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570 Sailfish Dr (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033064 Date 5/31/06 Property Address . . . . . . 570 SAILFISH DR Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO EE UPDATED Application valuation . . . . 4700 Owner Contractor ------------------------ ------------------------ GERENDO AlA ROOFING CO. , INC. 48 W 6TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH, FL ATLANTIC BEACH FL 32233 (904) 249-6999 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4700 Fee summary Charged Paid Credited Due ----------------- ---------- ---- ----- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 i I€ I k f k PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFA rLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDIN,9"C DES. X fr BUILDING OFFICIAL CITY OF ATLANTIC BEACH PEI MT CALCULATION SHEET Address Sa c L Ec S fL , Date 2 (o U Heated Square Footage $ per sq ft= $ Garage/ Shed �� $ per sq ft= $ Carport/Parch Q @ $ per sq ft= $ Deck- @$ per sq tI= $ Patio @ $ per.sq ft $ TOTAL VALUATI $ 35 Total Valuation ist $ /o o O Remaining Value $ . per thousand or portion thereof J CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 5 ZONING:' + %z Fling Fee $ 2 FLOOD ZONE: ( )Fireplaces @ $35.00 $ — IlAPERVIOUS SURFACE: BUILi IING PERMIT FEE $ , WATER IMPACT FEE $ SEWER RYIPACT FEE $ WATE R METER/TAP $ CAPITAL IMPROVEMENT.$ SEWE TAP $ C ( RADON .0050 $ SECTI N H PAVING{ ) $ HYD ULIC SHARES $ CROS CONNECTION $ ST( ' ) SURCHARGE $ OTHEIL $ GRAND TOTAL D t CITY OF ATLANTIC BEACH cc: s� BUILDING / ZONING DEPARTMENT r 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 230 Property Address: 7 0 JA'/ br/ Applicant: 1J1,4 Project: d T7 rmit application has been: Approved El Reviewed and the following it ms need attention: r Please re-submit your application when these item have been completed. Reviewed By: Date: Date Contractor Notified: 5�1`r ., CITY OF ATLANTIC BEACH '} R130FING PERMIT APPLICATION Date: PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLIC TION. �— Job Address: l 0. 11) e- Owner of Prroo�pe C c L Address: Telephone: Contractor: State License Number: C�j _. S2<61- Contractor's Address: . Telephone: L Fax: Scope of Work: 0 l^ -( Deck Slope: Greater than 2:12 Less than 2:12 Valuation of workj�i� Product Name(Example: Timberline): 'VI)O Manufacturer(Example: GAF): C.;, ASTM Designation(s): 2 Required Inspections: Sheathin and F al Signature of Owner: Date: 1115, AS TO OWNER: Sworn to and subscribed before me this day of 20_1)10 State of Florida,County of Duval K. CUNNINGHAM Notary's Signatur v Notary Pubic-Stab of Fbdde " My Commission Expires Feb 28,2010 ❑ Personally o Commission 0 DD 523838 0-Produced i entification A Bonded By National Notary Assn. Type of id tification produced a I '`'1 Signature of Contractor:..44 �- Date: AS TO CONTRACTOR: Sworn to and subscribed before me this 2L4 day If ,20 ( p State of Florida,County of Duval ------���------ Notary's Signa e: �•••• YVETTE P MORALES ersonally I mown = �� com I0=943e0 F-1Produced k entification EVM=4009 _ Type of ide itification produced 's eanaw aw(000)43242U:. 800 Seminole Road •Atlantic Beac i,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)24 -5845 -http://www.cLatlantic-beach.fl.us Page 1 Revised 2/21/03 Prepared by,record and return to: I Doc#2006181531,OR BK 13283 Page i 485, Number Pages: 1 Filed&Recorded 05/24/2006 at 02:40 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 NOTICE OF COMMENCEMENT STATE OF FL,QRJPA ) COUNTY OF L ) Reserved for Clerk The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713, Florida Statutes, the following information is stated in If is Notice of Commencement. 