Loading...
Permit 1198 Mayport Roadi ~ ` a ~., fJ' ,r~~ CITY OF ATLANTIC BEACH '~` %` ~ 800 SEMINOLE ROAD ~~~ ~ ,~ ATLANTIC BEACH, FL 32233 ~' / ,~ INSPECTION PHONE LINE 247-5826 ~'=.13i~ Application Number Property Address Tenant nbr, name Application description . Property Zoning . Application valuation . 06-00032124 Date 2/07/06 1198 MAYPORT RD UNITS 01-03 3 PIECE METAL SIGN SIGN PERMIT TO BE UPDATED 0 Owner ------------------------ WITT, BILLY 1198 MAYPORT RD UNIT 01-03 ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit SIGN PERMIT Additional desc . Permit Fee 65.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65.00 65.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 65.00 65.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CTTY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL j ~..~,; y ~', f- ;, ~=~' ~;` ~. ,,~,, ~, +1 I.% CITY OF ATLANTIC BEACH BUILDING /ZONING DEPARTMENT 800 Seminole Road Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ~ ~ - ~Z /2 Property Address: ~` 9D ~I A This permit application has been: Approved c~: L S. err /D / - /0.3 Applicant: !/Ui/ Project: ~T~ ~ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: U~ Date: ~~~ (d~ Date Contractor Notified: Address and contact information of person to receive all correspondence regazding this application (please print). Name: C L L-`~•`~~, ~` ~ s +L ~ (..,~.--) ~, Mailing Address: ~ 1~ ~ ~ ~ `~ i~~~~- ~ _ Phone: ~~C,~ • ,~~ ~ .L ~~~~ Fax: C!(::'~t . E-Mail: 1~' F f~C ~ 1~-S~'rt~~ ~CrH~% 1, .CCh-I AS TO OWNER ~~ Sworn to and subscribed before me this ~~ ~ day of ~ 4l.`~ ~" 'V , 20~• State of Florida, County of Duval Notary's Signature: \, ^ Personally known © ~'1'roduced identification ~ ~ V Type of identification produced ~ '()~ 1 ~ G~ Ui ~ ~~~ ~' AS TO CONTRACTOR: Sworn to and subscribed before me this ,~.~ ~~ `day of-~,~~~~t,'L" ~ , 20 ~~ , State of Florida, County of Duval Notary's Signature:- ~ _ ~1 ~.".~ _ Personally knows [~/)!'roduced identification j Type of identification produced ~~~ 1 ~,(~. ~ c~ ~~~ ~ yl L~ ~1 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Faz: (904) 247-5845 http://www.ci.atlantic-beach.iLus Page 2 Revised 1!30!03 ~._.. ~~ ~N~~~ AutoCare Center ~a Design Program Design Services Request Form [~ CUSTOM EXTERIOR PROGRAM, FAIRMONT DESIGN ~..IO.. EXAMPLES OF COPY FOR ~ SERVICE INDICATOR SIGNS: B" ~ ~ ~ 1 • • ~ 3 VZ„ • ASA CERTiFIEO TECHNICIANS • FULL MECHANICAL REPAIR FACILITY ~ y~ • 6UARANTEEO COLORMATCH ~ UNtSODY i FRAME REPAIR • OUARAMTEED REPAIRS • COMPUTERIZED REPAIR ESTIMATES SINGLE-FACE NON-ILLUMINATED ~ .. `~ • CUSTOM PAINTING • COMPUTERIZED PAINT NIATCNING SERVICE INDICATOR SIGNS COMPLETE au7o DETALL/N6 - FREE TOWIN6/PICK-UP A OEUVERY (CISTOM SERVICE INI}ICATORS ALSO AVAILABLE) ~[]] STANDARD EXTERIOR PROGRAM, HELM DESIGN nrn~_mna IMPORTANT: CHECK APPROPRIATE BOX .!'1 ~, /~f-- ' % , ;a. _ ,s. `;. - ~ ~ rl CITY OF ATLANTIC BEACH ~~: J,~.i -' ~WNER/BUILDER AFFIDAVIT Date: QCa Job Address: ,~ ~ ~ ~ ~./ ~DQ.-T' ~(°t~~-tC_ ~'.~ { t... ~ il r'+~ iC~/ ~'/G3..3 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNERBUIl.DER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BX LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU. AS THF. 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 IIvIPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR ~.