390 SKATE RD - WINDOWS �� ' � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
:4 v ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0229
Description: REPLACE WINDOWS
Estimated Value: 5578
Issue Date: 11/2/2017
Expiration Date: 5/1/2018
PROPERTY ADDRESS:
Address: 390 SKATE RD
RE Number: 171667 0000
PROPERTY OWNER:
Name: JACKSON DELORIES ET AL
Address: 8223 BRACKRIDE BLVD S
JACKSONVILLE, FL 32216
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 attached 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$7,500.
City of Atlantic Beach APPLICATION NUMBER
ys r I$ Building Department (To be assigned by the Building Department.)
800 Seminole Road R rG S'7 p;
_ Q 2 2-
-r Atlantic Beach, Florida 32233-5445 lJ
Phone(904)247-5826 • Fax(904)247-5845
,t 9r E-mail: building-dept@coab.us Date routed: O
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: E O S K D ent review required Ye o
Buildin
Applicant: CC cog W0 f f .,' p(, n &Zoning
r� nn � Tree Adminis ra
Project: R G P Cert�,c IN i .'�D o c,JS Public Works
Public Utilities
S(_�D t N-D z4SS 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: FrAPproved. nDenied. nNot applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING
Reviewed by: m Date: `C3_ 0
TREE ADMIN. Second Review: nApproved as revised. ❑Denied. [Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. nDenied. fNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
-,' -Building Permit Application OFFICE COPY
fr 4.__ City of Atlantic Beach
l,' 800 Seminole Road, Atlantic Beach,FL 32233
st:;1:
Phone: (904)247-5826 Fax: (904) 247-5845
�a e gd • Rest? - ZZ-
Job Address: 3 ` D S ' 4 Permit Number:
, Z A 1.4>'t d 3 alK ez3
Legal Description,31- 1b L AS a9E it/P of PT bq kr,' Pci IM ,,II'
S (� RE# 1-W4 Ga"7 - OObO
oa
Valuation of Work(Replacement Cost)$ 55 ID- - Heated/Cooled SF i 3 2-10 Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Poolindow/Door
• Use of existing/proposed structure(s)(Circle one): Commercial a esidential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes 0 /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:
'Re.-- \a.G2_ w i-) C-OS w i(Ido W$ I n -ItO M e t - S b
scU -, -oID ) . k...t-kir, s;kve.r &
Florida Product Approval# r)--, 17A 3 LiI G Los ) LL 2-o l C) I.1.1 for multiple products use product approval form
Property Owner Information S+/ eer1►AJ2,
Name:l' Phll t r'Oc L.�.C. Address: ke l-7 Tvo e���2 Oa Lan•P.
City 1 leQ 4-u(\e. N43C." State FL Zip 37-21.10 Phone 5 3(p- Oa y
E-Mail ` 410511ti, cS C•witpl> �' G(+(V ai'I •C Dpi
Owner or Agent(If Agent, Power of Attorney ors•,R(gency Letter Required) S'C-p-t+ W t lit 4M S
Contractor Information r
Name of Company:/€ DO0c �� Qualifying Agent: Gley `e—
Address 71 a 3 /*ft(e O tJ'e. City .JM x State L Zip 3 7_24 1
Office Phone 7 d 7.- () g l ( Job Site/Contact Number/4 -t Z v i rte. 3 y 3-o9 lb
State Certification/Registration#C.6CO 35180 E-Mail A-rti— A) QCI✓ ' OV". CD M
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation cSee, f}-N'QC.he c( —
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 WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECO DING YOUR OTICE OF COMMENCEMENT.
CAPt LU-414/00-)
L____c//- -e-z-----3 -1 ..._.---
(Signature of Owner or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this a3 day of Signed and sworn to(or affirmed)before mr this . 3 day of
OcroiSee , i7 ,by 56,777 Cc-J-1)6E , I? ,b 6A1Y 5 t17+V r
i
, i;;V:ki KARE —14: :,' il ' I ,I ' j j i t /
of Notary) RYp�'4'.�,�
.it...,...„!, :' MY COMMISSI•N#GC# cg 4iii ' . KAREN STAM• e of Notary)
- •
1' EXPIRES October 25,2020 MY COMMISSION#GG042103
'? EXPIRES October 25,2020
[ 1 Personally Known OR [ ] Persona y •-
[ 1 Produced Identification [ ]Produced Identification
Type of Identification: Type of Identification:
Property Appraiser- Property Details Page 1 of 2
JACKSON DELORIES ET AL Primary Site Address Official Record Book/Page Tile#
8223 BRACKRIDE BLVD S 390 SKATE RD 17934-00799 9417
JACKSONVILLE, FL 32216 Atlantic Beach FL 32233
STEWART HENRY MAE
MCCRAY SHIRLEY
SAMPSON WILLIE
SAMPSON JANETT OFFICE COPY
CUE OLGA MICHELLE
VANHORN PAMELA D
390 SKATE RD
Property Detail Value Summary
RE# 171667-0000 2016 Certified 2017 In Progress
Tax District USD3 Value Method CAMA CAMA
Property Use 0100 Single Family Total Building Value $79,133.00 $74,304.00
#of Buildings 1 Extra Feature Value $0.00 $0.00
For full legal description see Land Value(Market) $85,000.00 $115,000.00
Legal Desc. Land&Legal section below nd Value Aoric) $0.00 $0.00
Subdivision 03123 ROYAL PALMS UNIT 02A3.00 lust(Market)Value $164,133.00 $189,304.00
Total Area 7172 Assessed Value $68,467.00 $189,304.00
The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $95,666.00/$0.00 $0.00/$0.00
to Save Our Homes and our Property Tax Estimator.'In Progress'property values, Exemptions $68,467.00 See below
exemptions and other supporting information on this page are part of the working tax
roll and are subject to change.Certified values listed in the Value Summary are those Taxable Value $0.00 See below
