1600 ATLANTIC BEACH DR - ROOF 4 rS v�l�f k
_� ' CITY OF ATLANTIC BEACH
Y ~ ", ) 800 SEMINOLE ROAD
AI ATLANTIC BEACH, FL 32233
\\ "�' INSPECTION PHONE LINE 247-5814
\Ji;lir
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF18-0079
Description: new single-family dwelling
Estimated Value: 29304
Issue Date: 8/3/2018
Expiration Date: 1/30/2019
PROPERTY ADDRESS:
Address: 1600 ATLANTIC BEACH DR
RE Number: 169505 1140
PROPERTY OWNER:
Name: TOUSEY CLAY B
Address: 2225 ALICIA LN
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FORD ROOFING SYSTEMS INC
Address: 183 Landrum Lane #104
Ponte Vedra Beach, FL 32082
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$7,500.
01,A,lrj,, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
`� 800 Seminole Road
� (Loon —co
, Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
.art E-mail: building-dept@coab.us Date routed: 1 y
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
-co b.L u,p d.a{tl too
"'C_.lynle'->'Ifs`' iYc61'L41
Property Address: S S0 kk*&atL eQAdA of _Denartment review required Ye No
�^� Building j
Applicant: For C q--01) �i (\5 ��/ s 3 Planning &Zoning
iTree Administrator
Project: n SAtt piumlb L f Public Works
Public Utilities
Public Safety
Fire Services
-_-V-
Other Agency Review or Permit Required of ReviewPermit orVerified ReceiptBy Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: proved. ['Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 7�'>/icr
TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
`" BuildingPermit Application 2, e t pp cation Updated 12/8/17
/ City of Atlantic Beach JUL 1 7 2018
-A,),,:1,,,,,-� 5s O 800 Seminole Road,Atlantic Beach,FL 32233
J
Phone:(904)247-5826 Fax:(904)247-5845 ,1 Q
Job Address: 1600 ATLANTIC BEACH DR.,ATLANTIC BEACH, FL 32233 Permit Number: 000P1 U— o0
9-9
Legal Description 67-52 08-2S-29E ATLANTIC BEACH COUNTRY CLUB UNIT 01 LOT 178 RE# 169505-1140
Valuation of Work(Replacement Cost)$ 29,304.00 Heated/Cooled SF Non-Heated/Cooled
• Gass of Work(Circle one): le Addition Alteration Repair Move Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial .esidenti .
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes NoN/
• 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: INSTALL 26 GA.GALVALUME GULF-LOK STANING SEAM METAL ROOF
Florida Product Approval# FL11651.16 for multiple products use product approval form
Property Owner Information
Name: CLAY TOUSEY Address: 2225 ALICIA LN
City ATLANTIC BEACH State FL Zip 32233 Phone 904-759-9867
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: FORD ROOFING SYSTEMS INC. Qualifying Agent: ROBERT rACT
Address 183 LANDRUM LN#104 City PONTE VEDRA BEACHState FL Zip 32082
Office Phone 904-834-2426 Job Site/Contact Number JAY-699-8688
State Certification/Registration# CCC1327698 E-Mail FORDROOFING@GMAIL.COM
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation AMERICAN ZURICH INSURANCE COMPANY WC-90-00-818-07 EXP:12/31/18
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 ATTOR EY BEFORE
RECORDING YOUR N TICE OF COMMENCEMENT. y7 f/'
' 0 ' r
Iignatur of Owner or Agent) (Signature of Contractor)
(including contractor) • q
Signed and sworn to(or affirmed) before me this ��/ / T
g � day of Signed and sworn to(or affirmed before me this �`ay of
7 3°'/t , by // - ��:,...1:'r �l��j , , by K6 cV /0se
_ 1
enP.1e,,, GREck5t;i19 €ffdbl /) (Signature of Notary)
:'c MY COMMISSION#FF 948753 -•P. W P
''4]Personally Kno ,, EXPIRES:February 6,2020 [ ] Personally Known c •••' GREGORY J.BARTHOLOMEW
[ ]Produced ddentifi ° Boadee?htuBudget Notary Services ...it-,
r,-- , MY COMMISSION#FF948753
[ ]Produced Identifictt.
