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Permit 1822 Hickory Ln 2010 6 w . `.: CITY OF ATLANTIC BEACH 5 ) 800 SEMINOLE ROAD .) :,,i . ° ` , ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 1 -0,131 Application Number 10- 00001316 Date 10/29/10 Property Address 1822 HICKORY LN Application type description MECHANICAL HVAC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 cu 1 ahu Owner Contractor ADHIKARI OWNER 1822 HICKORY LANE ATLANTIC BEACH FL 32233 Permit MECHANICAL HVAC PERMIT Additional desc . Permit Fee . . . 119.00 Plan Check Fee .00 Issue Date Valuation . . 0 Expiration Date . . 4/27/11 Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 119.00 119.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 123.00 123.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 yax (904) 247 -5845 JOB ADDRESS: /f2 Z A C /e oL Z../.72vE PERMIT # PROJECT VALUE $ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ,36, 1OBfg Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rati r g Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALL' 0 :. Air Conditioning: Unit Quantity k Tons Per Unit 3 AAm R QUIRE)) ,..... , •. Heat: Unit Quantity BTU's Per Unit Seer Rating / Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators /Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) 5L 2rA Welts OTHER: 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 provi s of an other state or local law regulation construction or the performance of construction. ii , Property Owners Name Gtf�LgrUg/GirearsAi�ns 7 Phone Number Mechanical Com Office Phone Fax Co. Address: City State Zip License Holder (Print): __ S _ - • - • 'r ion/Registration # N f /i�� /` f-a d�7 74a efore me • i ay o era 20 6 f ." MY MMISSI GRAHAM P 11C r �/ • ' 4,' 't yg" Bonded Thru Notary nderwriters i Property Appraiser - Property Details Page 1 of 2 ADHIKARI RESHAM R Primary Site Address Official Record Book /Page 1822 HICKORY LA 1822 HICKORY LN 14487 -02181 Tile # ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233 9409 1822 HICKORY LN Property Detail Value Summary # 172020-1448 2010 Certified 2011 In Progress Tax District USD3 Value Method CAMA CAMA Property Use 0100 SINGLE FAMILY Building Value $140,895.00 $139,513.00 # of Buildings 1 ..--- . -_... E xt ra Feature Value $792.00 $704.00 Legal Desc. 37-29 09- 2S -29E Land Value (Market) $200,250.00 $200,250.00 SELVA MARINA UNIT NO 12 -C REPLAT Land Value fAgric.) $0.00 $0.00 Subdivision 03584 SELVA MARINA UNIT 12C R/P Just (Market) Value $341,937.00 $340,467.00 The sale of this property may result in higher property taxes. For more information go � ASsessed Value (A10) $341,937.00 $340,467.00 to Save Our Homes and our Property Tax Estimator . Property p rty value, exemptions and Exemptions $50,000.00 See below other information listed as 'In Progress' are subject to change. These e numbers are - part of the 2011 working tax roll and will not be certified until October. Learn how the ._3.7.__ Taxable Value $291,937.00 See below P14pertv Appraiser's Office values pronertv. Taxable Values and Exemptions — In Progress If there are no exemptions applicable to a taxing authority, the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD /FIND Taxable Value School Taxable Value Assessed Value $340,467.00 Assessed Value $340,467.00 Assessed Value $340,467.00 Homestead Exemption (HX) - $25,000.00 Homestead Exemption (HX) - $25,000.00 Homestead Exemption (HX) - $25,000.00 Amend 1 Homestead (HB) - $25,000.00 Amend 1 Homestead (HB) - $25,000.00 Taxable Value $315,467.00 Taxable Value $290,467.00 Taxable Value $290,467.00 Sales History Book /Page I Sale Date Sale Price ' Deed Instrument Type Code I QualifJed /Unqualified Vacant /Improved 14487 -02181 4/24/2008 $383,000.00 WD - Warranty Deed I Qualified Improved 12909 -01391 11/15/2005 $442,500.00 WD - Warranty Deed j Qualified Improved 13594 -00631 11/15/2005 $100.00 WD - Warranty Deed