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920 SAILFISH D - PERMIT RESA18-0006 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 r 1119) -1?4sl� ON PHONE LINE 247-5814 RESIDENTIAL ADDITION - SINGLE OR TWO FAMILY RESIDENTIAL ADDITION MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMA71ON: PERMIT NO: RESA1 8-0006 Description: ADDITION AND INTERIOR REMODEL Estimated Value: 50000 Issue Date: 3/27/2018 Expiration Date: 9/23/2018 PROPERTY ADDRESS: Address: 920 SAILFISH DR RE Number: 1711640000 PROPERTY OWNER: Name: JODY LYNN SOMMERS Address: 1648 ATLANTIC BEACH DR ATLANTIC BEACH, FL 32233-4219 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ULTIMATE CONSTRUCTION Address: 4054 W ARBOR LAKE DR JAMES VAN ARSDALE JACKSONVILLE, FL 32225 Phone: PERMIT INFORMATION: Please see aftached conditi6ns of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOt'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 pen-nit, 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 govemmental 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. Permit Conditions City of Atlantic Beach Permit Number: RESA18-0006 Description:ADDITION AND INTERIOR REMODEL Applied:3/2/2018 Approved:3/22/2018 Site Address:920 SAILFISH DR Issued:3/27/2018 Finaled: City,State Zip Code:Atlantic Beach,FI 32233 Status:APPROVED Applicant:<NONE> Parent Permit: Owner:JODY LYNN SOMMERS Parent Project: Contractor:<NONE> Details: LIST OF CONDITIONS -SEQ'NO F ADDED DATE REQUIRED DATE SATISFY DATE `TYPE STATUS DEPARTMENT CONTACT REMARKS 1 3/7/2018 EROSION CONTROL INSTALLATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: ,Full erosion control me6sures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(247- 5814)to request an Erosion and Sediment Control Inspection prior to.siart of construction. 2 3/7/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remaln'on-site during construction, 3 3/7/2018 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Will lams Notes�:' Roll off container company must be'6n CityaPproved'llsf Advanced,Disp6sal',kealco Recycling,Shapdll's,,Inc.,Republic Services,Donovan Dumpsters). Container cannot be placed on City right-of-way. 4 3/7/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is requirecl."_t, 5 3/7/2018 CONSTRUCTION SITE INFORMATIONAL I I MANAGEMENT PUBLIC WORKS Scott Williams 'Notes: -toilet. Provide consfructlon,site'managemeht plan',,including location of'sliffelric6'du' a mpster,port ble Right-of-Way Permit is requireciff using right- of-way for construction parking., Printed:Tuesday,27 March,2018 1 of 1 City of Atlantic Beach APPLICATION NUMBER a ment.) Building Department (To be assigned by the Building Dep rt 800 Seminole Road RLSFA Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E ail: building-dept@coab.us e -m Date rout d: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 92"D bc-2—Pepartnxent review required Y No Auif�i Applicant: ULD/YO-TC� eONDa- 'T ��F:11-a n n i n g &Z o��in Tree Administrator Project: ID - -56-blic Uti� 'Public Safety Fire Services Review fee- 7 _1�_g_Ratu�e Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation el, 41� St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Other: Division of Alcoholic Beverages and Tobacco APPLICATION STATUS Reviewing Department First Review: FlApproved. 1&enied. E]Not applicable (Circle one. Comments: PLANNING &ZONING Reviewed by: Date: 31 P1.40t TREE ADMIN. Second Review: [�fApproved as revised. OlDenied. []Not applicable PUBLIC WORKS Comments:. PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:_ Date:'s z 4 FIRE SERVICES Third Review: [-]Approved as revised. F-]Denied(j []Not applicable Comments: Reviewed by: Date: Revised 05/1912017 CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach,Florida 32233 0 F F IL";E (5";"0 P'Y' REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date Revision to Issued Permit Corrections to Comments 1-"' Permit 4 (�6S A L —COD& Project Address 9 ')'-0 SAA V'�SVA of Contractor/Contact Narne- Wk� mulivL Phone Email Description of Proposed Revision Corrections: Permit Fee Du e $ -54c). 