Type of Identification: r ~ a
EXPIRES:February 6,2020
Type of Identification:1,',0,;.,.,,s° Da�d.aMuBudgetrYotarySenices
7/17/2018 Property Appraiser-Property Details
TOUSEY CLAY B Primary Site Address Official Record Book/Page Tile#
2225 ALICIA LN 1600 ATLANTIC BEACH DR 17808-00212 9417
ATLANTIC BEACH,FL 32233 Atlantic Beach FL 32233-
TOUSEY
2233 TOUSEY PHYLLIS M tL
1600 ATLANTIC BEACH DR
Property Detail Value Summary
RE# 169505-1140 '2017 Certified '2018 In Progress
.Tax District: USD3 -- --- Value Method,LAMA CANA
------ - ---- -- ---
Pro
Dots Total Building Value $O 00 $0.00
#of Buildings 0
--------__--- Extra Feature Value $0.00 $0.00
Legal best. For full legal description s__ Land Value(Market)I E284,160 00 $330,240 00
Le ---rl - --------
!Land&Legal section below Ljnd!Value(AgrieJ'$0.00 i$0.00
Subdivision 1 06869 ATLANTIC BEACH COUNTRY CLUB UNIT 01 _ _ I Just(Market)Value I$284,160.00 I$330,240.00
Total Area 11155 I
Psupporting page are Exemptions $0.00/$.00 i$17,664.000
The sale of this property mayrevel in higher property P H $0.00/;0.00 I(17,664 00/$0.00
PropertyTax Estimator.'In Progress'propertygor�ns ft may og tovalues,exemptions andeother nu it information
are this Taxable Value, 0.00 See below
part of the workingtax roll and are subject to change.Certified values listed In the Value Summa those r -- � ---- ----
pr p rty g taxes.For more informationto Save Our Homes and our L a oris Amt
certified In October,but include anyofficial changes made after certification Learn how the Property Appraiser's ;284,160.00 'Tee below
Office values paperty., -.
Taxable Values and Exemptions-In Progress L
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 Taxahle Value S]RWMD/FIND Taxahle Value School Taxahle Value
No applicable exemptions No applicable exemptions No applicable exemptions
Sales History -
Book/Page Sale Date i Sale Price :Deed Instrument Type Code Qualified/Unqualified i Vacant/Improved 1
17808-00212 11/23/2016 :$360,000.00 I SW-Special Warranty Qualified Vacant
00067-00052 7/16/2014 '$100.00 i PB-Plat Book I Unqualified ;Vacant I
Extra Features r
No data found for this section
Land&Legal r
Land Legal
LN Code Use Description Zoning Front Depth Category Land Units Land Type Land Value I 1 LN I Legal Description I
1 0150 RES GOLF LD 3-7 UNITS PER AC ASPA 80.00 120.00 Common 80.00 Front Footage $330,240.00 I '1 67-52 08-2S-29E I
2 1 ATLANTIC BEACH COUNTRY CLUB UNIT 01 I
3 l LOT 178 I
Buildings
No data found for this section
Luz Notice of Proposed Property Taxes Notice(TRIM Notice)
Taxing District Assessed ValueExemptionsTaxable Value Last Year Proposed Rolled-back
Gen Govt Beaches $284,160.00 $0.00 $284,160.00 $2,412.76 $2,316.24 $2,197.24
Public Schools:By State Law 1$284,160.00 $0.00 1$284,160.00 i$1,347.98 $1,203.99 ,$1,227.14
By Local Board $284,160.00I
y i $0.00 i;284,160.00 ;;665.41 $638.79 $605.77
FL Inland Navigation Dist. ($284,160.00 -$0.00 $284,160.00 :$9.47 1$9.09 $8.52
Atlantic Beach 1$284,160.00 $0.00 i$284,160.00 '$955.64 I$917.41 i$871.86
I Water Mgmt Dist,SJRWMD '$284,160.00 $0.00 $284,160.00 I$85.40 $77.41 I;77.41
Gen Gov Voted $284,160.00 $0.00 $284,160.00 $0.00 $0.00 i$0.00
j School Board Voted $284,160.00 I$0.00 $284,160.00 1$0.00 $0.00 I$0.00
Urban Service Dist3 $284,160.00 1$0.00 $284,160.00 j$0.00 $0.00 I$0.00
ITotals 1$5,476.66 $5,162.93 I$4,987.94
lust Value Assessed Value Exemptions 'Taxable Value
Last Year $296,000.00 i$296,000.00 $0.00 $296,000.00
Current Year $284,160.00 $284,160.00 $0.00 '$284,160.00
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.
2017
2016
2015
•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 hi pr�pgrjy on Gooale Macs I amity Fees Record
https://paopropertysearch.coj.net/Basic/Detail.aspx?RE=1695051140 1/1