Unqualified mm Improved Im 07717 -01062 19/1993 11 p / $157,500.00 WD Warranty Deed Qualified Improved 07085-02002 3/29/1991 $153,100.00 WD - Warranty Deed ° Qualified Improved 05857 -00121 9/18/1984 $143,500.00 . WD - Warranty Deed 1 Unqualified Improved 05611-00561 1/27/1983 prove $117,900.00 WD - Warranty Deed .Unqualified Improved 05378 -00574 7/22/1981 $17,500.00 WD - Warranty Deed Unqualified Vacant 05110 -00104 4/4/1980 $100,000.00 ` WD - Warranty Deed i Unqualified i Vacant Extra Features LN Feature Code Feature Description I Bldg. Lenrth Width — Total Units Value 1 FPPR7 Fireplace Prefab ! 0 10 0 1.00 $704.00 d Land & Legal Land LN Code Use Descri ion Z Le al Doing , Front . Depth Category Land Units ^ Land Value LN L egal Description 1 0100 RES LD 3 -7 UNITS PER AC , APUD 90.00 100.00 Common ; 90.00 $200,250.00 1 37 -29 09 -2S -29E 2 SELVA MARINA UNIT NO 12 -C REPLAT 3 LOT 23 Buildings Building 1 Building 1 Site Address Element Code I Detail 1822 HICKORY LN Exterior Atlantic Beach FL 32233 xterior Wall 2 12 Cedar or Redwood e CI Roofing Structure 13 3 Gable or Hip T — Building Type 0102 - SFR 2 STORY SOH Roofing Cover 3 3 Asph /Comp Shingle I- ...,,,, 2 Year Built 1982 — Interior Wall i 5 5 Drywall Fes' Int Flooring 5 5 Asphalt tile L ., i Type Gross Area Heated Area Int Flooring 14 14 Carpet i----1 z, Base Area 1540 1540 Heating Fuel 4 4 Ele ctric s __ u GR L_,-1 Unfin Open Porch 280 0 Heating Type e __ __._ 3 4 4 fed http: / /apps.coj. net/ pao_ propertySearch /Basic/Detail.aspx ?RE= 1720201448 10/29/2010 Property Appraiser - Property Details Page 2 of 2 Finished upper story 1 1 640 640 Air Conditioning 1 3 , 3 Central Unfinished Garage 1 440 0 . -__ . Unfin Open Porch i 44 l 0 Element Code Total 2944 ' 2180 Stories 2.000 Bedrooms 3.000 i Baths ; 2.500 Rooms / Units 1 .000 t....__. '1I N. i •fPr...ridPr.� =.i T•x Tr hinMill•.eN. i - Taxi ny_ Value ' x ns Eem tio Txable , I P , .._,_ a Value (_,. __._._.._. Last Year ,_Proposed i Rolled -back Gen Govt Beaches $341,937.00 $50,000.00 l $291,937.00 1 $1,759.10 l $1,993.52 1 $1,682.55 Public Schools By State Law .$341,937 00 _ $25,000.00 $316,937.00 1 768.67 00 $ $1,694 35 $1 743 34 By Local Board [ $341,937 00 $25,000.00 0._ I$ 1 — $869.03 ; $791.71 $856.59 FL Inland st ld Navigation Dist. --- tt n n I $341 937 00 ' $50 000 00 $291,937.00 $11.14 x$10.07 $10.98 Atlantic Beach Si- I $341 937 00 � $50,000.00 $291,937.00 $1 018.81 $960.41 ' $960.41 Water Mgmt Dist. SJRWMD ( $341,937.00 ._w $50 000 00 $291 937 00 $134.26 ; $121.39 School Board Voted $341,937.00 $25,000.00 $316,937.00 — -- 3721 _-i$0 00 $0.00 $0.00 Urban Service Dist3 $341,937.00 _v 4-- — — — -_ $50 000 00 $291,937.00 �$0 00 ' $0 00 i $0.00 General Gov Voted ' ; $50,000.00 $291 937 00 ( $0 00 $341,937 00 i- _, -- $0.00 $0.00 Totals $5,561.01 l $5,571.45 f $5,391.08 I Just Value I Assessed Value + Exemptio I Taxable Value Last Year $3 889 00 $372,889.00 ' $50,000.00 I $322,889.00 Current Year I $341,937.00 $341,937.00 $50,000.00 LL $291,937.00 Property _.__ -- Property Record Card (PRC) The Property Appraiser's Office (PAO) provides historical property record cards (PRCs) online for 1995 -2005. The PAO no longer maintains a certified PRC file due to changes in appraisal software; therefore, there are no PRCs available online from 2006 forward. You may print this page which provides the current property record. (Sections not needed can be minimized.) To print the past -year cards below, set your browser's Page Set Up for printing to Landscape. 