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Permit 541 Atlantic Blvd CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 9 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 l� Application Number . . . . . 05-00030998 Date 9/13/05 Property Address . . . . . . . 541 ATLANTIC BLVD Tenant nbr, name . . . . . . AWNING Application description . . . SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SABOL,RICHARD ATLANTIC SIGNS INC 107 MOTT STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 388-1234 ------------------------------ ----------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 a Issue Date . . . . Valuation . . . . 0 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: BUILDING / ZONING DEP A;RTNT, ° F 800 Seminole Road H 99i s Atlantic Beach,Florida 32233 U,il�f (904)247-5800 o (904)247-5845 Fax 19E www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: f /7 Applicant: /Cl111 CS Project: ` This permit application has been: Approved ��e �ewedandollowingi e ention: cru h� j f::k e2.e 7&Sc ( —` 3 1� (:�z �� �► CL�4pmz Lto of FSC- CIE i / Please re-submit your application when these items have been completed. Reviewed By: t4i Date: G Date Contractor Notified: P EnCon Services, Inc. Sign Design Calculations Job Description PREPARED BY: EnCon Services, Inc. Progressive 2272 Jaudon Road Atlantic Beach, FL Dover, FL 33527 Awning 813-655-3373 F 813-655-9814 Design per ASCE 7-98&2004 Florida Building Code Aaron Biedenbach, P.E. Design Specifications PE#52949 Importance Factor 1 FL EB#9394 Kzt 1 CBC#060535 Exposure Factor c QB#22527 Kd 1 Kz 0.85 Table 6-5 Pg 60 ASCE 7-98(Adjust for Height above grade) V 130 mph Cf 1.2 M/N(Larger/Smaller)<=6.0 G 0.85 Canopy Information Height 2.00 ft Width 8.83 ft Thickness 2.00 ft Distance grade to top 15 (ft Wind Sheer Force 150.04 (lb) Weight of Awning 264.9 (lb) Uplift Force = 304.44 (lb) Total Tension Force = 662.42 (Ib) Required Provided Fastener size(Nominal) 3/8 3/8 Minimum number of fasteners 8 8 Sheer Force per fastener(lb) 38.1 280 Tension Force per fastener(lb) 82.8 1 352 Combination Tension and 0.37 <1 O.K. Sheer ratio Fastener can be Hilti Sieve anchor for hollow block or lag bolt into wood framing member, Liberty or Toggler 0 bolt through 5/8"plywood. Lag bolts must penetrate 1 1/2"into structrual member. Progressive Atlantic Beach Awning 9/2/2005 08/17/2005 15:17 FAX 5137246437 PROJECT MANAGEMENT 0]002 HG-21-2001(TUE) 15:131 PAN STATE FIRE JwIA AL ' CA.L:tFORMA nEPj!LRTbMNT OF FORESTRY and VIRS PROTFCT10 OF'FXCE OF THE STATE FIRE MRSUAT. REGISTERED FLAM - RESISTANT PROD CT Products Regists�tian' 13a. FTJ=ACE P-43301 Product Marketed By: ART40W SIGMECR LTL! SANla i 4669 INV 90 MRS'7-8201 l�� t( y Saxy�yM0=0 TX -8w 01 i This product meets the minirnmm raquft=cnis T il=c sesi�cstablisbcd by the California Smit Fire Marshal far pmduc-s identified in Se tion 13115,C.alifomia Hcaltb aad Safety Cade. The scope of the approved as+:of rbis pmdurt is provided in the current edition of the CALIFORNIA."FROVEI)UST OF FLA*RETAMA?