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449 E Sailfish Dr RES21-0154 Replace Baseboards, FlooringOWNER:ADDRESS:CITY:STATE:ZIP: Jansen Todd 449 SAILFISH DR E ATLANTIC BEACH FL 32233 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: 171375 0000 ROYAL PALMS UNIT 02A JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 449 E SAILFISH DR RESIDENTIAL ALTERATION RESIDENTIAL replace baseboards, flooring $12000.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $115.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $57.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.59 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $177.09 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: 5/18/2021 PERMIT NUMBER RES21-0154 ISSUED: 5/18/2021 EXPIRES: 11/14/2021 RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 5/18/2021 PERMIT NUMBER RES21-0154 ISSUED: 5/18/2021 EXPIRES: 11/14/2021 RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $177.09 RES21-0154 Address: 449 E SAILFISH DR APN: 171375 0000 $177.09 BUILDING $115.00 BUILDING PERMIT 455-0000-322-1000 0 $115.00 BUILDING PLAN REVIEW $57.50 BUILDING PLAN CHECK 455-0000-322-1001 0 $57.50 STATE SURCHARGES $4.59 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.59 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R15843 $177.09 Printed: Tuesday, May 18, 2021 1:47 PM Date Paid: Tuesday, May 18, 2021 Paid By: BOSCO BUILDING CONTRACTORS Pay Method: CREDIT CARD 456923698 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R15843 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION si Building Permit Application City of Atlantic Beach i 800 Seminole Road,Atlantic Beach, FL 32233 ITT/0; Phone: (904)247-5826 Fax:(904) 247-5845 Job Address: 44-/ (J'/(-/ (ljfrf .1)02, 412.- eat Permit Number: Legal Description %/- / 3d - 2c - s.PAriu LM Wf L4 'ARE# 17 i2-5"6- I yA 000 Valuation of Work(Replacement Cost)$ /OW Heated/Cooled SF /OS42 Non-Heated/Cooled 33 Class of Work(Circle one): New Addition Alteration •epair ove Demo Pool Window/Door Use of existing/proposed structure(s)(Circle one): Commercial 'esident If an existing structure,is a fire sprinkler system installed?(Circle one): Y1 N/A Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: P d / b ds, i4 ‘41A/60' A 0410 Florida Product Approval# lv.,for multiple products use product approval form Property Dune/-II formation Name: -7-47e/0 yi Address: J g7 //2 — 'L. 41-#4 G fj GL City v'IG / -C6 State , - Zip 32z '3 Phone gdC 4fZZ 44347 E-Mail &A, Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: %i GO '041 G j5-a7ualiIgAgent: iota " Address j0 i0 City J State Ft- Zip Z -- Office Phone e - 4 --- '3 Job Site/Co Number cjf ZL glob State Certification/Registration# C- -• E-Mail -/O4t j(-1V C.Gpyyf Architect Name&Phone# Engineer's Name&Phone# Workers Compensation tial - Exempt/Insurer/Lease Employees/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 regulationg 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. 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 ATTORN BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ignature of Owner or Agent including Contractor) Signature of Contractor) Signed and sworn to(or affirmed)before me this 0 40 day of Signed and sworn to(or affirmed)before me this 4t4 day of 14 , )- -! ,by T'o o p 3-4/y54_4 4Y , yc.),I ,by OO li Kol'cn t-1 Signature of Notary) Signature of Notary)0Nyppok i-4 WILLIAM L.POPE e e--4 44".*; WILLIAM L.POPE MY COMMISSION#GG 348645 moi MS'COMMISSION M GG 348645 Personall Know s ' PersonallyKnown OR o:o: EXPIRES.0 fo 4 o: EXPIRES:October 19,2023 Produced Identi a r'? October cu 2023 Produced Identification '•"`git" dedTM+Notary Pubic UndenedtersbondedThruNotarypublicUndeiwrltetsr Type of Identificati. . Type of Identification: y,,y,,.,TREE & VEGETATION AFFIDAVIT P,01.. City of Atlantic Beacha Department of Community Development Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 y ';t, P) 904 247-5800 (F) 904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION f Owner(s) [7 Legal Authorized Agent* NAME OF APPLICANT / 71 012* NAME OF COMPANY Pre yfka 1L s ‘ A€,--/V 4 ADDRESS OF COMPANY 'Zfi /fr aQ 5 _0"---f / pc— 32.2332/_. PHONE Gf f_-QZ. ELL Z -141-2Qgb0 EMAIL ,,ziejeee,,6dy„ CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II -SITE INFORMATION STREET ADDRESS OF PROPERTY s-f7 / ti-14.