2005 1 2004 1 2003 1 2902 1 2001 1 2000 1 1999 1 1999 1 1997 1 1996 1 1995 More Information Parcel Tax Record 1 GIS Map 1 Map this prop rg ty on oogl Mao I CIW Fees Record http: / /apps.coj. net/ pao_ propertySearch Basic/Detail.aspx ?RE= 1720201448 10/29/2010 % t ,e. .t a, CITY OF ATLANTIC BEACH , ®WNER / BUILDER AFFIDAVIT Y 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 A ONE — 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 REOUIRED 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 RS 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; I 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. /5 AZ l .7iccr-Qi La 4_ G 7 - ADDRESS PHONE NUMBER r A r ' At 0I� I4V a PRINT E - 1 . .... . DATE / Before me this day of , 20_ in the county of Duval, State of Florida, has personally appeared herin by himself / herself and affirms that all statements and declarations are true and accurate. `� / Notary Public at Large = • CR S , County of )41 Jac ` K/4 ' ❑ Person ly Know _. , - l b/ f � duced Identifi - - , A) 111110- ► HIR c - . - i' P T. SSION # DD 957760 l3'�• • brry , `" : ond: ,ih S: Nota Pub Unde 142014 ers rwrit Notary Signature: ell ` - 7.3 / J 6 l i - 6 F: BLDG / Owner - Builder Affadavit; REVISED: 4/16/2009 . V� This combination qualifies for ■■ •I CERTIFIED TM Efficiency Tax Credit when placed in se i ce www.ahridirectory . ory between Feb 17, 2009 and Dec 31, 2010. Certificate of Product Ratin • s AHRI Certified Reference Numb: : 3670854 Date: 10/29/2010 Product: Split System: Heat Pump with Remote Outdoor Unit - Air - Source Outdoor Unit Model Number: NXH536GKA* Indoor Unit Model Number: FXM4X36 * *A* Manufacturer: COMFORTMAKER Trade /Brand name: 15 SEER N SERIES R410A HP Manufacturer responsible for the rating of this system combination is COMFORTMAKER Rated as follows in accordance with AHRI Standard 21 0/240 -2006 for Unitary Air and Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, party testing: 9 ent, Shurce p ent, third Cooling Capacity (Btuh): 34800 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ 47 F: 35400 Region IV HSPF Rating (Heating): 8.70 Heating Capacity(Btuh) @ 17 F: 21400 *Ratings followed by an asterisk (•) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ddire ory o TERMS AND CONDITIONS g Y confi g This Certificate and its confers proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. are propriety ry ry' �• The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in an form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION any The information for the model cited on this certificate can be verified at ��' click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on NMI which the certificate was issued, which is listed above, and the Certificate No., which is listed below. MIN ` A ond tioni g, H sa t e ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129328348412183888 'tl'S't1 WW1 NI euia�u� a., �' + p - M: 311 s13npoad poiwo3 feu o� .i dyo // 1j t .t3D 6, P \/w4 gUI %op ass 41tloo9Exf7 wx� 04W 30 001000 1 9tl3 30 3000 / 3003 03W 111\111 'll © I I VOrt I 9£— LOVE vooeexvwX� 0 09Z X 3%193911 11 30N 311130S 30 01i�WnN y38WnN 39tl31341 03 30 00 / 30 3003 / 3003 13 Gi PIM) 311 / 3 438 30 # 1939 30 30 01:1310N 01:1310N / #1tlIli3S fl I I Ili I I I Hit gZ99COLV 311:139 30 # I nos 30 OIi3WnN / N 1tl1133S ZH09 Hd I. 30335 3u 0 / 311139 30 Oi i n 1 a0ZZa9E01'v 1 :1 11 tee.., Ilic) I I �� � �!��� IIIIIIIII � III �IIII II III tlaa9EXti WX3 �iiiiiiiiuiii� III I �oldlVO 1 II��IIIIII11�li1 1NV0199V3 na '1N O JOldltl9 30 # / 3 f1JOlt11t/0 30 OHaWf1N / w aev� as a i aabnisd _ - ` a i MAP SHOWING SURVEY OF -LOT 73 BLOCK AS SHOWN ON MAP OF .5 4 fri il /P/N:4 1/4// 7' N f 74 C AS RECORDED IN PLAT BOOK 37 PAGE _ 2°9 OF PUBLIC RECORDS OF DUVAL CO Ft A FOR zf , 44.45 - ,i , .5 2 . . 1 z -, ........ , . LOT /0 La ir ,// 55%v,4 / A' /NA' ow / r /vg / 0 8 /'g 3 6; ./"6" a 7 _______0..................................................................... r. . <I. . . ....air Ni 1 I\ ‘TN ZaT ze N LOT 20 •ZN ..... ..,V3 k r) . .. 1 1 %) 1 .1) el , \ I kt th k ti F ____s..._ - .11 --------- "F'',; —1 82' 0 ..... i . ...> - 0 . 14) c2"--1. . ,. 0:....• ........ 1 40 _ 5 3. 39 ' 5 00 ' IV ' 53 igzz /// CA r (a 0 ww) z A/YE BUILDER MUST SET CORNER STAKES LOCATING HOUSE IN RELATION TO TREES AND GRADE PRIOR TO FINAL