&C11E HCALS AND FABRICS,GENERAL AND LUMTED AFI'LICATIONS CONCERNS pubgsbed by the Calif rmia Slate Fire Mazsha. beputy State Sire i trahal iai_i >nnnnn,a 7aI_1 fit:-e GQ77R7F0i{A saiudeag 5/3 uoj�y_Wo1� lir�il 9fl-€1-uQ� City of Atlantic Beach Bu 904-247-5845 P, 1 Y ls) i . CITY OF ATLANTIC'REAC SIGN PERMIT APPLICATION AX DatA "/�. Job Address: � •, L. ` �- !A Owner's Name: SQ/ t n L ^� / Address: /L'I�tF ' Phone: P so Legal Description: Block Number: Lot Number: Zoning District: Contractor: 1- tG4 S State License Number. gf� ) 7 91 Address: s Phone: j�� �, 3 - City:�—ft State Zi :3, 3.3 7 7y�r 7 �.- P• ``� Fax: �U Electric Permit Required? ❑ Yes*8'7'9'd- *Electrical Contractor: Dimensions and total square footage of sign: Please provide two(2)copies of application and the following required information: 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 Rall, 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 provided with this application is correct. Signature of Owner: Date: I hereby certify that I have read and examined this application and know the 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 requ' Signature of Contractor: Date: U 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 1 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beacb.n.us Revised 1139/03 City of Atlantic Beach Bu 904-247-5845 p. 2 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Phone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: r Sworn to and subscribed before me this / day of. ,20 �' State of Florida,County of Duval Notary's Sig Personally known ❑ Produced identification ;Q; Debbie Stone Type of identification produced: '- =C0nMI4sdan#DDD4d349 TIVU Ag 13mding t..a,Inc 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page Phone: (904)247-5800 - Rax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us 2 Rcvind 1/36/03 U1/LU/LUU5 15:20 FAX 5137246437 PROJECT MANAGEMENT Q002 07/20/2005 14:401 PAX 440 995 7446 PROMSSIVE CAS INS CO .. DITALITS yr t.a� v704640Lbat3 ALL FLURIDA.AUTO]a �1002Sf�02 J(,�(,-i� iQs57 FRC![. Pqt • a a GN CoMpANy `107 MOR Slf*ct-J nvi le_PL 32-_)U-�PU)3$8-13:4+PAX(91M)3W?457 AN COA PQRA; LmWm- j&&UQmm SPA"05 00ZMV All Amur lmmrawc ' :,�, s AAm0ficBlvd To w•iwm 1*mw mer,: MIN&B h F!3223 Es ilcai +8x*4 b appy fbr iea4 ob"M ag parsbit, to nsbin a' empgoom at tbs alim kwdkm. Owner or Lm=djWMVpFopWq "lord 1Aul400� t l�ltted dE Ire 1 ;wry CiMi'Y'CW t9tN/U. 0^11 cW mew K Merry •' � � Maent�cturing-unvt Lottaririg-34WIc-Nton+Sign Scsvim 9 CMM$CIVIC* BellSouth- Web E-mail Page 2 of 2 L6r�N Y'L�F e+r:+a+xU 15" NEW STANOAHO 2M LOGO N 18637 ATLANTIC BEACH,FL (1)AWNING WITH IMPRINT NEW 5.04 LOGO I M1 $ 10, APPROVAL; NpM Gx*.'++vu Mr h ~s %0n4 P+4",#14 C t4vvW ftft*N FIwY�0�C+rMnt C-rrpr4" nwwDiaNte Sakes far Service.If1C___ OAD.,2'x BYO"x 2'Dwp WI�,IJAM58Ut4C..GVWO•((DAR HILt.'IXAS Two COLORS. Cterw ptowevW"UVA00 a PMS.2945 BLUE PMS-361 GREEN s++.xr No 05.5.297 PROG04 DOHA PROGRESSIVE LOGOTYPE LOG(7TYPF ANOIMPRWT a+". rr Date 6 eDtx IN WHITE ON BEEN BACKGROUN . �_ 3 C� 1 » .. i10i"6"s'I"As'"�"' FROG fSSlVf COLOR SPECS 2005 LOGO waal�stra �W�regM laipi 6uMb'LWtt L+xiRMt YAyKs Arww.! p"OW