1595 Beach Ave siding 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002248 Date 3/01/13
Property Address . . . . . . 1595 BEACH AVE
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 900
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Application desc
replace cedar shake siding
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Owner Contractor
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BLACKARD WILLIAM R JR. OWNER
3531 HEDRICK ST
JACKSONVILLE FL 3220S9406
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Permit SIDING PERMIT
Additional desc REPLACE CEDAR SHAKES . 00
Permit Fee . . . . 55 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 900
Expiration Date . . 8/28/13 ------
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Special Notes and Comments
FINAL INSPECTION REQUIRED CALL WHEN JOB COMPLETED
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 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: Permit Number:
Legal Description oor Area of Sq.Ft. Parcel 9 Sq 1A
Valuation of Work ro proposed Work heated/cooled no'n-heated/cooled
Class of Work(circle one): New Addition Alteration (e Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial Residential
If an existing structure,is a fire sprin=system installed? (Circle.one): Yes No N/A
Florida Product Approval#
For multiple products use Vr—oduct app_r_ov_aTTo_rm
Describe in detail the type of work to be performed.
Property Owner Information:
es,
Name: Addr s:
city State(�- Zip -i z z-sm Phone
E-Mail or Fax#(optional)
Contractor Information:
Company Name: Qualifying Agent:
Address: city State Zip
Office Phone Job Site/Contact Number Fax
State Certification/Registration 9
Architect Name&Phone 9
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 installations as indicated I certify that no work or installation has commencedprior to the
f a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
issuance o_ f construction or work is suspended or abandonedfor a eriod of sixp�)months at any time after
and void if work is not commenced within six(6)months, or i 4usPoos, urnaces,Boilers,Heaters,
work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, F e
Tanks andAir Conditioners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT M V SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
[A '�
TO YOUR PROPERTY. IF OU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN TORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
li tio a ow the sam b rueandcorrect. All provisions of laws and ordinances governing this
re d and examined this
2nA
I hereb certify that Aq a permit does not presume to give authority to violate or cancel the
a work will b�c U d with ther ie erein not. The 4
type 17, ti the e ormance of construction.
provisions of any othe al, ate, loc re lating truc on
Signature of Signature of Contractor
PrintName i C C/147�-) /0421/n-0/7 al Print Name .........................................................................................................................................
............................................................. ................. .............................................
Beforegr me 20
—Day of 'A"fffiis Day of
this
COMMISSION#EE 05730
pIREs:May 2 2 1
WIC Und
Notary Public 3 54c) Public Revised 10.24.12
CITY OF ATLANTIC BEACH
(OWNER / BUILDER AFFIDAVIT
1. 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 14AVE 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 MUS
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
M-USTBE FOR YOUR—USE AND OCCUPANCY- IT MAYNOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU RAVE 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 VIOLATTON 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 LICENSINQ
ORDINANCES.
11. 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(l). 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.
PHONE NUMBER
ADDRESS
RINT AME
DATE
Before me th* day of .20 in the cobrity of
Duval,State of Florida,has personally appeared erin by h self herself and affirms that
all statements and declarations ar Mt :nd:accurate
Notary Public at Large,state of county of
AY
A rE
4. 'my commis ll'
'080RA"=10MES 7=349
11 Personall Known
ip W.
y
Troduced Identification 1,2015
EXPIRES-M'ay 2
1301
Pu
bk UrIdewtm
Notary Signatu
F/BLDG/O��-BuildaAffadavit;REVISFD: 4/16/2009
Property Appraiser- Property Details Page I of 2
BLACKARD WILLIAM R JR Primary Site Address official Record Book/Page Tile#
3531 HEDRICK ST 1595 BEACH AVE 10957-00516 9416
JACKSONVILLE,FL 32205-9406 Atlantic Beach FL 32233
1595 BEACH AVE
Value Summary
Propeq Detail -- 12012 Certified
RE# 170313-0000 ............ .- I
Value M hod CAMA CAMA
Tax District USD3 et
Total Building Value $30,368.00 1$28956.00
Property Use 0100 SINGLE FAMILY ........
Extra Feature Value $486-00 J$486.00
#of Buildings 2
Land Value(Market) $800,815.00 $800,815.00
Legal Desc. 6-1 09-2S-29E.443 Land value(Agric.1 -
$0.00
ATLANTIC BEACH ..................... 1-$.0.00
Subdivisio 03108 1 ATLANTIC BEACH Just(Market)Value $831,669.00 $830,257.00
Total Area 19315 Assessed Value $831,66-9-00 $830,257.00
The sale of this property may result in higher property taxes.For more information go to Cap Dlff/Portability Arnt $0.00/$0.00 $0.00
Save Our Homes and our Proi3erty Tax Estimator.Property values,exemptions and other
Exem See below
ptions $0*00
information listed as'In Progress'are subject to change.These numbers are part of the 2013 .............. Taxable Value $831,669.00 See below
working tax roll and will not be certified until October.Learn how the Property Agoraiser'
Office values property.
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
No applicable exemptions No applicable exemptions No applicable exemptions
Sales History
Book/Page Sale Date Sale Price Deed Instrument Vacant/Improved
Unqualified
10957-00516 3/3/2003 $100.00 MS-Miscellaneous Improved
z Improved
ln842-00227 3/23/2002 $100.00 QC-Quit Claim Unqualified
(19;938-00325 8/9/1984 $100.00 QC-Quit Claim Unqualified Improved
I Improved
0SR38-00327 8/9/1984 i $100.00 QC-Quit Claim Unqualified i
Improved
(ISS03-01048 2/26/1982 $100,000.00 WD-Warranty Deed Unqualified
Extra Features
Width 1 Total Units Value
LN Feature Code Feature Description Bldg. Length
FPMR7 Fireplace Masonry 0 0 1.00 $486.00
Land&Legal egal
Land
Land Land TV Land LN Legal Description
LN Code Use Description Zoning I Front Depth Category Value
Units
-1 09-2S-29E.443
1 6
Front
RES OCEAN LD 3-7 UNITS PER
1 0140 ARS-2 30.00 200.00 Common 30.00 $436,500.00 2 ATLANTIC BEACH
'AC Footage 3 N 5FT LOT 11,LOT 12 BLK 62,
2 0140 RES OCEAN LD 3-7 UNITS PER ARS-2 25.00 200.00 Common 25.00 Front $363,750.00 4 P-1-GOVT 7 RECD O/R 10957-516
AC Footage $40.00
3 9401 PRIVATE EASEMENTS ARS2 0.00 0.00 Common 0.04 Acrage
ARS2 0.00 0.00 Common 0.15 Acrage $525.00
%06 EXCESS LAND
Buildings
Building 1
Element
Building 1 Site Address Code Detail rF
1595 BEACH AVE od Shingle
Atlantic Beach FL 32233 Exterior Wall 14 14 Wo
Roofing Structure 3 3 Gable or Hip F
Ala u
Building Type 0102-SFR 2 STCRY SOH Roofing Cover 3 3 Asph/Comp Shingle
A
Year Bul i t 1926 Interior Wall 3 3 Plastered
B
.......... A
i Building Value $23,835.00 Int Flooring 12 12 Hardwood s
Heating Fuel 4 4 Electric
Heated Effective Heating Type 4 4 Forced-Ducted ADT
Area Area Area 3 Central
Air Conditioning 3
Finished upper 858 858 815
story I Element Code
Base Area 858 858 858 Stories 2.000
Addition 946 946 851
286 0 86 Bedrooms 4.000
http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1703130000 3/1/2013