certified in October,but may include any official changes made after certification
Learn 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 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 Qual'rfier�Ungualified Vacant/Improved
17934-00799 4/4/2017 $100.00 MS-Miscellaneous Unqualified Improved
03214-00641 4/21/1971 $17,300.00 MS-Miscellaneous Unqualified Improved
Extra Features
No data found for this section
Land&Legal
Land Legal
LN Code Use Description Zoning Front Depth Category Land Land Land IN Legal Description
Units Tyce Value 1 31-1617-2S-29E
1 0100 ACSS LD 3-7 UNITS PER ARS-1 80.00 93.00 Common 1.00 Lot $115,000.00. 2 R/P OF PT OF ROYAL PALMS
UNIT 2 A
3 LOT 23 BLK 23
Buildings
Building 1
Building 1 Site Address Element Code Detail
390 SKATE RD Unit
Atlantic Beach FL 32233 Exterior Wall 15 15 Concrete Blk
Exterior Wall 20 20 Face Brick f 1
Building Type 0101-SFR 1 STORY Roof Strut 3 3 Gable or Hip
BAs norJI
Year Built 1971 Roofing Cover 3 3 Asph/Comp Shng L�——�L
Building Value $74,304.00 , Interior Wall 5 5 Drywall
Int Flooring 11 11 Cer Clay Tile for
Tvce Gross Heated Effective Heating Fuel 4 4 Electric
Area Area Area Heating Type 4 4 Forced-Ducted
Base Area 1040 1040 1040 Air Cond 3 3 Central
Finished Open 130 0 39
Porch
http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1716670000 10/19/2017
Property Appraiser- Property Details Page 2 of 2
Addition 1286 1286 1257 Element 'Code I I
Total 1456 1326 1336 Stories 1.000
Bedrooms 3.000 0 F'F I C E COPY,
Baths 2.000
Rooms/Units 1.000
2017 Notice ofProposed Property Taxes Notice(TRIM Notice,I
Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-back
Gen Govt Beaches $189,304.00 $0.00 $189,304.00 $0.00 $1,543.05 $1,463.77
Public Schools:By State Law $189,304.00 $0.00 $189,304.00 $197.95 $802.08 $817.51
By Local Board $189,304.00 $0.00 $189,304.00 $97.71 $425.56 $403.56
FL Inland Navigation Dist. $189,304.00 $0.00 $189,304.00 $0.80 $6.06 $5.68
Atlantic Beach $189,304.00 $0.00 $189,304.00 $0.00 $611.17 $580.82
Water Mgmt Dist.SJRWMD $189,304.00 $0.00 $189,304.00 $7.21 $51.57 $51.57
Gen Gov Voted $189,304.00 $0.00 $189,304.00 $0.00 $0.00 $0.00
School Board Voted $189,304.00 $0.00 $189,304.00 $0.00 $0.00 $0.00
Urban Service Dist3 $189,304.00 $0.00 $189,304.00 $0.00 $0.00 $0.00
Totals $303.67 $3,439.49 $3,322.91
Just Value Assessed Value Exemptions Taxable Value
Last Year $164,133.00 $68,467.00 $68,467.00 $0.00
Current Year $189,304.00 $189,304.00 $0.00 $189,304.00
2017 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)
The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the year listed.
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 Map I Map this property on Google Maps I City Fees Record
http://apps.coj.net/pao propertySearch/Basic/Detail.aspx?RE=1716670000 10/19/2017
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PRODUCT APPROVVAL,INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: t tr .\ sx n j Ca Fr es
Permit # PeS !2-02-2 y
Project Address: 3 90 SKQ ' Rd . /741i-;:- c. 6 -f . 322_.. 3
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As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,please provide the information and product approval number(s) )
for the building components listed below as applicable to the building construction project for the permit number Iisted above. You should contact*
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
•roduet approval may be obtained at:www_floridabuildin•.or•.
Category/Subcategory - Manufacturer Product Description Limitation of Use State# Local# . -A
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Product Description Limitation of Use
Ii.NEW EXTERIOR Local#
• ffENGLOPE PRODUCTS
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In addition to completing the above list of manufacturers, product description and State approval number for the V
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's r
instructions along with this Product Approval Sheet.I products used on this project, the W
printed specifications and installation _V
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certify that this product approval list is true and comet to the best of my knowledge. I further certify that use of different components
listed in this document must be approved by the Building Official. other than the ones O
(Contractor Name) (Print Name) G Q RU -144-i eAce-
(Signature)
Company Name: t -c 4
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Mailing Address: ° 1 a\3 ck(' 4
City: q_ '�. 3 2 2
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Telephone Number: ( !" la? Co 8 ) Fax Number: �( > 7 a 7 r 3
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Cell Phone Number; ( `�t()3 43 0 1 p n
E-mail Address: -el enc )2 a n--, C6 t"-1
OWrSERVMCE iNC.
WIND
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JAX, FLA. 32211
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9123 HARE. AYE
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