1. Description of Real Property: r i o 4N N `u.,-ki,L VA. 2. General Description of Improvements: Residential re-roofing 00 3. Property Owned by: A-f 0 Owner's Interest in the Site: Fee Simple Name and address of fee simple title holder other thanOwner: 4. The person(s)or firm(s)who will make said improvements under direct contract(s)are: Al A Roofing Company, Inc. 48 W 6t'Street Atlantic Beach, Florida 32233 Telephone: (904)249-6999 Fax: (904)249-691 5. The name and address of the surety on the payment bo d(if any), as provided under Section 713.23, Florida Statutes, is: 6. The name and address of any person making a loan for he construction of the improvements: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served under Part 1 of Chapter 713, Florida Statutes,which service shall constitute service upon Owner: 8. The name and address of person Owner may designate at his option in addition to himself to receive copy of lienor's notice as proved under Section 713.13(1)(b), Flc rida Statutes: 9. Expiration date of Notice of Commencement is one(1)year for the date f record' unless otherwise specified: O ner's Signatur Sworn to subscribed before me this 1 1 day of 200& by�n who is person ly known to me or provid Dd x a, K. CUNNMrGtMM voj as identificati n. �-NWq Pubk-SW of Fis* 'ir> Corwniaioa E*w Fsb til, ConMN/Msn N DD 525686 Notary Vaa MMr Notary ft5fic State of Florida Commission Number/Expiration Date:__ L.a$10 DEPARTMENT OF BUILDING /1 L6+ CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 4 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date_ 11/3 Z is Valuation$ 4.650 Fee$ 25.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of I&,,. This is to certify thaCkArd Construction Co. has permission to buil a den Classificatio residential tial p Owned by Doorx iIfO G+eradO Lot Bloc SSD House No- S 7 d A i t t ah D ;+v.L According to approved plans which are part of this perr,lit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE �� ► ZBuilding material, rubbish and debris Zfrom this work must not be placed in public space, and must be cleared up and hadled away by either contractor or owner. R.C. Vogel Building Official. FOR.OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR 77 PLUMBING j ELECTRICAL SEWER WATER I i r DEPARTMENT OF BUILD114G3546 CITY OF ATLANTIC 8 EACH,FLORIDA PERMIT NO. i' PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB [ Da _ `` 19 t` Valuation$ a ._. Fee$ � t- ;. This permitnot valid until above fee Its i been paid to City Treasurer, and is Y^. applicable subject to revocation for violation of a e f pp" provisions of Lw. This is to certify tha r has permission to buil a II Classif Cati residential ne Owned by -OI"iI'o O Lot Block S/D House No- F70 sailf sh Drive According to approved plans wh h are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE i � ----/► 4 ► O Building material, rubbish and debris ZI from this work must not be placed in € andifhauled swami ay by �cleared�npr or owner. f f` Fogel a a Building official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR E PLUMBING ELECTRICAL FSEWER l WATER a5 FOR OFFICE USE ONLY Dateo..-l.............Z 9.....19 ? � Permit #3$�C�---Fee$ ._._...... CITY OF ATLANTIC BEACH Valuation $'�`��� FLORIDA House #� �./Js.h___._.._. -A-P-7--R-0-V--e-p---•---•------------ APPLICATION FOR BUILDING PERMIT CITY GF ATLANTIC BEACH ....................auu'D.11N r ............ ....................N-(TV...7-...T!M•-••--.......-•--•--•-- Application is hereby made for the approval of the detailed statement of the plans and specification I erewitl submitted for the building or other structure described. This application is made in compliance and confor ty .the d' g �nce of the City of Atlantic Beach, Florida, and all provisions of the Laws o the State of Florida, a antic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date.,r Ql ...... .1$.;�.7„?........... 19............ Owner-- •----------------------- -----------------------------------------------------.-Address... ..•---Telephone No.:;?.##--� . ,0�6 Architect----------...........-----•------,--�---_--------------------------------------------------^---Address----......................................................Telephone No.--••-----------•--------•-•- Contractor Builder��--._Tl�'ieh-11 �-____-CartIST�--L. ;.Addres 6.,ri-_._. 7l.9_�_r/A !.,_.Telephone Nod: eLot No.._..--------1--•------------ ----------Block No..--.....6----------- -----Sub Divis on_ ��.... ?�� FFJ,aV11---•---2---------Zone................. /L-/5 N //... ----•-----•--------- d...... _!T /nl........................Sts. ,./ - Street. Side Between..... --l.