588 Plaza 2014 pegola CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
;". ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
"ST CAL BY 4PF4 FOR NEXT DAY!NSPE6TIANi 247-6584-4
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JOB INFORMATION:
Job ID: 14-00001161
Job Type: RESIDENTIAL OTHER
Description: PERGOLA
Estimated Value: $2,000.00
Issue Date: 10/31/2014
Expiration Date: 4/29/2015
PROPERTY ADDRESS:
Address: 588 PLAZA
RE Number: 170703-0210
PROPERTY OWNER:
Name: DUMLAO, RAMON B
Address:
PERMIT INFORMATION: BUILDING DEPARTMENT: PLANNING AND ZONING:
per m jones
per dr
FEES:
PERMIT FEES $60.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
PLAN CHECK FEES $30.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
y ..
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 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 REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
If. 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; 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.
5S5, IP- laza. /g4-42 & '-& ck, FL �7o 0 a->y._
ADDRESS PHONE NUMBER
v,�J • JuM LA U
PRINT NAME
07/C;,,/
SIGN E DAT
Before me this �� day of "7rzG 20 - m the county of
Duval,State of Florida,has personally api5eared herin by himself/herself and affirms that
all statements and declarations are true and accurate.
"""• SHIRLEY M.BENNETT
rnr a r
Notary Public at Large,state of 1C L county of A9!�• 1%"f' Not Public-State of Florida
Z. • My Comm.Expires Sep 10,2016 Commission# EE 833846
❑Personally Known L L �N+ r:
17,Pr6duced Identification- D =.'+ �,P,
c ", Eord,d Through National Notary Assn.
Notary Signature: �d "
F:/BLDG/Ovmer-Builder AffadaviY REVISED: 4/16/2009
Letter of Authorization
I r Cyj btLrn 10Z0 authorize Wendy Grennell to act on my behalf while
applying for nd/or obtainin permit on which I signed as owner builder for job address
�' Q Zai. �an7fi'c a ' L 3-2-233
RE #f 0CLO
Owner
Sworn to and described before me this z day of -Jc,c (X 20 `l
By Pit N,a,, 1) -vi 14 v
SHIRLEY M.BENNETT
.`•tiPn�=fie�'
Notary Public -State of Florida
Notary PublicMy Comm.Expires Sep 10,2016
Commission # EE 833846
Bonded Through National Notary Assn,
s h,/J-e.y /q 4 K4t--- — Personally Known
Notary N e Printed
Produced IDL�L-
t BUILDING PERMIT APPLICATION 0
CITY OF ATLANTIC BEACH FJUL 21 2014
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 B
Job Address: Permit Number:
Legal Description ! Y LOf 5 Bk 1 Parcel # /70"703 0` 2 0
Floor Area o q. t. q. t
Valuation of Work$ OOU Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one):installed?
Residential
If an existing structure,is a fire sprinkler system nstalled? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: i)e-a06,
Property Owner Information:
Name: 'bAddress: 5W P62_0—
City State6�Zip_3X33 Phone:90 -o2 70
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: t2W � /Jt U�G Qualifying Agent: 1j),
on
Address: City State Zip
Office Phone Job Site/Contact Number - Fax# /03/
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 installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that adl work well 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 suspended or abandoned for a_pertod of six6)months at any time after
work is commenced. I understand that separate per
must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofYwork will be complied with whether sped ted 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, or local law regulating construction or the performance of construction.
Signature of Owner C Signature of Contractor
PrintName P_11 _0 f/.... .."���iyL/1�7 Print Name ........................................................................................................................................
............................................
Before me SHIRLEY M. ETT
this y� Day of ��� �`'' otary Public S a e of FioTly°f ,20
• My Comm.Expires Sep 10,2�Nj •f: ission Notary Publi Bonder!Through Nati y
Revised 01.26.10
Property Appraiser - Property Details Pagel of 2
MLAO RAMON B Primary Site Address Official Record Book/Page Tile#
DU
MLAO PLAZA 05069-00237 9417
588 PLAZA
ATLANTIC BEACH, FL 32233-4123 Atlantic Beach FL 32233
DUMLAO NENITA A
588 PLAZA
Property Detail Value Summary
# 170703-0210 2013 Certified 2014 In Progress
Value Method CAMA CAMA
Tax District USD3
Proper ,Use 0100 SINGLE FAMILY
Total Building Value $72,389.00 $121,421.00
#of Buildings 1 v Extra Feature Value $4,241.00 $3,770.00
35-64 17-2S-29E Land Value(Market) $86,775.00 $86,775.00
Legal Desc. i SEASPRAy Land Value(Aeric.) $0.00 $0.00
Subdivision 03405 SEASPRAY lust(Market)Value $163,405.00 $211,966.00
Total Area 7138 _ Assessed Value $96,088.00 $97,529.00
The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $67,317.00($0.00 $114,437.00($0.00
to Save Our Homes and our Property Tax Estimator.Property values,exemptions and Exemptions $50,000.00 See below
other information listed as'In Progress'are subject to change.These numbers are 088.00 See below
part of the 2014 working tax roll and will not be certified until October.Learn how the Taxable Value $46,
Property Appraiser's 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 SIRWMD/FIND Taxable Value School Taxable Value
Assessed Value $97,529.00 Assessed Value $97,529.00 Assessed Value -- - - -$97,529.00
.......................................
