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1802 Hickory Roof 2015 `0 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: ]ob ID: 15-ROOF-479 Job Type: ROOF PERMIT Description: reroof Estimated Value: $14,990.00 Issue Date: 3/6/2015 Expiration Date: 9/2/2015 PROPERTY ADDRESS: Address: 1802 HICKORY LN RE Number: 172020-1444 PROPERTY OWNER: Name: JOHNSON,SUSAN & BENGT OLFOSSON, * Address: 1802 HICKORY LN GENERAL CONTRACTOR INFORMATION: Name: A J WELLS ROOFING Address: 5432 WELLER PL ARTHUR J WELLS JR Phone: - - FEES: BUILDING PERMIT FEE $124.95 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $128.95 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 3 3 Job Address• 01 1 LQ,(�e C &4,, 1' Pern��t Number: Q CU U n cr tU V I Z-G P R'1 Legal Description7 -/�--1 C)q -011 -Aqr s0iJQ "l tiA Parcel# Floor Area o q. t. sq.Ft Valuation of Work$I D- Proposed Work heated/cooled aA a 6 non-heated/cooled 3U 5 Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proosed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): o N/A Florida Product Approval# F- /6 l69 L) , 1 For multiple products use product approval form Describe in detail the type of work to be performed: &Xri d V e Qa l ('�P� ac°6 raa�' s- Property Owner Information: ''II_ Name: '2.1'1 0 1 17 SSD h Address: C &0� m ck_o i_q L—A City 04AMState Zip Phone '10'4 — 111 CQ 1 � E-Mail or Fax#(Optional) Contractor Information: n /�- �� { Company Name: (k)4AS Rb OCr1 4L^S W M�y `�1uaa f mg Agent: Address: A l ©I °L City JCAk State�1— Zip Office Phone S �# Cc4c_ Job Site/Contact Number�04/SS 3 00(o Fax#904 5Sl y ag State Certification/Registratio13 2_1>Sg7 I* 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 installationss indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the starr0!ads ll laws regulating construction in thisjurisdiction. This permit becomes null and void if work isnot comenced within six(6)months, orif construorrk is suspended or abandonedfor a period ofsrx L6)months at arty time after workiscommenced. Iunderstand that separate permitsmust be secfor Electrical Work,Plumbing,Signs, Wells,Pools, f urnaces,Boilers,Heaters, Tanks and Air Conditioners,eta 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 here b certify that 1 have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of certify will be complied with whether speci red 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 lecal law regulating construction or the performance of construction. Signature of Owner n Signature of Contr o,'r/ Print Name /1.GI.. ........_V f'DrjS0.r1............................... Print Name Y1�Y11.�r... 5........................-----._............... Swo t and subscribed bef re me Sworn to and subscribed befor me this Day of 20 s th&tary Day of r ,20 1 Notary Public State of Florida N tary Public Kimberly Baker N tc my e y Baker y � My commission FF 012533 y My Commission FF 012533 W 0 1 �laIV Expires 04/28/2017 CITY OF ATLANTIC BEACH 09- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 F OFFICE:(904)2475826•FAX NO.:(9(4)247-5845 BUI LDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF I'�o a I 1 (2, ,e. q qo r 3051 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: .LISPOF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT d BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER IaNO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME 15,COMPANY NAME: 23.COMPANY NAME. & - I 16 E 24.LICENSEE NAME. 10.ADDRESS: i"Eflf— TE OF FLORID LIIC ENO 25.STATE OF FLORIDA LICENSE NO.: HT t ' -1 fi e' 18..ADDRESS: 134. F1 26 ADDRESS: Aqan�1 e F( 32-'7'33 ' i Aderhd td 4'q 3 zZ 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE 20.FAX NO.: 27.OFFICE PHONE. 28,FAX NO.: 1 !s3 o0&' S'sl f ag 3 13.CELL PHONE: 21.C§LL PHON�� O ca 29.CELL PHONE 14.EMAIL ADDRESS: 22 Ey_ LA DDRESS: 30.EMAIL ADDRESS: )�br,2T,7/ ��,Go FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OVM1E(t) 31 NAME: 33.NAME: 35.NAME. 32.ADDRESS. 34.ADDRESS: 36.