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Permit Folder 1961 Mipaula Court CITY OF ATLANTIC BLE s ACH 800 SEMINO ROAD !y ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 10-00000070 Date 1/29/10 Application Number . 1961 MIPAULA CT Property Address . . . • • Application type description RIGHT-OF-WAY PERMIT Property zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------- Application desc retaining wall and fill dirt -------------------------------- Owner Contractor - ------------------------ ----------------------- MARIAH HOMES, INC. OWNER 8282 WESTERWAY CIRCLE #241 JACKSONVILLE FL 32256 --------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 35 . 00 . Issue Date . . . Valuation 0 Expiration Date . . 7/28/10 ----------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach lassign]ed TION NUMBER (To by the Building Department.) _,� Building Department 0h � 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 DaZZ E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM /G) G� T D ent review re uired Ye No Property Address: // Building__,) Planning &Zoning Applicant: Tree • •strator kn i/7 �� t ublic WoProject: _ til, " Public Safety » Fire Services Review fee $ V-epa r.f erg 4 f S *Flod . ncy Review or Permit Requir ho (, $ e� ,h sYe�� . t.of Environmental Protech i; a �, y .kap . f Transportationiv W nagementDistrict qtrs o En i Hotels an st ntsAlco'otic verages and To Other: APPLICAT Reviewing Department First Review: Approve (Circle one.) Comments: it- BUILDI .� PLANNING &ZONING Reviewed by: Date: Z 6'/O TREE ADMIN. Second Revile Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: f Reviewed by: Date: PlIf" Revised 05/14109 CITY OF ATLANTIC BEACH 09, r 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D E PTG C OAB.U S BUILDING PERMIT APPLICATION DUVA�COUNTY w joss : xr g / I Ula (!?96(kf ttkue LIM 4.Fg 'DEOMRWMMI, ,., . =t . . ❑NEW BUILDING 13 DEMOLITION ESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL ❑ALTERATION ❑ACCESSO71, RY BLDG ❑REPAIR ❑ NO POOL/SPA ❑YES [3N/A � ,• /I uj / ' r/ C3 MOV OTHER 7 77 PRO .�,:: z•,, 23.COMPANY NAME: 9.NAME: "'r„cps y) 15.COM NA E: 16.NAME: 24.LICENSEE NAME: t✓V-evv1,Gt PI 17.STATE OF FLOR .LICENSE N 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: n,, j_I V l M j pa Ala Cou Yi 18.ADDRESS: 26.ADDRESS: v r FL 3 zz'43 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 372 bD 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: -LI(" 30.EMAIL ADDRESS: 14 EMAIL ADDRESS: 22 EMAIL ADDRESS: ebe�lsot�l,��f •��< ,� ,mss .o h�� k 33.NAME' 35.NAME: 31 NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if cons&ction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 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. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. * 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 E COMMENCEMENT MUST BE RECORDED AND P OUR FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINA N T T LENDER OR AN ATTORNEY BEFORE RECORDI G E F EN r. Sign Date: I LZ O Sii ined, `� ,////���� Wn Before a th Zodda,,has day of R 2009 in the county of B orem h' J�Mhe cou ty of Duva Stat of personally appeare D al,State of Florida, a pekna§iffrk heri y himself/herself and affirms that all statements and declarations are 1h4rEn-1nth&mseIF/Ter;elran affirm h t a e s I tion are true and accurate. true and accurate. Notary Public at Large,State of County of �`�'_ Notary Public at Large,State of ,County of ❑Pers ally Known j/ IA/ ❑Personal) oduced Identificati - ❑Produ Identification- Notary Signature: 1 14 Notary Sig VIEWED FOR C nDF,rDMpr.re N E P� SHIRLEY I.GRAHAM ota Public-State of Florida SEE PERMITS F0 ADDITIONAL ip •oma, rY My Commission Expires Feb 14,2010 REQUIREMEIITS,;'-.ND i CONDITIONS. Commission#DD 518533 BLDG01 Permit Application Bldg:RE E''�7,4 08 Bonded By National Notary Assn. REVIEWED BY: DATE: L-16'22—J 6'2v_ CITY OF ATLANTIC BEACH ®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 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. 