Loading...
Permit Roof 890 Sailfish 2012 ► ' J• . A CI I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J 4 Z ATLANTIC BEACH, FL 32233 4 „' w . INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000149 Date 2/07/12 Property Address 890 SAILFISH DR Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc reroof Owner Contractor LAWRENCE OWNER 890 SAILFISH DRIVE ATLANTIC BEACH FL 32233 ' Permit W /W /O BUILDING PERMIT Additional desc . Permit Fee . . . 110.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 8/05/12 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 110.00 110.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 114.00 114.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: q9 © Zk i-N i.R Permit Number: a - / Legal Description Parcel # O 0 Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ Proposed Work heated /cooled non heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door Use of existing /pro osed structure(s) (circle one): Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product form Describe in detail the type of work to be performed: Property Owner Information: Name: $ (-- LK1 u 3 12 CGlfc - & Address: g q6 S A.�-L. R! 5 --) fa City 1.. a , 0 <. Statet / /Zip 322'R? Phone 'iib4 — -‘-f4 - ( ( i'/ E -Mail or Fax # (Optional) 1 i Contractor Information: Cornpany Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/ Contact Number Fax # State Certification/Registration # Architect Name & Phone # Engineer's Name & Phone # • Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has conznzenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This pernzit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a pperiod of six f (6) months at any time after work is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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. 1 hereby certify that 1 have read and examined this qaplication and know the same to be true and correct. All provisions of 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 other federal state, or local law r ;'lacing canstructi. A r the performance of construction. Signature t ure of 0 er.. _,,, .... na ' Signature of Contractor Print Name � O41 e .,-.7 . Z n.tec GC Print Name Swor , s and` §u6 e - e , before me Sworn to and subscribed before me this ►ay of i fr:o , -- -8, 20 Z this Day of , 20 1 L - .. , H9a:�'� 4 SHIRLEY L GRAHAM Notary l ic g►: .,, :r; ` • " ''• e ` l o ' 760 / -�'' EXPIRES: February 14, 2014 Notary Public 4 ;.•' Bonded Thru Notary Public Unde,writers Revised 01.26.10 s ;r, CITY OF ATLANTIC BEACH � � �' �,' ® WNER / 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. 1I. 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. S .5ty=�.,P s 4 'tx.. (IN - Zv'- 61 id _ ADDRESS PHONE NUMBER • bye - ► �� ZQ- IN NAME 6, .._,..,„ A . - 4.)2 - 1A - 0 — " . , ' IGNATURE / DATE Before me this day of / ,- 12 20/2 the county of Duval, State of Florida, has personalty appeared herin by himself / herself and affirms that all statements and declarations are true and accurate. - -,_.. Notary Public at Large, State of !i t , County of , / - - )t{' U 67. `-' ❑ Personally Known L ; roduced Identification fJ ; t 1 ' I SHIRLEY L. GRAHAM f , .s*: •� * . MY COMMISSION # DC 957760 _.,.. � EXPIRES: February 14, 204 Notary Signature:' i ' e" - ``-' 4rte- , �d t Bonded Thru Notary Public Underwriters Fs/BLDG/Owner-Builder Affadavit; REVIS : 4116/20.Q2 k. ,R90 S c; f "�� 1� r f C3 r s ; ° }p* ;{�gl � � F7 7 „ .r r , t P } "r . 1 4 '' 1 C 3 1 i 1 z� _s Ph4 s } f i r'` �8' Ago' I 'j a y.- , .1 a .� .4 .` 1:014.;':)„ F. d �� ,� `k , CITY OF ATLANTIC BEACH BUILDING AND ZONING DEPARTMENT NO , '0_, \ This building has been inspected and: General Construction E Mechani n Concrete and Masonry y � I Electrical , n Plumbing J Gas Piping IS NOT ACCEPTED CORRECT AS NOTED BELOW, BEFORE ANY FURTHER WORK per . .10v 2P12e04 DO NOT REMOVE TILLS NOTICE, Inspector: 9.0v.M Date: 2 ^ / — f ?— Failure to respond to this Notice within 10 days will result in this violation being forwarded to the CODE ENFORCEMENT BOARD. The posting of this Placard by its contents shall serve as due notice. var 9 Compliance Investigation Form Investigation # Date of Request: 7i Time of Request: Name of Person Making Request: Address: Phone # Investigation Type: v Alr 1 , Location (Address) of Violation: 6r90 ' e I / Phone Number: Property Owner/Manager: it, Request Taken by: Investigator: Action Taken: PPS -ter/ S i o GvOYL� y e Y . Compliance: Pt/ 1 t G` oo P-e r r1 i 4 a t r— Roo / call `PC) r a l r s �Cl �c ip-, A- Le Description: it RE#: F: \Code Enforcement \Compliance Investigation Form.doc Oct 9 2009