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46 15th St door & window permit j1j- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 COM11 INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0251 Description: REPLACE DOORS AND WINDOWS Estimated Value: 4480 Issue Date: 11/20/2017 Expiration Date: 5/19/2018 PROPERTY ADDRESS: Address: 46 15TH ST RE Number: 1703070000 PROPERTY OWNER: Name: TIMOTHY J GEDDES AND SHERRI R GEDDES IRREVOCABLE FAMILY TRUS Address: 46 15TH ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ACE DOOR &WINDOW SERVICE Address: 9123 E HARE AVE QA GARY S.HALE CBC035180 JACKSONVILLE, FL 32211 Phone: PERMIT INFORMATION: Please see aftached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road -;,-C_ Atlantic Beach, Florida 32233-5445 -7 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No _A-Buildin.�) Applicant: C,)C Q C)Cj n in g Tree Administrator Project: Cz P C_4 L'L C)C-)Z's Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: M/Approved. [:]Denied. [:]Not applicable (Circle one.) Comments: QE5D PLANNING & ZONING Reviewed by: — Date: TREE ADMIN. Second Review: F]Approved as revised. oDenieLd"' F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. OlDenied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application OFFICE COPY City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: +f-e P Permit.Number- & _Jr Lb+ D_� K k t-0 Legal Description RE# Valuation of Work(Replacement Cost)$ q LJ 1?Q Heated/Cooled SIF =N /Cooled W • Class of Work(Circle one): New Addition Alteration Repair Mov� Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial R�esidential "00' • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: 1-1.3 4 7, -1 i I n kLO in f�M (a, Florida Product Approval# V 50 for multiple products use product approval form Property Owner Information Name: j7) rn Address: Li �o - s+r9_e4 city 1411 a wfi C (�C State �fL Zip 3 2 2- 3 3—Phone 3C�_7- 000 <Y E-Mail I I C 8 41 e,:4 cit--C C6)q Owner or Agent(t(Agent, Power of Attorne"y or Agency Letter Required) Contractor Information I I Name of Company: ( e, k cc) C % k_,� Qualifying Agent: H-c�� Address I tia rt?—0%jp e City 'TOL X �tate T_L_ Zip k Office Phone-Ta77 QoArIT_ Job Site/Contac umber_,40;fZ L,��v ()!2 /1) State Certification/Registration# CSC 6 s-51 J?O E-Mail .44'\ (34) (XC e- 6 7- Architect Name&Phone# Engineer's Name&Phone# Workers Compensation cv,�Q_Ck Exempt/Insurer/Lease Employees/Expiration Date 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 the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES, BOILERS, HEATERS,TANKS,and 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. 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 ITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C MENCEIVIENT. (Signature of Owner or Ager�i�including Contractor) (Signature of Contractor) Signed and sworn to(or affirmed)before me�hi 0 day of Signed and sworn to(or aff irmed)before rn�thisk day of 2-017,by _rt eO 6!a�,_'> FL)AFA-0- , -20 7 b d�MLIE_ J (Wnatur�of Notarvf OON Notary Public State of Florida ? Antoinette Hale KAREN A STAMPER My Commission GG 014239 My COMMISSION#GG042`103 of"P, Expires 10/31/2020 ,�,�Pers.nally Known OR ersonally Known EXPIRES October 25,2020 ya I i , I0 Produced Identification [ J Produced Identifi Type of Identification: Type of Identification: Property Appraiser - Property Details OFFICE COPY Page I of 2 TIMOTHY 3 GEDDES AND SHERRI R GEDDES IRREVOCABLE FAMILY TRUST Primary Site Address 46 15TH ST 46 15TH ST ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233 GEDDESJANE Official Record Book/Page 17650-01572 Tile# 9416 46 15TH ST Property Detail Value Summary RE# 170307-0000 2017 Certified MMIRPMMn Tax District USD3 Value Method CAMA CAMA Property pe 0100 Single Family Total Buildling Value $288,911.00 $286,890.00 #of Buildings I Extra Feature Value $2,714.00 $2,603.00 Legal Desc. For full legal description see Land Value(Market) $1,085,000.00 $1,085,000.00 Land&Legal section below !And 1ha $0.00 $0.00 SukWivisi n 03108 ATLANTIC BEACH 0 