The URL can be used to link to this page

Permit SGD 1648 Sea Oats Dr 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000849 Date 7/09/12 Property Address . . . . . . 1648 SEA OATS DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 ---------------------------------------------------------------------------- Application desc sliding door ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PERRYE JEFFREY H & TINA R. OWNER 1648 SEA OATS DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1000 Expiration Date - - 1/05/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 SS . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 59 . 00 S9 . 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: 0C.7-K --Permit Number: 42 - 8�1'y Legal Description of_,:jZS 0.1 .tf_ Parcel# t",T/f Valuation of Work$ 1,loor Area of -Tq-Tt—. I__S . Proposed Work heated/cooled 2c,%-,6 non-heated/cooled— Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa Use of existing/proposed structure(s)(�ircle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval #.1Z_t- /y J_F V - 4z / For multiple products use product approval form Describe in detail the type of work to be performed: 40ac e- \j Propert v Owner Information: Name:jog )��rY4 Address: /6' lee- city_100T_(�1 71 tA 7 StateRczip Phone y 7 E-Mai I or Fax#(Optional) -1-e- Contractor Information: "Fmi FILL 1jupy L Company Name: Qualif��in Agent: Address: ra, 9 State Zip Office Phone Job State Certification/Registration DE Co NUE I Architect Name& Phone# CI FATIANUC R FATLAI 4CH Engineer's Name&Phone# $ffEPERMnSFORADDMQNA1 Fee Simple Title Holder Name and Address QUIREMEN7s AND CONDM_ Bonding Company Name and Address .4-2 A Mortgage Lender Name and Address DAM.75� �pplication is hereby made to obtain a permit to do the work and installations as indicated I certify that nzo_,�ok�orinst, tion has commencedprior to the issuance ofa permit and that all work will be pe�jbrmed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsixii0)months at any time after work is commenced I understand that separate permits must be securedfor Electricar Work, Plumbing,Si i Tanks and Air Conditioners,eta ens, Wells, Pools, urnaces, Boileis, Heaiers, 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 YOV]i NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governinz this ope p�work ivill be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or canc�l the provisions ofany otherfederal,state, or local law regulating construction or the peFformance ofconstruction. Signature of Ow Signature of Contractor Print Name je�// ........... 1 9- Print Name -Ou_ lyr,.........................................................I........... .........................*.......................... SW and s ed ei re e Sworn to and subscribed before me i Day this Day of 20 L GRAHAM M Y EUMMISSUNTDU 951�'� Notary Public EXPIRES:February 14,2014 2ALnded Thru Notary Public Underwriters Revised 0 1.26.10 Warm-__ CITY OF ATLANTIC BEACH OWNER BUILDER AFFIDAVIT 1. 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 MUS SUPERVISE THE CONSTRI JCTION YOUR SELF. YOU MAY BUILD ORIMPROVE 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 MT BE FOR YOUR I JSE 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 WU 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 HAVF LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES, ll. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. 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; UNLIC=-NSED 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. 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. /� 5/9 See- 00,q 7_� 0,_ 3 -7 ADDRESS J,14 (2- PHONE NUMBER PRINT NANIT�7__ SIGNATU DATE Before me this '_'_I a y of 411:�=-) 20-0-in the county of Duval,state of Florida,has personally appeared herin by himself/herself and affirms that .11 statements and declarations are true and accurate. Note Public at Large,State of County of��_�Vas 'Zersonally Known Produced Identifi t VAIM Co.111116M Notary Signature: me"Pak-Soft of Ra ft C�,FlIll ftv 19.2012 1`113LDGIOwner-Builder Affadavit;REVISED: 4/16/2009 0 00 111me City of Atlantic Beach AT ON NUMBER PPL'C T� Building Department APPLICATI 800 Seminole Road (T'o be assigned by the Building Department.) nfic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 ryl E-mail: building-dept@coab.us City web-sits: h1(p:/Aww.eoab.us Date routed: h2- z- APPLICATION REVIEW AND TRACKING FORM Property Address: -A �/T nt review re ulred Yes 0 Applicant: Building nning &Zoning Project: —W-1)41/1� Tree Administi-ator -T Public Works Public Utilities Public Safety Fire Services ROther Agency Review or Permit Required Review or celpt Florida Dept.of Environmental Protection of Permit Verifted 8 Date Florida Dept.of Transportation 0 F F t 0 0 IN n n e c r 'a A Dg ae pt, e t. p i. St.Johns River Water Management District c Army Corps of Engineers f Hc Division of Hotels and Restaurants c Division of Alcoholic Beverages and Other APPLICATION STATUS Reviewing Department First Review: 03(pproved. nDenied. (Circl e one.) Comments: (E� PLANNING &ZONING Reviewed by:-2V--)' e--- D a t e: 27-:6--a- TREE ADMIN. V Second Review: 0APProved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review." ElApproved as revised. E]Denied. Comments: Rev iewed by: Date: Revised 07127110