87 NICOLE LN - WINDOWS )40K,
sf CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
��..o,3» INSPECTION I PE TION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0030
Description: replace windows & doors
Estimated Value: 34964
Issue Date: 2/14/2018
Expiration Date: 8/13/2018
PROPERTY ADDRESS:
Address: 87 NICOLE LN
RE Number: 169519 0835
PROPERTY OWNER:
Name: HOFFMAN RHONDA RENE HALVERSON
Address: 87 NICOLE LN
ATLANTIC BEACH, FL 32233-5979
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BENTON INTEGRITY ROOFING & WINDOWS
Address: 5570 FLORIDA MINING BLVD S Ste S STE 310
JACKSONVILLE, FL 32257
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.
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.
* 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.
01..a, .4„ City of Atlantic Beach APPLICATION NUMBER
js �� Building Department (To be assigned by the Building Department.)
v 800 Seminole Road V (—S! �( °b`�O
6 r� Atlantic Beach, Florida 32233-5445 1. L U v
KrPhone(904)247-5826 • Fax(904)247-5845 I f /
.
J;3 �r E-mail: building-dept@coab.us Date routed: I t C) `'L I I (Y
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: S.
` N t C Oa Ln - Department review required Ye No
-- (� (� Building V
Applicant: &,(1-k (� -t-A 9i1:1\-1 `D) .h !1 �- Aanning Zoning
pp
,f ri �,,, ��,�J Tree Administrator
Project: 1 LO\AL L J t n V`-O s 4 d,00( 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: [ i proved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
: 8''i-_
PLA 1 1 &ZONING Reviewed by: Y1 c), Date: 2-'2 'c 1
TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
0
FFICE COPY
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
—1 Phone:(904)247-5826 Fax: (904) 247-5845 (� L ,�-v� 7�
Job Address: / J�)'rcole nLn., A�lahfic Beach, 1 ....,321 er/miit Number: !- l �I W1 �v
Legal Description Lib uq-2J-29E (�Ti-Kant/ The Spa Lot- RE# juLgss)q—o D5s
Valuation of Work(Replacement Cost)S 3^i r%A. D Heated/Cooled SF 2,50 I Non-Heated/Cooled q q
• Class of Work(Circle one): New Addition Alteration Repair Move Demo PoolCWindow/DooD
• Use of existing/proposed structure(s)(Circle one): Commercial Residentia)
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 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: '71si'YL m, £Stl.11 Iq windows and replace wcth
la 1 Ua Windou)S ; kg,4-none 5 ,eviSting doors replace wt.t-h 5 Pella. doors
Florida Product Approval# See. Pc duct Appravol Form for multiple products use product approval form
Property Owner Information I
Name: RhOn da 1- O f'r an Address: 87 Nicole Lry
City Ail anfic. Beach State F L Zip 32233 Phone (35 23 222 -5 q LD
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: :.,. t... I ,n L ,..:. • . .• . . Qualifying Agent: John Albri+1Dn
Address551O Florida Mini . lvd. S., ft nv
cityJackSo 'ille State FL Zip 322.57
Office Phone (ROY)2ia2-1(263 Job Site/Contact Number
State Certification/Registration#CCC.13292 /c c.l33loo►ZE-Mail Ad m;n®B IRS q SfiemS. cam
Architect Name& Phone#
Engineer's Name&Phone# /
Workers Compensation .)dhn fl l! rr 4 i\e+r';-n(Dt%FkSII .SPI I )Il3u✓erS L!0)/c i/2019 _
Ex mpt/Insurer/Lease Employees/Expiratio66 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 ATTO•NEY BEFORE
RECORDIN • R 1►TICE OF COMMENCEMENT. "AI?.�_ ice% -- /(Signature of Owner or Agent including Contractor I•. ar) ap
ned and swop"to(or
affirmed)before me this ay of Si ned an. orrnn,�o(oorr a irmed)before me this 23 day of
Si� �,by f,•. t r U ..1 •.r. 2U 16, by • n A •i11 as.a
ure o `o ary (S.nature of Notary)
/.r � KAYSTAL K SALM
j f�� ` Notary Public-State of Fkrida
,ry s" CommIiroira FF 918103 '" ' " KAYSTAL K SALM
-,,d My Comm.ExpiresSep1S,2019 AotaryPubk-State of Florida
[ I Personally Known OR ( ersonall Known OR commission 4FF918403
y •� MY Comm.
