379 3rd St RES19-0260 3 Windows ''j`% RESIDENTIAL PERMIT PERMIT NUMBER
RES19-0260
s CITY OF ATLANTIC BEACH
8
ISSUED: 8/28/2019
00 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 2/24/2020
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
• ! AND CITY OF ATLANTIC + CH CODE OF ORDINANCES .
ALL • ! 1 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.
• PERMITTYPE: • • VALUE OF • .
379 3RD ST RESIDENTIAL ALTERATION 3 WINDOWS $6187.00
RESIDENTIAL
TYPE OF
ZONING: :D •
• • GROUP:
169824 0018 ATLANTIC BEACH
• ADDRESS: '
Renewal by Andersen of 5606 Cader Road Orlando FL 32810
Central Florida
• ADDRESS:
ELIA GERALD T 379 3RD ST ATLANTIC BEACH FL 32233
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 . .
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 $85.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50
STATE DEER SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$131.50
Issued Date: 8/28/2019 1 of 2
t,:Ly;y City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
" Atlantic Beach, Florida 32233-5445 v
r
Phone(904)247-5826 Fax(904)247-5845
,»r E-mail: building-dept@coab.us Date routed: 7iO
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
r� ��Property Address: 3_79 � , Department review required Yes No
I^ in
Applicant: Kc:�Q�AL- (OS4 1--1 pJ(�E(Z.�d� nning &Zoning
Tree A trator
Project: 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: DApproved. [-]Denied. ❑Not applicable
(Circle one.) Comments:
UILDIN
PLANNING &ZONING ,fin �•
Reviewed by: Date:
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
Building Permit Application OFFICE G a FY8/17
City of Atlantic Beach
fr�F 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 I Q /�
V
Job Address: 379 3RD ST ATLANTIC BEACH,FL 32233 Permit Number: r ` t L ` Z C,,C:)
Legal Description RES LD 3-7 (p~;S_-.,Zc1 r7- I a� RE#
Valuation of Work(Replacement Cost) — Ccs 19 7 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Wind_ ow/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Re • tial
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 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:
lf6rr3 .
ndQw4_aA"F Doof"z&4or Size _JfIL
Florida Product Approval# for multiple products use product apmo�
Property Owner Information U CO Z h
00
Name: ELIA SANDRA G Address: 379 3RD ST U U o U O
City ATLANTIC BEACH State FL Zip 32233 PhoneI" C3
E-Mail F5 le_r
O Q
Owner or Agent(if Agent, Power of Attorney or Agency Letter Required) U .
Contractor Information X B r
UJ
Name of Company: Renewal by Andersen of Florida Qualifying Agent: Jared Mellick LL r7l O � cc
Address 997 W Kennedy BlvdCity Orlando State Fl_ Zip 320 cr m
Office Phone 407-803-4723 Job Site/Contact Number y 07 N b 3 (4-7A3 � w
State Certification/Registration# CGC1527613 E-Mail Permitting@rbarla.com T�
Architect Name&Phone# IL W
Engineer's Name&Phone# W W
Workers Compensation cc
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.
A-CL o T..n_
( ature of Owner or Agent) ignature of Contractor) a
m
(including contractor) �
�i ed and sworn to(or affirm d)before me this day of S!' d and sworn to(or affirmed)before`me this �a day of o�_ o
Z ; N - '` a o l clby � l J r�1�1�:�bY• Cl �L I t � z
wc9 � ET
' w
r
(Signature of Notary) (Signature ar Notary) g
c' w Personally Known OR ersonally Known OR
.•' Produced Identification /• VQ�` ( ]Produced Identification o
t I (9s�/0
iJ_;y a of Identification: �� Type of Identification:
Doc # 2019154268, OR BK 18849 Page 1037 , Number Pages : 1 ,
Recorded 07/02/2019 10 :45 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00 OFFICE COP`
NOTICE OF COMMENCEMENT
{PREPARE IN DUPLICATE)
Permit No. LOA S�9 (3a��J Tax Folio No. 1698240018
State of Florida County of Duya1
To whom It may concern:
The undersigned hereby informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florlda Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being Improved: RES LD 3-7 UNITS PER AC
Address of property being Improved: 379 3RD ST ATLANTIC BEACH,FL 32233
General description of Improvements: Replacing Windows and/or Doors Size for Size
Owner ELIA SANDRA G
Address 379 3RD ST ATLANTIC BEACH,FL 32233
Owner's interest in site of the improvement owner
Fee Simple Titleholder(11 other then owner)
Name
Address
Contractor Renewal by Andersen of Florida/Jared Melllck
Address 987 W Kennedy Blvd.Orlando,Ft_32810
Phone No. 407.803-4723 Fax No.
