 1 ; r . . ~ ! ! A d v _ l ! f . l . £ . ' t i . . . . . City / Town Taxes Nov 9, 202 0 t h 1 · u D e c 3 1 , 406· 2020 407, [.91m.ty / P,Lr'ish Tax~s 408. Assess111en1s 6 9 . 7 5 120. Gross Alll!J.Ullt.Duc from Bur..r;r;. 262,128,75 .. 4JO .. Grns~ . .d-IDQR!!tDuc to Sdfo 1 · : mu. A11101111ts l'aidhy ,win l~d1alf or 811;,'er: ~( i. Dcpt:fiJ !_~an_1_=~S( P..-1.i.;1'.ii:')' ·,•·y, t=,-:':~t.:1;:ial ,,\1r1ount nfN<.:~v Luan 203. Existing Loan(s) 20.-1. 205. 206. . \dr~is.1.m~nt~Jor l!rm\ U.11p:1id iJy Seller: 21 IJ. (Hy/ l' tn,·u T:~Xt} 2 i l Cm:my ! p~,-ish T ~xc~ 212. A,se~sment~ 220. Total Paid by/ for Buyer; 3Ul). C:1,)1 at Stnlcment from/ 10 .Bup:1:;. 3.) ! , Orn:-, 1\mm1111 du~ fr()m lli,ycr (Ji11c: t ~.ii) .. }O:?. Le~::.. /',1nmmt Prdd hy/Yor B11yci fin~ 2'?()) _ 303. Cash From Buyer: HU0-1 May 2007 500. Rec.luclions in Amount Due t o S e l l e r : J 0/JO()_OO 5(/.1. ['(:c_s5 D~p,1si< i~e.-instrnctio n s ) 502. _SJ:"1.B.q11c1)!.P1ar;J<;.s to Sdlc-r ( L i n c 1 4 0 0 ) 5\~~.; [;;._::;(;[1:~ 1 ... 1.!(/~.J 5\H. l'.:iyoff 9( Fir~l. i\·lQrrg;1£~ ... 5(,5. P~y(;ff l.~f S~t.:(}nJ i\'.toGg~g~ _. 50(,.. Ptm:ha,e Mor..:y J\.l;1;1g~g~ . Adjll.~J1nenrs.ror.1te1,1~ U1,1p,1 i t l b y , S e l l c 1 · : ·; !fi. C!y / Tuwn T:ixts 51 1.. Crn,.,,y r P,,1 ish Taxes :i 12. Asses,;n1c111s Tula\ Reductions in Amou n t D u e 10,000.00 520. Seller: 600. Cash at Settlement to/ fro m S e l l e r : 2 1 , 0 . 5 8 . 1 5 2 1 , 0 5 8 . J S 26:!.121\.75 10.000.00 601. Gr.:% A111t,11n1 ,lus: w Seller (l i n e 4 2 0 ) 2 6 2 , 0 6 9 . 7 5 602. Le~~ Redne1io11s Amou1.1J {/t!f.. , S t J l c r t J i n c 5 2 0 ) . _ _ _ . . . . . 1 . L 0 5 1 l . 1 . 5 $2521128.75 603. Cash To Seller: $ 2 4 1 , 0 1 1 . 6 0 DocuSign Envelope ID: 1D0CFDBE-D60B-4A40-AEDD-99A5479497AA Setlletr.en\ Daie:November 9, 2020 loan NumbEr. 0148304983 L. Sct1lcmc111 Ch:ii-grs 700. Total S3lcs I Brola•r·~ Commission: Based on Pritt S262.000.00 @ 6.00% $15,720.00 Dfrision of Commiision :is follows 701. 9,1_70.0p hl EXP R~,ti1y, LLC 702 .. Ci,~~-0.fJO tu K::tb Williams Rc~lty /\tbntic Panncrs 7o:I. Cnmmi,;.;ion P,;i<l .ir Scn!cmcnt 7.0,1. Fi_l~ (:omµliani:,: Fe.:ro EXP Rc.il:y, 1.l.C _ ~Q0. Jt_~n~~J•_ay:ibl_l\ .ill C.oimcction with Loan; ~p L. l-o.a11 Origi!1qtiori Fee 802. Lonn Disco1rn1 . S{1) .~ppn,is.d r,:.: 80-1_. Crcdi_t f<cpv, 8[J5-. l~·.JE.k>>~ !i1sp,~c!iu:1 Ft~,~ .~O(i, MQrlgagc l llS\1r~_n::c .l\pr.liic:,i!i!.m Ji;~ . ~{l7. t\m1rnp1im1 F1::c: 99Q. Jrem~ Req~ir~(l. by J,c;v~.n jQ. b_t! J>a_id _in Aclv~nce: .. _ _2QJ ... P~HY)!iti:r;;::_l ~:J.1:)ri~~ (n1D1 N~)~· 9~ 2020 '/OJ_.. MvrJg,!ge__lns;1r,\!1~c Pr~1_n\u111 .. ~.