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1717 Selva Marina Dr Submittal Building Permit Application Updated 10/9/18 y City of Atlantic Beach Building Department **ALL INFORMATION / 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY U;ss9� IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: /-7/-t �E-i-1./.4 /14,44/4 �/ t VS.- Permit Number: Legal Description 30-Z? 09-7-S-ZQ2E s'Zd✓,¢/1i,oviiiINTsr/rZ Ft-#.10 RE# /72O/1 —D't70 Valuation of Work(Replacement Cost)$ / 4 dev Heated/Cooled SF Non-Heated/Co E • Class of Work: ❑New ❑Addition Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Do MAR 3 1 2021` • Use of existing/proposed structure(s): OCommercial XResidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ylNo BY: • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) XINo Describe in detail the type of work to be performed: ,ev6i V% ,1P1 %F+Q l//itNi%yri//0�C/as� 77/I! "490(4 "1/e iVAA# w✓,3 �o✓�#'-AV,1.,9"et— �i ✓E est A447-4, 74i 17/11" ,1 W-- Trac;, ,P4Ace-fry /.✓ ttosir Got±ai7ew AMvVE G atA ,.✓As- . 's7le s #"j�o q>, -ow0.of 'i..ry/rear, Florida Product Approval# for multiple products use product approval form Property Owner Information � ,/ Name /1/,*Met Y G �fc /11G-Av`_ , Ti / Address fj7 - , 7'd i_ City /1 iE" i4C<i( State 7 - Zip �ZZ.,66 Phone 90 e-7/0-118=0,-e// ----LW- E-Mail /14 ./y,r-oa fe .4i✓k--cp•h -6/ Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information ,/�� ,�/� Name of Company �,��1✓�LAtf '/�Z Qualifying Agent /4461X`- / 44 Address//Z3 �7ri ,.411;.c ✓roo fde—~ 4ff City Tri er✓d/U-- State ri- Zip 5.Z-Z' Office Phone 7 - Ti?--L/0( Job Site Contact Number 04/' 7710 Ycr-r State Certification/Registration# - "t-?f-/ E-Mail WH(//E egenfeGp '3K/4-pZit- e..4.4.7 Architect Name&Phone# A///- Engineer's Name&Phone# 4///11 / Workers Compensation InsurerL.a•//Nig//sfrver—+s,O. OR Exempt 0 Expiration Date p'f/0i/Zatz- 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 Aga A NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE o, RECO', 'IN IV U OT E ENCEMENT. S \ (Signature of Owner or Agent) (Signat re of Contractor) Fr i N ^ 8 Signed and sworn to(or affirmed)before me this 15 day of Signed and sworn to(or affirmed)before me this I day of N ` VA0„1.1 )-. , 903-1 by Au Iti1C CaovefI,N. taCl►'Cr , ._ _ by L a .. _h VI C T o i? z (Signature of Notary) ?Signature of Nota ) Z -- y,- *. E 2 J O •,vm U w ...�i••, [ ]Personally Known OR [A Personally Known OR ;; t"� ti�.; MALYNDASTURGELL ' j`.", [4 Produced Identification [ ]Produced Identification �,; .1.1::mmission#GG 921415 '-`` Type of Identification: :, :;P: ires May 11,2021 'N.. T.:, Type of Identification: On L(CCi'lSC, yp 5,„ �,, e, ru Troy Fain Insurance 800-385 7019 .s •� T • • • r • ..ye.ae......e�-.w.r..r�*�►aw..v+w,_..sw.ti�� American Land Title Association ALTA Settlement Statement-Combined Adopted 05-01-2015 FileNo./Escrow No.: 2163335 Richard T. Morehead Title&Escrow,Inc. Print Date&Time: 3/31/2021 @ 9:06 AM Officer/Escrow Officer: Beth Murphy 444 Third Street Settlement Location: Neptune Beach,Florida 32266 444 Third Street Neptune Beach, Florida 32266 Property Address: 1717 Selva Marina Drive,Atlantic Beach, Florida 32233 Buyer:Audrey McGovern and John McGovern,wife and husband, 1717 Selva Marina Drive,Atlantic Beach, Florida 32233 Seller: Michael B.Eastlack,Successor Trustee of The Richard J. Eastlack Living Trust,a Revocable Living Trust,dated November 17,2004, 5050 Victory Court, Mount Pleasant,South Carolina 29466 Lender: Caliber Home Loans, Inc., 1525 South Beltline Road,Coppell,Texas 75019 Loan Type: Conventional Settlement Loan Number:9768217789 Settlement Date:3/31/2021 Disbursement Date: 3/31/2021 Additional dates per state requirements: • t Seller Description Borrower/Buyer Debit Credit Debit Credit Financial $950,000.00 Sales Price of Property $950,000.00 Deposit including earnest money $10,000.00 Loan Amount $760,000.00 Lender Credit $100.00 Half of the Owner's Title Policy Fee $2,412.50 $2,412.50 Half of the Owner's Title Policy Fee Prorations/Adjustments $2,917.71 County Taxes from 1/1/2021 to 3/30/2021 $2,917.71 Loan Charges to Caliber Home Loans,Inc. 0.00%of Loan Amount(Points) $798.00 Administration Fee $95.00 Processing Fee to Caliber Home Loans, Inc. $550.00 Underwriting Fee $745.00 Prepaid Interest($60.69 per day from 3/31/2021 to 4/1/2021)to $60.69 Caliber Home Loans, Inc. Other Loan Charges Appraisal Fee to Raiford &Associates, Inc.