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708 Sabalo Dr 10-00000798 ShedCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000798 Date 6/24/10 Property Address 708 SABALO DR Application type description SHED PERMIT Property Zoning TO BE UPDATED Application valuation 1500 ---------------------------------------------------------------------------- Application desc new shed ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FUCHS OWNER 708 SABALO DRIVE ATLANTIC BEACH FL 32233 Permit BUILDING PERMIT Additional desc . Permit Fee 60.00 Plan Check Fee 30.00 Issue Date Valuation 1500 Expiration Date 12/21/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. Fee summary Charged Paid Credited Due Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total 30.00 30.00 .00 .00 Grand Total 90.00 90.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUII.DING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: V ?S ~ ' © ~.+r ~~ l~C. ~ Permit Number: /O- G ~7 ~rQ' Legal Description N°l. W ~ 0 ~~a• W dp~„ ~rG,.M.,~ s ~'1 ParrPl # rioor Area of ~q.r~t. q, t /~l~ Valuation of Work $~ • ~ Proposed Work heated/cooled non-heated/cooled r Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of ezisting/proposed structure(s) (circle one): Commercial Resid If an ezisting structure, is a fire sprinkler system installed? (Circle one , es No N /A Florida Product Approval # For multiple products use product approva orm ~ , Describe in detail the type of work to be performed: Prouern/tyl~Owner Information: [~ I~amear\ of ~ e,5 ~ r cam- ucn City atr- E-Mail or Fax # Contractor Information: Company Name: Qualifying Agent: Address: City State ~fEice Phone Job Site/ Contact Number Fax # State GertificationlRegistration # 4rchitect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address 3onding Company Name and Address Mortgage Lender Name and Address 4pplication is hereby made to obtain a permit to do the work and installations as indicated I certzfy that no work or installation has commenced prior to the ssuance of a permit and that all work wall be performed to meet the standara's 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 fora eraod of srx (6) months at any time after vork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, .Signs,ells, Pools, Furnaces, Boilers, Seaters, f anks and Air Conditioners, etG WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONIlVIENCEMENT MA.Y 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. hereby certify that I hav~read and examined this~plication and know the same to be true and correct. fill provisions ~ e oJf work will be com lied with whether sppeci ed herein or not. The granting of a permit does not presume t :g rovisaons of any other federal, state, or local lmv regulating construction or the performance of construction. ~ a ignature of Owner ~ ~~~~ Tint Name 1.,~-i'...lC.~{~,.r l -.~.~...... - '...1.........~l~t.~..~._.. wane to and subscribed before ine us ~ Day of ~ Wrl e 20 I O ;~"r p~.,,~ Ji?Ni M. JADUET ai° °`2~'-: Notary Public -State of Florida . ~ My Comm. Expires Apr 15, 2014 ~~ ~;:' Commission #r OD 982548 ' ~,4;~~ ~~`~ lton~d ThrouoA N~lonat Notuv l~sn. Zip Signature of Contractor Print Name `".S'EE PERMITS FOR ADDITIONAL REQUIREMENTS ANDIQ~~~ 10 REVIEWED BY: DATE: ~ ~ /4 - 1 ~~~ J ~ ~; -. ,r~ CITY OF ATLANTIC BEACH ''~ ®WNER /BUILDER AFFIDAVIT ..~~,_. .:._ ~r.~s~%~ I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 484.103(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 XOUR 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. F Before me this ~ day of ~, 20 ~8 in the county of Duval, State of Florida, has personally appeared herin by himself /herself and affirms the all statements and declarations are true and accurate. Notary Public at Large, State of ~Y ~ Q ,County of ~_ ^JPersonally Known r^~ 1v r~ 1d Produced Identification - 1- Vw '~ r ~ -153 -1o i- 24 z -o Notary Signature: 1 v ~ F~IBLDGIOwner-Builder: ffadavi[: REVISED: 41 1 613 0 0 9 ~ y ~- ~r~~ PHONE~UMBER ~ - ~~ ~ !c~ DATE `~~Hy p ~~i JENI M. JAQUET ~~ u •., if' ~~ Notary Public -State of flori0a My Comm. 