----/I?:. Pa-- :L ic i Pc-- .31---2--333 II an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION 3/_ / -2j$ —ZS - 2.4 6" 10-97//t-f"-Lms ,;4 f 24n LOT ler' y.. BLOCK /7,4,,,4_ Z7 SUBDIVISION 1, / ,S 24 7/187s- REAL ESTATE NUMBERLOT OR PARCEL SIZE: SQ FT / /Ogre, AC RESIDENTIAL V COMMERCIAL OTHER(SPECIFY) I affirm that / have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation" of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or 1 have participated in a pre-application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described or adjacent properties in conjunction with this project. SIG4stATVREOF OWNER SIGNATURE OF OWNER Signed and sworn before me on this lit day of /i,p9y , tel ,by State of (Leg I.p/i- County of f.)oV/f} Identification verified: ( Ga9 f M Oath sworn: fl Yes I— No WILLIAM L.POPE 1%Sr4s•1-G yWAZ_Z4eyiksk..._0"*"--. MY COMMISSION#GG 348646 l: 144-s.41-I' Notary Signature F o?:` '• • :• ••"r •,2023 BondedThru Notary Public Underwritr. rsii REV NA v10.12 My Commission expires: CLOSING DISCLOSURE- ADDENDUM B Buyer/Borrower: Todd Bennett Jansen,an unmarried man Seller: Kenneth Alan Massey and Stephanie Ann Massey,husband and wife Property: 449 East Sailfish Drive,Atlantic Beach,FL 32233 Closing Agent:McKillop Law Firm,PL Closing Date: May 4,2021 File Number: 21-0748 TAX RE-PRORATION AGREEMENT:If the most recent property tax bill issued does not cover through the closing date, then the tax prorations set forth on the settlement statement are based upon an estimate. The basis of proration as set forth on the settlement statement is hereby accepted by the parties to this transaction. It is hereby understood and agreed that the actual taxes,if different,may be adjusted between the parties upon demand,if required by their contract. Closing Agent is not liable or responsible for adjustment or re-proration of taxes. Closing Agent is not responsible or liable for additional taxes, other charges or tax refunds,if any,and shall not be liable should any of the parties to this transaction fail or refuse to re-prorate the taxes. AGREEMENT TO COOPERATE: If requested by Lender(if any), Closing Agent,Title Agent or Title Underwriter,the parties agree to fully cooperate and adjust for clerical errors, including the execution or re-execution of any reasonable documentation and the remittance of any additional sums. HOMEOWNER'S/CONDOMINIUM ASSOCIATIONS:The Buyer(s)acknowledge(s)the existence of any homeowner's and/or condominium association(s)and is aware that monthly,quarterly or annual maintenance assessments may be due to said association(s). Said association(s)may also have the authority to regulate and enforce community covenants and restrictions. The Buyer hereby acknowledges receipt of a copy of any association estoppel letters for the subject transaction. NON-REPRESENTATION ACKNOWLEDGMENT: Unless Closing Agent has entered into a separate engagement agreement with either party,Closing Agent does not represent Seller or Buyer as their attorneys.Closing Agent may represent one of the parties in addition to acting as the Closing Agent for this transaction. MISCELLANEOUS: Closing Agent does not make any representations or warranties nor assumes any liability with respect to the physical condition of the property, or any repairs to the property. Buyer has been advised and encouraged to secure hazard insurance coverage prior to completion of closing. If a survey was prepared for the subject transaction,then the Buyer hereby acknowledges receipt of a copy thereof. The buyer has reviewed said survey and accepts title subject to the matters set forth thereon. Buyer has received and reviewed the proposed deed and is satisfied with and approves the manner which title is being held. DISBURSEMENT AUTHORIZATION, ETC.: Closing Agent does not adjust or assume liability for charges for water, rents,gas, electricity,taxes on personal property,garbage taxes or fees, license fees or taxes, service/maintenance contracts pest control,appliance maintenance,pool care,lawn care,alarm systems,etc.),association assessments or dues,or estoppel information furnished by mortgagees or others. The settlement statement has been reviewed and approved and Closing Agent is irrevocably