0 �-CA�-pfl'� 0) rvi ftAker� Additional Increase in Building Value $ Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed name) Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved X Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: . il-lum, � /r I Plannin oning Reviewed By JT12e A m ni ra or =A s Public Safety Date Fire Services CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 OFFICE COPY (904) 247-5800 BUILDING REVIEW COMMENTS Date: 3/7/2018 Permit#: RESA18-0006 Site Address: 920 SAILFISH DR Reviei4 Status: RE#: 171164 0000 Applicant: ULTIMATE CONSTRUCTION Property Owner:JODY LYNN SOMMERS Email: heymilton72@gmail.com Email:isommers@tenable.com Phone: 904.53.0.1519 Phone: 43.0.991.8521 THIS REVIEW IS,ONE OF MULTIPLE DEPARTMENT REVIEWS. Ove com pletetl f ,;e0v ife; ws 'w w )nlo V V 'i,IF 'e0af Un,iffiq`el geimit-tals f R003ion'sl mvajyj WM16e subm,liff--00775,t, V [Meij iWeir, 0, S. -410 _Q "evist-on,stwo,mm Katuesp �5_ni p It q to n,�I 01 unni, 65 rMni,e o, ria WIN, - -cep-ed. He swillonizi I -ac. Pt Correct" omments: Product Approval Information Sheets shall be filled out when there are more than 2 numbered items submitted. To includeall components and cladding for the exterior of building. 2 copies please. Dining and laundry areas shall be AFCl protected. E3902.16; laundry areas:shall be both GFCI and �.9 an�dE39�02 16.� Building Mike Jones Building inspector/Plans Examiner City of Atlantic Beach .800 Seminole Road Atlantic Beach, FL 32233 904.247.5844 Email:mjones@coab.us CM& I, t-c d Q-tViletv Lv-nvv--erv+-J I/ rri, Resubmittal Notes: .All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with"clouding".The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending,all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID"but are to be left within the set of drawings. Complete new sets of drawings will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 (904)247-5800 WA.0 7 11,-MR,EaMEWC 0 M M E N T S IM Date: 3/8/2018 Permit#: RESA18-0006 Site Address:920 SAILFISH DR Review Status: DENIED RE#: 171164 0000 Applicant: ULTIMATE CONSTRUCTION Property Owner:JODY LYNN SOMMERS Email: HeyMilton72@gmail.com Email: Phon Phone: THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. We � We"Wision"I�.a submifre-( elmarrimngn t3l VOW= rar rWevi gg Q —X —itfa-l-sVtHa,EirLesDon-okc2Lo..�ni�vLGneiariaI A' isi2nsis-un,mit.-tO-U-IM,u,-biilLes noIto1E!A-,W r, Rw S515M wlllrn7otlj��. Correction Comments: /Setbacks: Please provide the setback from the carport to the northern property line.A 5'setback from the concrete is shown on the site plan but a setback from the covered carport to that northern property line needs to be provided. L Brian Broedell, bbroedell@coab.us MAR 9 2018 Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with"clouding".The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending,all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID"but are to be left within the set of drawings. Complete new sets of drawings will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. 0"FFICECOPYBuilding Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: 6\20 I�Mlf V-Al WA\X1 Permit Number: (A t Legal Description L4CT 10 .4 RE# V[i%L� C= Valuation of Work(Replacement Cost)$ C�01" Heated/Cooled SIF X51 Non-Heated/Cooled • Class of Work(Circle one): New f��Dll Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial llct� • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes (:2) N/A • Submit aTree Removal Permit Application if any trees are to be removed orAfficlavit of No Tree Removal Describe in detail the type of work to be performed: I Aw4w fmvaix A / k+loyl Florida Product Approval# for multiple products use product approval form Propertv Owner Information Name. Address: 1646 AAftk%C ty-h -b� Cit &1 1/1 state F!J zip Phone(kibl -091-&V 11 16 1- \. - I _,�Q I Owner jr­Ag_e-n,t_(If Agen�,�Power of Attorney or Agency Letter Required) Contractor Information Name of Company: uiwffife, caki Qualifying Agent: -. kh I-�o o Address fti�r tow-c- LK City-I&)& S PV zip 3=b Office Phone job Site/Contact NumbervDAL.1 -116 State Certification/Registration#Cw, E-Mail V1bJT%11+'An Architect Name&Phone# I Engineer's Name&PhonA#- W"OlLyl 1Jk2_(AA Workers Compensation 1115.L6 - ts 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 instal lation 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 WCRK,. PLUMBING,SIGNS, w E LLS, P 0 0 LS, F U R NACES,_13 0 1 LE RS,H EATE IRS,TA N KS,a n d Al R CO N D ITI 0 N E IRS, etcWN"73177-I=51a EIZI iV-o5TRoVt.h,-eTr,-e-a7U iTle-MiTe-ni ff-so7fiLt-h7lis weii, irgestmia-i�_sap ..e f i 131i�eor�-MfAh,-ijs�an ��`ea 11-io.al gr-i��e gifliRdi f Ed Tr-,a I Ea g—p @ei 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 R E71 CE OF COMMENCEMENT. Signatuire"of-6wrier or Ag(dnt) _V (Signature of Contractor) (including contractor) Sl�gned and sworn to(or affirmed)before me thiq2X day of Si d sworn to(or affirmed)before me thipiltd�y of byJ0J)LA 5Qffl68,,0,(5 V b e�;J?A ao� (Signat (Signat e of Notary) dri 6 IQ Hen Notary Public Notary Public P sonally Known OR State of Florida Personally Known OR State of Florida :..y. -0, Produced Identification-, ar-rduced Identification Pi*l W, on 11/80/2021 Cqmmlssion Expires =is GJ E i is"I;;R1 79 V EyZission No.GG 165`172 Type of Identification: Type of Identification: "'FICE COPY V PERMITTED BUILDING DATA DO NOT WRITE BELOW — OFFICE USE ONLY Applicable Codes:6 1h Edition (2017) Florida Building Code DEVELOPMENT SIZE: Habitable Space (W) 0 6 q addd - Non-Habitable Space (ft2) jVejL., 4v+a I 4o toe a0vo LAND INFORMATION: Zoning District Flood Zone A Minimum FFE 4/;/) mcdcX eXiS�1-4_S BUILDING INFORMATION: Construction Type V Occu pa ncy G rou p s Number of Stories- Max Occupancy Load Fire Sprinklers Required CONDITIONS/ COMMENTS: Rev.2.7.2018 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 COO G, Phone(904)247-5826 - Fax(904) 247-5845 vi' E-mail: building-dept@coab.us Date routed: City web-site: http://wm.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 9 Z' 0 P\, I LEC-S H [)(--'n_Pej1artm_ent review required Yes. No Applicant: LT(/Y,\A-Tr�- cor"DIS Tree Administrator Cz=-Iy\(3 C,_C_ Project: ( Oro I- R --ru—blic Utfit_ies:�) Public Safety Fire Services R-eVi6w—fe-e--$ .qep j_§ig_RatKe 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: [-]Approved. Denied. [:]Not applicable (Circle one.) Comments: BUILDING RrANNING_&ZON_[NO",: Reviewed by: Date: TREE ADMIN. Second Review: ZApproved as revised. FIDenied. F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: A�7 Date: FIRE SERVICES Third Review: [:]Approved as revised. ElDenied. ONot applicable Comments: Reviewed by: Date: Revised 05/19/2017 CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach,Florida 32233 REVISION REQUEST CORRECTIONS TO PLAN R-EVIEW COMMENTS Date Revision to Issued Permit Corrections to Comments Permit R&�s A t Project Address sa,� Contractor Contact Narne- UVk-) fy\-C11A-L ufl&�MCA�Dll Phone Email Description of Proposed Revision Corrections: Permit Fee Due $ AWA, Lf)f� LCA� Q