� an Valuation $---!ler .-Q.-[_For what purpose will building be used---- _.6_/A/---------..........Type of construction---.62 0.r_,K............. Dimensions of Building---/-n0_-___X...w2_'7....----Dimensions of Lot............. .........................................Size of Footings---..._._-__.----._................... Size of Piers..---------------------------------Size of Sills.._.----------------------------Greatest Sill Span in ft.-.-..------------.---_---Type Roof------------------�._------ .----•---- How will Building be Heated?--- .r__-,D_l�G..7L3.........................Will uilding be on Solid or Filled Ground .............. Size of Ceiling Joists----v2A_.k_.-----.---.......... Distance on Centers---- ---------..............., Greatest Span----- ............................... " Size of Floor Joists-----------..dlsP-A.-AF-------------Distance on Centers...... ._..._.-...--------------------- Greatest Span............................................ " Size of Rafters-S 1OR---- �, .X-6 -----, Distance on Centers.. .... oe--------------------- Greatest Span-..------ _Z---.......................... » This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. ,SIS /9> b7x Tv REAR LOT LINE Two copies of plans and specifications shall L/�� �r L� �m�!� � If� be submitted with application. T Inspections required. 1�15 /V-0 it) � 1. When steel is in place and ready to pour footing. W V W 2. When steel is in place and ready to pour columns and/or lintel. a a 3. When steel is in place and ready to pour beam. 4. When framing is completed. H 5. When rough plumbing is completed,and ready to cover up. A t A 6. When septic tank drain field or sewer is laid but before it is covc red. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after G�✓r corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance wit"e att9l#ed pans and specifications, wh.ch are a part hereof, and in accordance with the building regulations of the City of tlant' each. Signature of Build ........ - . A dress----.c3c. _ :..- �.-....142..7i_NJ Z JT � Signature of Owne --------- - ---------•---- A dress_s� ----�./ -L •----�,Sle'l.••-•--..P12 ..L1C16� 1 F PSR: DEPARTMIENT Of I lulLOING CITY OATt,ANTIEAGW. E .. " PrAm I T INFO" � I� � �_..�� - LOCATION I NFORMA"T I ON - .. l tt Nuiabr. 45 Ad SAILFISH , DRIVE Permit ,TyVe:RZ-A,0OPAT4ANTIC BEACH, FLORTVA 3233' p `asp Wi=,� : ,NEWLEGAU DESCRIPT,101N, ons t r > Type*Woov FRAmt a cl..' Lit T I roposed 9' e: S INt Lt PAMLY 0 S rd a prig, m a Amour t 5,.40 v b FL�+.� {. - � '4 a fawn ! e+ 17 1 t s* T I C3 I N AT , r L CO RT A N , rL 32225. 45 NO { { 0 t NOT 10E,-AL1.CO NCRETE FORMB.AND F0QrlN1GS ml lsT;sr 1140 IE:otep BF61 0URIN10 r i PERMIT VOID SIX MONTHS AF R DATE`'OF ISSUE. v 8, LC1:#NG MATERi L,RUBBISH AND DEOR(S FROM THIS WORK M JST NpT'.SE PLAO.ED IN PUBL1,C SPACE,AND MUST Be ABED UP AND'HAkJLEb AWAYBY.E#THER CONTRACTOR OR OWNER hL.URE T� CCS PLYir WITH THE MECH t tics' L.IEI� L./�11Ai CAIN :R�SUi.T IN C PRt P, TY- L" PAYING TWICE Ofit''OUALOINQ IMPROVtOWNTS.i4 s I ED ACCORCi NG TO AP ROV.Ed PLANS WHICH ARE BART THIS PERMifi AND Std TO � � YI I.A n0N 6F APf LICA�LE At)1ltSIC?NS C31=LAW. F V A ,ICOR a 4ie4j� J4•Y'L. ♦.C. ATLANTtc B CH 8 11LC)#NG A trMENT 3 l too � {.. CITY OF ALANTIC BEACH ROOFING PERMI? APPLICATION owner(s): ( P- (-R r- d c Address : S-1 0 SAS 1 Ct' r � Llc Phone: 2 '1 � - 9VS -) Lot # , Block or Unit # Subdivision: Contractor: v "r Address : City, State and Zip O (\ r%rdPhone 22- t -0 C-\ State License # Q- C Describe work to be performed: 2e fc `• V� � Valuation of Proposed Construction: v , e Materials to be used: Signature of Owner; Signature of Contractor Liability Insurance Supplied Workers Compensation Insurance Supplied License Information � DEpq R�ANTIC Nr OF CITY o BEACBH,UILDING PERMIT FLORIDA THIS PERMIT Tp BUILD PERMIT NO. 4120 MUST BE POSTED ON JOB Valuation 0 Da 7/3G1 Thi, Fee 0 5.00 permit not wlid until above fee ha. been .abject to �e vocation for rio Paid to City Tr nr Ltion of euu I'hi$ig t0 Certify th apPligbb provLion. of Lw and I. a Doriao Geredo has Permission to build �– addotion acco Cla$sification_�,E, in to 3atis gB bmtj*d. Owned by Lo —Zone Rouse No r• c+ Bloc According to approved � Drive /D_- plan$ which are Psrt of this Permit NOTI E. ALL SEC FO TINES MUS FORMS ED BEFORE POURING IN PE MIT VOID O FTER DATE I%MONTHS Z Buildin OF ISSUE y from th material. rubbish Public s $Ce°rh mast not b piand debris and had r and must be clea ce u or owne away by either eontra� P FOR OFFICE BIZ USE ONLY PERMIT fCICtACG NUMBER DATE Buil l °f PLUMBING CO 4TRACTOlt ELECTRICAL aEWER WATER Date..... . CITY OF ATLANTIC BEAC permit ....yes FLORIDA Valuation �...