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Permit 198 Poinsettia St CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000311 Date 3/19/10 Property Address . . . . . . 198 POINSETTIA ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 Owner Contractor ------------------------ ------------------------ SCOTT WAYNE D OWNER 198 POINSETTIA STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1000 Expiration Date . . 9/15/10 ---------------------------------------------------------------------------- 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. �0--- BUILDING PERMIT APPLICATION 0 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904)247-5845 JobAddress: lq� Permit Number: - Z-0 - 3// Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 1666 Proposed Work heated/cooled non-heated/cooled IP$ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of exi�ting/proposed structure(s) circle one): Commercial Residential If an existing structure,is a fire spMer system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: �!EPWE 10- (!�T 0 F �r-h 01 1 A L� f�3, F'T <5 f- &Fr Property Owner Information: Name: 1/\4YA1 E, ��l I Addr.-ss: I'A City 'A-TLA)iTl�' hue di StatetLZip-qQaTPhone 'n-Jq I'Q04 E-Mail or Fax#(Optional Contractor Information: Company Name: nb)44�AVILZEQ, Qualifying Agent: Address: -city State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address A a e e de an a ,ermit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the 11 be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null h to 0" ' p P'ic 'io is r by mda t a rk p issuance o a permit an ha 11 wo w a 0 s ot"m w� ,d id rk mencd thin six(6)months, or ifconstruction or work is suspended or abandonedfor aWeriod ofsix 6)months at any time after is c ie I un terstan t at s k "ne d d d eparate permits must be securedfor Electrical`Work,Plumbing,Signs, ells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,eta 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. I herelb certify that I have read and examined th lication and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether s e 'ie herein or not. The granting of a permit does not presume to give authority to violate or cancel the 16 rp, provisions ofany otherfederal,stat , or local re lating construction or the peifo�mance of construction. I n Signature of Owner �'1 � Signature of Contractor V_�_ ' ee-5 Print Name Print Name ............ ...... ....................................... ........................:!�� j * *............. .......... ........... ....................... Swo subs bef e2 Sworn to and subscribed before me th i 5st� Ift (_ ,/I of .20 this Day of .20 f "'f- Noiaiy Publi MY UUMM=1 go--tazy Public XPIRES:May 21,2011 ters dad ru Wy � *(a 0 Revised 01.26.10 CITY OF ATLANTIC REACH OWNER / BUILDER AFFIDAVIT 1. 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 A ONE—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. [I. 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/CIR 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(l). 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; I 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. A ADDISS PHONE NUMBER P R N E JIN�Tj 9 DATE Before me this LfWdy Of A,44��_ in the county of i, Duval,State offlorida,has personally appeared herin by imself herself and affirms that all statements and declarations are t d ccurate. Coun I rv, DEBORAH A.WHITE Notary Public at Large,State of tv of 14 V , MY COMMISSION#00 634126 00;emonally Known EXPIRES:May 21,2011 roduced Identification 0, 00 Bonded Thru Notary Pubue Underwnters Notary Signaturj"/ FMLDG/ODuild�Affadavi�REVISED: 4/16/2009 Atlantic Beach Code Enforcement 800 Seminole Rd (904)247-5855 March 5,2010 Wayne D Scott 198 Poinsetta St Atlantic Beach, Fl 32233 RE: Notice of Violation(Roof and Drainage,Permit Required) Please be advised,Atlantic Beach Code Enforcement sent a notice of violation concerning Roof and Drainage damage Per International Property Maintenance Code Chapter 3 Sec:304.7; and Chapter I Sec; 105.1 of the Florida Building Code under administration.On January 2e,2010 to the property known as 198 Poinsettia St.Atlantic Beach Fl,32233 PID#17-2S-29E.132 RE#172032-0000 which states "The roof and flashing shall be sound,tight and not have defects that admit rain.Roof drains,gutters and downspouts shall be maintained in good repair and free from obstructions as well per the Florida Building Code which states any owner or authorized agent who intends to construct,enlarge,alter, repair shall first make application to the building official and obtain the required permit". This letter is to inform Wayne D.Scott.,property mgmt.and all interested parties of the violation,due to the non compliance by February 25h,2010,and to also inform that a hearing will be set with the code enforcement board at 800 Seminole Rd Atlantic Beach,Fl 32233,in the commission chambers. The City of Atlantic Beach Code Board Administrator will send all interested parties on record notice with the time and date of the hearing which may be held Marche 2010 at which time the Code Enforcement Board may impose a fine up to$250 a day for each day the violation is not corrected. It is the goal of the City of Atlantic Beach to enforce the city code and ordinances and to protect the health,safety and welfare of the city as well maintain property value and accordingly all interested parties cooperation in this matter is greatly appreciated.Please contact Atlantic Beach Code Enforcement at 904-247-5826 if any questions or additional information is needed. Sin 4ely Eddie Lopez,Code Enforcement Officer 6e "PROPERTY MAINTENANCE IMPROVES PROPERTY VALUE" En- (904