[ duced Identification `I I I Produced Identification
Expres5ept5,2o19
Type of Identification: FL DL N155-736-55-$�7-C) Type of Identification:
Doc # 2018017783, OR BK 18260 Page 1009, Number Pages: 1,
Recorded 01/24/2018 08:16 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
it- °°16
OFFICE COPY
NOTICE OF COMMENCEMENT n ^�
state of F 1-C r i d CI Tax Folio No.ILO �4 QS 3
Counts of DUN/01
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 COMMEEN( MENT.QQ may,.
Legal Description of property being improved: 4163-4163- o9-23-29z
n y Py The &Q
Address of property being improved: S7 Nt i Cole Ln, A+1 Q nt1 c BPnCh, FL 3223 3
General description of improvements: LQ )L i_Ce Ki Stier( 1g to in claws 5 doors
Owner: 1103_T_-mc�Cl ,.�,I,sii1 f�, Address:g l N i CaI�Ln., - —
Owner's interest in site of the improvement:_RGee _
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Berrititn goc and WirydnintS -- —
Address: S570 Fj Ida Mining Bt vd.S.,Ste 3lO; JIlCksonvi l le-, FL 32257
Telephone No.:(9010 2102-710(03 Fax No: (904) 2610-1355
Surety(if any) —_--_--
Address: Amount of Bond S
Telephone Ne: Fax No:
Name 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:
Telephone No: --- Fax No: - --In addition to himself, owner designates the following person to receive a copy of the Lienur's Notice as provided in Section
713.06(3xb),Florida Statues_ (Fill in at Owner's option)
Name:
Address:
Telephone 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): -— — -.. -- — — -- --
THiS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: /Z 8 --?o
Before me this day of ?offer,hr.,'" in the County of Dasa1.S-
Of Florida.has',atonally appeared lnnr+da, ftr+o.Yt
Notary Public at Large,State o�Holl .Cutesy of Duval.
My commission expires: Q l 2Di q
Personally Kneed: amru r.r rete
Produced Idetilication: FL Di %4‘56--794- iipmk-suedr
a too.4Ft cath a
Cove.Upon Sap Is.2N9
HOFFMAN RHONDA RENE HALVERSON Primary Site Address Official Record Book/Page Tile#
87 NICOLE LN 87 NICOLE LN 16655-00222 �y9`409
ATLANTIC BEACH, FL 32233-5979 Atlantic Beach FL 32233 �' I Cj COP1
87 NICOLE LN
Property Detail Value Summary
RE# 169519-0835 2017 Certified 2018 In Progress
Tax District USD3 Value Method CAMA CAMA
1-0100 Total Building Value $217,775.00 $215,759.00
Property Use Single Family
#of Buildings 1 Extra Feature Value $1,809.00 $1,711.00
46-94 09-2S-29E Land Value(Market) $350,000.00 $350,000.00
Legal Desc. TIFFANY BY THE SEA Land Value(Agricj 000 $0.00
Subdivision 04678 TIFFANY BY THE SEA Just(Market)Value $569,584.00 $567,470.00
Total Area 5500 Assessed Value $569,584.00 $567,470.00
The sale of this property may result in higher property taxes.For more information go to Save Cap Diff/Portability Amt $0.00/$0.00 $0.00/$0.00
Our Homes and our Property Tax Estimator.'In Progress'property values,exemptions and Exemptions $0.00 See below
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 certified in October,but may Taxable Value $569,584.00 See below
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 Qualified/Unqualified Vacant/Improved
��
16655-00222 1/3/2014 $579,900.00 WD-Warranty Deed Unqualified Improved
14873-02249 5/12/2009 j$100.00 ' MS-Miscellaneous Unqualified Improved
08504-01584 12/3/1996 1$316,500.00 WD-Warranty Deed Qualified Improved