Surety(If any)
Address Amount of bond$
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 himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone 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 Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different dale is specified):
THIS SPACE FOR RECORDER'S QWL42R J '•" +
9loned: ATE 1 `
Bofors me Ws day o �1 + i s.
In ino :4N
i.�..�.•
Co%(*of Ouvel�tate of(cp}�llrfda�-1{a personaiIj ajTps4r9dIn by r i gn
hlrnHIV herself and affirm -Alec CII Slaternkii arid dCUerattons flown
era true and accurate R
TN0
g
Ndtary Publk at Large.state t__„ County of_ L u��•+,
My cum fWcnexpl a
Personally Knoan
Produced Idemlkatidn m
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s
8/13/2019 Property Appraiser-Property Details
ELIA SANDRA G Primary Site Address Official Record Book/Page Tile#
379 3RD ST 379 3RD ST 18635-02259 OFFICE COPY 9416
ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233
379 3RD ST
Property Detail Value Summary
RE# 169824-0018 Value Description 2018 Certified 2019 In Progress
_ -- -_--- - -__ -- -- Value Method CAMA CAMA
Tax District USD3 ----- — ----- _--
I Property Use 0100 Single Family Total Building Value $69,754.00 $71,153.00
- --
---- - --
#of Buildings 1 Extra Feature Value $0.00 $0.00
_ ---_ __ _.
----- --- -_- -- --"-_- " Land Value(Market) $200,000.00 $253,000.00
Legal Desc. For full legal description see _ _
Land&Legal section below Land Value(Agric.) $0.00 $0.00
--.----- - - -----
Subdivision 03101 ATLANTIC BEACH Just(Market)Value $269,754.00 $324,153.00
Total Area 5549 Assessed Value $238,456.00 $283,569.00
The sale of this property may result in higher property taxes.For more information go to Save Cap Diff/Portability Amt $31,298.00/$0.00 $40,584.00/$0.00
Our Homes and our Property Tax Estimator.'In Progress'property values,exemptions and Exemptions $238,456.00 ~See below
other supporting information on this page are part of the working tax roll and are subject to --- -
change.Certified values listed in the Value Summary are those certified in October,but may Taxable Value $0.00 i See below
include any official changes made after certification Learn how the Property Appraiser's Office
values property,
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 $283,569.00 Assessed Value $283,569.00 Assessed Value $283,569.00
................................................................................................................... .................................................................................................................... ................................................................................................................
Homestead(HX) $25,000.00 Homestead(HX) -$25,000.00 Homestead(HX) -$25,000.00
.-.......................................................................................... ................. ...................................... ......
....................................................... ................. ..........................................................................._...................................
Homestead Banding 196.031(1)(b)(HB) $25,000.00 Homestead Banding 196.031(1)(b)(HB) -$25,000.00 Total Vet(709)196.081(709) -$96,493.00
................................................................................................................... .................................................................................................................... ................................................................................................................
Total Vet(709)196.081(709) -$71,493.00 Total Vet(709)196.081(709) -$71,493.00 Taxable Value $162,076.00
Taxable Value $162,076.00 Taxable Value $162,076.00
Sales History
Book/Page Sale Date Sale Price Deed Instrument Type Code Qualified/Unqualified Vacant/Improved
18635-02259 11/29/2018 $84,700.00 SW-Special Warranty Unqualified Improved
18584-01520 10/31/2018 $100.00 MS-Miscellaneous Unqualified Improved
18146-01356 10/6/2017 $100.00 MS-Miscellaneous Unqualified Improved
15616-01319 6/1/2011 $100.00 MS-Miscellaneous Unqualified Improved
14671-01786 10/13/2008 $252,500.00 MS-Miscellaneous Qualified Improved
14638-01931 9/15/2008 $100.00 MS-Miscellaneous Unqualified Vacant