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Y APPLICATION NUMBER (To be assigned by the Building Department.) /D - D"21~ Date routed: City of Airiar~tic (3each j , i3ui6dir~g ®ep~rtrnerot ,~' ,~(jqJ 800 Seminole Road y ~Y ~c~ ~ `~ ;µ~~';~, ~ Atlantic Beach, Florida 32233-b ;~ ~~j~h/ !~ Phone (904) 247-5826 Fax (904) ~,-5845 E-mail: building-dept@coab.us City web-site: http://www.coab.us ~\`~~`= >r®per~~ Adidress: ~a D ~~/~- l~ ~' ep~plAC~ctt~: /~ ~ 7'1 cS ®e Brat reviev~r required Yes hEo u' Plannin & Zoni 'nistrator ublic Wo u lic Uti(itie u lic Safety Fire Services i..u~ .*Y..-.h.4.ttl" LI Reuaewfee~~~~~ ~~.~~ J ~~_F'a,._5~y', y.~.,>t ~Dep~~S,tgna~ure~.:~.~..a~-~ ~ r ~~ Other Agency Review or €~ermit Required Review or Receipt of Permit Verified E3y Date 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: Reviewing Department (Circle one.) BUILDING PLANNING & ZONING TREE ADMIN. P ARKS LiT.I /v PUB SAF TY FIRE SERVICES APPLICATi 101 S~ASUS First Review: ~pproved. ^Denied. Comments: Reviewed by: _~ Date: Second Review: Approved as revised. ^Denied. mments: Reviewed by: Third Review: Corments: ^Approved as revised Reviewed by: ^Denied. G ~a Date: Date: Revised D5/14lD9 .. x~t~'Dl''~'"~,~t.. City of At9aratic Bead ~. ,~.w;nr_ =l Bar'sl~ing ®e artrnent ~ . ~.~ °" °~~ `.~ 800 Seminole Road `y ~'. ~ Atlantic Beach, Florida 32233- 45 - ~` ~ `~ ~" y ._.,y ^'-~ Phone 904 247-5826 Fax 04 ,'~~8~ ` ~_'.;~ ~ ~ ) } r~1d ~%° E-mail: building-dept@coab. s ,~ City web-site: http://www.co ~ 2~jp ~.. -Npt6~ant: ~ ~ ~ op®~~C$: ~ 7~~J APPLICATION NUMBER (To be assigned by the Building Department.) /D - 0~21~ Date routed: ®e ent reveew regaasred Yes No u' Plannin & Zoni 'nistrator ublic Wo u lic Utilitie u lic Safety Fire Services • ,~DeptvS,lgnatu~e~ ~. ,,,<. s ~~ sa.k _,. ®ther Agency Review or Permit Required Review or Receipt of Permit Verified i3y Date 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: APPLtGATi tON STATUS Reviewing Department First Review: Approved. ^Denied. (Circle ane.) Comments: Q _/~ /J~/ . , . BUILDING '~ (/(~, (G ~/ PLANNING & ZONING Reviewed by: Date TREE ADMIN. Second Review: ^Approved as revised. ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Ti~ird Review: ^Approved as revised. ^Denied. Coou~ments: Reviewed by: Date: 12~ /~ Revised D5l14/09 .+ ~5~~'~f~, City ®f e4tlantic i3each ,~ ,:;;r s1 i3~iiding i]epartsn~nt ,,, ,;'=,~~y;;a.., • ~ ~ ri 80D Seminole Road ~, •` - --,.. ~~ Atlantic Beach, Florida 32233-5445 ~ ~--' Phone (904) 247-5826 Fax (904} 247-5645 "~Jxs ,`° E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) /D - d 2 ~~ Date routed: °s^®pe~y A~ldr~ss: ~~ U ~1~~/~' /d -ppllca~a~: ~ ~ 7'1 Pr®~ect: ~~"1~ ®e Brat review re~e.aired Yes No u' Plannin & Zoni 'nistrator ublic Wo u lic Utili ie u is Safety Fire Services ..::~'^2~' xi:7,7~s"^i~' *.~'"._ ~,'r°"t^ .. ,~. `fir 7 °"t- 1'u~`° A. - ^rr •--.--^~ F„~eW.~ew fee~~~~. ~.. m ~ :.~..~:'~~:?~ ~ {...r' Tt . Dept~Slgnature, M r~:..s ~... vL , t,~. ~.s ®tFaer Agency Review or Permit i2ec{uired Review or Receipt of Permit Verified i3y ®ate 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: APPL[CAT[Ohl STATUS Reviewing Department First Review: proved. ^Denied. (Circle one.) Comments: BUILDING L ING & Reviewed b ~~~`" Date: L~ ~~~ Y TREE ADMIN. Second Review: ^Approved as revised. ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Tiaird Review: ^Approved as revised. ^Denied. Coa~u~aments: Reviewed by: Date: Revised 05!14!09 . 1=g ~J.~l+,~, %° '~~~', j ~' ra \~y ,. r \ _y ~' '~~Jtt ~r City of ~.tlarotic BG1aCP1 i3uiidirog ®epartrnerot 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) /D - d29~ Date routed: 'r®perty Address: ~a ~ ~ j~/~' ~~ ~pploca~t: ~ (~ 7'1 ®e erot review required Yes o u' Plannin & Zoni 'nistrator ublic Wo u lic Utili ie u lic Safety Fire Services 'T^. E"y"'°r~ , ~ : ~:i-+~-~ M r _ y' ~ r., .~ J.._.~, ~,, '°"'°'_,~"e a- "7°."..w~, • Y : x'" -°,*ta-" ' -.- Revi_efee~~~~~:~~ .,;~ .~.:.F ;_;,.~#~~,.,.~Dept°Slgnature~>~,, k~, ... ;~~~., Other Agency Review or Permit Required Review or Receipt of Permit Verified By Dete 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: BUILDIN~ ..-- PLANNING & ZONING Reviewed by: TREE ADMIN. Second Review: v []Approved as revised. ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: 6~~0 ~~ Date: Date: Revised 05/14/09