3ust(Market)Value $1,376,625.00 $1,374,493.00 Total Area 11503 Assessed Value $1,376,625.00 $1,374,493.00 The sale of this property may result in higher property taxes.For more information go Cap DW/Portability Amt $0.00/$0.00 $0.00/$0.00 to Save Our Homes and our Property Tax Estimator.'In Progress'property values, Exe See below exemptions and other supporting information on this page are part of the working tax nriptions $0.00 roll and are subject to change.Certified values listed in the Value Summary are those Taxable Value $1,376,625.00 See below certified in October,but may include any official changes made after certification Learn how the Property Apmaiser'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 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 Type-Code 0u4fffiedLU--n-ua1JFfi0 Vacant/Improved 17650-01572 7/15/2016 $1,600,000.00 WD-Warranty Deed Qualified Improved 15530-00613 2/24/2011 $100.00 WD-Warranty Deed Unqualified Improved 15530-00614 2/24/2011 $100.00 WD-Warranty Deed Unqualified Improved 15530-00615 2/24/2011 $950,000.00 WD-Warranty Deed Qualified Improved 10242-00824 11/20/2001 $100.00 WD-Warranty Deed Unqualified Improved 08826-00451 12/31/1997 $100.00 WD-Warranty Deed Unqualified Improved 02849-00799 1/1/1899 $0.00 -Unknown Unqualified Improved Extra Features LN Featuire-Code Feature Description Bldg. Length Vil'idth Total Units Value 1 FPMR7 Fireplace Masonry 1 0 0 1.00 $1,923.00 2 DKWR2 Deck Wooden 1 22 8 176.00 $680.00 Land&Legal Land Legal. Land Land Land LN Legal Description LN Code Use Description Z"ing Front Depth category Units Type Value 1 6-1 16-2S-29E RES OCEAN LD 3-7 UNITS Front 1 0140 APS-2 25.00 200.00 Common 25.00 $570,000.00 2 ATLANTIC BEACH PER AC Footage LOT 11,LOT 12(EX W 48FT)BLK 2 0140 RES OCEAN LD 3-7 UNITS ARS-2 25.00 152.00 Common 25.00 Front $515,000.00: 3 61 PER AC Footage Buildings Building 1 Building 1 Site Address Element Code Detail 46 15TH ST Atlantic Beach FL 32233 Exterior Wall 14 14 Wood Shingle Roof Struct 3 3 Gable or Hip Building Type 0108-SFR CLASS 2 Roofing Cover 3 3 Asph/CDmp Sting Year Built 1932 Interior Wall 6 6 Wood Custom Building Value $296,890.00 Int Flooring 12 12 Hardwood http://apps.coj.net/PAO—PROPERTYSEARCH/Basic/Detall.aspx?RF-=l 703070000 10/23/2017 Property Appraiser - Property Details urmot kjurT Page 2 of 2 Heating Fuel 4 4 Electric Type Gross Heated Effective Heating Type 4 4 Forced-Ducted _j Area Area Area Air CDnd 3 3 Central Balcony 204 0 31 Base Area 204 204 204 Element Code F] Base Area 900 900 900 Stories 2.000 L I Finished upper 900 900 855 Bedrooms 4.000 story 1 Baths 2.500 Unfin Open 12 0 2 ILI Porch Rooms/Units 1.000 Unfin Det 312 0 156 Garage Unfin Open 12 0 2 Porch Total 2544 2004 2150 2017 Notice of Proposed Property Taxes Notice(TRIM Notice) Taking District, Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-back Gen Govt Beaches $1,376,625.00 $0.00 $1,376,625.00 $9,825.74 $11,221.15 $10,644.62 Public Schools:By State Law $1,376,625.00 $0.00 $1,376,625.00 $5,765.30 $5,832.76 $5,944.96 By Local Board $1,376,625.00 $0.00 $1,376,625.00 $2,845.94 $3,094.65 $2,934.69 FL Inland Navigation Dist. $1,376,625.00 $0.00 $1,376,625.00 $38.57 $44.05 $41.30 Atlantic Beach $1,376,625.00 $0.00 $1,376,625.00 $3,891.75 $4,444.43 $4,223.76 Water Mgmt Dist.SJRWMD $1,376,625.00 $0.00 $1,376,625.00 $347.77 $374.99 $374.99 Gen Gov Voted $1,376,625.00 $0.00 $1,376,625.00 $0.00 $0.00 $0.00 School Board Voted $1,376,625.00 $0.00 $1,376,625.00 $0.00 $0.00 $0.00 Urban Service Dist3 $1,376,625.00 $0.00 $1,376,625.00 $0.00 $0.00 $0.00 Totals $22,715.07 $25,012.03 $24,164.32 Just Value Assessed Value Exemptions Taxable Value Last Year $1,265,987.00 $1,205,435.00 $0.00 $1,205,435.00 Current Year $1,376,625.00 $1,376,625.00 $0.00 $1,376,625.00 2017 TRIM Property Record Card(PRQ This PRC reflects property details and values at the time of the original mailing of the Notices of Proposed Property Taxes(TRIM Notices) in August. Property Record Card(PRC) The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the year listed. 