~IPROVE n COMMERCIAL BUILDING AT A COST OF $25,t)tIO.(10 OR LESS. THE B[ILDING 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 TS COMPLETE. THE LAW WILL PRESUME THAT YOU BUILT TT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HII2E AN UNLICENSED PERSON AS YOUR CQNTRr~C~OR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONS03II,ITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES RE_4UTRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICh"I~iSING OIytDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMII.Y USE, AND LIKEWISE REQUIltE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000} BE UNDER A BIJIl.DING PERMTI' AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIItE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED "TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCF. OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HII2E, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIltTNG WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQ[JIREMENTS ON THE WORKERS 'THY EMPLOY ON THEfft IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDFR ANY CII2CUMSTANCES OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STA"TOTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NO'T 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. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT 1 COMPLY WITH ALL THE REQUIIZEMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY 1LDER~^ P~ SW TO AND SUBSCRIBED BEFORE ME THIS ~?~AY OF 20 ~' ~~'~ Ab CHRIS PRESTON --~-""~~ ~'~ ~~4' P+a61ic, State of F)a)da ~~~ _./~ Mr comm. expires Nov. 20, 2009 NOTARY P IC NQ- OD432i65 MY COMMISSION E:CPIRES: y( L NOTE: PHRASES ~,/ r~r~ljl-Jn t~ ' CITY OF ATLANTIC BEACH ~~ SIGN PERMIT APPLICATION ;~..r. ,`/ ~~,~ .'•-f~-~ 1j r Date: l r~ ~Q ~ -~--r Please submit (2) complete sets of plans with application. Job Address: ~ 1 Q ~ ~1 ~ `~ ~ ~- ~,----~-L Owner's Name: Address: ~ ~ ~ ?s ~ 1~ x i~G ~.~' ~ ~ ~7 ~ I '~ r ~ `~'Tione: ~ C~/ ~ r~~ ~ "C.% ~~-{ cal r Legal Description: Block Number: X~C r,~_ Lot Number: (- ,~ a l ~- ~ Zoning District: ~ Contractor: ~ ~" t-- ~- Address: State License Number: Phone: City: State: Electric Permit Required? ^ Ye~ No Zip: Fax: *Electrical Contractor: Dimensions and total square footage of sign: ~ ~z ~ ) ~c.. `~' . ~-~: ~' i-.~.`,:r Please provide two (2) copies of application and the following required information: ~.~ ~ Sc~ ~E~- ~.z ~.~ , `\ wj~;~°cd 1 ~~.~ 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of--ways. For Wall, Fascia and other types of Signs, _. include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront, or entire building, as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. 1 hereby certify that all information rovided with this application is correct. Signature of Owner: ~ Date: 1 I hereby certify that I have read and examined this application and knov-t~fhe same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. ~;.,,-.. --~.. ,, Signature of Contractor: ~ ~~ c (. ~ Date: ~ ~ (~ r1 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) Z47-5845 http://www.ci.atlantic-beach.tLus Page 1 Revised ]/30/03 Address and contact information of person to receive all correspondence regarding this application (please print). Name: _~~ L-'"~ ~ ~J i +1. Mailing Address: C l~ ~ '~-/~ ~ ~/ i Phone: C1C>~ • ~.