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Permit Siding 732 Aquatic Dr 2010 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001238 Date 10/14/10 Property Address . . . . . . 732 AQUATIC DR Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 325 ---------------------------------------------------------------------------- Application desc REPLACE SIDING ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COVELLI, AUGUST OWNER 732 AQUATIC DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 325 Expiration Date . . 4/12/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 64 . 00 64 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERNHT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 fob Address: c Permit Number: 3 F,egal Description Parcel# Floor Area of Sq.FtSq• t Valuation of Work S 3 2 Y. C>D Proposed Work heated/cooled non-heated/cooled .lass of Work(circle one): New Addition Alteration Repair Move Demolition poolispa window/door Jse of existing/proposed structure(s) (circle one): Commercial Residential f an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A 'lorida Product Approval# For multiple products use product approval form )escribe in detail the type of work to be performed: 66 -4 Y, G Propert v Owner InfbrLio Tame: LGA Address: 3 C ;ityState 17-Zip z �yPhone s Mail or Fax#(Optional) ;ontractor Information: :ompany Name: Qualifying Agent: .ddress: City Stat Zip )ffice Phone Job Site/Contact Number Fax# tate Certification/Registration# ,rchitect Name&Phone# ,ngineer's Name&Phone# ee Simple Title Holder Name and Address ;onding Company Name and Address fortgage Lender Name and Address hplication is hereby made to obtain a permit t�do thework and installations as indicated I certify that no work or installation has commenced priortothe uanceofa permit and that all workwill be peormed to meet the standards of all Zaws regulating construction in thisjurisdiction. This permit becomes null ad void if work isotcomnced within six(6onths, or if construction or work is suspended or abandoned fora enod of six 6)months at anytime after ork is commenced. I understand that sepcn apermits must be secured for Electrical Work,Plumbing,Signs, ells,Pools, urnaces,Boilers,Heaters, inks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM IENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR LUPROVElVIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. iereby certify that I have read and examined this a lication and know the same to be true and correct. fill provisions of laws and ordinances governing this �e o1 work will be complied with whether sppeci ed herein not. The granting of a permit does not presume to give authority to violate or cancel the -ovisions ofany otherfederal,state, or to 1 law re latin truction or the performance ofconstruction. gnature of Owner Signature of Contracto int Name Print Name rr - ... ....... .F......................��........................................... � .. .. � /...... Noi o ubscribed "" d subs ed before me is v �100140MNSy o 20 COMP otary Public !•'Rf'' S FOR ADDITI0N otary is REQUIIMLNTS AND CONDITIONS. tVO2 0 REVIEWED BY, DATE: A7-/o?-/0 rj!..1r1AJ+. CITY OF ATLANTIC BEACH r s� � 4 ' 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.ACKNOWLEDGEMENT; 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. Q�/ ,7 S2_ owG l / 7Z ADDIRLYS J) PHONE NUMBER v � J PRIN N E l o 16 SIGNATU DATE i Before me this L day of ,20 in the county of Duval,State of Florida,has personally appeared herin byhimself/herself and affirms that all statements and declarations are tr nd accurate. W kWHITE Notary Public at Large,State of County of DIE 80W► .••�'v,veer' El Personally Known / _= MV EXP SESS.maay 1,201112 A/ J/^/�C_— Thou Notary?,bicundersoto� ❑Produced Identification- 1�w'✓///�`` '}� Q� ° F3onded a \ Nota to F:/BLDG/Owner-Builder Affadavit;REVISED: 4/16/2009