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Untitled Plaza door permit CITY OF ATLANTIC BEACH SS1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 JF3 �%' INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0319 Description: REPLACE BACK DOOR Estimated Value: 1607 Issue Date: 1/19/2018 Expiration Date: 7/18/2018 PROPERTY ADDRESS: Address: 306 PLAZA RE Number: 169951 0000 PROPERTY OWNER: Name: RILEY RICHARD M Address: 306 PLAZA ATLANTIC BEACH, FL 32233-5442 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. .1t W' �' City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road E ` 7 _ o 3 i Q Atlantic Beach, Florida 32233-5445 1 1\\ J l _ / x Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: + Z City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: cit PLA�� nt review required Yes No Buildin Applicant: l�ec boar, �" V\,) i I\7QDC,V anning &Zoning Tree Administrator Project: LE �O.K L o� 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 B 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: roved. ❑Denied. ❑Not applicable (Circle one.) Comments: EF� PLANNING & ZONING Reviewed by: �h Date: /2'2 `/7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date.- FIRE ate:FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ` Building Permit A lication COW/8/17 City of Atlantic Beach O F F I C E 800 Seminole Road,Atlantic Beach,FL 32233 /n Phone:(904)247-5826 Fax:(904)247-5845 0 Job Address: O`�' I Z4 Permit Number: ( 9 Leal Descritions lfl9 'I b 0/S— a610C*, ,r� Legal P IE aQ,'VLG 17 C G� a�0C*, I O RE# 1 0 19,�1 — 600 0 Valuation of Work(Replacement Cost)$ (00 ! ., 5�0 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • 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 ed: ,, (�eQ1ac2. c�lt���C7� t1V� Oz*bo�< —h Mcatck l�j�islll� Florida Product Approval# 11 ;� Lq 7, +j for multiple products use product approval form Property Owner Information Name: Riclinr(l_ PlIdey Address: 30/— � City C— State Zip 3 a a�3 Phone 15& — 3 (c, L� E-Mail RSj 3 Owner or Agent(If Agent, Pow4r of Attorney or Agency Letter Required) Contractor Informa ion Name of Com any: 00( Qualifyingent: ` 41 e, Address City a OOVW State i— Zip oZ Office Phone Job Site/Contact Number State Certification/Registration# E-Mail r Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/Expiration D 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. NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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 RECORDING YOUR NOTICE OF COMMENCEMENT. (Sig ure of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or of firmed)before me th's da of Si ned and sworn to(or affir ed)before met is day of Zig y7 Q, Q-� �Cc �D�7 .b G S Rick—& 14/1) 7of `"� Notary Public tete of Florida arV) ;gip•! el�g"I�AfR1�N+#tTA PER . Antoinette Hale My COMMISSION#GG042103 "Qpy Commission GG 014239 Personally Known OR ? EXPIRES October 25,2020 ewflficaftim 10/31/2020 [ ]Produced Identificati Type of Identification: OFFICE COPS ACEDOOR-01 DCASSADY ,acoRO CERTIFICATE OF LIABILITY INSURANCE FDATE 10/MI8/2017 O 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 policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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 endorsement(s). PRODUCER CONTACT NAME: Insuramerica of Florida,Inc. 4348 Southpoint Blvd Ste 200 (A//CC,N,Ext):(904)332-8585 (AIC,Ne):(904)296-1888 E-MAIL Jacksonville,FL 32216 E-MAILADDRESS:info@insuramerica-fi.com- INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Southern Owners Insurance 10190 INSURED INSURER B:Auto Owners Insurance 18988 Ace Door&Window Service,Inc INSURER C:F.C.C.I Insurance Company_ 1017.8_ 9123 Hare Avenue INSURER D Jacksonville,FL 32211 INSURER E 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_O_F_SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' TYPE OF INSURANCE ADDL,SUBR. POLICY NUMBER -POLICY EFF POLICY EXP LIMITS LTR, WVD M M A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE A 1,000,000 CLAIMS-MADE [X]OCCUR 78673914 09/14/2017 09/14/2018 DAMAGETO R(EaENTEDPREMS occurrence) 300,000 MED EXP(Any one 10,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY n PRO- n LOC PRODUCTS-COMP/OP AGG 2'000,000 OTHER: B AUTOMOBILE LIABILITY =SINGLE LIMIT 11000,000 E Jen X ANY AUTO 9542003900 09/14/2017 09/14/2018 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident _ HIRED NON-OWNED PROPERTY AMAGE -- AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLA LIABX OCCUR EACH OCCURRENCE 2,000,000 EXCESS LIAB CLAIMS-MADE 4756129200 09114/2017 09114/2018 AGGREGATE 2,000,000 DED II X RETENTION$ 10,000 C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y I N 'M ANY PROPRIETOR/PARTNER/EXECUTIVE 001WC17A74739 03/01/2017 03/0112018 EL EACH 11000,000 OFFICER/MEMBER dER/M in NH)EXCLUDED? � NIA - ( E.L.DISEASE-EA EMPLOYE 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Gordon N.Hale#CBC1261470 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE C' of Atlantic Beach Building&Zoning Det THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN nY 9 9 P ACCORDANCE WITH THE POLICY PROVISIONS. 