Permit 310 7th St archive s CITY OF ATLANTIC BEACH
} 800 SEMINOLE ROAD
V `` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 06- 00032120 Date 2/01/06
Property Address 310 7TH ST
Tenant nbr, name REMOVE KITCHEN
Application description . . DEMOLITION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
VITALE, JOHN OWNER
310 7TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
Permit DEMOLITION PERMIT
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 100.00 100.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
BUILDING OFFICIAL
`- 1
J CITY OF ATLANTIC BEACH
DEMOLITION PERMIT APPLICATION
Date: 0 2— / — e7 (o
Job Address: 1 0 5 r ,4 2, ) 2- Z. 3 3
Owner of Property: is( A../ V 7`/i L
Address: -II b `? T <f 7'- Telephone: o? 1 7 8 j 1
Legal Description: Block Number: Lot Number: 3 Zoning District:
Contractor: 0 State License Number:
Contractor's Address:
Telephone: Fax:
Describe proposed use and work to be done: fi- " V )< ,.i..
Present use of land or building(s): j ` n► T}q
Is approval of Homeowner's Association or other private entity required? t'If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees?
rg NO. Applicant certifies that no change in site grade or fill material will be used on this project.
❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
❑ NO. Applicant certifies that no trees will be removed for this project.
❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Attach Tree Removal Application if trees are to be removed or relocated.
I hereby certify that all information provided with this application is correct.
Signature of Owner: t. Da... Date: c .9 - 0 CO
r Impr
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 required.
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us
Page 1 Revised 1/14/03
,
Signature of Contractor: Date:
Address and contact information of person to receive all correspondence regarding this application (please print).
Name:
Mailing Address:
Telephone: Fax: E -Mail:
AS TO OWNER: .,,a Ylh \ Q.. �1 - e--
Sworn to and subscribed before me this S+ day of - Val YLI , 20 _.
L.1
State of Florida, County of Duval
Notary's Signature: G---" / / l ( ?L
. " PY , , ., JEANNE M. SHAW
t 'f. MY COMMISSION # DD 435986
" " EXPIRES: May 31, 2009
El rsonally known
" ; F •• : ,;::�' Bonded Thru Notary II OUnde rwr ite rs duced identification /
Type of identification produced PL — r)a'lU lA, ( _
AS TO CONTRACTOR:
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
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us
Page 2 Revised 1/14/03
CITY OF ATLANTIC BEACH
OWNER/BUILDER AFFIDAVIT
Date: , I —o
Job Address: 3/0 17'h/ S i 4 13 3 2- Z 3
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.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE 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 BUILDING 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 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.
PROPER 0 ' BUILDER
► —Q
S WO THIS � ' DAY OF "RAj 20
JEANNE M. SHAW
'M. MY COMMISSION # DD 435986 /A1
, , EXPIRES: May 31, 2009
nond ®d 7nru Notary publlo Underw tern
. ___.. N ARY PUBLIC
Y COMMISSION EXPIRES: f'■M4 3( 1.00 ° 1
NOTE: PHRASES UNDERLINED ABOVE. 1