2017 2016 2015 2014 To obtain a historic Property Record Card(PRC)from the Property Appraiser's Office,submit your request here: More Information ontact Us I Parcel Tax Record I GIs Ma I Map this Proverty on Google Ma I City Fees Record http://apps.coi.net/PAO—PROPERTYSEARCH/Basic/Detall.aspx?R-E=1703070000 10/23/2017 OFFICE COPY ACEDOOR-01 DCASSA DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 10/18/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terrns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such ondorsement(s). PRODUCER Upik"T FAX InsuramerIca of Florida,Inc. (PAHIC�NE,,E,,):(904)332-8585 (AIC'N.):(904)296-1888 4348 Southpoint Blvd Ste 200 Jacksonville,FIL 32216 info@insuramerica-fl.com INSURER($)A"ORDING COVERAGE NAIC 0 INSURER A:Southern Owners Insurance 10190 INSURED INSURERSAuto Ownem Insurance 18988 Ace Door&Window Service,Inc INSURER C:F.C.C.1 Insurance Company 10178 9123 Hare Avenue INSURERD: Jacksonville,FIL 32211 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. THIS IS TO CERTIFY THAT 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR WVD (MMMDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE r V-1 OCCUR 78673914 09/14/2017 09/1412018 DAMAGE TO RENTED 300,000 I once) $ — MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,00000– GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY 7x Jppa 1XI LOC rPR!CTS-COMPtOP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE uAskm COMBINED SINGLE LIMIT 1000,000 (Ea nQ — $ 1 1 ANYAUTO — 9542003900 09/1412017 09/1412018 BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ �b%S ONLY _ "M $ AM Mg=�AMAG B X UMBRELLALLAB OOCUR EACH OCCURRENCE 2,000,000 EXCESS LIAB �d CLAIMS-MADE. 56129200 0911412017 0911412018 AGGREGATE $ 2,000,000 DED I X I RETENTIONS 10,000 r C WORI(ERS COMPENSATION X I PFRT,��E H- AND EMPLOYERS'LIABILITY YIN 001WC17A74739 03101/2017 03/01/2018 TA I OUT 1,000,000 ANY PROPRIETORIPARTNEWEXECUTIVE — E.L.EACH ACCIDENT PC [Y] NIA .=9M ffr .U4 EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 1,000,000 Weacribe under D RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached ff more apses Is required) Gordon N.Hale#CBC1261470 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Atlantic Beach Building&Zoning Dept ACCORDANCE WITH THE POLICY PROVISIONS. 800 Seminole Rd Atlantic Beach,FL 32233 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 0 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTICE OF COMMENCEMENT OFFICE COPY (PREPARE IN DUPLICATE) Permit No. S'1 12 00 Tax Folio No. 170307-0000 State of Florida County of— [Duval To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property.and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 6-1 16-2S-29E ATLANTIC BEACH LOT 11, LOT 12(EX W 48FT) BLK 61 Address of property being improved: 46 15TH ST Atlantic Beach FL 32233 General description of improvements. Replace windows and /or doors in home owner Tim Geddes Address 46 15TH ST Atlantic Beach FL 32233 Owner's interest in site of the improvement Owner Fee Simple Titleholder(if other than owner) Name Address contractor Ace Door 8,Window Address 9123 Hare Ave,Jacksonville,FL.32211 Phone No. 904-727-6811 Fax No. 904-727-6813 Surety(if any) Address Amount of bond$ Phone No. Fax No. Narne and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option)- Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): October 2018 0 N THIS SPACE FOR RECORDER'Su6iiowV 0�N /0-30 -/7 D A TE Before me this(3 LJ day of L./LT,Q v-dXJ 1, in the CU County of DuV tate of Fti nafly appeared —1 '1 M AO 14 h e�in Doc#2017250778,OR BK 18171 Page 193, a8 MiPo 1, ein lhirns�lil�4rs4lf and aftrmsthat all statement n c I Number Pages: I are true and accurate 00 k Notary Public State of Florida Recorded 11/02/2017 12:44 PM, Antoinette Hale RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My Comnisslon GG 014239 COUNTY of tv Expires 10/31/2020 RECORDING $10.00 CA Notary Public at Large.Sta f Cz ntyq ? ilJ W;S�� Nlycornmission expires. 11) 1W Personally Known -or Produced Identification