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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