��?d:..Q Q........................ • ������'�:� APPLICATION FOR BUILDING PE S' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application Is made, in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida,all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrument regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. ......i-.... ............ Owner.__.�...__..�..1.�'.©.------.�t 12 U-9.fes. Addr �� �. ..��� 1!-F� �`� L.... ��.. . ......... . $�} Telephone No.....I 2 D 2• , Architect._....... ..............................................................................Addr ........................................ ..................••----.................._.......--•--•-:Telephone No............................. Contractor Builder-...------•-----••---•---••--•-•--•--•-•.-• -•----...--,-�••------•..........Addr s............................................................ -- Telephone No......................... LotNo._.__.._p--•-•----------------•---......----------Block No............t.................Sub ]Division................................................................................ one................. ........................................................Street.--------------- : .......Side Between.............. .._..............._..... and Sb. �j Valuation =.._.. •For what purpose will building be use ...._.. T(.( . .. .....---..Type of construction..................................... Dimensions of Building.__._.J,...__.YA.L---------------Dimensions of Lot......--:.............................................. e of Footings...................................... Size of Piers.........---------------------------Size of Sills ... ...GTftl est Sill Span in ft.......................... TypeRoof...................................... How will Building be Heated?................................................................ Building be on Solid or Filled Ground?............................_....._... Size of Ceiling Joists------------------------------------------- Distance on Centers... ........ Greatest 8 " .................... , pan.----................ Sift of Floor Joints----------------------------------------...... Distance on Centers......... ......................... . Greatest Span............................................ Size of Rafters....-................................ ---------------Distance on Centers— .... . ................................ Greatest Span............................................ " This rectangloar buildings in the represent nl � � Locate the building D � Aht position. Gies distance in lest from all lot-lines and existing buildings. Two copies of plans and specifications REAR LOT LM be submitted with application. J U U 2 41979 Inspections required. 1. When steel L is place and ready to po 2. When steel is in place and ready to. A i'Efnl,B.Ekc H 8. When steel is is place and ready to pour beam. 4. When framing is completed. CIi•�lam;3 /-.i1.A*i-1C BEACH PROVE D 5. When rough plumbing is completed,and ready to cover rep. E.U 1 N C C r,=i C r 6. When septic tank drain field or sewer is laid but before itis,, Bred. eY. W 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In Cass of any rejection,ft-inspection 3MMT be ! corrections are made. + FRONT OF LOT In consideration of permit given for doing the work as descriNd work in accordance with the attached lana and s is the above statement, we hereby agree to perform said regulations of the City of Atlantic B p specifications, ch are a part hereof, and is accordance.with the building Signature of Builder........ .,... p n Signature of Owner..._. r ....._ GtN...,.� ..� ......... .... ......'...F.:......