\1~-li??,5!A lnsu~ance Prcm1um 904. flood ln~urancc Premium _1_,Q_QQ .. l~~t~n·l!,s_P~l~O.~H~(.1 wi1h Lender: ... JQQt, H~z?.r.~Jnsmancc IU02. M.ongage ln.fil!rn.1.1g ... !003. Ci!y Propeny Tax_:.:s __ JJ!QJ, .... Cminty P1;q~fty_T~x~~ . 1.005. J\nnual Assessmenrn JJ_Q.0:-.. 1·1n~ .. CJ1..:;1:rg~s;.. .. ···-----·-··-··-·-..... •--•·-·---·---·---.... .., ...... -J .. . . J J.01.. :~c\tlc1:n~nt or (."lo~i!l_g_Fcc t!l TraJcr11;trk Ti1!.c.Scr,.·il:.cs. Im; .............. ____ . . _1 ... J.102 .. Ti~li:. S.~:ir.i;.h .!\J.f.i.~~lity -~;1Ji91.)~I Title l n~uq,:i,;q_ ~~<:'ml?:;!lJ.Y. .. .. . ... . .. J I03. Title .~.\lr.n 110:1. Title ScrviHs 1105. Document f'r~piJ.F\.IJ\lll . _l 1!)6. _. N:o.t:1ry_ f'~L. . .. 1 fll?. Altom~y Fee~ . . • ..... •. . _ (mdnct~, a\10\'c llem numbers: 1 JOS. Title Insurance 10 Fidelity National Title Inrnr~ncc Company & Trademark Title Services, Tnc. (iududcs above irc~n nunlb~rs. 1109. J,~11(jcr's Coverage (J.00 1 l 10. Own~r·s Covenige 162.000.00 1.1 ! I. E-Rccording ro Sir,1plilik Risk Rate Pr~mium: 1.1_!2. Wirc/CouricrfDc,rnnm,t Swragc ,o Tr:ickmark Title Services. Inc_. l?QO. (;~verninenl_Reconling and Tnrnsfor Charges: 1201. Recording Fee~: Deed i)_!.JI) M,,rtg:ig,i 1202. Ci1y[Cou11tyT,1xj51amps: Qc..:d 0.00 1203. Swle T,1x/S1amp,: D,,.-,~ L~},1.<i() 1204-Jm3,1giblc Ta.~ ;o Simphli_k 1205. Tiilc ;\ffidavi1 -CM/\ 10 Simplifilc l:~00. Ad.clitiimal Settlement Ch:ii-ges: !301. s,,irvcy 1,1 Ray Thomp~n,1 Sun,cy1ng, !lie 1302. Pcs1 lnspcctirn1 1303 Muni.:ipal lien S<'..in.:h Fee 1304. 1020 rrnpeny Tax~s 111 Dm·.il Cnumy T.ix Coliccw,· $1,385.00 1305. Bcad1c$ Lien Lcucr-.-'\clamic flcad1, FL w Trademark Title Serv,cc;;_ 1400. Total Sertlemenf Charges (Enter on line I 03, Secrion J and line 502, Section J<) HUD-1 May 2007 0.00 . o.oo {).00 F i l e N u m b e r : T M 2 C : 4 9 5 P : i i d f r o m B u y e r ' s F u n d s a t S e t t l e m e n t Q , 0 0 5 C l . O O $ 5 9 . 0 0 P a f e l f r o m S d k i - ' s F u n d s : l l S e t l l e m c 1 1 1 1 5 . 7 2 0 . 0 ( 1 6 9 5 . 0 0 _ ) 9 5 . . Q O . l Q 0 , Q . 0 1 . 3 8 5 . 0 ( ) 9 . 1 1 0 5 0 . 0 0 I . S J . U H ) l l U O 3 5 ( ) , l l O . J I \ 1 . 6 . 5 2 0 0 0 $ 2 1 , 0 5 8 . 