975 Sailfish Dr RES19-0209 2 Win PERMIT NUMBER
RESIDENTIAL PERMIT
RES19-0209
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 7/10/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 1/6/2020
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:
975 SAILFISH DR RESIDENTIAL ALTERATION 2 WINDOWS $4307.00
RESIDENTIAL
TYPE OF REALIESTATE ZONING: BUILDING USE SUBDIVISION:
NUMBER: GROUP:
CONSTRUCTION:
1712590000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
FHIA, LLC 3040 SW 42ND ST HOLLYWOOD FIL 33312
OWNER: ADDRESS: CITY: STATE: ZIP:
BONI RITA P 0 BOX 331518 ATLANTIC BEACH FL 32233-4218
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.
-A
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1 00 0 $75.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.SO
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $116.50
Issued Date: 7/10/2019 1 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
00 Seminole Road
R C)z C)C�
tlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 7/ 2 -9
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
S S: C1 (-7- _Vepa�rtment review required Yes ,'No
Property Addre -:D -Buildinp
Applicant: __Pfe6ning &Zoning
Tree Administrator
Pro'ect: Ao
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:
APPLICATION STATUS
Reviewing Department First Review: [YApproved. []Denied. E]Not applicable
(Circle one.) Comments:
(EE�)
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. U
Second Review: DApproved as revised. FIDenied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. FIDenied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 0511912017
Building Permit Application Updoted 1019118
City of Atlantic Beach Building Department OFFlut Go4y*ALL INFORMATION
HIGHLIGHTED IN GRAY
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address:61 fl,3]03 Permit Number: R
Legal Descriptio6,11-1,y 1-7 -XIF a-A pe.-�:k y0yo L04-i4a 13)1"(0 RE#
Valuation of Work(Replacement Cost)$ 1/&):7 Heated/Cooled SIF Non-Heated/Cooled
ClassofWork: ElNew ElAddition DAIteration DRepair OMove DDerno E]Pool E�Winclow/Door
Use of existing/proposed structure(s): DCommercial ),Residential
If an existing structure, is a fire sprinkler system installed?: E]Yes ONo
Will tree(s)be removed in association with proposed pro*ect? Dyes(must submit separate Tree Removal Permit) ONo
Describe in detail the type of work to be performed:
�,�C-— -Z 17 �- (--\�V-,A c,—,.. c-, S c-&—,
Florida Product Approval# Euf(alrl�(n for multiple products use product approval form
Property Owner Information
Name li��, -z0'e, Address 0-15- vv-
City_P*L=n_"(_ bet-1-c'k State Z i p 3 4�1 Phone C100-2t?'C6 1
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company f�A�ow_Lc Qualifying Agent krry44-
Address9D!J(i fiL,) U,):r�d ai city 1;�,r+Lck".erkie State F1 Zip :3 3�5 G
Office Phone�f�-:7_eag�-Ll q 15- Job Site Contact Number LIC.,'l -4iACi-'V,0
State Certification/Registration#CGICIO 6 E-Mail
Architect Name&Phone# L,(V�t,:6-
Engineer's Name&Phone# cj�
Workers Compensation Insurer 0 0 11) OR Exempt o Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or in'stall;tMI 4*0 N
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws rq6I9tJng:
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,:2 W
WELLS, POOLS,FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirernQ1
permit,there may be additional restrictions applicable to this property that may be found in the public records of this cogtQaj(i
there may be additional permits required from other governmental entities such as water management districts,state aZn tTs&1Z3 4!=�
federal agencies. 0 < 0 .4
1,.. 0 _J U.
OWNER'S AFFIDAVii�I certify that all the foregoing information is accurate and that all work will be done in compliance rdtl!�lv
applicable laws regulat'ing construction and zoning. 0 ;-: Q
U. U. ;a
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M4 CLUL (wr ffii:
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I g
8f 1*0. W
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN(MORNEY BEFORE cc
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LU
R C D NG,2YOUR NOTICE OF COMMENCEMENT. cc
77IN (Signature of Owner o r gent) 131n`af Contra r)
Signe sworn 4 ore me this Signed and sworn to(or affirmed)b re me this day of
to(or affirme ef day of
day of
ly—
by Zf by
P 0
a
Notary Public N
0 0 P otary Public
State of Florida ersonally Known
-versonally Kno;nN, ,�e
ka SUe of Flodda
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Prod uced Identifidt�tio�n
Produced Iden I IA%t rnmnM&glan EVireS 3/1012020
Type of Identificati 41,17 My CommiWon Evires 3/1 0IM20 Type of Identification
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P^mm6einn Nn IT 07MR1 L"r A-IAA01
Doc # 2019147273, OR BK 18839 Page 234 , Number Pages: 1,
Recorded 06/24/2019 02 :34 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
poer/n�, 4
NOTICE OF COMMENCEMENT
State of Y(W%dC& Tax Folio No.1 a5c,-6 00 a
County of "'-Du\j('0
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMM_ENCEMENT.
