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Permit 40 Simmons RoadW N N ~~ ~~~ ~~~~ g~ ~%~~ ~~4~ ~ ~~ 4 ~~ T m ~~ ~~ ~ i ~R ~~g a~`9~ `~~~~y}y~^ V l~ v ~ ,~~ y *~~~ ~ g ~~~~%~~ N~Sf M N~ 5: ~ '~E ~, ~~ ~F n de ~~ T~ 1 ~~~ ~ % ~~ ~ ,~ ~~ ~ ~ ~ ~ ; ~~ ~ ~a :~ ~~~ .~~ ~ ~ ~~~ ~ ~~ ~~~~ ~ u : ~ w N ~ S * µ = + = w G i! J Y N ~_ d M = P V } 24 ~~1 t~~~ ~ ~~ Y~~p~~~. N 4 } . R ~ a Y ; E ~~ ~ ~F 1 ~ ",. 'f%}a$ W .~' _~~J ~ ~ .,: P o l . '~ '~'r~ ! t• +~ ~'~ ~ wr. ~~ W ~ ~ ~ • ~~ Q ~. ~' ~ ~i ~~ ~~ a --~ ~w A~~}}....~~-- ~Q ~ w ~d~a~ M i0 •~- L P~ C ,ao ~~~ ~~`1 ~~ ~ ~ ~- • ~ "(~^ A~ ~~ ~ ~ 9 ~ $ cam, ox ~ w m% 1 -~~ t~ +1 w % ~`~ ~ ~ N {I'~ • ~ ~~ ~ ~~~~ ~~~°~ ~~~~~ N ~ tt ~~ ~r ~" w CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000555 Date 7/08/10 Property Address 40 SIMMONS RD Application type description COMMERCIAL ADDITION Property Zoning TO BE UPDATED Application valuation 50000 Application desc ADDITION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KELLEY, WILLIAM BUILDING DYNAMICS INC. 40 SIMMONS RD 129 15TH AVENUE SOUTH ATLANTIC BEACH FL 32233 UNIT C JAX BEACH FL 32250 --- Structure Information 000 000 COMMERCIAL ADDITION Construction Type TYPE TI-B Occupancy Type BUSINESS Flood Zone ZONE X Permit ELECTRICAL PERMIT Additional desc . Permit Fee 63.40 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/04/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2004 FLORIDA FIRE PREVENTION CODE 2005 NATIONAL ELECTRICAL CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right-of-way. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.40 63.40 .00 .00 Plan Ch~etck Total .00 .00 .00 .00 PERMIT IS ~~DTONi,~ ~ ACCORDANCE WIT ~LE~ CITY OF ATL~1'IC~ EACH ORDINANC~E~ ~ND THE FLORIDA 0 BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 ~-~ Ph (904) 247-5826 Flax (904) 247-5845 JOB ADDRESS: ~~ .-~ / -''n ~ c~ ,~ Sr ~c~ PERMIT # ~O ~- S ^S-,~ NEW SERVICE a ead ^ Underground ^ Underground up Pole ^ Residential ( a )Service ^0-100 amps ^ 101-150amps ^ 151-200amps ^ amps # of Met ^Commercial (Main) Service ^0-100 amps ^ 101-150amps ^ 151-200amps ^ amps ^CT Se Conductor Type Size ^Muiti-Family (Main) Service ^ 0-100 amps ^ 101-150amps ^ 151-200amps ^ amps # of Uni ^Temporary Pole ^ amps SERVICE UPGRADE ^ amps ^ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ^ 100 amps ^ 150amps ^200amps ^ amps ^CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC. ers rvice t Meters Outlets/Switches: 3^ 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: ~ OTHER ELECTRICAL PROJECTS ^ Swimming Pool ^ Sign ^ Smoke Detectors _Qty ^ Transformers KVA ^ Motors FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK ~ REPAIRS/MISCELLANEOUS ^ Replace Burnt/Damaged Meter Can ^ Safety Inspection ^ Panel Change ^ OH to UG ^ Other: amps hp Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Oumers Name /J Phone Number Electrical Company Se t1-sr`C~ ~r~e ~ c~ C.~ - ~~fice Phon/e 7~JS/ =~aDC~ Fax ~ y 2' 3~// 9 Co. Address: ~ 2~ Z ~ - 3 ~c~ /~~~~ ~` 2 ~ ~ City T CI~Sa ~ ~~ if P State ~C zip 322 y~ License Holder (Print): CL ~~K ~~ /ss,~,9~u,~ ,/~ State Certification/Registration # C~ ~~ r 3 SI ~ Notarized Sig ~ ic~laev~ ' =~ ~' `~ ;= MY COMMISSION # QO 95 -'~ EXPIRES: Febru ~14 2014 ~., 'o<~ aa~( as subscribed be re n this > ifi;.