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Permit 583 Seaspary AveCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000921 Date 7/22/10 Property Address 583 SEASPRAY AVE Application type description PLUMBING ONLY Property Zoning . TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc INSTALL SPRINKLER SYSTEM AND BACKFLOW PREVENTER ---------------------------------------------------------------------------- Owner ------------------------ DAVIS ANDREW 583 SEASPRAY AVE ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ----------------------- Permit -------------------------------- PLUMBING PERMIT --------------------- Additional desc NEW SPRINKLER SYST & BACKFLOW Permit Fee 69.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date - - - - 1/18/11 - - - ---------------- Fee summary --------------- - ---------------- Charged ------------------------------------- Paid Credited Due - Permit Fee Total ---------- --- 69.00 ------- ------- 69.00 --- ---------- .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 69.00 69.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 Jos ADDRESS: '~~ 3 ~.~5~~. NEW OR REPLACEMENT INSTALLATION: TYPE OF FIXTURE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures QTY Project Value $ TYPE OF FIXTURE Septic Tank & Pit Shower Shower Pan Slop Sink Three Comparhnent Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures MISCELLANEOUS: QTY QTY ^ Sewer Replacement ~ Back Flow Preventer ^ Grease Interceptor ap) gallo (Requires 3 sets of plans) ** Lawn Sprinkler System-Number of Heads `~l ^ Well SJRWD Well Completion Form. Completed form to be submitted to the Bui ing D partment for final inspection.** ^ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authorityty to violate the pr~isions of any other state or local law regulation construction or the performance of construction. Pro erty Owners Name A~ ~~~ '/~`,` 5 Phone Number 3~a"~ ~l-~9°l 3 p Plumbing Company Office Phone Fax Co. License Holder (Print): Notarized State Certification/Registration # PERMIT # ~• L~ /~2 r~~. ~i ~ ~~ ~a~ z i~ y~ J' ~- ,--:~r CITY OF ATLANTIC BEACH ~. ,.. J,~ ®WNER /BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE AONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT_ BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; (HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ~~> ~~SOyr~.~ R~rl ~j~~"a~1-o~~ ADDRESS PHONE NUMBER I/l t UV's {/~ ~` PRINT NAME ' SIGNATUR Before me this /J!/ day of 20I J in the county of Duval, State of ~ orida, has pers al appea d herin by himself /herself and affirms that alt statements and declarations re a ant~a curate. Notary Public at Large, State o ~-- , Cou1nty of ^ Personally Known f'~~„~ ~/ ~ ~J U / , ` ~j~ / y ~ _l -~?oduced Idenffiication - /l/C C._. ICJ ( V o Q (J / %~ Notary Signaturef / ' ~ dam- ~ L/ DATE ~~~ y ~~ MYOpMM ''~ •~h',. SXPIAES: 0D 834126 ep"d°d 7hn kola ~p y~i, 2011 ~,'~ ~~~Nrfters F:/BLDG/Owner-BuilderAf£adavit; REVISED: 4/]6/2009 White, Debbie From: Jones, Mike Sent: Thursday, July 22, 2010 8:21 AM To: Graham Shirley; White, Debbie Subject: 583 Seaspray Andy, the home owner, will be into pull permits for irrigation system, plumbing for back flow preventer for having an existing well on site, electrical for hooking up a new pump motor for the irrigation system (that way he doesn't have to keep unplugging the drop chord to turn well on/off). Stop work order was posted there 07/21/10. Thanks, MJ. Waive the double fee please. +, ' ~„ i~ ~ ~ 1 ` ~ h / , ~~~ ~ R k F.1~" ~ ~~K ~ :.~ i 't t- "' ~ F+: ii `d~ .~ ~ 4H ' .w . .n, _~ ~ .y !4~ rL ~ ^l•` + S :~'F ~ . ~ ~ ~ s , ' v ~~ 'P`r ~~ M ~ 4 t { i~ ~? ~. 