�'............................. • Sko dMt���C 4. � CITYyp P V EU,LDrl�� IJTIC g Ae n� fy, FF, Gy A`p',"V V@ i i i t I r a •�L— I Z � � E i cr) Cil G 1 �J Date. .1la CITY OF ATLANTIC BEACH P.rmft*.......................F"$------------�..�. FLORIDAValuation $............................................. House *---------------------------_.___.._._..._._.._ APPLICATION FOR BUILDING IT ......................................._..........._..... _..................._.......---......__........_._ ....__.. Application is hereby made for the approval of the detailed statement of the plans and specifications building or other structure described. This application is made in compliance and conformity with th the Ordinance of the City of Atlantic Beach, Florida, and all provisions of the lAwl of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of he Cit of Atlantic Beach shall be complied with,herein specified or not. y , p whether The Contractor or Owner-Builder who has been issued a Build• R Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it L suggested that s Hat of be verified. b-contractors be submitted to this office to that licenses ,can Owner ! U , C(�� Addres Date ��- ----...I................... it........... .......1._ ... .............................r.� . ...--•--._Telephons NO............................. Architect.............................. ............................••-•-•--......-•---•.........................•-••------..........-Addr Tek-•............................... Contractor Builder................................................ .......................... phone No............................. ...................................................Telephone No............................ Lot No...................................................Block NO------------------ •. -- ----•--•-Sub Di siaa.................. ...............•--•---------••-----•-------•------.. -----.Zone................. ............................................................Street_.........................Side Between.......... .and...._.... Sts. Valuation $......................... .For what purpose will building be used.......................... -----•--•--•--TYPe of construction- Dimensions of Bnildi ..................................... ng.......................................Dimensions of Lot......... .....I..... . ..................................Size of Footings Size of Piers------------------------------------ •--......-••.......................... -------Size of Sills.._..--•-------•-._...........Grestei it Sill Span in ft...................... How will Building be Heated 2---------•------•------•-•--------•---------•-•-- - Type Roof.-------•............................. •--•-W Building be on Solid or Filled Ground?................. Size of Ceiling Joists..........--------------------------------- Distance on Centers...... .............................. Greatest $pan..................................._..._.. " Size of Floor Joists._..-•--_.....................................Distance on Centers......--- - Greatest Spun...-•-•................_................... " Size of Rafters........----------------- --,Distance on Centers ._... --------------------------- _.......................... Greatest Span............................................ " This rectangle is to represent the lot Locate the building or buildings in the all lot-des oGadgax bauild & from Two copies of plans and specifications shall REAR LOT LINE be submitted with application. l_ Inspections required. �( 1. When steel Is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. � 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covi red. 04 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In can of any rejection,re-inspection MUST be called for after corrections are made. In consideration of permit given for doing the work as FRONT OF LOT work in accordance with the attached the above statement, we hereby agree to perform said regulations of the City of Atlantic Beach.Plans and specifications, are a part hereof, and in aoeordancs_with the building Signature of Builder..................................._.......... Signature of Owner........................... CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s ) . -1i1 d Ol , L.