14638-01931 9/15/2008 $100.00 WD-Warranty Deed Unqualified Improved
11642-00605 2/19/2004 $300,000.00 WD-Warranty Deed Unqualified Improved
08390-01921 7/13/1996 $31,000.00 QC-Quit Claim Unqualified Improved
08390-01920 7/13/1996 $31,000.00 QC-Quit Claim Unqualified Improved
08295-01987 3/1/1996 $140,000.00 WD-Warranty Deed Qualified Improved
04925-01056 7/20/1979 $63,500.00 WD-Warranty Deed Unqualified Improved
04461-00423 9/6/1977 $55,000.00 WD-Warranty Deed Unqualified Improved
4
Extra Features
No data found for this section
Land&Legal -
Land Legal
LN I Code I Use Description Zoning I Front I Depth I Category Land Units Land Type I Land Value LN Legal Description
11 10100 I RES LD 3-7 UNITS PER AC I ARS-2 137.00 1150.00 I Common 11.00 I Lot I$253,000.00 I 1 5-69 16-2S-29E.127
2 ATLANTIC BEACH
3 W 12FT LOT 26,E1/2 LOT 28
4 BLK 5
Buildings
Building 1
Building 1 Site Address
379 3RD ST Unit Element Code Detail
Atlantic Beach FL 32233 Exterior Wall 17 17 C.B.Stucco
Exterior Wall 6 6 Vertical Sheet
Building Type 0105-TOWNHOUSE Roof Struct 3 3 Gable or Hip
Year Built 1971 Roofing Cover 3 3 Asph/Comp Shng
Building Value $71,153.00 Interior Wall 5 5 Drywall
Int Flooring 14 14 Carpet
Type Gross Heated Effective Int Flooring 11 11 Cer Clay Tile
Area Area Area Heating Fuel 4 4 Electric
https://paopropertysearch.coj.net/Basic/Detail.aspx?R E=1698240018 1/2
8/13/2019 Property Appraiser-Property Details
Base Area 1080 1080 1080
_ I Heating Type 14 14Forced-Ducted
PorchFinish166 Open 166 0 50 I Air Cond ll 3 3 Central
J
Finished Storage 36 0 18
Finished Open I Element I Code Detail I
Porch 60 0 18 I Baths 2.000
Total 1342 1080 1166 I Bedrooms 2.000 I BAS j
Stories 11.000
Rooms/Units 1.000
I
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cov
� J
2018 Notice of Proposed Property Taxes Notice TRIM Notice
Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-back
Gen Govt Beaches $238,456.00 $238,456.00 $0.00 $0.00 $0.00 $0.00
Public Schools:By State Law $238,456.00 $238,456.00 $0.00 I$0.00 i$0.00 $0.00
By Local Board $238,456.00 $238,456.00 $0.00 j$0.00 $0.00 $0.00
FL Inland Navigation Dist. $238,456.00 $238,456.00 $0.00 $0.00 $0.00 $0.00
Atlantic Beach $238,456.00 $238,456.00 $0.00 $0.00 $0.00 $0.00
Water Mgmt Dist.S)RWMD $238,456.00 $238,456.00 $0.00 $0.00 $0.00 $0.00
Gen Gov Voted $238,456.00 $238,456.00 $0.00 $0.00 I$0.00 $0.00
School Board Voted $238,456.00 $238,456.00 $0.00 $0.00 $0.00 $0.00
Urban Service Dista $238,456.00 $238,456.00 $0.00 $0.00 $0.00 $0.00
Totals $0.00 $0.00 $0.00
Description I Just Value Assessed Value Exemptions Taxable Value
Last Year $326,177.00 $233,552.00 $233,552.00 $0.00
Current Year $269,754.00 $238,456.00 $238,456.00 $0.00
2018 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.
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 Map I Map this property on Google Maps City Fees Record
https://paopropertysearch.coj.net/Basic/Detail.aspx?RE=1698240018 2/2
Renewal Order Summary
byAndersen. SANDY ELIA
dba:RENEWAL BY ANDERSEN OF CENTRAL FLORIDA
.��� Legal Name:Universal Roofing Group,Inc.I License#CGC1524135 379 Third Street
%M 997 West Kennedy blvd I Orlando,FL 32810 Atlantic Beach, 32233
WINDOW RE LACEMENT Phone:407-803-4723 1 Fax:407-386-8262 1 CUStOmerservice@rbafla.com
Measure Tech:Eric Stanion,(916)496-1423 H: I C:(904)707-3279
•• FLOOR
BACK
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OFFICE COPY
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JOBPHOTOS
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OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH FLORIDA
Project Name: {-_ 1 ► rq , E U r d LLPermit #
Project Address: 37 ! 3(d &�- )'A+1 an--H , 62m ck
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
roduct a roval may be obtained at:www.floridabuildin .or .
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional
4.Roll up
5. Automatic
6. Other
B.WINDOWS
1. Single hung
2.Horizontal slider
3. Casement
4.Double hung S 0
5.Fixed
6.Awning _
7.Pass-through
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
........ ..
1.
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) _ a,� � ��, �� (Signature
Company Name:
Mailing Address: 99-] 16) V n CGI c� A,
City: Dd d-MT� State: Zip Code:
Telephone Number: (447 )M—lq —1 a:�> Fax Number: ( )
Cell Phone Number: ( ) E-mail Address: j Q r ��u , Cz ry\