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2038 Duna Vista Ct retaining wall 2012 CIT V OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12- )0001083 Date 8/20/12 Property Address . . . . . . 2033 DUNA VISTA CT Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO ME UPDATED Application valuation . . . . 5000 --------------------------------------- ------------------------------------ Application desc RETAINING WALL ---------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ JEAN RICHARD AND CYNTHIA OWNER 2038 DUNA VISTA CT ATLANTIC BEACH FL 322334534 --- Structure Information 000 000 RETAINING WALL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------- ------------------------------------ Permit . . . . . . WIWIO BUILDINC. PERMIT Additional desc . . RETAINING WALI Permit Fee . . . . 150 . 00 Plan Check Fee 75 . 00 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 2/16/13 ---------------------------------------------------------------------------- Special Notes and Comments PER MIKE G NO ENGINEERING REQUIREE NO REVIEW BY PW OR PLANNING REQUIRED 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 .25 STATE DBPR SURCHARGE 2 . 25 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---- ------ ---------- ---------- Permit Fee Total 150 . 00 150 . 00 . 00 . 00 Plan Check Total 75 . 00 75 . 00 . 00 . 00 Other Fee Total 4 . 50 4 . 50 . 00 . 00 Grand Total 229 . 50 29 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF AT�ANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. P.T. 2X CAP APPROXIMATE GRADE BEVELED PILE AT 30 TO 45 DEG. FILTER.FABRIC 2 X 8 P.T. P.T. WOOD PILE ON CENTER FILE COPY ,, APPROXIMATE GRADE T E CH INS CTI comm. DATE: BULKHEAD SECTION 41111. SCALE 1"= V-0" REVISION NO SHEEI NOI PROJECT SKETCH NO. !I BUILDING PERMIT,kPPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlan ic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 _1>*_77-'L V14,7-0, 4�t Per ? /or Job Address: le_3 9 mit Number: Legal Description 0 a Floor Area of Sq. t. Parcel# Sq.Ft Valuation of Work$_cry 049 1 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/ ed structure(�) irele one): Commercial Residential If an existing sItpruroNuorse,is a fire spriWer system installed?(Circic one): Yes No N/A Florida Product Approval# For multiple products use product approval rorm Describe in detail the type of work to be performed: �7—x _71 VL Property Owner Information: Name: Address: U-7)a— 1//.., rd— 7 -57 -7--`— - p p j� j .Z�Phon( city Z 9 ew State I E-Mail or Fax#(Optional) Contractor Information: Company Name: Qua] fying Agent: Address: ity Zip Office Phone Job Site/Contact er State Certification/Registration# ED -won Architect Name&Phone# FOR coin eo d11L% A rr� ,-—_ –7.1—LIE]E Engineer's Name& Phone# %XA: A'IJL —E�A Fee Simple Title Holder Name and Addres :)NAL BorIding Company Name and Address %-UNDITIONS- Mortgage Lender Name and Addres DBY. Application is hereby made to,obtain a rmit to do the work and installations in ted. I certi a no -ior to the 11 ence,dpl issuance ofapermit and that a work wi I be performed to meet the standards ofall la-�s regulating construction in thisjurisdict on. is ernzil becomes mill and void ff wbrk is not commenced within six(6)months, or ifconstruction or work is -usoended or abandanedfor a period ofsix months at onv lime after work is commenced. I understand that separate permits must be securedfor Electri-ar Work,Plumbing, S, Wells, Pools naces Ro Heaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAIL E TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS I TO YOUR PROPERTY. IF YOU INTEND TO 0 TAIN FINANCING CONSULT WITH I YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOVk NOTICE OF COMMENCV41ENT. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governinZ this Ope of work will be coTplied with whether specified herein or not. The granting oj'a permit does not presume to give authority to violate or conc�l the Provisions ofany o1herfederal,state, or local aw regulating construction or the peFfori Fiance ofconstruction. Signature of Owner.(],&� Signature of Contractor Print Narne c� e�i L ...................................... Pri tit Name . ...... ......... ..... I............................................................................................................................... S W'Orn to a b cribed r me SiNorn to and subscribed before me this, _9n -thi, _Day of 20 SHIRLEY L.GRAHAM Not My COMMISSION#JX 957760 IRES:Febru :�-Iy 14,2014 ary Fublic Bonded rhra Notary I ublic Underwrite, Revised 0 1.26.10 CITY OF ATLANTIC REACH FILE COPY OWNER BUILDER,UMIDAVIT 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),Fl.ORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMI r 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 '40T HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU AY 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 MUST BE FOR YOUR USE AND OCCUPANCY. ITMAYNOTBEBUILTFORSALEORLEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE B1 TILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE L WILL PRESLIME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION G�THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRA TOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES �ND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT P zOPLE EMPLOYED BY YOU HAV LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDrNANC S. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE OR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKEI'S COMPENSATION INSURANCE BE PURCHASED. Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 F EQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CA�NOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN-OCCUPATIONAL LICENSE- IS NOT ADEQl)ATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENC7 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 THi kT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE RECUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Ll 1�,'O _3(�g me-A V 6�,j q6L( , ADDRESS L - "'eat PHONE NUMBER Ct4 v�+�I rA PRIN M A �, �, �VCI_\1 L2-0—L_C�0 k SIGNATURE \ day of. LIS 7—,20)21n the county Before me this 1�4 0 �69 — Duval,State of Florida,has personally appeared herin by himself/herself and irms that all statements and declarations are true and accurate. Notary Public at Large,State of 61, County-7f �;�L �[�Iproraldly Kno? ro", "�t�.n Ced I "i_on- SHIRLEY L.GRAHAM My COMMISSION#DD 957760 9 t. EXPIRES:February 14,2014 Notary Signet ubiic underwriters Bonded Thru Notary P FJBLDGIO—a-Build�Affadwi�REVISS,16/20016