-' LA Z79xl&d 11 Address : S`)0 0/ ^' -S Z5� Phone : "y 9 Lot #._ _�_ Block or Unit # O Subdivision: Contractor • tv Address : Phone No: Describe work to be done : Present use of building: S;� 6�� SWA Valuation of Proposed Construction: so Proposed use: Is this an addition"? 7-10 If yes , what are the dimensions of the added space: ft . X ft . Will the added area ' be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY, ENERGY CODE FORMS , NOTIC OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT , IF OWNER IS C TRACTO . Date: Signature OWNER: % g � Signature CONTRACTOR : Date: 0� J U PSI 21. 1993 % ���r J ,. Building and Zoning 0pz. *f' xV r 673 _s D2PAR"f1YlENt pIR 8 1LDtNt 1 CITY OF ATLANTIC EACH ... PES It I RPIOR14AT I ON � _ ..�� .��: �. LOCATION OTS I NF'ORMATI Old . F ria t Ntxsi Ser: 697 Actd ess'r ' 7p SAILFISH DRIVE BAST jPermit �y BUILDING BEA H, FLORIDA 32233 Co `Mork: SRE _ ... » LT I AIS IYESt"T IPTS4N , yP Lot ' Section:r.. :' `FP c�pozed UBe: SliE'. - hip, RPtG. J I ;C de,. D S'uL ivisi fin: -TROY L PALMS UNIT 2 E ,timated VIA 1ue: Ilza�c�v. Cast w SD .€�t� Total `+ s : 22.50 mouo Dati 2119i d k r1 � a b LRFCT STORAGE SR ED PER PUNS APPLICATION FZZS � ...�,. N. RDO PERM IT ` A d D'RIV'E EA 'fic IMPACT FEE 0 .00 SIT, .LORI DA '12 2 3 S IMPACTy 0� p .. 4 � "rs RADOR GAS - $0_.001 -,Name: F' Y R A: WATXR TAP $6.oo 4resr A � E ! +. TAP .C} KMAUL I.0 SME $6.00' L c ns ��� Type- I ; CAP 'AL- 1,MPROVE D y00 as � . S .fT IMPACT `S00 0.0 tJ s,P sa ad° emti. tgY.ide,&'r :'4i.,: W,mm ..miuv,.N.-..aysmrw,..w»w„;yuww.ecww.n., a� rug+. t �:: � x � �3 Nib tES. PAID . .4` city of A06tic Bch. IT NOTIIC1 --ALL C ,NCRETE GAMS AND FOOTIN®5 8Tat 11180ECTED BefORE Pf ufflNG PERMIT itGID,91X 1 4NTHS AF ER DATE OF ISSUE dP ILL51fiiQ MIATERIAL,RUBBISH Rid?p Bl t Fifl.M THIS V1�QRK UST Ni3T.BE,PI:AC -D 1N`PUBLIC SPACE,AND MUST BE EAREp UP AICD HAIJLE[D AWAY S*,EITWER CONTRACTOR OR lWNto I�AILU E T 3LY;'�I'ITH E �l#EC N#CS' LIEN LAW CAN RESU�T IN HE R t P RTY Cr�` M. # PAYING TWICE C?R UILDING IMPROVEMENTS.' # VIED, ACCORDING TDA PROVE ,PLAN'S`"'WHICH'/#RE PART Flo PERMIT AND SUBJECT T �I CAT *PG87##1` 3iC3N QF OPLICAB. .P IOVISIONS OF LAW: ITIk.l A µANTI C B CH 3Ul DING EPAARTMIENT R: i f OW11ER BUILDER PERMI AFFIDAVIT- -tbtt• of Florida ) City of Atluntic Beach ) BEFORE HE, the un� •&-signed authority, personally &Ppvarvd _-- -------- ho upas fir,at boirly duly sworn, deposes and sayst I, eIA)e), lid �C 2�1�j� ..----__..________�.____.._ _____..--- and the largal owner of the following property - Subdivision -_ /�� �d ,� _ Z/AJ,7- Block _ Lots AKA I am applying for w building permit pursuant -a ttoe Owner Ouilder exemption met forth in Florld ` Statute, Section 489. 105. Florida law requires that I vhave been provided witt, ttsv following DISCLOSURE STATEME117a i DISCLOSURE STAT HEUT State lav 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 no have a license. You must supervise the constructioyourself. You may build or improve a one - or twofamily residence c,r a farm outbuilding. You May al o 'build or imprc►ve a commercial building at a cost t 'a25,000. 00 or less. The building must, be for your u e and occupancy. It shay not be built for sale orle wa. If you sell or lea's& more than one building y u have built yourself within one year atter the const&- ction is complete, the law will presume that you built it for sale or 1&ase, which is a violation of thl exemption. Your construction must be done according to building codes and zoning regulations. It is Your responsibility to make sure that people employed y you have licenees required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the otoove DISCLOSURE STATEmcHT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant cayeth not. _ Gr� Pro erty Ownsr i .,worn to and subscrib&d L.fore me this ........ day i[ i MAP SHOWING SURVEY 'OE As shown on the - Plrtt . of 120rtl I-,K.luis t►r►1 t. :', r19 recorded in ?ages 94 and 94A of 'the Current Public_ Roeur'�is of :hivtil County, l')r For: Dorino R. Ge ardo 4 T7 H0p O T 2/ I� ?Z 33 E. °.1 V � t6 x ti 0,10 ti t;, 97"OR4GE � �M� O � C x�t� 1 ' 5 �-