175 BEACH AVE RES19-0070 WIND/DOOR PERM RESIDENTIAL PERMIT PERMIT NUMBER
-0070
RES19
CITY OF ATLANTIC BEACH
ISSUED: 3/26/2019
800 SEMINOLE ROAD
EXPIRES: 9/22/2019
ATLANTIC BEACH, FIL 32233
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:
175 BEACH AVE RESIDENTIAL ALTERATION NEW WINDOWS AND DOOR $7000.00
RESIDENTIAL
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: i NUMBER: GROUP:
1703141020 SHORECREST
CONDOMINIUM
COMPANY: ADDRESS: CITY: STATE: ZIP:
HOMERITE WINDOWS 4801 Executive Park CT N JACKSONVILLE FL 32216
AND DOORS
OWNER: ADDRESS:
CITY: STATE: zi
MATHENEY JOANNA L 175 BEACH AVE 10 ATLANTIC BEACH FL 32233-5212
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 $90.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 3/26/2019 1 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
CL 7
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 z_/
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 -7s )V&- Dqpartment review required Yes -No
Cuilding--)
PT5
Applicant: AD�b(:)CA 'Tm� &Zoning
I ree Administrator
LAD - Public Works
Pro ect:
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: MK P"'P-r o v e d. ElDenied. D Not applicable
(Circle one.) Comments:
PLANNING &ZONING
Reviewed by: Date: Z
4
TREE ADMIN. Second Review: DApproved as revised. DDenied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. [-]Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
OFFICE COPY
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 e Fax: (904)247-5845
Job Address: AV me I'D Perinit Nurnber:RSSICA -007C
Legal Description 1�2 -1_5 e tvw LLMR g rf to q
Valuation of Work(Replacement Cost)$ :jecjsC —Heated/Cooled SF Non-Heated/Cooled 1-22
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool
• Use of existing/proposed structure(s)(Circle one): Commercial 1 6siden�tia
• If an existing structure,is afire sprinkler system installed?(Circle one): iFz N/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:
(fla, ZA���
Florida Product Approval# 1:114�ISZ�.�ffple products use product approval form
Property Ownei
111-
Nanie: ;"14 A L�, Address: &ar"a_ -,&(D
city Wk, AfLk& State kZip_ILLIL-7Phone tL�
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Reqiredh -.Zr
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 NOTffE OF COMMENCEMENT.
Contractor Information:
Name of Comn-ginv- I
Q kk) OD� —Qualifyin ent:
F Ld(I f# PL& city ;�r&.,o State Ziv ri," jzlul�;
Address: OFLd6to
Office Phone 9nCj— 7, Job Site/Contact Number-
State Certification/kegistration-# -C 6 C_ �-t ZA Z=:l E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated I cer!t&that no work or installation has commenced
risdiction.
ned r a
BeforS,me
this :> Day f Before me this—Day of
ROYAL GATES DEAREN III YA
commis L GATES DEAREN III
sion#FF 190928
Notary Public: N tary Public: i omm ssion#EE-1 90928
Exp ies may 20,2019
Bonded Ttwu Twj Fain Insumnes OMM385-7019 xpires May 20,2019
Bonded Tfvu Troy Fain Inurance OMM
1P &70ig
I hereby certify that I have read and plic a t on and know the same to be true and co -0-9
�p _tin�of a permit does not
p
ordinances governing this type o work will be complied with whether specified herein or not. Yhe gran
presume to give authority to vioraie or cancel the provisions of any otherfederal, state, or local law regulating conshoction or the
performance ofconstruction.
Rev.3/14/16
OFFICE COPY
PC rnii ee5SIq
NOTICE OF COMENCEMEENT
State of
County of
Tax Folio No.
To Whom It May Concern:
The undersigned
hereby informs you that
1mprOvemcnts will be made to certain real property,
the Florida Statutes,the following information,i's and in accordance with Section 713 of
stated in this NOTICE oF!QOWMNCE
e MENT.
Legal Description OfProperty b 4 improved:
7,1?1'--
aw to
Address ofproperty being improved:
General description of improvements:
I i-&iTIAI�j
Owner. Ad�dremss: . ..........
Owner's interest in site of the improverrienri 11-
Fee Simple Titleholder(if other than owner):
Name:
Contractor: >
Address: U
Telephone No.:
Fax No:
7,(a�
Surety(if any)
Address:
Amount ofBond$
Telephone No:
Fax No:
Name and address Of anyPerson 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 designate"he f011Owing person to receive a copy of the Li
713.06(2)(b),Florida Statues. (Fill in at Owner's option) enOr's Notice as provided in Section
Name:
Address:
Telephone No: FaxNo:
Expiration date of Notice of Commencement(the expiratiou date is
specified): one(1)year from the date Of recording unless a different date ir,
TMS SPACE FOR RECORDER'S USE ONLY oWNER
Signed64
1.il, ROYAL GATES DEAREN III Before' I
Ino uus day of D�val,State.
da,has pemonall
appearwe
Expires ay Pemonally Known:
ission#FF 190928 Of Fjori
"TT M 20 209
E'v -
,,,5 Sld�d Th,Tmy Fin ins.wc-
Pwduced Id 'fi or
3enti
Nobuy Public.
