331 4TH ST RES19-0093 WINDOWS/DOOR PERM .........
RESIDENTIAL Pi RMIT PERMIT NUMBER
SO RES19-0093
CITY OF ATLANTICBEACH
ISSUED: 3/29/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 9/25/2019
MUST CALL INSPECTION PHONE LINE (904) 247
ALL WORK MUST CONFORM TO THE CURRENT 61
CODE.- NEC, IPMC, AND CITY OF ATLANT,
ALL CONDITIONS,OF PERMIT APP�,
NOTIC : In addition to the requirements of this permit,there may be additional restrictions appiicable 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 igencies,or federai agencies.
JOB ADDRESS: PERMIT VALUE OF WORK:
WAIrm,
331 4TH ST RESIDENTIAL ALTERATION 10 WINDOWS & ONE DOOR $8463.00
RESIDENTIAL
4,
TYPE OF REALESTATE I BUILDIIN� USE I
.1 ZONING-j SUBDIVISION:
CONSTRUCTION: NUMBER: GRO
QqP
1698340100 ATLANTIC BEACH
COMPANY: ADDRESS: ',,STATE: ZIP:
HOMERITE WINDOWS AND 4801 Executive Park CT IN JACKSONVILLE FL 32216
DOORS
OWNER: ADDRiss:
HEWITT DIANE M 331 4TH ST ATLANTIC BEACH FL 321233
WARNING TO OWNER: YOUR FAILURE TO RECORD A l�OTICE 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 LE NDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Roll off container company must be on City approved list conta'.rier cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-100C 0 $9S.00
BUILDING PLAN CHECK 4SS-0000-322-1001 0 $47.SO
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $146.64
Issued Date: 3/29/2019 1 of 2
IV City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
y 800 Seminole Road
Atlantic Beach, Florida 32233-5445 a S C)C)q �5
Phone(904)247-5826 - Fax(904)247-5845
-mail: building-dept@coab.us routed:
E ,L__�ate (IS) !
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
S— ( 'I il _Q&paFtmpnt review required Yes/rNo
Property Address, 26 :!q — '�_ I - (I Building-,)
Applicant: o a�c, 2 1 r r, A-) 'Pfaffning-&Zoning
Tree Administrator
Public Works
Project: 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: KApproved. [-]Denied. E]Not applicable
(Circle one.) Comments:
C:���
PLANNING &ZONING Reviewed by: Date:
4
TREE ADMIN. Second Review: DApproved as revised. []Denied. V []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. E]Denied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
OFFICE COPY
Building 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 RES q C)Cq 3
,3 ,5
Job Address: S4- A I 10tA Wc- R e-ac, FL, 'Permit Numbe,�:
t C, a-V�W
Legal Description RE# i613 — 0100
Valuation of Work(Replacement Cost)$ SIG, Heated/Cooled SF Non-Heated/Cooled 1.qG��_ 43
LUJ
Class of Work(Circle one): New Addition Alteration Repair em' Pool WiQw/Door
r'l
Use of existing/proposed structure(s)(Circle one): Commerci M v De Q--"' Z:
a I Resiid 2ntiaL_-� _J Z
I < 0
If an existing structure,is a fire sprinkler system installed?(Circ e one Yes No �AD Z P:
0 Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal 0
Itt r% UJ
Describe in detail the type of work to be performed: 0 W
IL) a
W
Lj In do Cknj Cjoc� (-I J-L e j'z, e_ n
Florida Product Approval# for multiple products use product appr&I;Rrk? :Z�
_J 0
�tj, Co I.-
Property Owner Information N �_,I II-- Z
Name: 1p,-ct n c- R e,,.j % f Address:_2�2 kr 0 5 111
City A+I CA A -e—Ct C In State Zip Phone 90 a�il X
... W
LJ
E-Mail fit FL C—C M
§ 1= W Z a
Owner or Agent(if Agent, Power of Attorney or Agency Letter Required) lil C3 IAJ
LU U 1:0 W 3:
Contractor Information
NameofCompany: k.,)j'A -Sk Q20 0 Qualifyin Agent: C9- &Cbrm 01
Address I-J891 r y_ -
[F�� Zip 3
Office Phone'10 ';_Ct(e Job Site/Contact Number
State Certification/Registration#Ir-64(_ (5 2-�?Z:1 E-Mail CAdko a..A (0"&J:Ua US& 0 r'�210
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
(Signature of Own r r A e t) (Signature
of Co
(includin 0 t
g /b i s m
SiWed and sworn to(or affirmecd) _Lqday of SiFno and sworn to(or affir e di) �Id 0
Ad),_aAlv &(9 by by
r f
tary Public State of Florida ;��' Ic Stete of FWda
No Peter T Ruvarac
]Personally Known OR Peter T Ruvara'c Z My Commission GG 107902
-? %OF Expires 05/24/2021
My Commission GG 107992 Personally Known OR
t�f'roclucecl identification Expires 06124/2021 Produced Identification
Type of Identification: - R I K I Type of Identification:
1-4 cht5 Y,
NOTICE ll� czmENT OFFICE COPY
Tax Folio No.