M) VMYi HEAT TRMKFEII iF7 IPM--_"U FW*XI,3$WI$? tM VMge I hl.A,Tf—Iftl 2926 Ni OF Download Attachment: 18637 awning-s jga http://webmail.bellsouth.net/agent/mobmain?msgvw=AGoAPQB 5ADYAGAAdADUAB g... 8/12/2005 CITY OF ATLANTIC BEACH cc: mss ' BUILDING / ZONING DEPARTMENT D. Ford 800 Seminole Road �' HOe��-S� Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: ��/ ,//%/k-, /7 e Applicant: 'WI Project: 61,Wtiken C? This rmit application has been: Approved Reviewed and the following items need attention: Please re-submit your ppli on when these items have been completed. Reviewed Date: Date Contractor Notified: City of Atlantic Beach Bu 904-247-5845 P. 1 a CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION Date' _� `'C� •.� Job Address: 1 �. Owner's Name: Address: Je Phone: t��� c,) I Legal Description: Block Number: Lot Number: Zoning District: Contractor: 'Yti -� ".),c ,L S State License Number. Address: �f��? rYLPhone: 'M 1 3�y Citv:_ I, - State: ^L Zip:2�0'4 Fax: OP ? 2y�! Electric Permit Required? E] yes* 'Electrical Contractor: Dimensions and total square footage of sign: Please provide two(2)copies of application and the following required information: ?. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from propem 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 Iinear 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 provided with this application is correct. Signature of Owner: Date: I hereby certif}`th at I have read and examined this application and know the 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 requ' . f Signature ofContractor: *` Date: _(J �! • . 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page I Phone: (904)247-5800 • Fax: (904)247-5845 - http://www.ci.atilintic-beach.n.us Revised 1130/03 Citi of Rtlantic Beach Bu 904-247-5845 p- 2 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Phone: Fax: E-Masi: AS TO OWNER- Sworn WNERSworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of��� State of Florida,County of Duval Notary's Sig ' (VPersonally known ❑ Produced identification Debbie Stone Type of identification produced: ' 'tCnmmis W#DDD44349 , :,:f; ,p OFtOQ'`�� Thru 'ttttnFu Adanfic Bonding Ca,IAC, 300 Seminole Road Atlantic Beach,Florida 32233-5445 Page 2 Phone: (904)',147-5800 • Fax: (904)247-5845 '. http:;hvww.ci.atlantic-beach.fl.us Rcviscd ll36103 07/20/2005 15:20 FCT 5137246437 PROJECT MANAGEMENT Q002 07/20✓2005 14.40 FAX 440 395 7446 PROGRESSIVE CAS INS CO -. DUALITE �0a2✓002 .4u.is7 7O4.G�FOG6U2i � FLORIDA.AUTO .immW 112 4 tntt e-� s .A. COM['IZM SIGN COMPANY S;gns 107 MQtt SIMCt•J nl-4 l!_,FL 322 -(904)3138-14-14 r PrAX(904)3W?487 INCO-A ORATro 11-All Florida Auw Igoe IMIMFCT LOCATIM4543 A'tUM&Blvd To wimm it mw comem- AU8ntic Beth Fl 32233 Adsn*Skm Lm it bftmby aatSarftd to&"%r ad obtht mgjor"Ift ,ne er}to 106ftq No COUPON"&at the Aim kadm ' Owner or LWKb*rWPr6P 7 r , l I►boae; c?ameatord 1Authoriord t PrJnted metre STATEWRAWAM 00 PM OP OWAL IAL NotstylSigly aim tnA tM eeassom AAAWk �we�+tstooe Mr � M$efalacc�srietg•unyt tiariri&-14v*fc-Nton Sign Servkr•C+f a 0$cc fft BellSouth- Web E-mail Page 2 of 2 N[W sTANOAAD aafs t oca 018637 ATLANTIC BEACH,FL (1)AWNING WITH IMPRINT NEW 5.04 LOGO fi 12 21' F APPROVAL; p. a.T..