• Bond6d Thru Notary PuMlh~~~ '~, '~i4f„ty Signature of Notary P 20 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000910 Date 7/21/10 Property Address 40 SIMMONS RD Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation 1800 ---------------------------------------------------------------------------- Application desc REMOVE AND REPLACE 9 SQUARES OF SHINGLES ---------------------------------------------------------------------------- Owner ------------------------ KELLEY, WILLIAM 40 SIMMONS RD ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ----------------------- Permit --------------- ROOF PERMIT ----------------- --------------------- Additional desc REPAIR ROOF Permit Fee 60.00 Plan Check Fee .00 Issue Date Valuation 1800 Expiration Date 1/17/11 ----------------------- Fee summary ----------------- --------------- Charged ---------- -- -------------------------------------- Paid Credited Due -------- ---------- -- - - - Permit Fee Total 60.00 60.00 - - - -- .00 .00 Plan Check Total ,00 .00 .00 .00 Grand Total 60.00 60.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: State _Zip ,;tZ~Phone Legal Description Parcel # c~ oor ea o q. t. q. t Valuation of Work $ /~-,°~y Proposed Work heated/cooled non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition poo do~oor Use of existing/proposed structure(s) (circle one):. Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use pro uct approva orm /~ Describe in detail the type of work to be performed: 1l-Ei,~d y~ ~P.d / ~e~ Name City E-Mail or Fax # Contractor Information: Company Name: Office Phone State Certification/Registration #. Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and instaZZations as indicated. I certify that no work ar installation has commenced prior to the issuance of a permit and that all work wLll be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six (6) months, or if construction or work is susppended or abandoned for a pertod of six~6) months at any time after work is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters, Tanks and Air Conditioners, etG WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMIVVITINCEMENT. I hereb certify that I have read and a mined this a placation and know the same to be true and correct. All provisions o, f laws and ordinances governing this type ofYwork will be complied with ether sppeci~d herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, r ZyCal lmv regulating construction or the performance of construction. Signature of Owner Print Name Sworn to and subs d before me I this Z~ Day of ~ ~~~....., ~,' ~ i siWat~DD 707779 Not Pu is s ~ „„ • ea~nwTArw~Mwwp.eoo.9es~me Zip i~ Qualifying Agent: City State Job Site/ Contact Number Fax # Signature of Contractor Print Name ,~„~ ~~ VICKY SWANK ~~' ~pisslon DD 707779 Notary Publ • - rn~wT~wwnww.r~aeoo-~~o+s N - e ise 1.26.10 Swor~ to and subscribed before me this ~~ Day of ~, Permit Number: /~- ~ / ~ V a ~~.~ ~/'' `r,; ~'-~ ; r, } J f~. =11: /" '~ ,~ 800 Seminole Road Atlantic Beach, Florida 32233 Telephone (904) 247-5800 FAX (904) 247-5845 Construction Site Management Plan Compliance A construction site management plan conforming to Atlantic Beach City Code Sec 6-1 ~ has been approved as a part of this building permit. The Construction site management plan was approved based upon the following information. 1. Parking plan -parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. Location of construction trailers, loading/unloading area and material storage area. 3. Location of chemical toilet area -chemical toilets must be kept out of City right-of--way and not further than I S feet from structure under construction. 