7 ~ .. r .~. ,r7,. t ty f# r~ _ a ~ ~ 3 >t t~- ~Fti ~ m +F -il " ~+Fl ,.~ F~ . "~ - d~~ " ~~" ,_ . • d1 {{~'y 11i*~ e " ' - 1 A4` /e~ 4je ~ON° '~., '}.c ~`F." ,,'~ ~ - rr ~, ~4i ,G,~~h~fl~~f ~,4'' ~yi-r;_~ ~.F. -} ~ ~ ~~,~ ¢ ~ ! ~ -1 3 ~u~I~ r+- ~1 ~ ~~ r~ ~~~il~ result in-zhrs violat~on,,,~ rn red , ,~~~~Y'-'I ~.-,~}~g ~ ~~ ~t~~h~llscrve~a9due~not~ce$"~ ~~ ~ ~" _ 7 4l ' , 'y_ ~ ~~ ' S j'r+ k± k 3~ ~~~ '+e: r L: ~ ,r, 1~,,, ~r 3 h y ~r Y f v'~ ,,~~k f 'err ~ ~~~• t~ ^~~ ~',~ ~ ~' ~• G ?~ ._E _,... .,. ~ . '.~~ ~y .. ._ ~_.. ~ _ .. .,__ ., ~ '.ham ....~=u CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000922 .Date 7/22/10 Property Address 583 SEASPRAY AVE Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc CIRCUIT FOR EXISTING WELL TO SPRINKLER SYSTEM Owner DAVIS ANDREW 583 SEASPRAY AVE ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ----------------------- Permit -------------- ELECTRICAL ------------------ PERMIT --------------------- Additional desc . Permit Fee 55.60 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/18/11 ----------------------- Fee summary ----------------- ------------- Charged ---------- ------------------- Paid Credit ---------- ------- --------------------- ed Due --- ---------- Permit Fee Total 55.60 55.60 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 55.60 55.60 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORH)A BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Z ~ Ph (904) 247-5826 Fax (904) 247-5845 ~ . Jos ADDRESS: ~~3 ~a~ra~ ~~~ PE rr # NEW SERVICE ^Overhead ^ Underground ^ Underground up Pole ^ Residential (Main) Service ^0-100 amps ^ 101-150amps ^ 151-200amps ^ amps # of Meters ^ Commercial (Main) Service ^0-100 amps ^ 101-150amps ^ 151-200amps ^ amps ^CT Service amps Conductor Type Size ^Muiti-Family (Main) Service ^0-100 amps ^ 101-150amps ^ 151-200amps ^ amps # of Unit Meters ^Temporary Pole ^ amps SERVICE UPGRADE ^ amps ^ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ^ 100 amps ^ 150amps ^200amps ^ amps ^CT Service amps ADDITIONS, REMODELS REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: ~_0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ^ Swimming Pool ^ Sign ^ Smoke Detectors Qty ^ Transformers KVA ^ Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS ^ Replace Burnt/Damaged Meter Can ^ Safety Inspection ^ Panel Change ^ OH to UG ^ Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. ,. Property Owners Name ynLU ~ Va J r 5 Phone Number ~ S~ '~ ~ ~ " ~ a~1 3 Electrical Company ~ ~~ Office Phone Fax Co ><.,;c-rat): ~•~ ~ wmmisalON M 1)D 63412f~ EXFIAE6: Mty~t 20tt Bonded rhru Noah ~ubila Undenvntero and subscribed before City State Zip State Certification/Registration # 20 ~~ of Notary Public } ~S~'Jr'~'~~ ~' ~;.~; ~ ~ CITY OF ATLANTIC BEACH ~, _~ ®WNER /BUILDER AFFIDAVIT ~`~`~ rJFt ~•. I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE AONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; THEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. s ~3 ~~.s~r~~( ~J~ ~~a-a ~l -~~ 3 ADDRESS PHONE NUMBER r\ ~~ VG~t! t 5 PRINT NAME - ~-~a-lU SIGN RE DATE r~ Before me this day of 70 U in the county of Duval, State of Florida, has per ona y ppe d herin by himself /herself and affirms that all statements and deGaratio ar ru accurate. ~,l,,t Notary Public at Large, State of , County o N ~ - ^ Personally Known J ;;~yl'~Y ° DEBOAA-IA. WHITE ~roduced IdentiFication - ~ ~~ ~/ ~ U / u t~Z /~~ =*r r_ MY COMMISSION # DD 634126 /~/~~ /~ % /~'' ~' o~~ EXPIRES: Mey 21 2011 G~~ ~.~r ` `~~jn-G"""' " - 6 ~; Of„~~`,` Bonded Thru Notary PubXc Underwriters Notary Signat e F:BLDG/Owner-Builder Affadavit; REVISED: 4/16/2009