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 all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period 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,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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. OWNER or AGENT CONTRACTOR If Agen4 Power or Agency Letter Required) (Qualifier Only) Signed: Date3 - � Si Date: S I // 2&98 in the coun of B re me this�_ ay of M 2999 in the county of Before me this,�_day of M/1 rC K b Duval,State of Florida,has personally appeared 2-015- Duv I,State of Florida,has personally appeared -2-0 1 herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of r County of ZC)ay A-L Notary Public at Large,State of County of ❑Personally Known n Personally Known duced Identifirat n- "' ❑Produced Identificat on X� Notary Signatu Notary Signatu E,p,V,N Notary Public StateofFlonda Notary Public State of FbndaKimber)y Baker Kimberly BakerBLDG01 Permit Appli1s%I6}M Mdion FF 012533 My Commission FF 012533r 111, Expires 0412111) 17 or Expires 04/28/2017 2s41 CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT .Olt 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. 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; 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. 8 Ll)')- l__� 6k4/r u Ln Qm�t c �G�srS3�� q DRESS f IC 3Z 3 3 PHONE NUMBER L `T u,/ 1S P NAM S E �t /J DA Before me this �— T qday of 20/S in the county of Duval,State of Florida,has personalty appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of !— County of C)u✓/ISL „Vr Pahl Notary Public State 4/F Florida Personally Known iYKlfTlb@f�y 68kEf ❑Produced Identification- My Commission FF 012533 '� � pins 12812017 Notary Sign F:BLDG/Owner-Bruldw Affs&vi;REVISED:4/16/2009 03/05/2015 at 01 :44 PM, Ronnie Fussell CLERK CIRCUITCOURTDUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT T Of --- Tax Folio l+�lo:Stme — Couniy sof To Wboin It may ConceM: The undmigned Eby informs you that improvements will he made-to certain reel property,and in accordance w�jh Section 713 of Mlili�ll++Ils1vT. the Florida Statutes,the following information is stated in.this NOTICE OF Ct3,.. _. rat " i- t- . o._ t. Legal ?esceiipptivrt of property Ding improved:3 7 ' t'7 - _ - Lt _ - - _ - Address @fproperWbeing improved: �. -- General description of improvements:Rt= ;�' .10 Address. Owner's ittm-eg in site of the improvement: Fee Simple Titleholder(if other than yawner): Name: contractor . :rwt " c Telephone N69�0FaxNO:: -� Surety W any) =---- -- _ .. Amount of Bond$.- Address: _ Telephone No: Fax Nw. Name and address of anv person making a loan for the construction of'!he imp ovemerits Name: --- --- Andress: - Phone 140: Name of pegs n withio:the State of Florida,other than himself,designated by owner uPou wham aotioes or other documents May be served: Name: -- Address:_ - Telephone:+Icy: _. Fax WO: 1n addit on to himself, owner designates the Mowing peason to Teceive a copy of the Lienor's Notice as provided in Mian: 713.06(2Xb),Floc d4 Statues. Fill in at Owner's Option) Gane; >: Address: ���•--- *i Fax Na: Expiration date of Nodce of ConunencOnlea(fhb expiration date is one(t)year from the date of recording unless a different date is specified): THIS SPACE FOR RWORt3E 'S USE ONLY €F4YNER Signed; Before is day, of. ^o Canty ofDuval.State of FtMda,has personally appczr Notary Public at Largue.Stsic of Flora C. of 3 htyal. Mycom-nission expires: Pcraiutath Kno�sn .� � �s:a�� t'rodumd fdcntiftcatiost:. Kembeei 3s -- --- 4Ay G�rn'rissi�r?f�a92:�� �tae� �t�ras GR!2L"1'1E'F7 � y b ro 0 to p �D 00 J O� to P W N •�• � Q1 Cn ? W N � � D n 'C7 (gyp .G n n cc �d 'T1 'r1 d n x > /b� Q �. ca O C nr �aa � Q G- C (Dcr t OO = UQ COcr (D O. •CLU�D� ► n O `0 � It K O 0 NCn O a r 0 to � r- c ..' o k.„ P1 v, y > N ion1 c n. CD� o o . 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COD , r ¢. r 0 O O (. � O O cD Property Appraiser- Property Details Page 1 of 2 JOHNSON SUSAN Primary Site Address Official Record Book/Page Tile* 1802 HICKORY LN 1802 HICKORY LN 09493-02415 9409 ATLANTIC BEACH, FL 32233-4515 Atlantic Beach FL 32233 OLOFSSON BENGT I 1802 HICKORY LN Property Detail - Value Summary 2,0413 In RE# 172020-1444 _ arll®ed ---------- ---�- Value MetJhod CAMA CAMA CAMA TaOC USD3 - pMOOM yss 0100 SINGLE FAMILY Total Building Value $199,385.00 $197,099.00 #of Buildings 1 Extra Feature Value$714.00 $638.00 37-29 09-2S-29E Land Value(Market) $180,000.00 $180,000.00 Legal Desc. SELVA MARINA_UNIT NO 12-C REPLAT Laod.y ue_(AadcJ;_$0.00 $0.00 03584 SELVA MARINA UNIT 12C R/P just(Market)Value $380,099.00 $377,737.00 Total Area 13526 Assessed Value $268,029.00 $270,173.00 The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $112,070.00/$0.00 $107,564.00/$0. 