1925 W SEVILLA BLVD DOORS PERM RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0017
ISSUED:
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES:
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1925 W SEVILLA BLVD RESIDENTIAL ALTERATION replace entry doors $2198.00
RESIDENTIAL
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CD-
CONSTRUCTION: NUMBER. GROUP:
SEVILLA GARDENS UNIT
1694620165 01
x
COMPANY: ADDRESS: CITY: STATE: ZIP:
GEORGE BURTON 1SUNNYRD ORMOND BEACH FL 32174
CONSTRUCTION INC
OWNER: ADDRESS: CITY: STATE: ZIP:
GROFF HARRY J 1925 SEVILLA BLVD W ATLANTIC BEACH FL 32233-4578
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $6S.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
I STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
Issued Date: 1 of 2
RESIDENTIAL PERMIT PERMIT NUMBER
-0017
CITY OF ATLANTIC BEACH RES19
ISSUED:
800 SEMINOLE ROAD
EXPIRES:
ATLANTIC BEACH. FL 32233
TOTAL $101.570
Issued Date: 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
!)!�t E-mail: building-dept@coab.us L alt route&
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: &I uA 16W PeUartment review required Y -No
Building __) _7
Applicant: 0J,tb n 0-c f i's —Pla—nning &Zoning
Tree Administrator
Project: 0U C LamNi 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:
APPLIS,ATION STATUS
Reviewing Department First Review: EYApproved. LIDenied. ONot applicable
(Circle one.) Comments:
(2��
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: []Approved as revised. D nied F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. F]Denied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
f 4,(tA
THIS APPLICATION IS TO REPLACE THE ORIGIPIAI- PERMIT #RES1 8-0092 u 1�_
OFFICE Copf uilding Permit Applicatilol 9 0- a � � AnihnLated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-S826 Fax:(904)247-5845
Job Address: 1925 W. SEVILLA BLVD., ATLANTIC BCH, FL 32233 Permit Number:
Legal Description 45-6 08-2S-29 E SEVILLA GARDENS UNIT 01 LOT 12 RE# 169462-0165
Valuation of Work(Replacement Cost)$ 2198 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 J A N 1 6 2019
• 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:
REPLACE FRONT ENTRY DOORS - SIZE FOR SIZE
Florida Product Approval# FIL# 13541.6 --for multiple products use product approval form
Property Owner Information
Name: GROFF HARRY J & MOLINA AIXZ D ESTEVEZ Address: 1925 W. SEVILLA BLVD.
city ATLANTIC BEACH State FL zip 32233 Phone 904) 333-1078
E-Mail
Owner or Agent(if Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: GEORGE BURTON CONST. INC.—Qualifying Agent: GEORGE BURTON
Address 1 SUNNY RD. citv ORMOND BCH state FIL zip 32174
OfficePhone 386) 676-2837 Job Site/Contact Number 386) 76-2837
State Certification/Registration# CGC1515993 E-Mail GBURTON480(CDAOL.COM
Architect Name&Phone# N/A
Engineer's Name&Phone# N/A
Workers Compensation N/A + wk—A C-4
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 ORAN AT-TORN BEFORE
RECORDINGYOUR MMENCEMENT. i7
I
LMnature of6wner/or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before me this 28th day of
5kVAR%�_, .2e)lq by PARPI-1 6.RQF1::: December , 2018 by GEORGE BURTON
I A-
-(SignatX,!�15�Notary) (Signlyre of Notary)
]Personally Known OR SHELLEYAJARLIS
I)d Personally Known 131,0
W
BRUNO EMANUEL SANGSTER LN
[-,rP'roduced Identificati �N". Produced Id?ntific Cwvnbft#GG 2=7
Notary Public-State of Florida
EVka Sepbmber 8,
Type of Identification: CC;14)R77 Type o Identifil
-IM WIN
OWN 11111 IMF I
My Comm.Expires Sep 13,2021
'Propery Appraiseli-- PropUty Elictails Fage I ot z
Primary Site Address Offidal Record Book/Page ift—S
,GROFF HARRY 3 1925 W SEVILLA BLVD 15634-01015 08
1925 SEVILLA BLVD W Atlantic Beach FL 32233 OFFICE COPY
ATLANTIC BEACH, FL 32233-4578
MOLINA AXXA D ESTEVEZ
1925 W SEVILLA BLVD Value
Property Detall.... 122*—
U_C6nftd
16946Z-0165
imeitf;��. MA CAMA
Total Building Value 1$728,189-00 S22b.169-00
Diou Single Family
extra Feature value $1,414.00 $1,256.00
of buildings
Land Value(Ilarket) $130,000.00 $130,WO.00
1 For full legal description see -
Legal Desc. Land&Lqai section below Land value(Agidi:j $0-100 $0-00
$357,425.00
04481 SLVILLA GARDENS UNIT 01 Just(Market)Value I$21S9,60.00
Assessed Val $Z138,155.00 $2881/bS.00
Area 104Z__ —--— r I
Cap Diff/Portability Amt IS70,848.00/$0.U0 jj�L6?pq�_/
I he sale of this property may reyult In higher property taxes.tv more information 90 _r.,00
to save Out Holmes and our Property Tax Estimator.'In Progress�property values, $55,OUO.()o I See below
exemptiuns and other supporting Information on this paqe are part of the workJng tax 1. - ---,
Taxable Value see below
roll and are rubject to change.Certified values listed in the Value Summary are those
Lfftffled in October,but may Include any official changes made after certification
Learn how the PropqM ADDrnL%er:j.C1ff1ce values prunertv.
Taxable Values and Exemptions—In Progress
7f there are no exemptions applicable to a taxing authority,the Taxable Value is the siame as the Assessed Value listaid above In the Value
Summary box.
County/Munlcipal Tax8ble Value SJRWMD/FIND Taxable Value School Taxable Value
Assessed Value $288,75S.00 Asse ed.Value $j"%/S5.00 Assessed Value $288,755.00
....................................... ............................................. .................................. S251OU0.00
lionnestead(HX) �217-etl d -$2S,000.00 Homestead(HX)................... ......................
I.................................................... �� .� ).—.............. .......
liorrestead Banding 196.031(l)(b)(HO) Homestead Banding 196.031(i)(b)(HB) Tot(Perm/Vet$S,000[VT)195-24[V0-$5,0110-00
$25,000.00 ;
.....................................................I...................VY?.q.-.T ...................................................................................... Taxable Value $258,755.00
TotIvermlVell:$5,000(VI)196.24(VT) -$5,000.00 Tut/Perm/Vet$s,oao(w)19b,24(VT) $5.000AKI
..........–................................................................................... ............I............................................... ---.............
Taxable Value $233,755.00 Taxable Value $233,755.00
Sales Hild Ury
vacantlimproved
Book/Page sale DOW Sale Pl
6/lS/2011T improved
$VJ23,500.00 WD-Warranty Deed Qualified
Qualified Imptovud
10384-0113 2/22/2002 $3111000-00 WD-Warranty Deed Improved
107740-Oli7b 12J1711993 $175,000.DO WU-Warranty Deed Qualified i I
13/g/19go $205,000-00 WID-Warranty Deed Qualified Improvta
06611-00677 11/12/1999 $280.0DODO I WD Warranty Veed Unquollned Vacant
Extra Features ...........
LN feature pescirlption Width Total Units
10 0 1.00 $840.00
Fireplace'Prefab
.FPPR7
1 0 1.00 1$416.00
2 FPAR7 FP Prefab Addt 10
Land Legal Lecial
Land
------ --Land LN I Legal Description
Lauu; Imand
LN. Use Peacriptloni zwInG.1 category Units TIM value I SEVILLA,GAR,DENS,L---
115-6 00-?S-29E
1 0100 RES LD 3-/UNIITS PER APUD 10-00 0.00 Common 1.00 Lot S13o,C)OO.Do 1 1NlT 01
AC 13 LOT 12
Builldings:—;
Building I .......
Building I Site Address Delliall
1925 W SEVILLA BLVV Unit Code
--r66 16 Frame Stucco
Atlantic Ideach FL 32233 tMenor Wall 1
Roof O'bruLt 3 (3 Gable or Hip
Building Type (1103 Sr-RSPI-11-11-1-17VIEf. Roofing Cover 3
3 Asph/Comp Sling
Year Built 1989 interior Wall
5 Drywall
Building Value
http://apps.co.i.net/PAO Property Search/Basic/Detai1.aspx?RE=-1694620165 12/5/2017
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property Appraiser-Property Details UFFIGE COPY Page 2 of 2
$21153,169.00 Int Flooring 14 14 carpet
Int Flooring Q 12 Hardwood
Heated 6"Me 4 4 Electrit:
HeaWQ Ftiel
Heating Type 4 4 Forced-Ducte
per 3 Central
Flni;i�d u"p' Air Cond
1 745 1 745 709
story I i —-7.