.................._............................................. ............................................................... ................
00
Homestead(HX)..............................................:$25,000.00 Homestead(H�.................__............._......._:.$25,000:00 Homestead(N .............................................$25,000.
......................... . .
.......
Homestead Banding 196.031(1)(b)(HB) $25,000.00 Homestead Banding 196.031(ix ..$25,000.00 b)(HB) Taxable Value $72,529.00
......................................................................................................... .......................
Taxable Value $47,529.00 Taxable Value $47,529.00
Sales History
Book/Page Sale Date Sale Price Deed Instrument Tvpe Code Oualified/Unqualified Vacant/Improved
05069-00237 3/10/1980 $100.00 QC-Quit Claim Unqualified Vacant
05509-01219 3/1/1982 $22,500.00 WD-Warranty Deed Unqualified Vacant
05530-00401 5/21/1982 $45,300.00 WD-Warranty Deed Unqualified Improved
Extra Features -
LN Feature Code Feature Description Bldg. Length Width Total Units Value
1 SCPR2 Screen Porch 1 11 28 308.00 $3,770.00
Land&Legal
Legal
Land
Land Land LN Legal Description
LN �4 I Use Description Zoning Front Depth Category Units Land Type Value
1 35-64 17-2S-29E
RES LD 3-7 UNITS PERFront
1 0100 AC ARS-2 75.00 100.00 Common 75.00 Footage
5 BLL
tage $x.775.00 I 2
3 OTLKI
Buildings
Building 1
Building 1 Site Address Element Code Detail
588 PLAZA
Atlantic Beach FL 32233 Exterior Wall 17 17 C.B.Stucco
Exterior Wall 19 19 Common Brick I
Building Type 0101-SFR 1 STORY Roofing Structure 3 3 Gable or Hip Bas
x Bis
Year Built `- 1982 Roofing Cover 3 3 Asph/Comp Shingle
Building Value i$121,421.00 Interior Wall 5 5 Drywall r- FOP
IC1t Flooring 12 I?h1ro-W9.0- L_.J
fires "am Ef/@Ehyp )rit RHii4 ii 11gA-9ffNE q—gy To
Type Area AF0.4 Area4 $€I j
Sass dreg 398 340 348 kltfl@ T}R 4 $wk-901,149-9
http://apps.coj.net/pao_property Search/Basic[Detail.aspx?RE=1707030210 7/21/2014
Property Appraiser- Property Details Page 2 of 2
Finished Opp 98 10 129 I Air Conditioning 3 3 Central
Porgy
Base Area 1160 1160 1160 Element Code
Finished Open 81 0 24 Stories 1.000
Porch
Total 1729 1550 1603 Bedrooms 3.000
Baths 2.000
Rooms/Units 1.000
2013 Notice of Proposed Property Taxes(Truth in Millaae Notice)
Taxinq District Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-back
Gen Govt Beaches $96,088.00 $50,000.00 $46,088.00 $300.01 $379.98 $310.91
Public Schools:By State Law $96,088.00 $25,000.00 $71,088.00 $371.87 $365.39 $385.42
By Loco;Board $96,088.00 $25,000.00 $71,088.00 $156.20 $159.81 $161.89
H.Inland Navigation Dist. $96,088.00 $50,000.00 $46,088.00 $1.53 $1.59 $1.53
Atlantic Beach $96,088.00 $50,000.00 $46,088.00 $148.06 $153.40 $152.81 1
Water Mgmt Dist.S]RWMD $96,088.00 $50,000.00 $46,088.00 1$14.74 $15.13 $15.13
Gen Gov Voted $96,088.00 $50,000.00 $46,088.00 j$0.00 $0.00 $0.00
School Board Voted $96,088.00 $25,000.00 $71,088.00 1$0.00 $0.00 $0.00
Urban Service Dist3 $96,088.00 $50,000.00 $46,088.00 1$0.00 $0.00 $0.00
Totals $992.41 $1,075.30 $1,027.69
Just Value Assessed Value Exemptions Taxable Value
Last Year $183,786.00 $94,482.00 $50,000.00 $44,482.00
Current Year $163,405.00 $96,088.00 $50,000.00 $46,088.00
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 12004 ( 2003 1 2002 12001 1 2000 1 1999 1 1998 1 1997 1 1996 1 1995
More Information
ontact Us I Parcel Tax Record I GIS Map I Map this property on Google Maps I City Fees Record
http://apps.coi.net/pao _property Search/Basic/Detail.aspx?RE=1707030210 7/21/2014
rj%siy�, City of Atlantic Beach APPLICATION NUMBER
O Building Department
s 800 Seminole Road (To be assigned by the Building Department.)
„r Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-5845 f cv
rill E-mail: building-dept@coab.us Date routed: 2
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
uildin
Applicant: ) /e, Planning &Zoning
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [/pproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONIN
Reviewed by: Date: �/
TREE ADMIN. ❑
Second Review: Approved aSe4fS�'d' De d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: �� `c/
Date:
FIRE SERVICES Third Review: DApproved as revised. @Denied..
Comments:
Reviewed by: Date:
Revised 05/14/09