2323 W Oceanwalk Dr Garage Door Submittal Building Permit Application Updated 10/9/18
_ City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept(ailcoab.us IS REQUIRED.
Job Address: 23 23 C,9C-6i✓u0#14- Z/✓�f✓� Permit Number:
Legal Description .Z.497- 2 .7600v1414-114" 1741•••"77,0-41 fay?/�f71��!��RE#
Valuation of Work(Replacement Cost)$ �, JoZ.oo Heated/Cooled SF o,0(06:::s Non-Heated/Cooled JTZ
• Class of Work: ❑New ❑Addition ❑Alteration ARepair :Move -,Demo ❑Pool ❑Window/ EC E IVE
• Use of existing/proposed structure(s): ❑Commercial XResidential AUG 0 9
• If an existing structure,is a fire sprinkler system installed?: EYes gNo 2021
• Will tree(s)be removed in association with proposed project?EYes(must submit separate Tree Ren'c I Permit) XNo
Describe in detail the type of work to be performed: DD��6TTTTT
Florida Product Approval# .T30&.'� _for multiple products use product approval form
Property Owner Information
Name v.4 t' ra ht-,dow,.,=,..A4 Address 2323 ✓w-/1r4LtvC
City R%Z /—•"P'ttf7C 0 7-1, State " Zip 3 zZ33 Phone 9o`i 3q3 -Zo7 7E-Mail (7,y
Owner or Agent(If Agent, Power of Attorney or Agency letter Required)
Contractor Information
Name of Company "9-- 04x-- Gvy5 QuaLty_i22g A ent
Address 3 g �i ILf.R"�. � City,/4A � State �- Zip 3 z 15-C)
Office Phone o4-4°44- 7 r'5 Job Site Contact Number gc4�6`f'- ,4O�
State Certification/Registration# C 0/3C -3 y E-Mail Al 4-2d -C,4-,xp,GE,4oa2.-"Zv y5 .
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt 7. 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 YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN Y BEFORE
RECORp1N6--aFQ TICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed before me t is ' day of Signed and sworn to(or affirmed)before me this- r" day of
7/ by /4).,-9-- (4- I�1 ,L) —,)-o ,by Mc,(LJJ
(Signature of Notary) (Signature of Notary)
( )Personally Known OR ( )Personally Known OR
(JeProduced Identification (-1-Produced identification
r.
of Identification:Fl p L Type of Identification: ��
,i3+/j.:"I�ti ;,\ CHRISTUWGILES ��}!�"iiy JESSICA KING
I`.' "- '; ; MY COMMISSION#HH 117153 • Commission#GG 356029
EXPIRES:April 13,2025 -e,t Expires July 17,2023
°''�«`°r Bonded Thru Notary Public Und •
' Dondod Thru Troy Fain lnsuranco 800.385-7019
r
I art'
•
e3lt011AfT21f013�
d.;
Let SFtHN*{AOM22tMAMO3Y;,• . '.
.
This Warranty Deed
Book 8745 Pg 1739
Made this 26th day of September A.D. 19 97
by Leslie E. Samuels and Dujuanna D. : 8745
py; 1739
Samuels, husband and wife Doc$ 97227870
Filed 8 Recorded
10/09/97
hereinafter called the grantor,to HENRY:W4: 29 A.M.
Tony F. Downing and Patricia A. Downing, CLERK CIRCUIT COURT
husband and wife DUVAL COUNTY, FL
REC. f 6.00
whose post office address is: 2323 W. Oceanwalk Drive DEED $1,495.90
Atlantic Beach, FL 32233
o
g arantee•' SSE:
,
�o hereinafter called the grantee:
(Whenever used herein the term'grantor and'grantee include all the parties to this instrument and the
heirs,legal representatives and assigns or individuals,and the aucumors and assigns of corporations)
Witnesseth, that the grantor, for and in consideration of the sum of 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 24, OCEANWALX UNIT THREE, according to plat thereof recorded
in Plat Book 42, pages 74, 74A, 74B i 74C, of the current public
records of Duval County, Florida.
SUBJECT TO covenants, restrictions, easements of record and taxes for
the current year.
Parcel Identification Number: 169463-1048
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, 19 96
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above
written.
is
.:0 sealed and delivered in ow- •resen e: /
/
•
H.ee:
j��,,jg�E�g/>; b�&USC;ih1aN, JR. �� '`��/ �u- • Les • E. ue
11.S I
H•^^� 41446A // canna . 8ari:is
smaall y lypoo3JC!
408 Snapping Turtle Court
Atlantic Beach, FL 3223
Nene: Rusea Addrrar. i�1
1.S
Hum: Nar.e a Aama:
State of Florida
County of Duval
The foregoing instrument was acknowledged before me this 26th day of September , 19 97 ,
by
Leslie E. Samuels and Dujuanna D. Samuels, husband and wife
who is personally known to me or who has produced driver's license as identification.
Print Name:
Notary Public Albert E. Buschman, ;
Comm. No.CC 5089099
PREPARED BY: Albert E. Buschman, Jr.MY Commission mei
Buschman, Ahern i Persons : Va�tt�J Bonded thru Plcherd Ins.
2215 S. 3rd Street, /101
"D-t Jacksonville Beach, FL 32250
5/93 File No: 97-834