>.,«.0 ..,. t rxw�. Djalfte&at-s&Sr_fw_C r+ O.A.D.:2'aa'10": 2*Mop 1. AW,-:u N[ t t t A.t.• t f%A': TWA COLD 14S, ^tiro Pr,:, tx .r Vc ,ur:x PMS-2345 BLUE PMS-381 GREEN 05.5.297 PR0004 08M -f*WXiRF' SJVE t(W,01 Y#1F ANO MPIONT :t.'.t'"-' uue.e.�."`'. .. IN WHITE ON GREEN RACKGROUNQ tHNdni�nNradoJwpayoepdpuOtlsL4SiSr PROG ESSIVE COLOR SPECS 2005 LOGO NN.•1 Orr9t�itr,r•1K�rmbwp,ON 111/� ,v,.•1 s u.,wrw w n +,;. ,,.A4 Meje ......� COIGR VIf4(OMIM! vom l3.G....bxk .1 hiG...,.w -�i H tCw i- .! •.+...+«.a.+,.�.._y,.,.�.... 11EA R T 1 ANSf[R Obi Srr.r:.1 u+.r►064 A;,.0�:t r M.•r sn^=Y'r'm,n..,d r. h!+,1 six..•. S ec-^.`.'+-r* 'UlS,;�:a:t ZSdb v Br.in rv,-. 7905 ia6,.:.17U�.'M,70 t�T Fcti.-.Nn,e f t A,,!Pn •tT 2930 7-,t:i Download Attachment: 18637 awning-s iaa Planting and Z0j*+D 0"Iedmft This approval vwf%$oanpilanoa"Kh zoning, subdivision and othw local lands development regulations, but doers not consthule approval for the issuance of pomft. C Mpliance with Florida Building Code and ON other appltaablo local, State and Federal permitting requirements must be verified b signature of the City of Atlantic Beach Building Isl prior to issuance of a Building Permit. , � Approved By: �-- Co L411 1 eve o ent Date:_ 4 - G -O ' httn•//wehmnil hP.1knnth net/aoPnt/mnhmnin?mcavw--AC'TnAPnRSAT)VAC,A AdAT-)TTARa R/11)/2(1(15 -. —.. -.. ..,.sar rar Win.\ _i7 E?a BE`1 1 ..1 \\V : - P,00 SEMINOLE ROAD-ATLANTIC BEACH,H, zs__ AdEii�3s' "i A_TLAis:'?IC, DOULEVARD i :°eimiL `��\.r`nw.: • ATLANT`fv vZE�`i-•H- FL 32233; Permit Type- REMODELING ( Township: Range: Boots: i Class of Worts: REPbiR Proposed Use: SINGLE FAMILY Lot(s�: Bt N-ri S tion: Subdivision: ATLANTIC g�gCy f ! I Square Feet: 2,100.00 i Marcel Number: ! last. Value: { , _ - Improv. cost: 2,10' 00f = - n i nate issued: 1112r'200 I ! Name: SEiBOL, RtO APd� i 37.5 ; Address: 543 ATLANTIC BOULEVARD i Total t=ees: i P i LAN I K; BEA H, FL 32'=-3 .'�.C:3Cl:nt¢aid; 31.50 I Date Paid. 1 � ---� Phone r-i2rc�1 _ � --- ---- 006)000-0600 — �-- Work Desc. REPAlf REP LACE SIDING -- r��` L�!►t ` ", w _ `"P�Rnn T 37.50 Int EES: PROPERTY OWNER I � 4 f j I I i i I l � f T i t _ atspev4 Li'lS R� �! 1 I I 1 i NOT ICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO (NSPECTION ,�, .\n AA�1T�Q1 1� RUSHI�=.H ND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND i BUI�.DING�� A i MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR O1`dNER r--- "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY f OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" n nn G D DT Q T41 yd D S BI t nT TO _0.10 ATM ( ISSUED ACCORDING TO APPROVED PLANS WHISH ARE : ;�... ...I` HI P�R�±! �uvv�voJ€�� ��. R�..r.,....., . FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I E i I I A __ --- T. $37.5814 j %3---__ V GC%1t�ifl �IJILDIIYV EADote: 1/ 2/81 ii Receipt: 88Z86Z8 p 2 -p- - - N19IN 3221888 CITY OF ATLANTIC BEACH PERMIT CALC7;co ION SH ET l Address �y G/ C L 6' E Date / ' l .2 —0 1 Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch �,A@ $ per sq ft = Deck ` @ $ per sq ft = $ V`� r Patio l @ $ per sq ft = $ TOTAL VALUATION: $ / 0 0 (Aj Total Val ation 1st $�� b [-z') $ Remaining Value $ ,5—" Per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $_ S� ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $_ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 3 7-LS ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: RECEIVED ,;ASV 1 u 2001 City of Atlantic Beach Building and Zoning CITY OF ATLANTIC 1 FURL 'FT PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS 16MVING, DEMOLITIONS Owner(s) Job Address: �-1 ' /^at'� lCC1`1C �AUd , Phone: l`�'4 « �lSOS Lot # Block or Unit # Subdivision: Contractor: ow'()cr State License # Address: Phone No: City State Zip Code Describe work to be done: 5 v1c�� c JCS lei p r<i i Yl tl'Aa1 l ri Yr1 ,Es,G1' [t( ` (s>t� lt `)2c�` 4q Present use of building: Valuation of Proposed Construction: Proposed use• Res tj me Is this an addition? ° ? If yes, what are the dimensions of the added Q V lE p space: ft. X ft. Will the added area be heated " a pL- oFFB�H BUTI..D1 N G cooled? 4fi New electrical (or increase) ? Art, New plumbing fixtures? , New fireplace? New Heat/AC? SUBWT TMUZ (COb CIAL) TW (RESIDEPTIAL) COMPLETE SETS OF P , GZVDING SIRE PLAN, SaRVEY, IIVERGY CODE FLU"S, NOTTCE OF Cz AND OMMIC+ONTRACTOR AFFIZIAVIT, IF OWMM IS CDN4'R C=M. -iaSignature OWNER: C _ Date: Signature CONTRACTOR: Date: AS TO OWNER: .• •. G( Iti ,,,, C Sworn to bseE A3SIE A.WACK68 is ayof �hVIQ r` 4. R CO J EXPIRES: I!<le r Baled 7hru pichard insurance Agency •. TARY PUBLI AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,2000. NOTARY PUBLIC CFFY OF ATLANTIC BEACH OWNER BUILDER PERMIT AFFIDAVIT STATE OF FLORIDA COUNTY OF DUVAL BEFORE) ME, THE UNDERSIGNED AUTHORITY, PERSONALLY' APPEARED BEFORE ME �E I6lar cc— -5 - Sabo l , WHO BEING BY ME FIRST DULY SWORN, DEPOSES AND SAYS: I AM THE LEGAL OWNER OF THE FOLLOWING PROPERTY: CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(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 UNLICENCED 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. ec ORD/NANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN /T/S FOR PERSONAL OR FAMILY USE,AND LIKEWISE REQUIREALL 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 UNLICENCED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE✓OB AT ALL TIMES WHILE WORK/S IN PROGRESS BY UNLICENCED TRADES PEOPLE. " THIS DOES NOT ALLOW USE OF UNLICENCED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENCED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228(l). 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. 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. iC.AcrcL T: S qbo PROPERTY OWNER/,BUILER 54 t !-�l�-t�� ly c1 32133 ADDRESSLEPHONE �u- apt- 'SOS SWORN TO AND SUBSCRIBED BEFORE ME THIS �\-DAY OF QLnL Y"' ,-29A9.CR 00 NOTE: PHRASES UNDERLINED ABOVE le ARE EMPHASIZED BY THE BUILDING NOTARY PUBLIC CASSIEiWACK DEPARTMENT. MY COMMISSION EXPIRES: Illy gjlsSl N=936858 EXPIRES:June 13,W +dy �ti Banded ThN pW*rd haarence Agency .!n„R