(POC by Borrower: $550.00) Collateral Desktop Analysis to Clear Capital $150.00 Credit Report Fee to CoreLogic Credco $23.56 Flood Certification Fee to CoreLogic Flood $10.65 Copyright 2015 American Land Title Association. Page 1 of 3 File#:21B3335 All rights reserved. Printed on 3/31/2021 @ 9:06 AM American Land Title Association ALTA Settlement Statement-Combined Adopted 05-01-2015 MERS Registration Fee to Meriscorp Holdings Inc. $11.95 Tax Service Fee to CoreLogic $93.89 $11.25 E-Filing Fee to Old Republic National Title Insurance Co. $6.75 Impounds Homeowner's Insurance 3 months @$202.50 per month $607.50 Property Taxes 7 months @$997.16 per month $6,980.12 Aggregate Adjustment 0 months @ per month -$1,620.05 Title Charges&Escrow/Settlement Charges $250.00 Title-Closing Fee to Richard T. Morehead Title&Escrow, Inc. $250.00 Title-Delivery/Handling/Courier/Wire Fee to Richard T. $75.00 $50.00 Morehead Title&Escrow,Inc. Title-Endorsement 8.1 to Old Republic National Title Insurance $50.00 Company Title-Endorsement FL Form 9 to Old Republic National Title $507.50 Insurance Company Title-Lender's Coverage Premium to Old Republic National Title $3,875.00 Insurance Company $25.00 Title-Scanning/Storage Fee to Old Republic National Title Ins.Co. $25.00 Title-Search Fee to Old Republic National Title Insurance $50.00 $50.00 Company Title-Owner's Coverage Premium to Old Republic National Title $1,200.00 Insurance Company Government Recording&Transfer Charges Recording Fees to Clerk of the Circuit Court $147.50 $37.00 Recording Fee-Affidavits to Clerk of the Circuit Court $3,325.00 Transfer Taxes-Deed State to Clerk of the Circuit Court $3,325.00 Transfer Taxes-Intangible Tax to Clerk of the Circuit Court $1,520.00 Transfer Taxes-Mortgage State to Clerk of the Circuit Court $2,660.00 Miscellaneous $10.00 Beaches Lien Letter to City of Atlantic Beach Survey Fee to Ray Thompson Surveying, Inc. $400.00 Homeowner's Insurance Premium to Universal Property& $2,430.00 Casualty $11,965.88 2020 Property Taxes to Duval County Tax Collector Seller Description Borrower/Buyer Debit Credit Debit Credit $21,054.34 $950,000.00 Subtotals $975,028.06 $775,430.21 Due From Borrower $199,597.85 $928,945.66 Due To Seller Copyright 2015 American Land Title Association. Page 2 of 3 File#:2163335 All rights reserved. Printed on 3/31/2021 @ 9:06 AM American Land Title Association ALTA Settlement Statement-Combined Adopted 05-01-2015 Acknowledgement We/I have carefully reviewed the ALTA Settlement Statement and find it to be a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction and further certify that I have received a copy of the ALTA Settlement Statement. We/I authorize Richard T.Morehead Title&Escrow,Inc.to cause the funds to be disbursed in accordance with this statement. ? / c0,4 Borrower: /Z Seller: A drey McGovern Michael B.Eastlack,Successor Trustee of The Richard 1.Eastlack Living Trust,a Revocable Living Trust Borrower: /-7/7 John McGovern I have reviewed the Closing Disclosure,the settlement statement,the lender's closing instructions and any and all other forms relative to the escrow funds,including any disclosure of the Florida title insurance premiums being paid,and I agree to disburse the escrow funds in Ord nce,h the terms of this transaction and Florida law. Esc Officer Copyright 2015 American Land Title Association. Page 3 of 3 File#:21B3335 All rights reserved. Printed on 3/31/2021 ED 9:06 AM