4. Location of dumpster -dumpster must be from approved waste company (in accordance with Chapter 16 City Code). As ot'?009, approved dumpster companies for ,Att. Beach are Advanced Disposal, Reelect Recycling, and Shappells. Dumpsters are to have tarp covers or rigid covers on windy days. Dumpsters must be removed prior to issuance of Certificate of Occupancy or Completion. 5. Traffic control plan, showing access with dimensions, area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 6. Site cleanliness. Contractor must have the entire construction site cleaned by Friday of each week. This means removal of scrap lumber, concrete remnants and other such construction debris including cans, metal, plastic and paper. 7. Erosion and Sediment Control. Contractor must maintain all elements of the approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.) until sod or other stabilization has been placed and approved by Public Works. Other activities, where special conditions are identified by the Building Official Failure to comply `with the Construction Site Management Ordinance may result in a Stop Work Order being issued in accordance with City Code Sec. ~-17 (3) .:z~~rsc~i =~i~;~c~~~ ,~-fry}//'fI, "J ~ ~ '' CITY OF ATLANTIC BEACH ~'ri ~' ~ ®WNER /BUILDER AFFIDAVIT "~ '~ E1ri >"" I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE AONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; (HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. n ~©~ ~rG2-~SE ~/~~ Before me this ~ day of ~L.,'~...~~' 20,~`; in the county of ,,„fir"'•• VICiKY SWAIN Duval, State of Florida, has personally appeared erin by himself /herself and affirms that ~~~ ~ ~Ir~jpn DD 7Q]7'f 9 all statements and declarations are true and (accurate. ~s,~. EXjJI-83 ~Obef ~~ 2011 Notary Public at Large, State of ~~Gr 1C`~~unty of ~ Q~ -'~ ~.• ea~rwTrorF~eoo~mte ~~Personally Known Produced Ident'dication - ~- ' Notary Signature: ~ ~ ~ ~~~ ~,J`-''~: ~`~ F:BLDG/Owner-Builder Affidavit; REVISED: 4/16/2009 Property Appraiser -Property Details KELLY WILLIAM T ET A! & LINDA Primary Site Address Official Record_BookLPage 504 1ST STN 40 SIMMONS RD 11608-00606 JACKSONVILLE BEACH, FL 32250-7004 Atlantic Beach FL 32233 MCNULTY KAREN M 1/4INT KELLY ]OAN M ] 1/2 OF 1/2 INT KELLY KEVIN ] 1/2 OF 1/2 INT 40 SIMMONS RD Pro Detail ~_~ ~ __~________-.__._._ RE # _ 172172-0000 ..Tax District USD3 Property Use 4100 MANUFACT LIGHT # of Buildings i _ Legal Dena 19-16 17-25-29E DONNERS R/P I Subdbision 03136 DONNERS R/P The sale of this property may result in higher property taxes. For more information go to Save Ou_[. H_omes and our Pro~erty_Tax Estimator .Property values, exemptions and other information listed as 'In Progress' are subject to change. These numbers are part of the 2010 working tax roll and will not be certified until October. Leam how. the Property-Appraiser's Office valuesgro~e.rty. Tile #_ 9417 vawe ~ummar), 2009 Cet'tiFied - 2010 In Progress _; Value Method ' Income :Income Building Value $0.00 $0.00 { Extra Feature Value $0.00 $0.00 I Land Value (Market) $44,688.00 $44,688.00 ~ ~ Land Value (Agric.) ; $0.00 $0.00 ' _. _. _. _ ~ lust (Market) Value ; $154,900.00 i $144,700.00 Assessed Value (A10) $154,900.00 $144,700.00 Exemptions $0.00 See below Taxable Value ', $154,900.00 See below Taxable Values and Exemptions - In Progress If there are no exemptions applicable to a taxing authority, the Taxable Value is tfie same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value No applicable exemptions No applicable exemptions No applicable exemptions Sales Hi__ r~,r _ _ _ _ ~ ~ _ _ ~ ~__._ Book/Page... Sale Dam Sale Price Deed Instrument Type Code Qualified/Unqualified Vacarrt/Improved....... 