010 to Save Our Homes and our Property Tax Estimator.'In Progress'property values, Exem. or�c $50,000.00 See below exemptions and other supporting information on this page are part of the working tax Taxable Yalue $218,029.00 See below and are subject to change.Certified values listed in the Value Summary are those certified in October,but may include any official changes made after certificationLearn how the 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 $270,173.00 Assessed Value $270,173.00 Assessed.Value «_.._......._....._........._._$270,173.00 ........................................................................................_...... .............................. ................. Homestead(HX)................ _$25,000_00 Homestead(HX)__................._...._._..._..__$25,000:00 Homestead(HX) ____....._...................._.:_$25,000:00 .............................._ Homestead Banding 196.031(1)(b)(HB) Homestead Banding 196.031(1)(b)(HB) Taxable Value $245,173.00 $25,000 00 .$25,000:00 . .................................................................................MASE............._.... ............ Taxable Value $220,173.00 Taxable Value $220,173.00 Sales History iBook/Page Sale Date Sale Price Vacant/Improved j 0 4g�g3-07415 12/10/1999 $180,000.00 WD-Warranty Deed Qualified Improved 07768-01718 1/28/1994 $137,500.00 WD-Warranty Deed Qualified Improved O51g4-01174 9/25/1980 $17,500.00 WD-Warranty Deed Unqualified Vacant 05110-00104 4/4/1980 $100,000.00 WD-Warranty Deed Unqualified Vacant °r Extra Features LN Feature Code Feature DescriptionBldg�Length Width Total Units Value 1 FPPR7 Fireplace Prefab 1 0 0 1.00 $638.00 Land&Legalx Legal Land Land Land Land LN Legal Description LN 7 Code Use Description Zoning Frorrt, Depth I Category Units Type Value 1 37-29 09-2S-29E j 1 0100 RES LD 3-7 UNITS PER APUD 90.00 1160.00 1 Common 1.00 Lot $180,000.001 2 ,SELVA MARINA UNIT NO 12-C I AC REPLAT 3 +LOT 21 Buildings Building 1 Building 1 Site Address Element Code Detail 1802 HICKORY LN Atlantic Beach FL 32233 Exterior Wall 26 26 Alum/Vinyl Roofing Structure 3 3 Gable or Hip Building Type 0101-SFR 1 STORY Roofing Cover 3 3 Asph/Comp Sting Year Built 1984 Interior Wall 5 5 Drywall Building Value $197,099.00 Int Flooring 12 12 Hardwood Int Flooring 14 14 Carpet �— Heating Fuel 4 4 Electric http://apps.coj.net/pao_propertySearch/BasiciDetail.aspx?RE=1720201444 2/9/2015 Property Appraiser- Property Details Page 2 of 2 Gross Heated Effective Heating Type 4 4 Forced-Ducted Area Area Area I Air Conditioning 13 13 CentralOAS Finished Open 48 0 14 I il Porch Element I Code Unfin Det Scrn 168 0 59 _N 1.000 IL r Porch Stories -*-� L _. Base Area 2228 2228 2228 I Bedrooms 3.000 Finished OpenBaths 2.500 55 0 16 Porch Rooms/Units 1.000 Finished 552 0 276 Garage Adds0 0 0 Additional Area Total 3051 2228 12593 Traversing Data 814 E12 N14$BA5:41,46:=N6 W41 N28 E16 N12 E22 S12 E27 S34 W24$ FOP:12,0:=S12 E4 N12 W4$UDS:92,31:=W12 FOP:33,40:=Wll S5 Ell N5$FGR:41,46:=E24 S23 W24 N23$ADD=O$ . 2014 Notice of Proposed Property Taxes Notice(TRIM Notice) ----Rolled-back Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Gen Govt Beaches $268,029.00 I$50,000.00 $218,029.00 $1,744.91 $1,777.20 $1,695.35 Public Schools:By State Law $268,029.00 $25,000.00 $243,029.00 I$1,228.81 I$1,229.00 $1,206.69 By Local Board $268,029.00 $25,000.00 $243,029.00 I$537.42 $546.33 $527.74 'FL Inland Navigation Dist. $268,029.00 $50,000.00 $218,029.00 $7.39 $7.52 $7.04 Atlantic Beach $268,029.00 $50,000.00 $218,029.00 I#712.53 $725.71 $691.48 Water Mgmt Dist.SJRWMD $268,029.00 $50,000.00 $218,029.00 $70.28 #68.98 $68.98 Gen Gov Voted $268,029.00 $50,000.00 $218,029.00 $0.00 $0.00 $0.00 School Board Voted $268,029.00 $25,000.00 $243,029.00 !#0.00 $0.00 $0.00 $0.00 Urban Service Dist3 $268,029.00 $50,000.00 $218,029.00 $0.00 $0.00 Totals $4,301.34 $4,354.74 $4,197.28 _- ---' Just Value Assessed Value Exemptions Taxable Value Lad Year $318,322.00 $264,068.00 $50,000-00 $214,W8.00 Current Year ;$380,099.00 $268,029.00 $50 000.00 $218,029.00 7014 TRIM Property Record card(PRC) This PRC reflects property details and values at the time of the original mailing of the Notices of Proposed Property Taxes(TRIM Notices) in August. Property Record Card(PRC) and values at the time of Tax Roll Certification in October of the year listed. The PRC accessed below reflects property details 2014 •To obtain a historic Property Record Card(PRC)from the Property Appraiser's Office,submit your request here: More Information ontact Us I Parcel Tax Record I GIS Map I May this property on Google Maps City Fees Record http://apps.coi.net/pao_propertySearch/Basic/Detail.aspx?RE=1720201444 2/9/2015