~-:~ •~ 5~~ Fax: L..~ ~ '- Y ~E-MaiL•~~~ t1~ ~ 1~-~~'~t-~s I~~HG lT .C~CI~-i AS TO OWNER f Sworn to and subscribed before me this ~~< day of ~ L1.Y w't,-{ ~ 20 State of Florida, County of Duval ~ ~~~~ .~ Notary's Signature: ^ Personally known ~~ ©firoduced identification ``~~ Type of identification produced ~,~(~~ 1 ~t Gl ~ ~ V ~~ ~~ ~ ~'~~ AS TO CONTRACTOR: ~. Swam to and subscribed before me this ~~ _ day of ~.~~ r' , 20~. State of Florida, County of Duval Notary's Signature:~..~~ Personally known [~roduced identification i Type of identification produced ~{~~ l ~.(~ ~ i~. ~~~ ~ l.'~ (,~~~ 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fag: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/30/03 ~N~ AutoCare Center ~p Design Program Design Services Request Form ~ CUSTOM EXTERIOR PROGRAM, FAIRMONT DESIGN r-to~• EXAMPLES OF COPY FOR ~ SERVICE INDICATOR SIGNS: B.. E ~ I/Z„ • ASA CERTIFIED TECNNiCIANS FULL MECNANICAL REPAIR FACILITY f -f GUARANTEED COLORMATCN ~ UNISODY i FRAME REPAIR • GUARANTEED REPAIRS COMPUTERIZED REPAIR ESTIMATES ~~~~~~-~ ` • COMPUTERIZED PMNT MATCNING SINGLE.-FACE NON-ILLUMINATED -' • CUSTOM PAINTING SERVICE INDICATOR SIGNS • coMPLETE AUTO DErwtuNG FREE TOWING/PICK-UP i DGLiVERV (CUSTOM SERVICE INDICATORS ALSO AVAILABLEI `~] STANDARD EXTERIOR PROGRAM, HELM DESIGN nt,n~mna IMPORTANT: CHECK APPRt~PR1ATE BOX P~~~-e~~--mod tt~, ~tri~ it~~.. ~,~ P-~c~ C` ~,v~~~_ -N~vu,~~e.~ ~' ~ ~ ~.-,-; ---=~ +~ti ~av~~~t~_c~ ~~~v~ ~~' ~, ~,,V Y ~C1Gt~~~ V n1 ~ ~(c'. ~- ~`1 ~' -'Yl f' ,J'~ ~~~ rY1- nJ ~y ~~ ice: t~ "~` "~G ~~- J ~ ~ aL. } r, ;~ i L~..> i 1_t.. ~ ~-t-- ~ t~~..~ I ~ J t'~l4'~'~c~.1C:.~.~~ i ~~'p\tX t ~ it I~ l~ _ ~t ~' ~~ ~ vi L ~~ N ;.:- ~ `b~' ~2~~`~`tf ~ _ i 5~'`~ / _______ ~~ J~k "~~ P R O V E D l_______ ___--_ ~~?G-t~E~ ' Y Of ATLA~VI1C BEACH ~~~~C~~ ~ ~~~\~~ ~,~ ~ ~~ ~~\~1 ~/ ~ BUILDING OFFICE ~, ~, ~~______ '~ 0 3 2006 %'~ -f~ s ~ ~>-`~ FEB ~~ 1(jF ~ ~ ~ ~ ~~ , ~~ ~' e ~ ,~ ~l o ~~ O r m y!e' O 4~ ~~~~ ~ S ~ ~ ; s i { 1 1 f.1 \ - ~ 1 # i { f ~ ~ ~: ~ ~ '~ ~~ 4 ..._. ,_f~v w nrt yPl~z° ~~ a~~, fL am+ ~ ~~ I~ W IC'Y~~ • ~ R';. ~° ~ f, ' o KN. .~ 1~ , +~» F '0t._. .~O'~ lhi } i rn' a aYc _ .. _, $` %r '.•f1 ~=F -K ~~~' CITY tJF ATLANTIC BEACH Jt, t ~' OWNERIBUILDER AFFIDAVIT -~,~=' Date: L~fv Jc~b Address: l ~ g ~ ~ ~c.~t I~tZ i" ~ ~_~~~'~r~' ~~-- t... ~ ~ j'~ /~/ °'/t~.~ CHAPTER X189, FLORIDA STATUTES, PART I "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 SLjPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IR~IPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUII.DING. YOU MAY ALSO BUILD OR r11,~iPROVE COMMERCIAL BUILDING AT A COST OF $25,000.Op OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. TT MAY NOT BE BUILT FOR SALE OR LEASE. II' YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME 'I7-L4.T YOU BUILT TT FOR SALE OR LEASE, WHICH IS IlV VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PEON AS YOUR CONTR.AC'TOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE > MPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICb'NSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPER"TY WHEN IT IS FOR PERSONAL OR FAMII,Y USE, AND LIKEWISE REQUIl2E ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIl2E UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIItECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIIviES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE:' THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDIlVG DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM t099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. 