800 Seminole Rd Atlantic Beach,FL 32233 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Property Appraiser- Property Details Page 1 of 2 RILEY RICHARD M Primary Site Address Official Record Book/Page Tile# 306 PLAZA 306 PLAZA 05227-01142 9416 ATLANTIC BEACH, FL 32233-5442 Atlantic Beach FL 32233 OFFICE C O P Y RILEY SIMONNE B 306 PLAZA Property Detail _ Value Summary RE# 169951-0000 2027 Certified 2018 In Prmross Tax District USD3 Value Method CAMA CAMA property_U_se 0100 Single Family Total Building Value $233,572.00 $231,304.00 #of Buildings 1 Extra Feature Value $11,822.00 $11,569.00 For full legal description see Land Value(Market) $680,000.00 $680,000.00 Legal Desc Land&Legal section below Land Value(Aaric.l $0.00 $0.00 Subdivision 03101 ATLANTIC BEACH Just(Market)Value $925,394.00 $922,873.00 Total Area 12432 Assessed Value $322,916.00 $322,916.00 The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $602,478.00/$0.00 $599,957.00/$0.00 to Save Our Homes and our Property Tax Estimator.'In Progress'property values, Exemptions $50,000.00 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 $272,916.00 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 Assessed Value $322,916A0 Assessed Value $322,916.00 Assessed Value $322,916.00 .................................................. ..................................................................................................... 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(lxb)(HB) Taxable Value $297,916.00 $25,000.00 .$25,000.00 Taxable Value $272,916.00 Taxable Value $272,916.00 Sales History Book/Page Sale Date Sale Price lead Instrument Tvoe Code Qualified/Unqualified Vacant/Improved 05227-01142 11/14/1980 $5,000.00 WD-Warranty Deed Unqualified Improved 05797-01661 7/21/1983 $100.00 QC-Quit Claim Unqualified Improved 06347-00788 6/13/1987 $100.00 MS-Miscellaneous Unqualified Improved 06364-00279 7/13/1987 $100.00 QC-Quit Claim Unqualified Improved Extra Features LN Feature Code Feature Description Bldg. Length Width Total Units Value 1 FPPR7 Fireplace Prefab 1 0 0 2.00 $876.00 2 POLR3 Pool 1 0 0 1.00 $8,160.00 3 SPAR3 Spa 1 0 0 4.00 $2,533.00 Land&Legal Land Legal LN Code Use Description Zoning Front Depth Category Land Land Land LN Legal Description --' Units Tim Value 1 5-6916-2S-29E 1 0100 ACS LD 3-7 UNITS PER ARS-2 100.00 130.00 Common 2.00 Lot $680,000.00 2 ATLANTIC BEACH 3 LOTS 1,3 BLK 10 Buildings Building 1 Building 1 Site Address Element Code Detail 306 PLAZA Atlantic Beach FL 32233 Exterior Wall 14 14 Wood Shingle Roof Struct 3 3 Gable or Hip Building Type 0103-SFR SPLIT-LEVEL Roofing Cover 3 3 Asph/Comp Sling Year Built 1950 Interior Wall 5 5 Drywall Building Value $231,304.00 Int Flooring 12 12 Hardwood http://apps.coj.net/PAO_PropertySearch/Basic/Detail.aspx?RE=1699510000 12/19/2017 Property Appraiser- Property DetailsPa e 2 of 2 OFFICE COPS( Gross Heated Effective Int Flooring 14 114 Carpet Tvce Area Area Area Heating Fuel 4 4 Electric Base Area 2741 2741 2741 Heating Type 4 4 Forced-Ducted Finished Open 144 0 43 Air Cond 3 3 Central 3—— I Porch Imo~ ' `0A I �., - - ---------- HAS J Finished upper 928 928 882 Element Code z�C=IL- story ILstory 1 Unfin Det Stories 2.000 Utility 144 0 79 Bedrooms 5.000 Finished Open Baths 4.000144 0 43 Porch I Rooms/Units 1.000 Total 4101 3669 3788 2017 Notice of Proposed Property Taxes Notice(TRIM Notice) --- - --- --- -- --- — --—--- ---- ---------- Taxing ---Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-bade Gen Govt Beaches $322,916.00 $50,000.00 $272,916.00 $2,170.46 $2,224.59 $2,110.30 Public Schools:By State Law $322,916.00 $25,000.00 $297,916.00 $1,326.47 $1,262.27 $1,286.55 By Local Board $322,916.00 $25,000.00 $297,916.00 $654.79 $669.72 $635.10 FL Inland Navigation Dist. $322,916.00 $50,000.00 $272,916.00 $8.52 $8.73 $8.19 Atlantic Beach $322,916.00 $50,000.00 $272,916.00 $859.67 $881.11 $837.36 Water Mgmt Dist.SJRWMD $322,916.00 $50,000.00 $272,916.00 $76.82 $74.34 $74.34 Gen Gov Voted $322,916.00 $50,000.00 $272,916.00 $0.00 $0.00 $0.00 School Board Voted $322,916.00 $25,000.00 $297,916.00 $0.00 $0.00 $0.00 Urban Service Dist3 $322,916.00 $50,000.00 $272,916.00 $0.00 $0.00 $0.00 Totals $5,096.73 $5,120.76 $4,951.84 Just Value Assessed Value Exemptions Taxable Value Last Year $911,451.00 $316,275.00 $50,000.00 $266,275.00 Current Year $925,394.00 $322,916.00 4 $50,000.00 $272,916.00 2017 TRIM Proper 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. 017 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 MaoI Mao this property on Google Maps I City Fees Record http://apps.coj.net/PAO_PropertySearch/Basic/Detail.aspx?RE=1699510000 12/19/2017