08220-00442 10/31/1995 $304,000.00 WD-Warranty Deed Qualified Improved
07798-00458 2/7/1994 $242,000.00 WD-Warranty Deed Qualified Improved
•07467-02046 11/29/1992 $100.00 QC-Quit Claim Unqualified Vacant
07467-02043 11/30/1992 $100.00 QC-Quit Claim Unqualified Vacant
' 97467-02040 10/19/1992 $3,870,000.00 WD-Warranty Deed Unqualified Vacant
07454-00110 11/6/1992 $100.00 QC-Quit Claim Unqualified Vacant
07454-00107 10/19/1992 $3,870,000.00 WD-Warranty Deed Unqualified Vacant
Extra Features
LN Feature Code Feature Description Bldg. Length Width Total Units Value
1 FPGR7 Fireplace Gas 1 0 0 1.00 $1,711.00
Land&Legal
Land Legal
LN Code Use Description Zoning Front Depth Category Land Units Land Type Land Value LN Legal Description
1 0100 RES LD 3-7 UNITS PER AC ARG-M 0.00 0.00 Common 1.00 Lot $350,000.00 1 46-94 09-2S-29E
2 TIFFANY BY THE SEA
3 LOT 25 li
Buildings
Building 1
Building 1 Site Address Element Code Detail p —7,
87 NICOLE LN
Atlantic Beach FL 32233 Exterior Wall 17 17 C.B.Stucco
J
Roof Struct 3 3 Gable or Hip ass,
Building Type 0102-SFR 2 STORY Roofing Cover 7 7 Concrete Tile (F I
Year Built 1995Interior Wall 5 5 Drywall --(0
Building Value $215,759.00 Int Flooring 14 14 Carpet
( 1
Int Flooring 11 11 Cer Clay Tile r
Gross Heated I Effective Heating Fuel 4 4 Electric
Type Area Area Area
Heating Tye 4 4 Forced Ducted 41 FUA.FGR
P
Base Area 864 864 864 Air Cond 3 3 Central L° ..— J
Finished Open 100 0 30
Porch - ---
Finished upper Element Code
story 1 483 •483 459 Stories 2.000
Base Area 483 483 1 483 Bedrooms 3.000 I
Finished Open 64 0 19 Baths 2.500
Porch Rooms/Units 1.000 I
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA
Project Name: Hoghncan 1 1WU– Y7028 Permit #fE.S )S 'dO?O
Project Address: 87 N't co1e Lri; AA-kir-11;c_ Beach . FL 32233
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-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 listed 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
product approval may be obtained at: www.floridabuilding.org.
Category/Subcategory J Manufacturer Product Description f Limitation of Use State# Local#
A. EXTERIOR DOORS
1. Swinging Pell0. <%) Proline 1r ink , Door 103410.2
2. Sliding 11�A Rbic 81id��n Door Iy01pQ.3
3 _35o SPCie.s , unr�Slidin�Door, 1�1Q1D. l
3. Sectional
4.Roll up
5. Automatic
6.Other
B. WINDOWS _
1. Single hung ab W 14403.1—
pe\la. cs) vinyl Si+ ►aw,9W.nrl�,ws ►„&03.5
2. Horizontal slider _ � w C2) 350 _ev 1.1 5 �J I�t dl r15 V11'i,rlrnn/ 14102. 1
3.Casement —�
4.Double hung
5. Fixed Pe11a. (Z) 2.50 SeriPS Fiver"Frame mm10r4110811.3
6.Awning
7.Pass-through
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
urriL� LAWY
2.Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H.NEW EXTERIOR
ENVELOPE PRODUCTS
2.
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones
listed in this document must be approved by the Building Official.
John Albri ++rn // Ar/
(Contractor Name) (Print Name) ignature)
Company Name: gen fig) Irate r� koof r ' Windows
9 �
Mailing Address: 5570 Hon da M ;n�r,9 Blvd. S. Ste 310
City: JacksonVI Ile State: FL Zip Code: 32257
Telephone Number: (9 4l ) 2102- 7(oI,3 Fax Number: (90 q ) 21,00 -1355
--6,rec+ (40J ) z12$ —130 A� s. Com
Eek-1•ieue.�lumber: E-mail Address: