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55 FORESTAL CIR - PERMIT DEMO18-0015 001CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DEMO - PARTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DEM018-0015 Description: DEMO -SHED Estimated Value: 0 Issue Date: 5/29/2018 Expiration Date: 11/25/2018 PROPERTY ADDRESS: Address: 55 FORRESTAL CIR RE Number: 171737 0000 PROPERTY OWNER: Name: TRI PROP II LLC Address: 2323 SEMINOLE RD ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: 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. Building Permit Application City of Atlantic Beach _;isvY 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: ^�� f�iY1cl- G//— S., Permit Number: Updated 12/8/17 Legal Description RE# Valuation of Work (Replacement Cost) $ ,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 Ci ihmit n Trac Ramnval Parmit Application if anv trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: Florida Product Approval # for multiple products use product approval Torm Property Owner Information Name: —7 e / /MP L- J -L -C- Address: Citye- 6Aiwcd State � zip 3.i-��3 Phone �2i y � f E -Mail %�:.{ �.ir�z/�D G" CJ C�'"M"/91z. i ",-'4 Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Qualifying Agent: Address City Office Phone Job Site/Contact Number _ State Certification/Registration # E -Mail Architect Name & Phone # Engineer's Name & Phone # Workers Compensation 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. 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. rl C> 1 ( ! ature of ner or Agent) (Signa re of Contractor) (including contractor) Si d and sworn to (or affirme fore me this day of Signed and sworn to (or affirmed) before me this day of by by State Zip #- MYCOMMiSSIONIFfNotary) EXPIRES: Oilober 6, 2019 In o „`: ' Fended Thr Notary Public Undeme.ters [ ] Personally Known OR [ ] Produced Identification jj�� //�� j b -b/� 4, Produced Identification Type of Identification: 1—�-1 `-4S""s�i�pe of Identification: — (Signature of Notary) ':f7! 11 : CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER -BUILDER PERMIT. �-t 6-Z /- s' yea - _ 365 ADDRESS PHONE NUMBER PRINT NAME �' / % /OC-^ SIGNATURE DATE Before me this ZI day of 2&�M the county of Duval, State of Florida, has personally appeared berin by himself / herself and affirms that all statements and declarations are true and acyate. Notary Public at Large, State of F—, County of _ L) L:) Cies ❑Personally Known _4S 4S_S ❑ Produced Identification - eyc, TONI GINDLESPERGER Notary Signature: ;,: .: MY COMMISSION # FF 924951 EXPIRES: October 6, 2019 %1d Eended Th u Metary Public Underwr ters F:/BLDG/Owner-Builder Affadavit; REVISED: 4/16/2009 Property Appraiser - Property Details TRI PROP II LLC Primary Site Address Official Record Book/Page 2323 SEMINOLE RD 55 S FORRESTAL CIR 18396-00607 ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233 55 S FORRESTAL CIR Property Detail RE # 171737-0000 Tax District USD3 Pr9p9M Use 0100 Single Family # of Buildings 1 Legal Desc. For full legal description see Land & Legal section below Subdivision 03124 ATLANTIC BEACH VILLA # 01 Total Area 8581 The sale of this property may result in higher property taxes. For more information go to Save Our Homes and our Property Tax Estimator . 'In Progress' property values, 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 certified in October, but may include any official changes made after certification Learn how the Property Appraiser's Office values prooerty. Valup Summary Page 1 of 2 Tile # 9417 Taxable Values and Exemptions —In Progress 2017 Certified 2018 In Progress Value Method Total Building Value Extra Feature Value Land Value (Market) CAMA $98,307.00 $2,885.00 $62,640.00 CAMA $89,119.00 $2,971.00 $97,875.00 Land Value [Aerie.] $0.00 $0.00 Just (Market) Value $163,832.00 $189,965.00 Assessed Value $163,832.00 $189,965.00 Cap Diff/Portability Amt $0.00 / $0.00 $0.00 / $0.00 Exemptions $0.00 See below r— Value ITaxable $163,832.00 See below Taxable Values and Exemptions —In Progress Gross Heated 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. Area Area Addition 120 County/Municipal Taxable Value S]RWMD/FIND Taxable Value Addition School Taxable Value No applicable exemptions 99 I No applicable exemptions 5 Drywall No applicable exemptions m Sales History 11 Cer Clay Tile Int Flooring 14 14 Carpet Book/Page Sale Date j Sale Price Deed Instrument Type Code Qualified/Unqualified ;Vacant/Improved 18396-00607 15/17/2018 $180,000.00 SW Special Warranty Unqualified Improved 18088-00015 8/14/2017 $100.00 1 Cf - Certificate of Title Unqualified Improved 18042-00452 i 7/3/2017 $156,600.00 Cf - Certificate of Title Unqualified Improved 17754-00427 10/24/2016 $120,200.00 CT - Certificate of Title Unqualified Improved 08406-02351 ' 7/30/1996 $55,000.00 WD - Warranty Deed Qualified Improved 06179-01960 j 8/13/1986 $34,000.00 y WD - Warranty Deed Unqualified (Improved Extra Features _3 LN Feature Code Feature Description Bldg. Length Width Total Units Value 1 DKWR2 Deck Wooden 11 1 0 0 800.00 $2,652.00 j2 GZSR2 i Gazebo Standard 1 8 18 64.00 j $319.00 Land & Legal Land LN Code Use Description i 1 0100 RES LD 3-7 UNITS PER AC 41 Buildings _ Building 1 Building 1 Site Address 55 S FORRESTAL CIR Unit Atlantic Beach FL 32233 Zoning Front Depth, Category, Land i Units ARS -2 87.00 103.00' Common 87.00 Building Type 0101 - SFR 1 STORY Year Buil 1961 Building Value $89,119.00 Ag Gross Heated Effective 17 Area Area Area Addition 120 120 108 Addition 110 110 I 99 I Land TVDe Land Value Front Footage $97,875.00 Element Code i Detail Exterior Wall 17 17 C.B. Stucco Exterior Wall 6 6 Vertical Sheet Roof Struct 3 3 Gable or Hip Roofing Cover j 3 3 Asph/Comp Shng Interior Wall < 5 5 Drywall Int Flooring 11 11 Cer Clay Tile Int Flooring 14 14 Carpet Heating Fuel 4 4 Electric Heating Type j 4 .4 Forced -Ducted Air Cond 3 3 Central Legal LN Legal Description 1 30-56 17 -2S -29E 2 ATLANTIC BEACH VILLA UNIT 1 3 LOT 9 BLK 1 IAw https://paopropertysearch.coj.netBasic/Detail.aspx?RE=1717370000 5/29/2018 S> Llrj� Permit Inspections Vy � City of Atlantic Beach Permit Number: DEMO18-0015 Description: DEMO-SHED Applied: 5/29/2018 Approved: 5/29/2018 Site Address: 55 FORRESTAL CIR Issued: 5/29/2018 Finaled: 5/29/2018 City,State Zip Code: Atlantic Beach, Fl 32233 Status: FINALED Applicant: <NONE> Parent Permit: Owner:TRI PROP II LLC Parent Project: Contractor: <NONE> Details: LIST OF INSPECTIONS SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS ID DEMO FINAL Mike Jones Notes: Printed: Monday,09 March, 2020 1 of 1 •