ff, ftA�-a� Additional Increase in Building Value$ Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed name) Signature of Contractor/Agent(Contractor inust sign if increase in-valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: iildin— AF-- Reviewed By or A minis raof P ub ic i i ies Public Safety Date Fire Services TREE & VEGETATION AFFIDAVITOFFICE COPY City of Atlantic Beach Department of Community Development Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 (P) 904 247-5800 (F) 904 247-5845 PER MI T# SECTION I-APPLICANT INFORMATION F_,�egal Authorized Agent* Owner(s) NAME OF APPLICANT fon NAME OF COMPANY U ADDRESS OF COMPANY SW PHONE CELL EMAIL CONTRACTO R CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION 11 SITE INFORMATION STREET ADDRESS OF PROPERTY LC_ If an address has not been assigned to thispropert34 contact the AB Building Department at(904)247-5826 to request an add ress. LEGAL DESCRIPTION LOT BLOCK SUBDIVISION W­� -alms ly J REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that I have reviewed the.provisions of Chapter 23, "Protection of Trees and Native Vegetation" of the Municipal Code of Ordinances for the City of Atlantic Beach,FL andlor/have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,/affirm that no regulated trees and no regulated vegetation will be damaged,destroyed andlor removed from the above-described or a&cen t properties in conjunction with thisproject. 6, �%,0_� wu.`(�- SIGNATURE OF-eWNER ' 'I- SIGNATURE OF OWNER Signed and sworn before me on this day of C), P7 2()iCby State of County of I—) C, "r Identification verified: n Oath sworn: r7i Yes No oill GINDLESPERGER NNA, My COMMISSION# Nbtary Signature 4- EXPiRES-Ortober 6,2019 Banded Thru j�tary Public UftdenNAV REV­TVA-v7l�'41,1coy Commission expires: IN City of Atlantic Beach APPLICATI.ON NUMBER Building Department D (To be'assigned by the Building Department.) R_C_�5 1 G7 800 Seminole Road Cc() 13-5445 MAR 0 5 2018 RO Atlantic Beach, Florida 3222 Phone(904)247-5826 - Fax(904)247-58t,"51i, E-mail: building-dept@coab.us Date routed- Z_ It City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM D artme t review required Yes No Property Address: 9 2'_0 C, P� I LEGS H __ M . - AuiIdiQ9____1 Applicant: Ulf un eo L��'s_1 ::��Ianning &ZoEi:n� Irge, tor ,,&rninistra Project: P -c��btmoro t R <P_ublic UtifR� Public Safety Fire Services ev'iew fee $ Depj_Sig ty re � _qa 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: [�/Approved. .Denied. [-]Not applicable. (Circle one.) Comments: BUILDI,NG 7<F�jM_�o Ion -o Las"i cl�& y,4 PLANNING &ZONING Reviewed bW. ate, TREE ADMIN. SecondReview: F]Approved as revised. [-]Denied. []Not applicable -:.Pomments: It A, PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [-]Approved as revised. E]Denied. [-]Not applicable Comments: Reviewed by: Date: Revised 05119/2017 CITY OF ATLANTIC BEACH MAR 800 Seminole Road Atlantic Beach,Florida 32233 REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS Date 1'51 L T Revision to Issued Permit Corrections to Comments t'-1 permit L Project Address �s AA Contractor/Contact Name M ct'�-L Uri D') Phone Email Description of Proposed Revision Corrections: Permit Fee Due$ JA(4 ft-an� Additional Increase in Building Value $ Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed naine) Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: uildin Planning &Zoning ReviewA-'��' T A minis ra or Pub ic i 1 11 Public Safety Date Fire Services 7 City of Atlantic Beach :- APPLICATION NUMBER -'assigned by the Building Department.) Building Department (To be 's 800 Seminole Road MAR 05 2018 Coo 6;7 Atlantic Beach, Florida 32233-54,45 v E-mail: building-dept@coab.us Dat e-route 5826 - Fax(904)247-5845 Phone(904)247 L d: Cityweb-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 92_0 C--�, i���, ,L(--CSHUC-�_—DepArtment review required Yes No Applicant: LIE (AN 0_0r�DaT —1:1-a n r�i n g &zo-:in:�� Tree Administrator �DbFicW�orks� Project: g!