authorized and directed to complete the closing of the transaction and make disbursement in accordance therewith. In the event of mortgage assumption,if Seller has received a credit for the escrow account balance,then Seller hereby assigns all right,title and interest in said account to Buyer. Seller,Buyer,and Borrower are used for singular or plural,as the context so requires or admits. This Agreement is being provided as an inducement for Closing Agent to serve as the closing agent and for Title Agent and Title Underwriter to issue title insurance on the subject transaction. Closing Statement Addendum File:21-0748 Page I McKillop Law Firm,PL ALTA Combined Settlement Statement 7563 Philips Highway Building 500 Jacksonville,FL 32256 904)503-3893 File#: 21-0748 Property 449 East Sailfish Drive Settlement Date 05/04/2021 Prepared: 05/03/2021 Atlantic Beach,FL 32233 Disbursement Date 05/04/2021 Attorney: Ian McKillop Buyer Todd Bennett Jansen Seller Kenneth Alan Massey and Stephanie Ann Massey Lender SWBC Mortgage Seller Buyer Debit Credit Debit Credit Primary Charges&Credits 461, 750.00 Sales Price of Property 461.750.00 Deposit 5,000.00 Loan Amount 365, 680.00 Lender Credit 25.00 Prorations/Adjustments 1,356.01 County Taxes 01/01/2021 to 05/04/2021 1,356.01 1,703.50 Title Policy Adjustment 1,703.50 Loan Charges Administration Fee to SWBC Mortgage 1,195.00 Appraisal Fee to William Lee Warren,Inc. 475.00 Credit Report Fee to Partners Credit&Verification Solutions 40.95 Flood Certification Fee to CoreLogic Flood Services 11.50 Prepaid Interest(from 05/ 04/2021 to 06/01/2021) 911.68 Impounds Homeowner's insurance$92. 50 per month for 3 mo.277.50 Property taxes$349.30 per month for 9 mo. 3,143.70 Aggregate adjustment 555.00 Payoffs/Payments 243,491.46 Payoff to Chase Government Recording and Transfer Charges Recording Fees 114.50 Deed:$19.50 Mortgage:$95.00 3,232.60 Documentary Stamp Tax(State Deed Taxes)to Simplifile Documentary Stamp Tax(State Security Instrument Taxes)to Simplifile 1,279.95 Intangible Tax(State Security Instrument Taxes)to Simplifile 731.36 Commissions 4,617.50 Listing Agent Commission to Hayden Hawk Realty,LLC 11,543.75 Selling Agent Commission to Berkshire Hathaway Home Services Florida Network Realty Title Charges 400.00 Title-Closing Fee to McKillop Law Firm,P.L. Title-Courier Fee to McKillop Law Firm,P.L. 65.00 Title-E-Recording Fee to Simplifile 9.00 Produced by McKillop Law Firm,PL Using Qualia Page 1 of 2 21.0748 Printed on 05/03/2021 This form is a statement of final loan terms and closing costs.Compare thisClosingDisclosuredocumentwithyourLoanEstimate. Closing Information Transaction Information Loan Information Date Issued 5/3/2021 Borrower Todd Bennett Jansen Loan Term 30 years Closing Date 5/4/2021 909 1st St Purpose Purchase Disbursement Date 5/ 4/2021 Neptune Beach,FL 32266 Product Fixed Rate Settlement Agent McKillop Law Firm,P.L. Seller Kenneth Massey and Stephanie Massey File# 21-0748 449 Sailfish Dr E Loan Type 0 Conventional 0 FHA Property 449 Sailfish Dr E Atlantic Beach,FL 32233 0 VA 0 Atlantic Beach,FL 32233 Lender SWBC Mortgage Corp. Loan ID# 0156045254 Sale Price 461,750 MIC Loan Terms Can this amount increase after closing? Loan Amount 365,680 NO Interest Rate 3.25 % NO Monthly Principal&Interest $1,591.46 NO See Projected Payments below for your Estimated Total Monthly Payment Does the loan have these features? Prepayment Penalty NO Balloon Payment NO Projected Payments Payment Calculation Years 1-30 Principal&Interest 1,591.46 Mortgage Insurance 0 Estimated Escrow 441.80 Amount can increase over time Estimated Total 2,033.26MonthlyPayment This estimate includes In escrow? Estimated Taxes,Insurance Ox Property Taxes YES Assessments 441.80 lI Homeowner's Insurance YES Amount can increase over time Monthly 0 Other: See page 4 for details See Escrow Account on page 4 for details.You must pay for other property costs separately. Costs at Closing Closing Costs 11,352.04 Includes$4,063.35 in Loan Costs+$7,313.69 in Other Costs-$25.00 in Lender Credits.See page 2 for details. Cash to Close 99,362.53 Includes Closing Costs.See Calculating Cash to Close on page 3 for details. CLOSING DISCLOSURE • GTRIDCDWS_S 0617 1F Waal raltiie Page 1 of S•LOAN ID#0156045254 05/ 03/ 2021 07:45 AM PST GTRIDCDWSS(CLS)