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 COMPEI~NCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN 1F A AERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT (247-5826) iF IN DOUBT. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT 1 COMPLY WITH ALL THE REQUIItEMENTS FOR "I'HE ISSUANCE OF AN OWNER-BUII.DER PERMIT. ~ ~ --r..., PROPERTY DER---`-- ___-- SW "1'O AND SUBSCRIBED BEFORE ME THI5 ~~~AY_,.~O-F-.~° ____L~20 ~ ~ Nofa-Y Pubtic, State of Fiorida ~+y comm. expires Nov. 20, 2009 NOTARY P IC No. D4492155 MY COMMISSION EXPIRES: t<E ~ NOTE: PI-uzA.sEs =s `'"'j `''-~ CITY OF ATLANTIC BEACH ~~ `j`, BUILDING /ZONING DEPARTMENT - ~~.. ~ ~, ~ -~ 800 Seminole Road Atlantic Beach, Florida 32233 ~~ 7 ~_ ~,; ~ (904) 247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # _ ~l - ~ Z / Z c~: x oerr Property Address: // `f ff ~ A~/ a~,2 r ,,x('0.9 d ,~'~,E' /0 / - /D,~ Applicant: ~j()~ ~ ~T Project: This pe "application has been: Approved ~ Reviewed and the following items need attention: Please re-submit your pplication hen these items have been completed. Reviewed By: ,~.,. pt,~~tvt.~ _ ~ Datc: j 3 D~ Date Contractor Notified: f J, i j,~1;Y:rjl~ ~-i~ 1 • ~. ~ ~I . J i. ~, ' /~"/ // _(/" Please submit (2) complete sets of plans with application. Date: j~ ~~ L/ ~- Job Address: ~ ~ Q ~. ~1 ~J it P © 2- T ~- ~• S 1 f 1 C? 1 ~~ ~ ~ 0~ Owner's Name: Address: ~ ~ ~ ~ M ~ X ~d ~..~ ~~_T~~ ~ ~ f % hone: ~ ~, ~ ~~~ '~ 3~ Legal Description: Block Number: '~`~ Lot Number: r-`~~ l °5 Zoning District: ~^~ Contractor: ~ ~ 1- f Address: City: Phone: State: Zip: Fax: Electric Permit Required? ^ Y~ No *Electrical Contractor: Dimensions and total square footage of sign: ~~ fc ~ 1 ~ `Li ~ "- ~~.~' '~ y 5~t ~'" ~~~'- Please provide two (2) copies of application and the following required information: ~-1i-AcG~~nne.~,~ F~"~'E"-- 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of--ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront, or entire building, as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. I hereby certify that all information,Rrovided with this application is correct. Signature of Owner: Date: ~ ~ ~ CP ._ I hereby certify that I have read and examined this application and kno a same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. .~",. ~~ ~,,., Signature of Contractor: ~ F ~ ~ ~ Date: 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION State License Number: Page 1 Revised 1/30/03 v r~.. Address and contact information of person to receive all correspondence regarding this application (please print). Name: 1 L C i \ Y Mailing(~Address: ( 1L~ ~5 n~ ~~~ ~a2-- Phone: ``t©~ • ~~~~ ~d"~~-t~ Fax: a~~- E-Mail: ~P f1C ~ ~~~ ~.