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; 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. ��6 tile' 236 ADDRES-S PHONE NUMBER PRINT NAME w SIGNAT E DATE Befor me is day of ;6Q It kA 2010 in the county of Duv to of Florida,has personally appeared herin by himself/herself and affirms that all s ments and declarations are true and accurate. Notary Public at Large,State of _,County of �N ❑Personally Known ` r PSA, SHIRLEY L. GRAHAM used Identification- Notary Public-State of Florida ' :•--My Commission Expires Feb 14,2010 ,faFF`oP°o Commission#DD 518533 Notary Signature: " ioO Bonded By National Notary Assn. F:/BLDG/Owner-BuilderAffadavit REVISED-4/16/2009 t 11 It � k 7 i i j 3 1 I N�p� �-� �- � � � � � � � ���, �' a � � _, � r?� � �' `� � � � � --, �� � --��_ _ -_._ � �- �= ,++,, �, � W f, � � 6"` ,—� �� (� a (�� V �� t " rt . tTr :lh j x I t.R r = _ w, r`... ti �r �c r aY e , * ` u' �r. x.. r, R 6 r s - .. 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','„ ❑REPAIR ❑POOL/SPA ❑YES ❑WA 13, ,.. MOVE OTHERI ,.NO 'a �IW._�G �awN fa' G ITEC,RIfENGIEER �"J 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:S LV 16.NAME: 24.LICENSEE NAME: 1. 1 GkeWla.bt 10.ADDRESS: 17.STATE OF FLCRp LICENSE N 25.STATE OF FLORIDA LICENSE NO.: t9 b i K pau(a. Cou rf r- 18.ADDRESS: 26.ADDRESS: 31.OFFIC�E'fP HONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28,FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: i3 G -3 b 14.EMAIL ADDRESS: 62t(so LA,hp 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: • I nvt � '�" a FEE SIA(IL� ATL IOL ER r « t y G, a: r �t a+ �ia 4 a(IF,4niER rrwN oVINrs,i!;:r`� §� „. OMDI�IG COtIAPA�IY t (' ORTGAG ND �g� � n„ ra. .,tw,e<+ h..m ne u. t.izN ,4n ,:,�1 ah fiwz 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 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. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to,.obtaining a certificate of occupancy or completion issued by the building official,as required by law. * 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 COMMENCEME t jr xa att i 1Pru Y}"' 0 NE or AGEN t a t i f ;tt ACOA ETQR ;,,.x (If get, eroAl'omeyo'rAgencylq[ter,RequirQd ' r ;a , ,.;, kk v ,,: ;, � _ a ` ' rQuali nY�r,sa .. "'' j Sign r Date: LZ O Signed: Date: Before a th. ZZ day of J 4 ,2009 in the county of Before me this day of ,2009 in the county f I' Duva Stat of Florida,has personally appeared Duval,State of Florida,has personally appeared i' heri y himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations a# i true and accurate. I true and accurate. Notary Public at Large,State of County of Notary Public at Large,State of ,County of ❑Pers ally Known / 11 Personally Known oduced Identcati ❑Produced Identification- Notary Signature: I U11 Nota SHIRLEY L.GRAHAM CITY OF ATLANTIC BEACH otary Public-State of Florida •�My Commission Expires Feb 14,2010 SEE PERMITS FOR ADDITIONAL Commission#DD 518533 REQUIREMENTS AND CONDITIONS. BLDG01 Permit Application Bldg:RE 08 Bonded By National Notary Assn. L11RREVIEWED BY: DATE:,1-a�-r{� s� CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT WIT 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 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. 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; 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. 176/ Nle ► / Co��7— Z� 6 -3�l ADDRESS PHONE NUMBER h'i Gt h PRINT NAME SIGNAT E DATE / ��—/ 0 Befor me is Z'Z day of V61 K kA 2010 in the county of Duv to oforida,Flhas personally appearedh herin by imself/herself and affirms that all s ments and declarations are true and accurate. Notary Public at Large,State of_ County of v L ❑Personally Known /�/ SHIRLEYDNotary roduced Identffication- y .•``s^"'°oe�s, Notary Public ida =My Commission E2010 N FOFF� ;' Commission Notary signature: "" Bonded By Natisn. F:BLDG/Owner-BuilderAffadavit;REVISED 4/16/2009 rl 4 77� I f N 00 t �� � � � � 4�� � � � -�� z_ � ,l ���. r --��_ _�- --� I ___ _ � � � 1 d � i N � I eN C� � � � � � � �- � �. __ �� -_ _"_ �,- ,. � �_ .. -_� _._.. .,__.. ... �_�. _. i s` �`�' -� t` ,ti �_ 9 '; � � A �� � � � t� frs,t;�Ja City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ` 800 Seminole Road oa r Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 v J31a E-mail: building-dept@coab.us Date routed: / Z2 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / GQ. L T De ent review required Yes No Building Applicant: L Planning &Zoning Tree ' istrator Project: -Y)i/7 (� L L // t-� ublic Wo tili ' Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: ]Approved. ❑Denied. (Circle one.) Comments: / BUILDING / PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC Comments: PUBLIC T PUB�l ;A 16 Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 85/14109