11(08-_00606 1/26/2004 $176,200.00 WD -Warranty Deed Qualified Improved Q4181-00589 6/21/1976 $5,000.00 WD -Warranty Deed ! Unknown Improved Q4087_00531 1/22/1976 $4,600.00 WD -Warranty Deed Unknown Improved 0.3577-01200 9/7/1973 ~_-_-__~__ __-~______-..~ ' $6,000.00 ~:_._..-.._'.-~_~ WD -Warranty Deed _.-~____~___ ..______ -. __-._ ~ Unknown ____---_ Improved ._~.__-._____~_.____._~__.~r.._-_~--__-- Extra Features _.._ ___ _ _ __ . _ _ LN "-~________ _~ Feature Code - _. __ _ ____ _, _. _ .Feature bescription _Bldg i. Length ... . _ ._ . , Width _ .. ,_Total Units - ._ Value 1 PVCCl ~ Paving Concrete 1 0 0 2,500.00 $2 940 00 2 SVLCl Sound Value 1 0 0 ; 1.00 $225.00 Land & Legal Land _ .w.___-______ -_.----_-___ ____ ..R-.__.___ _-.___-- __.__..___-------_-- ~~ _-- -~ _.._- - -__-__-, LN Code Use Description Zoning Front Depth Category Land Units Land Value ~ LN Legal Description 1 1000 COMMERCIAL ACG 0.00 0 00 Common 6,875.00 $44,688.00 ~ 1 19-16 17-ZS-29E _.___-__4._ _.__.____._ _____...____._. _ _-.---_, -~-._..__~_._ .____-_~~_ __. _.. _ ___~_._a 2 DONNERS R/P 3 LOT 5 BLK 10 t.M_-_-------- ------ I Buildings Building 1 Building 1 Site Address 40 SIMMONS RD Atlantic Beach FL 32233 Building Type 4101 - MANUFACT LIGHT ~ Year Burg 1965 Type Gross Area ,Heated Area, Base Area 2460 2460. Base Area 432 432.... ~ Unfinished Storage 270 0 I Total _ 3162 2892 Element Code Detail Exterior Wall 15 15 Concrete Block Roofing Structure 4 4 Wood Truss Roofing Cover 3 3 Asph/Comp Shingle Interior Wall 5 5 Drywall Int Flooring 3 3 Concrete Finished Heating Fuel 4 4 Electric Heating Type 4 4Forced-Ducted Air Conditioning 3 3 Central Comm Htg & AC 1 1 Htg & A/C Pkg Comm Frame 3 3 C-Masonry Element _ _ Code Baths 4.000 Stories 1.000 Page 1 of 2 rg~_: ~- ~o~II LA_L_. http://apps.coj .net/pao~roperty SearchBasic/Detaii.aspx?RE=1721720000 7/20/2010 Property Appraiser -Property Details Rooms /Units 2,000 Avg Story Height 10.000 Restrooms 1,000 Page 2 of 2 Taxing District Assessed Value Exemptions :Taxable Value Last Year Proposed. Rolled-back County $154,900.00 $0.00 $154,900.00 $864.70 _ $843.90 __ $843.90 Public Schools: By State Law $154,900.00 $0.00 $154,900.00 $851.15 $787.51 $852.55 By Local Board $154,900.00 _ $0.00 $154,900.00 _ $407.76 __ $386.94 _ $408.44 FL Inland Navigation Dist. $154,900.00 $0.00 $154,900.00 $5.74 $5.34 _ _ $5.81 . Atlantic Beach $154,900.00 $0.00 $154,900.00 $499.07 $488.76 $488.76 Water Mgmt Dist. S)RWMD __ $154,900.00 __. $0.00 $154,900.00 $69.23 $b4.41 $72.77 School Board Voted $154,900.00 _. $0.00 ' $154,900.00 $0.00 $0.00 $0.00 Urban Service Dist3 _. $154,900.00 _ $0.00 $154,900.00 $0.00 $0.00 $0.00 General Gov Voted $154,900.00 $0.00 $154,900.00 $0.00 $0.00 $0.00 !Totals $2,697.65 $2,576.86 $2,672.23 __ lust Value. _ _ __ Assessed Value. _ Exemptions _ Taxable Value last Year __ .$166,500.00 $166,500.00 _ $0.00 $166,500.00 Current Year ; $154,900.00 $154,900.00 $0.00 $154,900.00 Properly Record Card (PRC) The Property Appraiser Office provides available historical record cards (PRC). The Property Appraiser's Once no longer uses PRCs; therefore, there will be no PRCs available from 2006 forward. You must set your browser's Page Set Up for printing to Landscape to print these cards. _2005 ~ 2.004 ~ 2003 ~ 2002 ~ 2001 ~ 2004 ~ 1999. ~ _1998 ~ 1997 ~ 1996 ~ 1995. More Information Parcel Tax Record ~ GIS M~ ~ Map this property on Google_M~5 ~ G yt fees Record httn•//annc cni nPt/nan nrnnPrtvCPamh/Racin/T~Ptail acnx~RF=172172l7r7n(1 ~/2n/2n1 n