1 5 Seiilemen1 Date:November 9, 2020 Loan Number: 0148304983 A. U.S. DEPARTMENT OF HOUSING A.ND URBAN DEVELOPMENT SETTLEMENT STATEMENT Trademark Title Ser-vices, }nc. I &45 East West Parkway, Suite 5 Fleming Island, Florida 32003 904-579-4868 fax: 904-579-4054 F i l e N u m b e r : T M 2 0 - 4 9 5 I have carefully reviewed 1he HUD-l Settlement Stalement and to 1he best of my knowledge and belief, it is a true a n d a c c u r a t e s 1 a 1 e m e n 1 o f a l l r e c e i p t s a n d disbursements made on my account or by me in this transaction. I fur1her cer1ify 1ha1 l have received a copy of HUD- I S e t t l e m e n t S t a t e m e n t . Buyer: Seller: Ronald R. Walker Address Buyer: • d is a true and accurate account of 1his transaction. I have caus e d o r w i l l c a u s e t h e f u n d s t o b e d i s b u r s e d i n accordance with the i Senlemenl Agent: D a t e : N o v e m b e r 9 , 2 0 2 0 WARNING: lt is a crime to knowingly make false statements to the United States oo this or any ocher similar fonn. P e n a l t i e s u p o n c o n y i c t i o n c a n i n c l u d e a f i n e and imprisompenL Forde1ails sec Title 18 U.S. Code Section 1001 and Section 1010. HUD-1 May 2D07 OocuSign Envelope ID 1D0CF0BE-D60B-4A40-AEOD-99A5479497AA Setllemen1 Dote:November 9. 2020 Loan Number: 0148304983 h l e N u m b e r : T M 2 0 - 4 9 5 A. U.S. DEPARTMENT Of HOUSJNG AND URBAN DEVELOPMENT SFTTLEi\·1ENT STATEMENT Trademark Title Services, Inc. r ll'\5 East West Parkway, Suite 5 flemlng Island, Florida 32003 904-579-486~ fax: 904-579-4[)54 11:.iv·c <'a1c(ully reviewed th~ HUD· I Scnlemenr Statement and to the best ormy knowledge and belief, it is a 1ruc and a c c u r n 1 e ~ : m , ~ m c m o f a l l r . : : c : c , p i s a n d d1sbursen,en1> rnad~ on my account er by me in this transaction. l furlhcr c:::rtify that l have r~-ceivcd a copy of HUD-I S e n k n 1 c n l S 1 a 1 m , e o L -- ~ ~ Ronald R. Walker Seller: Buyer: ~~'/,signed t>y; ~ ff§.2/lfffflfill94FO. Addrc:;s f ~t~en~fti::c;al~:::~~::!a(-~e and accurate account of this transaction. I have caus~d o r w i l l c a u s e t h e f u n d s t a b e d i ~ h u r s e d i n ~-lLl~7 Settlement Agcm; D D t c : N . : , v c m b c r 9 , 2 0 2 0 er\,seman WARNTNG: Ii i; a crime to knowingiy make false statements to lhe United States on this or any other similar form. Pen n i l i e s u p o n c o n v i c t i o n c a n i n c l u d e a f i n e and impriso111nenL For details see Tille 18 U.S. Code Section IOOJ and Section 1010. 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I .·. -i= - ~ = " ' ~ ~,'.· : ____ _ ~----- - - - - · . 3,; C o _ ., - - - - - - - - · - - - - - - - - - Bosco OFFICE AND SHOWROOM 2158 Mayport Road Jacksonville, FL 32233 COMMERCIAL AND RESIDENTIAL PROJECT MANAGER t: 904.241.0320 f: 904.241.0326 m: 904.304.7302 e: Noah@B .oscoCBC.corr , I l:l' , , I •.~ l i'{ ! · I I I l I I I ! I I j , ~ '\ I.) '