�ujb 10 U t i Fit Re Public Safety Fire Services ,Beview fee $ Ir Dept Sicinature I/ 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: [:]Approved. [:]Denied. E�/Not applicable (Circle one.) Comments: A�?I%i5 -IZO lav5e,4o Lasev_g-c.6, BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: [-]Approved as revised. F]Denied. E]Not applicable PUqLX WORKS Comments: 6 C /* PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. E]Denied. ONot applicable Comments: Reviewed by: Date: Revised 0511912017 CITY OF ATLANTIC BEACH MAR 2 12013 800 Seminole Road Atlantic Beach,Florida 32233 REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS Date LT Revision to Issued Permit Corrections to Comments t"" Permit# V&S A t Project Address 61 0%\"-o S 6Li� �'�s V-�- 0( , Contractor/Contact Name- UVk) MCt1Vt- Phone Email Description of Proposed Revision/Corrections: Permit Fee Due $ co ft'0-a� Additional Increase in Building Value$ Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed name) Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Re-6sion/Plan Review Comments bepartment Review Required: uildin Planning & Zoning Reviewed By T A minis ra or P y Date Fire Services Property Appraiser- Property Details Page I of 2 SOMMERS JODY LYNN M- - Primary Site Address Official Record Book/Page Tile# 1648 ATLANTIC BEACH DR 920 SAILFISH DR 18187-00312 9417 ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233 920 SAILFISH DR roperty Detail Value Summary RE# 171164-0000 2017 Certified— 2018 In Progress Lax District USD3 Value Method CAMA CAMA Rrppp_rtjLUse 0100 Single Family Total Building Value $46,411.00 $14,971.00 #of Buildings I Extra Feature Value $0.00 $0.00 Legal Desc. For full legal description see Land Value(Market) $115,000.00 $150,000.00 Land&Legal section below Land Value(Agric.) $0.00 $0.00 Subdivision 03120 ROYAL PALMS UNIT 01 Just(Market)Value $161,411.00 $164,971.00 1 Total Area 18065 Assessed Value $49,913.00 $164,971.00 The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $111,498.00 $0.00 $0.00/$0.00 to Save Our Homes and our Property Tax Estimator.'In Progress'property values, Exemptions $30,000.00 See below exemptions and other supporting information on this page are part of the working tax I - roll and are subject to change.Certified values listed in the Value Summary are those Taxable Value $19,913.00 See below certified in October,but may include any official changes made after certification Learn how the Prooerty Appraiser's Office values Pronerty. Taxable Values and Exemptions—In Progress ri 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 IT Book Page Sale Date Sale Price Deed Instrument Tvoe Code Qualified/U ingualified Vacant/Improved 00 1 181 7' 3 2 11/13/2017 $199,900.00 MS-Misce aneous Qualified Improved 18105-01918 8/29/2017 $100.00 MS-Misce��aneous Unqualified Improved 18105-01913 8/29/2017 $100.00 MS-Miscellaneous Unqualified Improved 03724-01012 5/16/1974 $20,800.00 WD-Warranty Deed Unqualified Improved 03671-01149 2/5/1974 $11,900.00 WD-Warranty Deed Unqualified Improved Extra Features No data found for this section Land&Legal EA, Land egal LN Code Use Description Zoning Front Depth and LN Legal Description alue 3--- -7 UNITS PER —1 -1 0-60 17-2S-i9E 1 0100 RES LD 3 ARS-1 77.00 130.00 Common 1.00 Lot $150,000.00 2 ROYAL PALMS UNIT 1 AC 3 LOT 10 BLK 4 Buildings Building 1 Building 1 Site Address Element Code Detail 920 SAILFISH DR Unit Atlantic Beach FL 32233 