Permit No. county of
State of Florida
To whom It may concern:
The undersigned hereby Informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information is sMod In this NOTICE OF
COMMENCEMENT.
Legal sciription of property being Improved:
L
-?'2 S +
Address of Property being improved: Ll
General description of improvements: Replacing wi dows doors. Size for size.
Owner
-I Tr- L 3,* 24
Address 3 i
Owner's interest In she of the improvement Primary residence
Fee Simple Titleholder(if otter than owner)
Name
Address
Contractor Hornerite Windows and Doors
Address 4801 Execufive Park Court Bldg.200 Sufte 200 Jacksonville,Fl.32.216
Phone No.904-296-2515 Fax No.904-296-2528
Surety(if any) Amount of bond$---
Address
Phone No. Fax No.
Name and address of any person 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 Nmseff,designated by owner upon Wt'0m notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the k4lowing person to receive a copy of the Lienor's Notice as Provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No, (4 0
Expiration date of Notjoe of Commencement(the expiration dale is one(1)year from the date of recording unless a
03
different date is specified):
0 0
THIS SPACE FOR RECORDEWS USE ONLY OINNE� At 6)
G1
DATE
t j0?
in V*
8ekwe rne thIs day of 0
i 8707 Pagel 088, appeared
Doc#2019049141 OR 8K county of Duval of FOMO.has
t herein by
Number Pages: WW decierabons herein
Recorded 03104/2019 04:33 PM, hirrm*Wherselfandefs., trwaustuleffents
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL are tim and a te
'TIM
COUNTY
RECORDING $1000
county of
of
Personainy Known
Produced iditnescabon
OFFICE-CUPY
PRODUCT APPROVAL INFORMATION SIBEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: Permit # 9 -00 91-7
Project Address: k-L2-"�L &(AA r�- Z,
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-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: ..floridabuilding, 179-
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
L Swinging
2. Sliding
3. Sectional
4.Roll up
5.Automatic
6. Other
li-WND—OWS
1. Single hung
L
2.Horizontal slider Q
3. Casement ZJ 4.,Ty,
4.Double hung
5.Fixed
6.Awning
7.Pass-through
8.Projected
9.Mullion
10-Wind breaker
11.Dual ac ion
OFFICE COPY
2. Other
4ffait�go --ulica—teg-ory
anufacturer Prod uct—Description
4mitation of Use
11.-NEW EXTERIOR # Local#
ENVELOPE 0 s
PRODUCTS
2.
Contractor shall maintain on the job site and available to the Inspector, a legible m
In addition to completing the above list Of manufacturers, product description and State appr*oval nu ber for the products used on this project, the
instructions along with this Product Approval Sheet. copy of each manufacturer's printed specifications and installation
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 Narne) (Print Name) (Signature)
Company Name:
Mailing Addi ess:
!21
city:
StateLJ C-(–=Zip Code:—L-U4,�
14cple�_ =Ctc
Telephone Number: ((k ---_Fax Number:
Cell Phone Number: -----------
Address:
2/12/2019 Property Appraiser-Property Details
Finished Garage 279 0 140
Total � 2240 1729 1901
2018 Notice of Proposed Propem Taxes Notice(TRIM Notice)
7M.7i.9 D i AssessW Value Exemptions Taxable Value Last Year proposed lkollled-;;c�k
Gen Govt Beaches $317,764.00 $50,000.00 $267,764.00 $2,197.12 $2,182.60 $2,D47.08
Public Schools:By State Law $317,764.00 $25,000.00 $292,764.00 $1,247.99 $1,184.23 $1,171.44
By Local Board $317,764.00 $25,000.00 $292,764.00 $662.14 $658.13 $621.51
FL Inland Navigation Dist. $317,764.00 $50,000.00 $267,764.00 $8.63 $8.57 $8.09
Atlantic Beach $317,764.00 $50,000.00 $267,764.00 $870.23 $864.48 $810.04
Water Mgmt Dist.SIRWMD $317,764.00 $50,ODO.00 $267,764.00 $73.42 $68.60 $68.60
Gen Gov Voted $317,764.00 $50,000.00 $267,764.00 $0.00 $0.00 $0.00
School Board Voted $317,764.00 $25,000.00 $292,764.00 $0.00 $0.00 $0.00
Urban Service Dist3 $317,764.00 $50,000.00 $267,764.00 $0.00 $0.00 $0.00
Totals $5,059.53 111 966.61 1$4,726.76
Just Value Assessed Value I Exemptions Taxable Value
Lost Year $375,092.00 =A$319,545.00 $50,000.00 $269,545.00
Current Year $317,764.00 $317,764.00 $50,D00.00 $267,764.DO
2018 TRIM Property ecord 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.
2018
2017
2016
2015
2014
To obtain a historic Property Record Card(PRQ from the Property Appraiser's Office,submit your request here:
More Information
ontact Us I Parcel Tax Record I GIs Map I tLap Lhis p operty Goggle Map Record
L__gn_ .1 gV E2M_
hftps://paopropertysearch.coj.net/Basic/Detail.aspx?RE=l 698340100 2/2