Permit 390 10th StreetCITY 4F ATLANTIC BEACH
-800 SEMINOLE ROAD.
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-d~t~,caab.us
Application Number 07-00000911 Date 7/10/07
Property Address 390 10TH ST
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning TO BE UPDATED
Application valuation 3200
Application desc
NEW WALKWAY NEW WINDOWS AND AWNING
Owner
------------------------
WALKER, JR., CARL E.
390 10TH STREET
ATLANTIC BEACH FL 32233
Contractor
------------------------
OWNER
ATLANTIC BEACH FL 32233
__________________________ Structure Information 000 000 ------------------
Construction Type TYPE 5-A
Occupancy Type RESIDENTIAL 2
Flood Zone ZONE X
Permit BUILDING PERMIT
Additional desc .
Permit Fee 50.00 Plan Check Fee 25.00
Issue Date Valuation 3200
Expiration Date 1/06/08
Special Notes and Comments
*EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COAB.US
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 alI meter boxes, sewer cleanouts and valve covers
are set to grade and visible.
Fee summary Charged Paid Credited Due
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total 25.00 25.00 .00 .00
Grand Total 75.00 75.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Page 1 of 1
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CITY ®F ATLANTIC BEACH
~IJILDING / Z®NIN~ DEPARTMENT
800 Seminole Road
Atlantic Beach, Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
APPLICATI®N TRACKING F®RI~I
~~ F~~J~~
' JUN 2 7 2007
BY:.-_
Property Address: ~ `D ~~ ~ v"T~~ T
Applicant:
Project: ~ ~ ~ Q 0l~,5 ~~~ 01~~ /~J~,.
,Q~Q G~~ c.,~w ~ y -
PER9VIIT
APPLICATION #
d~~- a9il
R IRED DEPT:
Y N PLANNING
~
Z Y N BUILDING
N PUBLIC WORKS
~ Y N PUBLIC UTILITIES
Y N FIRE DEPT.
Y N PUBLIC SAFETY
~ APPROVAL
REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
w ~ Y N D.E.P HUFSTETLER
¢~
~ Y N S.J.R.W.M. CARPER
_ ~ Y N ARMY CORPS of ENG CARPER
O Y N HOTELS & RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: I DATE:
® 1ST REV ® ~ (p-~ ~~
PLANNING
BUILDING
®
®
2ND REV
PUB W KS
PUB C TIES
FI E DEPT.
PUBLIC SAFETY
®
®
3RD REV
Refaaraa Maas f®t~ ~e~ t$a~ ]~uiflda>>i~ -D~~n~rci~etm>l ®>micce y~aa -a~v~ ~>st~rt°~d ~~ur c®an>i»~>ffits a»t® gla~ AS4®H7e
YS-=L'~r,~,. ~111LDll~d~ PERI`OIIT ~PPLICATI4t~l
. ~
.~~~ °~~` ~ CITY C~~ ATLANTIC BEACH
Vr
,.,
M1: ;:
.
L
,
.
~~;"~
r
800 Seminole Road, Atlantic beach FL 32233
~
.x,31
`
Office: (904)247-5826 ~ Fax: (904) 247-5845
ob Address: ~ ~ ~ ~~{-~ •'~' ~~.~` Permit Number:
,egal Description
~aluatio>n ®f W®rk (Replacement Cast) $ ~Z~-~
^ Class of Worlc (Circle ®ne): New Addition terati ~ epa"
® Use of existing/proposed structure(s) CarcIe ®ffie): - ommercta t'
^ If an existing structure, is a fire sprier system installed? (Circle oxae): Yes N /A
^ Is approval of homeowner's association or other private entity required? (Circle oiae): Yes
describe in det~.il the type of work to be performed:
Dr®pert'y owner Infarma>rnon
c
1~-~V-, n ~ .~r/~ ~v>~t i,~ -~ 1~v n
C ~~s ~ ~ ~ ~ ( ~•}rc„~J
Jame: ly CGS V~ Y t` ~ C'~~~ Address: 31~ ~ti, .J~ °'~
~ity~~-~.o..~.~:~ i3~~-.,~~In State r~-Zip ~2z33 Phone y~1~.3 , ~'t ~ r z~~~
®ntracta-r In€®rmati®n:
Name of Company: b ~ °~ v+.e. Qualifying Agent:
address: City State
office Phone Job Site/C®ntaet 1V~~~aber
Mate Certification/Registration # affice Fax #
architect Name ~ Phone #
engineer's Name ~ Phone #
4pplication is hereby made to obtain a permit to do the work and installations as i~adicated. I certify that no work or
~nstalZation has commenced prior to the issuance ~a permit and that all workwill be erformed to meet the standards of all
'aws regulating construction in this jurisdiction, 11 ''his permit becomes null and void ifwork is not commenced within six (6~
Months, or if construction or work is suspended or abandoned far a period of six ~6) months at-any time der work is
~ommenee . I understand that separate ppermits must be secured for ~lectriccad or&, Pluanbing, Signs, eddy, Pools,
Furnaces, P®iders, heaters, Tandrs and Air Conditioners, etc
~VA~I~TING TO ®TER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
~ZESULT IN YOUR PAYING TV6jICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
[NTEND TO OBTAIN FINANCING, CONSULT UVITH YOUR LENI.~ER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COR~IlVIENCEMENT.
thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and orddinances governing this ty~e of work will be complied with whether specified herein or not. The granting t a
r~er „pit does nit pr esume to give aut ority to violate or cancel tdae pravisi0>?s of any other federcil, .Stclte, or Zoca ativ
regulating construction or the performance of construction.
Signature of Property OWner: ~ d " /V e
Signature of Contractor:
SWOI]a ~O',~ cnhcrrihPCl.tS~fna~a mP r-~
this (0 Da`
Notary Public:
REMISED 03.0.07
Swo to and subscribed before e
~,,,~~,,..,,,~ S
=o`'"Y P ~~ ; Notary Public -State Of Florida
« " • :~r Cgmmission Expires Feb 14, 2010
3N„ r ~'ub 18533
,''~ lF OF F~O.~``,
"'~~~~„~~~" Bonded By National Notary Assn.
~,y~~ ~
Zip
. rs ~''' `f-, . CITY OF ATLANTIC BEACH
~'~ ~~'~ BUILDING /ZONING DEPARTMENT
--~
~'-*~~ri ' 800 Senunole Road
~J
Atlantic Beach, Florida 32233
,•.-, ~~,~ (904) 247-5800
(904)247-5845 Fax
www.coab.us
APPLICATION TRACKING FORM
Property Address: ~ ! ~ ~~ ~ d'T~~
Applicant:
Project: ,t~C pec~5 ,~~~,io/~ /~av~,.
~Q Wa~~w~)/ .
PERMIT
APPLICATION #
67~-o9~I
R IRED DEPT:
Y N PLANNING
~
Z N BUILDING
~ N PUBLIC WORKS
~ Y PUBLIC UTILITIES
Y FIRE DEPT.
Y,- N PUBLIC SAFETY
w APPROVAL
U REQU AGENCY: RECEIVED BY: INITIAL: DATE:
Y N D.E.P HUFSTETLER
w N S.J.R.W.M. CARPER
_ ~ Y N ARMY CORPS of ENG CARPER
O Y HOTELS & RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDI G DA AP VIEWED BY: I IAL: DA E:
1ST REV
PLANNING
BUILDING 2ND REV
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
FETY
S
PUBLIC
A ® 3RD REV
Return this form to the Building Department once you have entered your comments into the AS400.
1' ~ o _ w ~1
~~~i~~ I~"€~.a~®~. f®r ~~~rl.~~.de~s
5T1~TEMEl'~TT for 5ectian 45'9.103(7), Florida Statutes: ~ ~ - ~ _ .
S'~A7CE IGA~I ~+ ~Trli~S C~I'~'igT~IIC'~f~l~ T~3 ~~ F.&OI~ ~Tlf F.FCEl~d,S~~ C~I~T~.~T~.
Yd17" ~~ A~'PYrI~D ~~'3~. ~. ~~ ~N ~~I1~'T.tC9ItiT Tf~ ~ I.,A`~.
The exemption allows you as the owner ofyour properfy, to act as your own contractor wren through you do not have
a Iicense.~ You must supervise the constn~ction yourself You. may build ar improve a. one-family ar two-family
residence or a farm outhu~ding You may also build or inZprove a commercial building at a cost of $25,00€3 or Iess.