Doc#2019044591,OR BK 18701 Page 1449, mmission expires:_
Number Pages: 1
Recorded 02/27/2019 08:20 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
2/7/2019 Property Appraiser-Property Details
MATHENEY JOANNA L + Primary Site Address Official Record Book/Page Tile#
175 BEACH AVE 10 175 BEACH AVE 10 06710-00958 OFFICE COPY 9416
ATLANTIC BEACH, FL 32233-5212 Atlantic Beach FL 32233
175 BEACH AVE
Property Detail Value Summary
RE# 17031+1020 2018 Certified 2019 In Prog
,Ta-x,District USD3 Vallue Method Condo Condo
PMpeft I!M 0400 Residential Condo Total Building Value $235,000.00 $235,000.00
*of Buildings 1 Extra Feature Value $0.00 $0.00
Lepi Desc. For full legal description see Land Value(Market) $0.00 $0.00
1 Land&Legal section-below tKAMR-1 LISIA9 rw_.) $0.00 $0.00
NbAMslon 03725 SHORECREST CONDOMINIUM 3ust(Market)Value $235,000.00 $235,000.00
Total Area 10 Value $140,074.00 $142,735.00
The sale of this property may result in higher property taxes.For more information go to Save Cap Dillf/Portablillity Amt $94,926.00 1$0.00 $92,265.00/$0.00
Our Homes and our Pro rty Tax Estimator.'In Progress'prop"values,exemptions and $50,000.00 See below
other supporting information on this page are part of the worldrig tax roll and are subject to
change.Certified values listed in the Value Summary are those certified in October,but may Taxable Value $90,074.00 See below
include any official changes made after certification Learn how the Pro Appraiser's Office
values pLoperty.
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 SIRWMD/FIND Taxable Value School Taxable Value
Assessed Value $142,735.00 Assessed Value $142,735.00 Assessed Value $142,735.00
.......... .................................................................................... .......................................................................................................... ................................................................................................................
.................* * **'**** **"**'
Homestead(HX) $25,000.00 Homestead(HX) -$25,0130.00 Homestead(HX) -$25,000.00
........... ...........* * *"** *................................................................... .....................................................................................................
Homestead Banding 196.031(l)(b)(HB) $25,000.00 Homestead Banding 196.031(l)(b)(HB) -$25,DOO.00
........ ...................................... ........................................................................... Taxable Value $117,735.00
Taxable Value $92,735.00 Taxable Value $92,735.00
Sales History
Book/Page Sale Date Sale Price Deed Instrument Type_��ode _Qualified/Un ualified Vacant/Improved
06710-00958 5/1/1989 1$100.00 QC-Quit Claim Unqualified Improved
08128-00469 7/7/1995 $100,000.00 WD-Warranty Deed Qualified Improved
08436-01577 9/11/1996 $111,000.00 WD-Warranty Deed Qualified Improved
Extra Features
No data found for this section
Land&Legal
Land Leqal
No data found for this section FLN Legal Description
1 16-2S-29E
2 SHORECRIEST CONDOMINIUM
3 DWELLING UNIT 10
4 O/R 5S86-2033
Condominiums
Condominium Details
Complex Shorecrest
..................11.......... .............................................................................
gnit_TyRa FLT/PLUS/BLDG 4
............................................ ........ ............................................................................
View Ocean View
................................................................................... ........................................................................................
Beds 1
.......................... ........................................................... ..........
Baths 1.0
.............I............................................................. . ................. .......
..................................................Arneriffla
Amenity Units 1.0............. . . .
Buildings
Building 1
Building 1 Site Address liable
175 BEACH AVE Unit 10 No information ava
Atlantic Beach FL 32233
No Information available
1: Building Type 0401-CONDOMINIUM
Year Bulk 1977
Building Value $235,000.00
https://paopropertysearch.coj.neVBasic/Detail.aspx?RE=l 703141020 1/2
OFFICE COPY
PRODUCT APPROVAL INFORMATION SIBEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name:
Permit #
Project Address: to
As required by Florida Statute 5 5 3.842 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
piloduct approval may be obtained at: www.floridabuilding. F9.
Category/Subcategory_�._ Manu6c—turer Product Description Limitation of Use State Local#
..............
A. EXTERIOR DOORS
1. Swinging
2. Sliding
j. Sectional
4.Roll up
5.Automatic
6. Other
B. VVT14DOWS
1. Single hung
2.Horizontal slider
3. Casement
4.Double hung
5.Fixed
6.Awning
7.Pass-through
8.Projectei
9.mullion
10- Wind breaker
11.Dual adf6n
OFFICE COPY
2. er
'--�IlcgOrY/Subcategory
TviLanufacturer Produ�etDe _
scription Limitatio—
lu.-NEW EXTERIOR n of Use State# Local
ENVEILOPEPRODUCTS
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 inaintain 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)
Company Name: (Signature)
Mailing Address:_ L—Lacut op aL�
City:— Lit,
Telephone Number: State Zip Code:--TO&
—Fax Number:
Cell Phone Number: —E-mail Address:
ldotWAQ�rt4-,* QP,a4