Base Area '65' 1652 1 1652 Code 1
5C) ElMernnWent 117
Fin screened
Porch 1 0 Stories 2.00n
Bedrooms 3,D011
e
Finish d Open 10
P b 34 10
arc Baths 2.500
Unfinished Rooms/Units 1.UljU
Garage 420 0 189
i.Total 2994 1.2397 12609 1
2217 Nf$ice of PL22omd PrepgaX Tax ffRim Notic
- exemptlo"I Taxable Value Laillit Year Roliled-bark
Taxing Distri Amassed VaILIS
..........
$5 5.0 $1856.97 $1,9M.38 $1,807.49
Gen Bea0eg $288,755.00
Public Schools:By State Law $288,755.00 $30,000.00 $2S8,755-00 1$1 151.32 1$1,096.34 $1-117.43
I ' $551.61
By Local Board $268,755.00 $30,f=.00 SZ58,755.0 $568.33 $581,613
$7.48 $7.01
FL Inland Navigation Dist. $2tly./bIJ-00 $55'a0a.0f) $233,755.00 1$7.29
Atlwftic BeaCh $288,755.00 $5s,000.00 $Z33,755-00 $735.50 $754.68 $717.21
$55,000-00 $65.72 $63.67 $6j.6/
water Mgmt Di5t.SIRWMD $288,755-00 $233,755.00
Gen Gov voted S288,755.00 $55.000.00 $733,755.00 SO.00 $0.00 $0.00
School Board Voted $288,755.00 $30,000-00 $258,755.00 $0.00 $0.00 $0.00
$0.00 $000 $(100
Urban Service Vlst3 $288,755.00 $55,000.00 $233,/b5-00 I -
Totals $1,385.13 1$4,409.23 51"264.42
Just Value a
S55,009M $227,816-00
na Tax"
Current Year $30,603.00 $288,75S.00 $55,000.00 S233,755.00
2017 TRIM Prop%ft ReCM1111 Card(PRO
This PRC repects property details and values at the time of the original Mailing of the Notices of Proposed Prop"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.
2W
To obtain a historic Property Record Card(PRQ from the Property Appraiser's Office, submit your request here,
More Information
,onlaul,U9 I Parcel Tax Record I GIS M I Man this urogerty on Google Maps I Qtv Fees Record
http://apps.coj.r)t:VPAO_PropertySearcb/]3asic/Detail.aspx?RF---1 694620165 12/5/2017
Wtr d << L Ud 90: LL LO-Z�-LLOZ
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORI DA
Project Name: GROFF, HARRY& MOLINA AIXA D. ESTEVEZ Permit # i2&S/9- 0017
Project Address: 1925 W. SEVILLA BLVD. ATLANTIC BEACH, FL 32233
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 may be obtained at:www.floridabuildinQ.- rg.
Category/SubcateLyory Manufacturer Froduct Description Limitation of Use State# Local#
A. EXTERIOR DOORS
1. Swinging
2. %MSS SWINGING JELD-WEN EXTERIOR DOOR FL 13541.6
3. Sectional
4.Roll up
5.Automatic
6.Other
B.WINDOWS
1. Single hung
2.Horizontal slider
3.Casement
4.Double hun,-,
5. Fixed
6.Awning
7. Pass-through
8. Projected
9.Mullion
10. Wind breaker
11.Dual action
2. Other
Category/Subcategory -1-Tanufaettirer Product Description Limitation of t�se State Loca I
H.NEW EXTERIOR
L.N VhLOPE 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.
(Contractor Name) (Print Name) (Signa-tu
Company Name: GEORGE BURTON CONSTRUCTION INC. /GEORGE BURTON
Mailing Address: 1 SUNNY RD.
City: ORMOND BEACH State: FL Zip Code: 32174
Telephone Number: (386 676-2837 Fax Number: 386 ) 672-2897
Cell Phone Number: E-mail Address: GBURTON480@AOL.COM
OFFICE COPY
ff-3 C GEORGE BURTON
-i3COCOISTRUC
NSTRUCTION
P.O. Box 731956
Ormond Beach, FL 32173-1956
Phone: (386) 676-2837
Fax: (386) 672-2897
License# CGC1515993
www.i!eorf!ebu i'tonconstruction.com
December 28, 2018
Harry& Molina Groff
1925 W. Sevilla Blvd.
Atlantic Beach, FL 32233
RE: Pennit#RES18-0092
Dear Harry& Molina:
I have enclosed a new permit application that needs to be signed and notarized by you.
This must be obtained immediately so that the required inspections can be completed to
avoid action by the Atlantic Beach Building Dept. This will replace your expired permit
# RES 18-0092.
Once the permit application has been signed and notarized, please forward to Atlantic
Beach Building Department in the enclosed postage paid envelope.
Should you have any questions or need further information, feel free to contact my office.
Sin ly,
SheI eyy Tarus
Permit Technician