The bUilding,must be for your own use and occupancy. ~ It miay not be built for sale or lease. Lfyou sell ar lease mare
than one building you have built yourselfwithiu one (1) year after the constr~xction is complete, the law will. presume ~
that you. built rt for sale or lease, which is a violation of this exemption. You may not hire an ust-licensed personas ~
your contractor. Your construction must be done according to building codes and coning regulations. It is yaur~,
resgansibility to make.sure that the people ernployed by you have licenses recruired by state law and by county arl
In addition, the owner must supervise constauction and becomes liable and responsible for the employees helshe hires. This
responsibility includes, but may not be Iimi~d. ta:
1. Workers Ca~npensation, far workers injured on the job.
2. Social Security Tax must be deducted from emplagee's wages and matched with owner's funds.
3. Federal Withholding.
Since owners must be liable for iniuries to Qvorl~ers they hire, the Building Division suggests workers Compensation
Insurance be purchased unless the homeowners insurance galley clearly protects the owner. fawners hiring wormers
became employers and should also observe lR.S withholding tax Form 109 recgZ.irements an the workers they employ
on their improvement work.
un licensed contractors cannot be ernt~loved under any circ~~~~nces Owners axe stabjeet to a $S,Of}0 penalty under
Florida Statcrte #~SS.288(1) instigated via wilding Division citations. An ()c~.patianal License is not adequate. The
owner should physically seethe county Certificate of Competency or the ~lprida Caniractors Certificate to ascertain. a
person is a licensed contz~ctar. Telephone the building Division (24.75826 }~~ doubt`
I hereby acknowledge that I have read anal understand all the above an. this I3ay of;
~~r
~~ ~~ti~
3~i ~
l~T®TARY ~
Print I`~ame:
~T~.T~ ~~ ~a~~:
carnv~ ~~ ~u~r~,
Before me personally appeared to ilie welt ;mown to be the indi;ddual and
owner builder described iti anal who exeeuted this instrument anal severally acImowledged the execution thereofto be his own free
act and deed as such owner builder hereunto authorizedl
7n
~VTiTI~SS nay hand and oil7cial seal thi day
-.~.~
~~,~~~~,,,~-SHIitL.EY L. (3RIIHAM
;;;~ Nolery PubNc - SMe d F1o~We
' .'~Vly Gonxi~aion Exp~irosfeb 14,2010
~N'~%FA,~~;;Y°~~f,':.~orided.8 NatiDriaF~N3t~~
3-~
d State aforesaid.
MY C~~SSIOIaF 11~`II~S:
^ P nally Known ,.
^ dantification: ~ US /'S r ~
rs v''\''~% CITY OF ATI.A~T'I'IC BEACH
~iTILDI~TG / Z®NING DEPAR'T'MENT
~~, x- _ -'= - ^' -- 'r 800 Seminole Road
J Atlantic Beach, Florida 32233
,~=~1; I~r (904)247-5800
(904)247-5845 Fax
www.coab.us
APPLICATI®N TRACi~Ih9C~ F®FZIVI
Property Address: ~ ! ~ ~~ ~ d"T~~ T
Applicant: ~
Project: ~C Do[.~,5 ~~/~ ova ~avr,•~m
PERIUIIT
APPLICATION #
~7 -oil
R IRED DEPT:
Y N PLANNING
~
Z N BUILDING
N PUBLIC WORKS
~ Y N PUBLIC UTILITIES
Y hi FIRE DEPT.
Y N PUBLIC SAFETY
~ APPROVAL
w
U o
REQUIRED
AGENCY:
RECEIVED BY:
INITIAL:
DATE:
w ~ Y N D.E.P kIUFSTETLER
O~
~ O Y N S.J.R.W.M. CARPER
_ ~ Y N ARMY CORPS of ENG CARPER
t-
O
Y N
HOTELS & RESAURANTS
HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE:
® ® 1ST REV ® ~ 2'707
PLANNIN
BUILDING
®
®
2ND REV
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY
®
®
3RD REV
Pte~aarn t9afls g®r»aa >t~ tflae ]~aaii~~u>sfl~ ~ep~u~ae>m>l e>mec~ g~®aa -nave c~a>Ee¢°~a~ ~~~r ~®aaa>raa~e>sg~s a~a~® g~~ AS~~~>
rs``'''\~~%~_ , CITY ®I' ATL.A~TTIC ~E~1CH
T' ~IJILl)ING / ZONING DEI'ARTIVIENT
` Y, ~~ ~`~~'-~ I ~,; 800 Seminole Road
J
Atlantic Beach, Florida 32233
~v (904) 247-5800
`~~ 'J f'• 1 a r (904) 247-5845 Fax
~.c®ab.us ~~--EC F'FIV ~D
JUN 2 7 ZOUI
APPLICA~fIGN TRACl~INC~ FC~RI~I BY:
Property Address:
~90 /D~' ~re~T
Applicant: ~ /G
Project: ~i~C DoiJ,S ~~/~ o /~ ~~~"r~
,~Q w~~~w~y -
PERMIT
APPLICATION #
~ ~- 0 `~ ~r
R 61RED DEPT:
Y N PLANNING
~
z N BUILDING
N PUBLIC WORKS
~ Y N PUBLIC UTILITIES
Y N FIRE DEPT.