Legal Description of property being improved:50-60b I-] R�A uyM--1
LC)A- L4,) R I L (0
Address of property being improved:
General description of improvements: W�Nc�OW
Owner-.%,�A W,ka- Address: I)r 64"�ic
Owner's interest in site of the improvement: cwL?
Fee Simple Titleholder(if other than owner):
Name:
Contractor: �E-HIAILtr—
Address:.BVVq SW 3)r- Ft� Laizkim6t,�LiO -337��ia
Telephone No.L15`1-7150- k"--+rut,- z 1.--I-o
Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone 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 himself,designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address: Paul NOMXn
V
Telephone No: Fax No: AocrpN No Public
IL\*
Expiration date of Notice of Commencement(the expiration date is one(1)year%* m.!�Pgae of reco%92 Aftigifferent date is
specified): OP V rIAMPAIA.I.- P-1 XPIM 3/1012020
SWE OF ROMA CommInion No, FF 070MI
wyALCOUNWS SPACE FOR RECORDER'S USE ONLY OWNER
I,UMMSIGNM Clerk Of 60 Clrcldt&Ca"QXM Dord A-k- 411�� - Date: "IJI-f
Courft,Horlds,W HMV CFJMFY the wft and trepft S�Signcd:
w,wsft of-L-we%is a am ow comet copy of to Am Before me t9is day ofjvfr�e, in the of Duval,State
u k sWers on record and ft is the CMOs of do Clerk of Mt* Of Florida,has persona ly appeared
C"Courts of 0"C4","a. Notary Public at Large,State of Florida,Cou vil.
W17MS ffly haw OW sesl1krk of My commission expires:
Personally Known:
at JacksorMle,FWsk d"the day i D,200L or
RONNIE FUSSELL Produced IdentificatiRpy P
lvuwry I-UD11c
Clerk Circult and County CW%
ouvel cot"Rod" fte Of FlOrida
ey_q,�O-- My COMMis�Bores 3/lo/2020
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6/4/2019 Property Appraiser-Property Details
BONI RITA Primary Site Address Official Record Book/Page Tile#
PO BOX 331518 975 SAILFISH DR 03201-00325 9417
ATLANTIC BEACH, FL 32233-4218 Atlantic Beach FL 32233
975 SAILFISH DR
ro erty Detail Value Summary
RE# 171259-0000 Value Description 2018 Certified 2019 In Progress
Tax District USD3 Value Method CAMA CAMA
Empff—ty—un 0100 Single Family Total Building Value $54,748.00 $61,030.00
*of Buildings 1 Extra Feature Value $692.00 $720.00
Legal Desc. For full legal description see Land Value(Market) $150,000.00 $150,000.00
Land&Legal section below Land Value Ag!jc.). $0.00 $0.00
Subdivision 03120 ROYAL PALMS UNFr 01 Just(Market)Value $205,440.00 $211,750.00
Total Area Assessed Value $90,294.00 $92,009.00
The sale of this property may result in higher property taxes.For more information go to Save Cap Diff/Portability Amt $115,146.00 $0.00 $119,741.00 $0.00
Our Homes and our Property ax Estimator.'In Progress'property values,exemptions and
_L_ j ExamptioM 1$501000.00
other supporting information on this page are part of the working tax roll and are sub ect to I See below —
change.Certified values listed in the Value Summary are those certified in October,but may Taxable Value 1$40,294.00 See below
include any official changes made after certification Learn how the Property Appraisers OMce
values pLop".
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 $92,009.00 Assessed Value $92,009.00 Assessed Value $92,009.00
.................................................................................................................. .................................................................................................................... ................................................................................................................
Homestead(HX) -$25,000.00 Homestead(HX) -$25,000.00 Homestead(HX) -$25,000.00
......................................................................................................... ............................................................................................................... ..............................................................................
Ho.m.e.stea.d..B.a.nd.ing 1.96...0.3.1(1)(b)(HB) -$25,000.00 Horn.est.ea.d Ba.n.din.g..1.9.6.031(1)(b)(HB) -$25,000.00 Taxable Value $67,009.00
............................ ..........