~5 ~C% L .CCU-I AS TO OWNER: Sworn to and subscribed before me this ~ day of ~ ~ , 20~. __'~J~ State of Florida, County of Duval Notary's Signature: ^ Personally known (~-'Produced identification ~~ J~5 G Type of identification produced ~,UY (~ A AS TO CONTRACTOR: Sworn to and subscribed before me this -~~~ day of , 20~. State of Florida, County of Duval Notary's Signature: ^ Personally known ~roduced identification r ,~ Type of identification produced f wr (d,~( ~ ty~5 ~ (,G~ 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/30/03 ``~ ~N~~~ AutoCare Center ~w Design Program Design Services Request Form [~ CUSTOM EXTERIOR PROGRAM, FAIRMONT DESIGN ~ EXAMPLES OF COPY FOR ~, Io„ SERVICE INDICATOR SIGNS: ~ „ • ASA CERTIFIED TECNNICU\NB • FULL MECHANICAL REPAIR FACILITY . ~//Z • GUARANTEED COLORMATGH • UNIBODY 8 FRAME REPAIR f- • GUARANTEED REPAIRS • COMPUTERIZED REPAIR ESTIMATES SINGLE-FACE NON-ILLUMINATED • CUSTOM PAINTING • COMPUTERIZED PAINT MATCHING SERVICE INDICATOR SIGNS • COMPLETE AUTO DETAILING • FREE TOWING/PICK-UP 8 DELRlERY (CUSTOM SERVICE INDICATORS ALSO AVAILABLE) ``~ STANDARD EXTERIOR PROGRAM, HELM DESIGN AC05-0704 IMPORTANT: CHECK APPROPRIATE BOX ~,,, Po ~ cc. R~ .~ C~~~~~ y _ _ 3, ~ ~ g' v~~ too ~.J '~p ~~. !~' 1ai~;v~~.C~ ~DV ~~ ~ ~ocac~~ U N Ca ~2 ~ ~ ~ m ~ ~J"~ ~21~ ~M t +~ ~ C-~. e~~- ~E-ts 8~ ~ ~_~ ra~ n . _' ~ ~ ~ ~ ~ ~ tom' d es Lr~ ~ rY1~~ ~~-- ~ ~`c-~ e-~-v ; ~ ~ ~ i.L vU ; ~~.. ~ LL 3 ~~ "~ A Neu: ~cl~~d ~ s~~~..~~ l~ fL2 t ~~ ~~~T 5 ~ ~~ R-~-~,i.S~A Sb,~s~S ~ 1.~, c~G ~~4S~eI~S ~ w ~,~ 2~,, lY1c~ v ~=~- ~.~ ? ~ T~uc-F-ti~2~ ~~ ©T ~ t,~t L 1~1 fV I f / ~s ~r3 `~`~~ 5~~ 5~~~ ~~o~c~F 5 i~N ~--- 5v'------~ ~-! ~~~ ~'____,. ~-m~n;S~~tiS b~ ~ A~~ ~flC~.. ~f~~,~~~~~J P~^' ~ 4 ....~"' J a '~ w O ~~ e 0 »~ a -u ~ _.y_--------- ~~ ~, :.r. °~`% ---------- l^J r w ~~~ ~ ~ t 4 ~ ~ ~ ~~ ~ ~ ~ ~~ ~~~~ ~ ~ 4 ~ ~ ~ ~ ~~, ~ ~~ ~~~~. z ~ ~ ~` ~ ~~ ~; g-. `1 f~ , ® ~ ,~, ,~ ~ ~ ~~ . > ~ . i o ~~ ~~ ~ ~ ,~ /^~ a ee+ ~ a ~ ~. ~r- g~tl far w+au~..~a 1 ~,c~~ s '°~'1 4 a` ~.Q1~.~1`~~t M~, ~ ~~f ~«;~+*• :~ `+, . ~?:. ~P ,,~~ ,,~ ~. ~° L ~ N-~ ~.r~, /nj i ;; r ~s~.F,1 /~ }SS 1 ~~ - ~ j CITY 4F ATLANTIC BEACH ~ ,., / ~` \ - OWNER/BUILDER AFFIDAVIT ,~,-~~ ,,, ~ Date: U~v Job Address: )~-V-~,~.~I.~p~DR.-i' ~ ` ,~'(LA~„~7~C.,.~~/" L- sy ~'~. /D/-/o3 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNERBUILDER 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 APPLSED 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. Y_OU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE AONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR T1tRPROVE A COMMERCIAL BUII.DING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR 'FOUR USE AND OCCUPANCY. IT MAY NOT BE BU[LT FOR SALE OR LEASE. II' YOU SELL OR LEASE A BUILDING YOU HAVE BLJII..T YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT Tf 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIItE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDNG DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. 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. 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 TILE 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. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUII,DER PERMIT. ,~---~ _ PROPERTY ILDER SW TO AND SUBSCRIBED BEFORE ME THIS ZT'~AY OF 20 ~"~ re'' ° CHRIS PRESTON $~~~ Notary Public, State of Florida My camrrr, expires Nov. 20, 2009 NOTARY P IC No. OD492165 MY COMMISSION EXPIRES: y( L `09 NOTE: PHRASES ~„ DL w' 3 0~0 ? d `7 ~$'0 0 !Sf fwl ldf ~/Q z trXP ~ /v/am/~~