Y N PUBLIC SAFETY
~ APPROVAL
w
U o
REQUIRED
AGENCY:
RECEIVED BY:
INITIAL:
DATE:
w ~ Y N D.E.P HUFSTETLER
C7 ~
~ ~ Y S.J.R.W.M. CARPER
_ ~ Y ARMY CORPS of ENG CARPER
O Y N HOTELS & RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE:
® ® 1ST REV ® ~4! ~`~
PLANNING
BUILDING
®
®
2ND REV
UBLIC WOR
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY
®
®
3RD REV
Retaar~ this ~®r~a >r~ tlg~ ]Suagdf~ag IID~gna>t~us~>m>l ®>m~c~ ~~na 9na~v~ r~>nter~a9 y®ur c®>~>~~ants ang® g~~ AS~~O,
- ~S1.L~r~~~ ~UILDII~lG PERMIT APPLICATDOI~I
~S ,~ ~
~S1
r
~~ ~-' -~~' CITY OF ATLANTIC P3EAC1-#
`Y:y.:nrj~y 800 Seminole Road, Atlantic Beach FL 32233
Office: (904)247-5826 . Fax: (904) 247-5845
Job Address: ~ n ~ J-~f~ ~~ ~'.~- Permit Number:
Legal Description
Valuation of Work (Replacement Cost) $ ~.~~ ea
^ Class of Work (Circle one): New Addition t~e~rah~ epa
^ Use of existinglproposed structure(s~Circle one): - Commercia
^ If an ex>rstmg structure, is a fire spr' er system installed? (Circle one): Yes N /A
^ Is approval of homeowner's association or other private entity required? (Circle one): Yes
Describe in detail the type of work to be performed:
~~l V, ~a~~ ~vtlr- i ~ ~ ~o~ n
Propel t~ ®w;aer I>~for;lffiatio;n - ~. i~~ic;;,za ; w I ~~c1~~.~
Name: ~ ~/'~ 1' ~ ~~~ Address: ~'~ ~~~ J~ V
City ~~, oH.~-~~ 1~ E ~_~.1,~ State i~ Zip ~2~.33 Phone y ~q , S't ~ Z`~ S~
Contractor I>aforanation:
Name of Company: ~ ~~ ~L Qualifying Agent:
Address: City State
Office Phone Job SitelCoutact Nu>iuber
State Certification/Registration # Office Fax #
Architect Name & Phone #
Engineer's Name & Phone #
Application is hereby made to attain a permit to do the work and installations as indicated. I certify that no work or
installation has commenced prior to the issuance o~ f a permit and that all work will be erformed to meet the standards of all
laws regulating construction,an this jurisdiction, This permit becomes null and void ifwork is not commenced within six (6~
months, or a construction or work is suspended or abandoned for a period of six ((6) months at any time afftter work as
commenced. I understand that separate permits must be secured for Electrical YTrork, Plumbing, Signs, Yt'ells, Pools,
Furnaces, 'oilers, Heaters, Tanks and Air C'onalitioraers, etc.
WARI~YNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMI\~NCEMENT MAY
RESULT IhT 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.
r hereb certify that I have read and examined this a Zication and know the same to be true and correct. AZZ rovisions o
laws and ordinances governing this typpe of work wil! be complied with whether specified herein or not The grantin o a
permit does not presu,~ae to gave awltharity to violate or cancel tl~e provisio>7s o/f %any other federal, state, or loca~ lfativ
regulating construction or the performance of construction.
Signature of Properly Owner: V~ Signature of (;ontractor:
r,W01~ tp'~ cnhcrrihPA iSAfnra ma i-~
this pS (~ Dav
Notary Public:
REVISED 03.05.07
Swo to and subscribed befo e
,,,~,ar u,,,, ~~ S
': Notary PubNc -State of Plaids
~y mission Expires Feb 14,2010
u, ~'ub 1533
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