Loading...
Permit Folder 560 Sherry Drive CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r3 ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 10-00000401 Date 4/07/10 Application Number 560 SHERRY DR Property Address . . • • • Application type description ROOF PERMIT Property Zoning TO BE UPDATED 2000 Application valuation . . . ------ Application desc reroof -------------------------------- ------------------ Contractor Owner ------------------------ ------------- ---------- OWNER WILKINS, GARY 560 SHERRY DRIVE FL 32233 ATLANTIC BEACH ----- ---- Permit . ROOF PERMIT Additional desc . • 60 . 00 Plan Check Fee . 00 Permit Fee . . • • Valuation . . . . 2000 Issue Date • • ' ' 10/04/10 Expiration Date . ______ --------------- Fee Summar g ----- ----------- Charged Paid Credited Due ----------------- 60 . 00 60 . 00 . 00 Permit Fee Total 00 00 00 . 00 Plan Check Total 60 . 00 . 00 . 00 Grand Total 60 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 Job Address: l/Jl, Permit Number: Legal Description 16-?-,C- 2-1 16� f 4LT4112 S£G 3 Parcel# S ©1=1, ko i?y d Valuation of Work$ &Z 6 U Q Mass of Work.(circle one): New Addition Alteration a air � olition pool/spa window/door Use of existing/proposed structures)(circle one): Commer esi e Tan existing structure,is a fire sprinkler system installed? (Circle one): es No N/A Iorida Product Approval# For multiple products use product approva orm describe in detail the type of work to be performed: 4) Ah U / 004_ /) t5/"o © L 0 T R/ 6V G, FrtD 1y y b,47 /� WW �L' �✓ £� L m/QLD Y�h 'roperty Owner Information: /� ��/�G CD D�S Jame: �12`/ .JII�C l A�} Address: =ItYtG �ll N Sta Zip 2 l� ?Phone ?o S'� 7 Z i-Mail or Fax#(Optional} 'ontractor Information; ;ompany Name: _ SC-L G' f 2"'-OK X192 Qualifying Agent: address: City State Zip )ffice Phone Job Site/Contact Number —Fax-# tate Certification/Registration# schitect Name&Phone# ,ngineer's Name&Phone# ee Simple Title Holder Name and Address �onding Company Name and Address Tortgage Lender Name and Address 9plication is hereby nzade to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the ruance of a permit and that all work wild be perfrmed to meet the standards of all laws regulating construction in this jurisdiction This permit becomes null zd void if work is not commenced within six(6) onths, or if construction or work is susppended or abandoned for a penod of six(6)months at any time a er ork is commenced I understand that separate permits must be secured for ElectricaCWork,Plumbing,signs, Wells,Pools, rnaces,Boilers,H ers, znks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMTROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. rereb certify that I have read and examine this plication know the same to be true and correct. All provisions off laws and ordinances governing this �e afYwork will be complied with whet spe fi e§he y° r ot. The granting of a permit does not presume to give authority to violate or cancel the ovisions of any other federal,stat, or Z l law r o truction or the performance of construction. gnature of Owner Signature of Contractor int Name 5. ........... .�........... : . 1i�. ._ ............................... Print Name yorplo and subscribcyd before me Sworn to and subscribed before me is D 20 / this Day of 2p atary 1'u Fc „F Uv t.-GRAHAM Notary Public �A41SS"iPl 8 M,957760 iruary 14,201h Revised 41.26.14 oinry,Public Underwr ters CITY OF ATLANTIC BEACH (OWNER / 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. AD OVE STATEMENTLANDETHAT I( HEREBY COMPLY WITH ALL THEETHAT I HAVE REQUIREM NTS FORHTHEB DISCLOSURE ISSUANCE OF AN OWNER-BUILDER PERMIT. 5 6 o 5 41' lZP `/ t>/2- , , ?d? S l 7 PHONE NUMBER ADDRESS biz y (,,,>./61i. PRINT E ' DATE IGNATURE T Before me this `1 day of r/ 20_L&the county of Duval,State of Florida,has personal) appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of--F— County'of — yW`' 11 Pers Known J( r„ t (� duced Id f No 4. M COMMISSIO D 57760 F:BLDG/O--Pu -*• ', {q ' a 4,2014 ±�•...•�;: o Ic Underwrltrn