337 4th St RES23-0198 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
Charles Walker 337 4TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169835 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
337 4TH ST RESIDENTIAL
WINDOWS/DOORS Replace Garage Door $6000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $85.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.66
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING NOTICE OF COMMENCEMENT INFORMATIONAL
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
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: 10/13/2023
PERMIT NUMBER
RES23-0198
ISSUED: 10/13/2023
EXPIRES: 4/10/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $182.16
2 of 2Issued Date: 10/13/2023
PERMIT NUMBER
RES23-0198
ISSUED: 10/13/2023
EXPIRES: 4/10/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
RES23-0198
RES23-0198
Date:
Owner:
Mailing
Address:
Parcel ID:
*** EXEMPTION APPLICATION RECEIPT ***
** DO NOT DISCARD **
Dear Homeowner:
Our office has received your exemption application for the tax year indicated on the
application. This is the only confirmation that you will receive so it is important that you
keep this receipt.
Your application will be reviewed and processed for exemptions for which you are
eligible.If it is determined that you are not entitled to an exemption,you will be sent an
official denial by certified mail no later than July 1 of the year you applied for.
If you have questions, please visit our website at:
http://www.coj.net/pa
Or you may contact our office at (904) 255-5900.
Sincerely,
Joyce Morgan
Duval County Property Appraiser
OFFICE OF THE PROPERTY APPRAISER
JOYCE MORGAN
DUVAL COUNTY
PROPERTY APPRAISER
231 E. FORSYTH STREET
JACKSONVILLE, FL 32202
(904)!""#"$%%
09/20/2023
WALKER CHARLES
337 4TH ST
ATLANTIC BEACH, FL 32233
1698350000R
WRITTEN STATEMENT REGARDING THE COLLECTION AND
USE OF SOCIAL SECURITY NUMBERS
Dear Duval County Resident and Property Owner:
This statement is being provided to you pursuant to section 119.071(5) (a) 2 and 3, Florida
Statutes.
Social Security Numbers are unique numeric identifiers that are used by this office to
identify, verify, track and search information in conjunction with determining entitlement
to exemption.
Additionally, the Duval County Property Appraiser's Office is required by section
196.011(1) (b), Florida Statutes and Florida Administrative Code Rule 12D7.001 (4), to
collect on each new application for exemption under sections 196.031,196.081,196.091,
196.1 01, 196.202, Florida Statutes, the Social Security Number of the applicant and his or her
spouse, if applicable.
Pursuant to section 193.074,Florida Statutes,exemption applications and all returns of property
are confidential.
This statement is for informational purposes only. There is no need to respond.
OFFICE OF THE PROPERTY APPRAISER
JOYCE MORGAN
DUVAL COUNTY
PROPERTY APPRAISER
231 E. FORSYTH STREET
JACKSONVILLE, FL 32202
(904)!""#"$%%
EXEMPTION AND DISCOUNT REQUIREMENTS
Homestead Every person who owns real property in Florida on January 1, makes the property his or her permanent
residence or the permanent residence of a legal or natural dependent, and files an application may receive a property tax
exemption up to $50,000. The first $25,000 applies to all property taxes. The added $25,000 applies to assessed value over
$50,000 and only to non-school taxes.
Your local property appraiser will determine whether you are eligible. The appraiser may consider information such as the
items requested on the bottom of page 1.
Save our Homes (SOH) Beginning the year after you receive homestead exemption, the assessment on your home cannot
increase by more than the lesser of the change in the Consumer Price Index or 3 percent each year, no matter how much
the just value increases. If you have moved from one Florida homestead to another within the last three years, you may
be eligible to take some of your SOH savings with you. See your property appraiser for more information.
This page does not contain all the requirements that determine your eligibility for an exemption.
Consult your local property appraiser and Chapter 196, Florida Statutes, for details.
Added Benefits Available for Qualified Homestead Properties
Amount Qualifications Forms and Documents* Statute
Exemptions
Local option,age 65 and older
Determined by
local ordinance
Local ordinance, limited
income
Proof of age
DR-501SC, household income
196.075 The amount of the
assessed value
Local ordinance,just value
under $250,000, permanent
residency for 25 years or
more.
DR-501SC, household income
Widowed $5,000 Death certificate of spouse 196.202
Blind $5,000 Florida physician, DVA*, or SSA** 196.202
Totally and Permanently Disabled $5,000 Disabled Florida physician,DVA*,or SSA**196.202
All taxes Quadriplegic 2 Florida physicians or DVA* 196.101
All taxes
Hemiplegic, paraplegic,
wheelchair required for
mobility, or legally blind
Limited income
DR-416, DR-416B, or
letters from 2 FL physicians
(For the legally blind,one can be an
optometrist.)
Letter from DVA*, and
DR-501A, household income
196.101
Veterans and First Responders Exemptions and Discount
Disabled veteran discount, age 65
and older which carries over to the
surviving spouse
% of disability Combat-related disability
Proof of age, DR-501DV
Proof of disability, DVA*, or
US government
196.082
Veteran,disabled 10%or more
by misfortune or during wartime
service
Up to $5,000 Veteran or surviving spouse Proof of disability, DVA*, or
US government 196.24
Veteran confined to wheelchair,
service-connected, totally disabled All taxes Veteran or surviving spouse Proof of disability, DVA*, or
US government 196.091
Service-connected,totally and
permanently disabled veteran or
surviving spouse
All taxes Veteran or surviving spouse Proof of disability, DVA*,or
US government 196.081
Surviving spouse of veteran who
died while on active duty All taxes Surviving spouse Letter attesting to the veteran’s
death while on active duty 196.081
First responder totally and
permanently disabled in the line
of duty or surviving spouse
All Taxes First responder or surviving
spouse
Proof of Disability, employer
certificate, physician’s certificate
and SSA** (or additional physician
certificate)
196.102
Surviving spouse of first
responder who died in the line of
duty
All taxes Surviving spouse Letter attesting to the first
responder’s death in the line of duty 196.081
*DVA is the US Department of Veterans Affairs or its predecessor.**SSA is the Social Security Administration.
DR-501
Eff. 01/23
Page 3 of 4
References
This form mentions the following documents,which are incorporated by reference in Rule 12D-16.002,F.A.C.
The forms may be available on your county property appraiser’s website
or the Department of Revenue’s website at floridarevenue.com/property/forms
Form Form Title
DR-416 Physician’s Certification of Total and Permanent Disability
DR-416B Optometrist’s Certification of Total and Permanent Disability
DR-501A Statement of Gross Income
DR-501DV Application and Return for Homestead Tax Discount, Veterans Age 65 and
Older with a Combat-Related Disability and Surviving Spouse
DR-501SC Adjusted Gross Household Income, Sworn Statement and Return
DR-501
Eff. 01/23
Page 4 of 4
9049829851
Revision to Issued Permit OR Corrections to Comments Date:10/03/2023
Project Address:
Contractor/Contact Name: CHARLES W_ALKER
Contact Phone: Email: CJWALKER8@YAHOO.COM
Description of Proposed Revision / Corrections:
I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
✔ No Yes (additional s.f. to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal? ✔ No *Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due $
Revision/Plan Review Comments
Department Review Required:
Building
Planning & Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED. City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: RES23-0198
✔
337 4TH ST ATLANTIC BEACH FL
Id No: FL-12065.1 PSF: 20.8/-51.1 Name: Z0-09-64303
Document: https://www.floridabuilding.org/upload/PR_Instl_Docs/FL12065_R6_II_Z0-09-64303.pdf