Taxable Value $42,009.00 Taxable Value $42,009.00
Sales History
Book/Page Sale Date Sale Price Deed instrument Type Cod alified Unqualified Vacant/Improved
Qu____L_
03201-00325 3/16/1971 $9,300.00 MS-Miscellaneous Unqualified Improved
03443-00585 12/27/1972 $9,600.00 WD-Warranty Deed Unqualified Improved
04111-01097 3/12/1976 $13,500.00 WD-Warranty Deed Unqualified Improved
08424-00216 8/27/1996 $100.00 CT-Certificate of Title Unqualified Improved
08460-01614 10/10/1996 $25,000.00 WD-Warranty Deed Unqualified Improved
08780-00893 11/12/1997 $56,900.00 WD-Warranty Deed Qualified Improved
09674-01290 6/27/2000 $100.00 Cr-Certificate of Title Unqualified Improved
09755-02012 9/27/2000 $100.00 SW-Special Warranty Unqualified Improved
09824-01347 12/8/2000 $49,900.00 SW-Special Warranty Unqualified Improved
10083-01956 9/27/2000 $100.00 SW-Special Warranty Unqualified Improved
10099-00605 9/27/2000 $100.00 SW-Special Warranty Unqualified Improved
Extra Features
LN Feature Cod Feature Description Bldg. Length Width Total Units Value
I SCPR2 Screen Porch 1 10 12 120.00 $720.00
Land&Legal
Land Legal
FLNTCod. Use Description Zoning Front Depth Category I Land Units Land lype Land Value LN Legal Description
1 0100 RES LD 3-7 UNITS PER AC ARS-1 75.00 100.00 Common 1.00 Lot $150,000.00 1 30-60 17-2S-29E
2 ROYAL PALMS UNIT I
-3 LOT 40 BLK 6
Buildings
Building 1
975 SAILFISH DR
Building 1 Site Address I Element Code Detail
Atlantic Beach FL 32233 1 Exterior Wall 15 15 Concrete Blk
Roof Struct 3 3 Gable or Hip
Building Type 0101-SFR 1 STORY Roofing Cover 3 3 Asph/Comp Shng
Year Buift-- 1961 Interior Wall 5 5 Drywall OAS
-Building Value $61,030.00 Int Flooring 11 11 Cer Clay Tile
Int Flooring 14 14 Carpet
Type Gross Heated Effective Heating Fuel 4 4 Electric FCP
Area Area Area Heating Type 4 4 Forced-Ducted
Base Area 975 975 975 Air Cond 3 3 Central L
Finished 200 0 so
Carport
h ttps://pacip ro pe rtyse a rch.coj.n et/Ba s i c/Deta i 1.a s px?R E 1712 590000 1/2
6 4/2,�19 Property Appraiser-Property Details
Tota 1 1175 9�5 1025 Element Code Detail
3.000
Stories 1.000 OFFICE COPY
Bedrooms
Baths 1.000
Rooms/Units 1.000
2018 Notice of Pro osed Prope!jy Taxes Notice(TRIM Notice)
Taxing istrict Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-back
__jh3.31 $328.44 $308.05
Gen Govt Beaches $90,294.00 $50,000.00 $40,294.00
Public Schools:By State Law $90,294.00 $25,000.00 $65,294.00 $268.78 $264.11 $261.26
By Local Board $90,294.00 $25,000.00 $65,294.00 $142.61 $146.78 $138.61
FL Inland Navigation Dist. $90,294.00 $50,000.00 $40,294.00 $1.23 $1.29 $1.22
Atlantic Beach $90,294.00 $50,000.00 $40,294.00 $124.09 $130.09 $121.90
Water Mgmt Dist.SJRWMD $90,294.00 $50,000.00 $40,294.00 $10.47 $10.32 $10.32
Gen Gov Voted $90,294.00 $50,000.00 $40,294.00 $0.00 $0.00 $0.00
School Board Voted $90,294.00 $25,000.00 $65,294.00 $0.00 $0.00 $0.00
Urban Service Dst3 $90,294.00 $50,000.00 $40,294.00 $0.00 $0.00 $0.00
1 Totals $860.49 $881.03 $841.36
Descriptl n Just Value Assessed Value Exemptions Taxable Value
Last Year $167,078.00 $88,437.00 $50,000.00 $38,437.00
Current Year $205,440.00 $90,294.00 $50,000.00 $40,294.00
2018 TRIM Prop��_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(PRQ
The PRC accessed below reflects property details and values at the time of Tax Roll Certiflization in October of the year listed.
2018
2017
2016
2015
2014
-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 M p I �Lap Lhis p op ty n Google Map ity es Record
L_tL_L_ _a I L_Ee
https://paopropertysearch.coj.net/Basic/Detaii.aspx?RE=1712590000 2/2
OFFICE COPY
PRODVCT ,\PPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA
Project Name: Boni, Rita Permit
Project Address: 975 Sailfish Dr, Atlantic Beach, FL
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: \v\\'\\,.floridabuilding. riz.
Category/Subcategot-N, Mamit'acturer Product Description 1,itnitation of Use State# l,ocal #
.A. EXTERIOR DOORS
1. Swinging
2 1 111"
Slid'
3. Sectional
4.Roll up
5.Automatic
6. Other
B. WINDOWS
1. Single hung
2. Horizontal slider CVVS 8200 SERIES F L 16 736.21
3. Casement
4. Double liung
5.Fixed
6.Awning
7. Pass-throu,-Ih
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
OFFICE COPY
2. Other
Category/Subcategory Manufacturer Product Description Limitation of Use State Local
H. NEW EXTERIOR
ENVELOPE 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.
WAYNE THOMAS BURNETT
(Contractor Name) (Print Name) (Sig�a'tYue)
Company Name: FHIA, LLC
Mailing Address: 3044 SW 42nd 5T
city: HOLLYWOOD State: FL Zip Code: 33312
Telephone Number: (904) 701-4415 x 243 Fax Number: ( 407 ) 472-8380
Cell Phone Number: ( E-mailAddress: LMARTINEZ@FHAPRODUCTS.COM
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