Exterior Wall is 15 Concrete Blk Roof Struct 3 3 Gable or Hip Building Type 0101-SFR I STORY Roofing Cover 3 3 Asph/Comp Shng F` Year Built 1961 Interior Wall 5 5 Drywall BAS Building Value $14,971.00 Int Flooring 7 7 Cork/Vnyl Tile Heating Fuel 4 4 Electric Type Gross Heated Effective Heating Type 4 4 Forced-Ducted Area—1 Area Area Air Cond 3 3 Central Finished Open 21 0 6 Porch I Element Code Base Area 975 975 975 -- —1 Finished Open 18 0 5 Stories 1.000 Porch Bedrooms 2.000 Total 1014 975 986 Baths 1.000 http://apps.coj.net/PAO—PropertySearch/Basic/Detail.aspx?RE=1711640000 3/6/2018 Property Appraiser-Property Details Page 2 of 2 1 Rooms/Units 1.000 2017 Notice of ProRosed Pro Derty Taxes Notice(TRIM Notice) Assessed Value Exemptior Last Year Proposed Rolled-back Gen Govt Beaches $49,913.00 $30,000.00 $19,913.00 $153.95 $162.31 $153.98 Public Schools:By State Law $49,913.00 $30,000.00 $19,913.01) $86.01 $84.37 $85.99 By Local Board $49,913.00 $30,000.00 $19,913.00 $42.46 $44.76 $42.45 FL Inland Navigation Dist. $49,913.00 $30,000.00 $19,913.00 $0.60 $0.64 $0.60 Atlantic Beach $49,913.00 $30,000.00 $19,913.00 $60.98 $64.29 $61.10 Water Mgmt Dist.SJRWMD $49,913.00 $30,000.00 $19,913.00 $5.45 $5.42 $5.42 Gen Gov Voted $49,913.00 $30,000.00 $19,913.00 $0.00 $0.00 $0.00 School Board Voted $49,913.00 $3 0,000.00 $19,913.00 $0.00 $0.00 $0.00 Urban Service Dlst3 $49,913.00 $30,000.00 $19,913.00 $0.00 $0.00 $0.00 Totals $349.45 $361.79 $349.54 Just Value Assessed Value Exemptions Taxable Value Last Year $134,454.00 $48,887.00 $30,000.00 $18,887.00 CurrentYear $161,411.00 $49,913.00 $30,000.00 $19,913.00 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(PRQ The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the year listed. 2017 2011.6 2015 2014 o To obtain a historic Property Record Card(PRC)from the Property Appraiser's Office,submit your request here: More Information bntact Us I Parcel Tax Record I GIs Mai) I Man this uroperty on Google Maps I City Fees Record http://apps.coj.net/PAO-PropertySearch/Basic/Detail.aspx?RE=1711640000 3/6/2018 OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: Permit # Project Address:1219 6&L4Ae2' * ti2AW-1 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 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 rm ding. ay be obtained at:www.floridabuilding. rg. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4.Rol I up 5.Automatic 6.Other B.WINDOWS 1. Single hung 2.Horizontal slider' t 3. Casement 4.Double hung 5.Fixed 6.Awning 7. Pass-through 8. Projected 9.Mullion 10.Wind breaker 11.Dual action 12. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C.PANEL WALL 1. Siding 2. Soffits 3. EEFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other A ROOFING PRODUCTS 1. Asphalt shingles - 2. Underlayments 9 3. Roofing fasteners (0-6 P 4.Nonstructural.metal roof 5. Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15.Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local E. SHUTTERS 1.Accordion 2.Bahama 3. Storm panels 4. Colonial 5.Roll-up 6.Equipment 7. Other F. STRUCTURAL COMPONENTS 1. Wood connector/anchor 2. Truss plates 3.Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8.Insulation forins 9.Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G.SKYLIGHTS 1. Skylight 2. Other Category/Subcategory Manufacturer Product Description Limita on WlUse State# Local# H.NEW EXTERIOR ENVELOPE PRODUCTS 1 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 cert4 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. (Contractor Name) (Print Name) (Signature) CompanyName:Wk& kml.�D Mailing Address: City:.k+k. Y2 State: V1 Zip Code:- Telephone Number: Fax Number: Cell Phone Number: (OVA lt�kot E-mail Address: