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Oct 9 2009.
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Property Appraiser -Property Details Page I ofI
OHARA ANNA F CHMURA Primary Site Address official-Record Book/Page Tile#
901 OCEAN BLVD#51 0 CLUB DR 06728-01150 9416
ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233
0 CLUB DR Value Summary
Property Detail
WE# 170317-OP^^
Tax District USD3
Property Use 0000 VAQ
#of Buildings 0 y
25-62 16-',
Legal Desc. CLUB MAN 71
Subdivision 03110 CLL
The sale of this property ni.y result in higher prope
Sa,
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in&
20 JL"
A
T.,
if o- -71)
C
067Z8-0 50 6/30/19bJ
_jL
06330-00363 5/8/1987 $70,000'00 N
05929� 2/22/1985 $100.00
03586-00102 9/17/1973 $15,000.00
Extra Features
No data found for this section
Land&Legal
Land
LN Code Use Description
1 0100 RES LD 3-7 UNITS PER AC ARS
Buildings C),
No data found for this section
2010 Notice of Proposed Property Ta
Taxing District Assev
County $420'C
Public Schools:By State Law $420,1
By Local Board $420,1
FL Inland Navigation Dist. $420,
Atlantic Beach $420,
Water Mgmt Dist.SJRWMD $420
School Board Voted $420
Urban Service Dist3 $42C
General Gov Voted $420,,-
3ust value Assessed Value Exemptions
Last Year $420,000.00 $420,000.00 $0.00 $420,000-00
Current Year $420,000.00 $420,000.00 $0.00 $420,000.00
Property Record Card(PRC)
The Property Appraiser Office provides available historical record cards(PRC).The Property Appraiser's Office no longer uses PRCs;therefore,there will be no PRCs
available from 2006 forward.You must set your browser's Pagle Set Up for printing to Landscape to print these cards.
200 -0 —5
5 12004 12003 1 ZO 2 000 1 1999 1 1998 1 1997 1 1996 1 n99
120011 Z
More Information
parc� eCord I GIs Map I Map_thi!i_property on Google-MaPs I City Fees Record
http://apps.coj.net/PAO—PropertySearch/Basic/Detail.aspx?RE=1703170000 9/14/2010
I Page I of I
Property Appraiser - Property Details
OHARA ANNA F CHMURA Primary Site Address Official Record Book/Page Tile#
901 OCEAN BLVD#51 0 CLUB DR 06728-01150 9416
ATLANTIC BEACH,FL 32233 Atlantic Beach FL 32233
0 CLUB DR
Property Detail Value Summary
RE# 170317-0000 X 9". rtifled 201Q.-In Progress
Value Method CAMA CAMA
Dx..D
ist.r.J.13 USD3
Property.... 0000 :ANT RES Building Value $0.00 $0.00
-Um Extra Fea -i-0.00 $0.00
#of Buildings
25-62 16-2S-29E Land Value(Market) $420,000.00 $420,000.00
CWB MANOR Wnd-Vallue 1$0.00
Legal Desc. -CAgrigm)ti-0.00
5 b"Sion 103110 CLUB MANOR
The sale of this property may result in higher property taxes.For more informa
Save Our Hgmes and our Prope[W Tax E5timatg-r-Property values,exemptions
information listed as'In Progress'are subject to change.These numbers are pe our.best work for you!
2010 working tax roll and will not be certified until October.I earn how the PrQl Doing
Appraiser�5 Qffire values property.
Taxable Values and Exemptions-In Progress
If there are no exemptions applicable to a taxing authority,the Taxable Value is
County/Municipal Taxable Value SJRWMD/FIND Ti
No applicable exemptions No applicable exe
S !4��
jo—oK/pae Sale Date Sale Price N.. . dinstrumeM
9__
05�1 1 6/30/1989 $76,000.00 WD-Warranty Deed
QIIUQ:0� �/-8/1987 —$70,000.00 WD-Warranty Deed
2122/1985 $100.00 WD-Warranty Deed
-�/-17/1973 $15,000.00 WD-Warranty Deed
,Extra Features P-75 Ze
No data found for this section
Land&Legal
Land wnd th Cal
_+Front De th
00 110.00 Co,
I 1 0100 1 RES LD 3-7 UN PER AC ARS-2 70.00 1�10,00 Cor
Buildings
No data found for this section
2010 Notice of Proposed Pro erty Taxes(Truth in Millage Steve KeY )ress-Print&Docun�n\ ns
_1a Assessed Value I ger,Off
"in pkqrigt �xe tion Corporate Account Mana
.County $420,000.00 $0.00 CEL:904 com
Public Schools:By State Law $420,000.00 $0.00 10255 F
By Local Board -- $420,000.00 $0.00 http://W'
FL Inland Navigation Dist. $420,000.00 $0.00
Atlantic Beach $420,000.00 $0.00
--gmt—DistS]RwMD $420,000.00 $0.00
Water M
School Board Voted $420,000.00 $0.00
Urban Service Dist3 $420,000.00 $0.00 $420,000
General Gov Voted 00 $0.00 $420,000
essed Value Totals
Jugt Value
2
EE��L$4200'00000�'
Ass
LastYear $420,000.00 $420,000.00
F$420,000.00
—,---CurW.tY.ar $420,000.00 $420,000.00
Property Record Card(PRC)
The Property Appraiser Office provides available historical record cards(PRQ.The Property Apprais4
available from 2006 forward.You must set your browser's Page Set Up for printing to Landscape to
2005 1 2QQ4 1 2003 1202 1 2=1 1999 1 IM 11297 n%I 12K
More Information
Parcel Tax Rg:cQrd I GIs map I Map this propeU on Google Maps City Fees Record
http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=l 03170000 9/14/2010
S,6p. 14- 2010_ 1 :48PM 7EILN RISK SOLUTIONS No. 7415
L�ORD CERTIFICATE OF LIABILITY INSURANCE DATE JMM/DDNYYY)
_ 709114/2010
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Zelen Fisk Solutions,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7964 Devoe Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Jacksonville FL 32220 INSURERS AFFORDING COVERAGE NAIC III
INSURED Willis Contractors, LLC INSURERA:. Mid-Continerd Casualty Company 2341118
6973 Highway Avenue INSURER 0: Travelers Property Casualty Co.of 25674
Suite 104 IN SURER c: America —
Jacksonville FL 32254 INSURER 0:
COVEiZES INSURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJC-CT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICICS.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY N
POLICY NUI BER QATF IMM1nb[!FY1 LIMITS
I FNg3R7AD EXPIPATto
i TA N-qR TYPE QF IMUIRANCZ _DAXT_LMMj0D=
GENERAL LIABILITY EACH OCCURRENCE 6 1'00%000
DAPAAGE TO RENTED
C H R _E
OCCU RE"'
0
A At R NTD'
A X COMMERCIAL GENERAL LIABILITY 04GL000789107 05/02/2010 0510212011 GE 1 6 encel $ i00,000
S OCCUR Me.EX' 0- e
F–v_1 MED EXP one erson) s Excluded
CLAIMS MADE IF, I OCCUR
P. 8 0 N 1,000,000
ERSONAL&ADV INJURY
0, 'p
N AU A EGA
GENERAL,AGGREGATr 1.2.000.000
GFWN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000
PRO.
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T LOC
X 'O"'CY F_ PR rT
X POLICY I[ -]-JF LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
X ANY AUTO BA-0943P454-09-SEL 0912912009 09129/20`10 (Ee accident)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULEDAVTOS (Per DID(W)
HIRED AUTOS BODILY INJURY S
(Per emd�k)
NON-OWNED AUT06
PROPERTY DAMAGE S
(Per Gcovoem)
GARAGE LIABILITY
ANY AUTO OTHER THAN EA ACC III
AUTO ONft AGG
EBBIUMaRELLA LIABILITY EACH OCCURRENCE S
H
OCCUR CLAWS MADE !AGGREGATE S
DEDUCTIBLE 3
RETENTION $ WC STATU- OTH� S
WURKERS COMPENSATION AND
EMPLOYIERS'LIABILrrY L.EACH AC 10 NT $
ANY PROPRIETORIPARTHER/EXECUTIVE
OFFICERIMEMBER EXCLUDED') PEL.DISEASE-EA EIIAPt,,OYEE nS
it�ft,dqWDe under
S —
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCMDFD POLICIES BECANCFLLED BEFORE IKE EXPIRATION
City of Atlantic Beach DATE TMEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _i0_ DAYS WRrrTEN
800 SeMinole Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 60 SMALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Atlantic Beach, FL 32233 REPRESENTATIVES
AUTHORZED RFPRESEN`TATIVE
_ACORD 26(2001/08) (P ACORD CORPORATION 1988