1695 Selva Marina Dr (vault) (2) DEPARTMENT OF BUILDING FOR Oz II E ONLY
Date__ , ( __--_ 19�.�
TOWN OF ATLANTIC BEACH, FLORIDA Permit No._.Co__L!'_i., '_.--• Fee$_.--"--
Valuation $— _�° ----------
Application for Permit for House No. ______-__-_____—__.-_- ---------
Miscellaneous Alterations, 1.1 ,1 ///4 -
andRepairs ----------------------------------------------
I96J
To the Supervisor of Building: ,/C '_T .The undersigned hereby applies for permit__ u/ ---- �- ��'mt7/n7-/20./..—
(State If to repair, alter,add to or move building; erect a ing, sign, etc.; install boiler, elevato , e c ...-.0
Lot No.___ .Sub. Div. .... J
Building on-------_------- -- -L-------Block No.----- - --------------
(State fractl� � / e�a
At_____ Side No. � ���_ _/ l- n a—St. Between.------------__----and-------------------_Sts.
Valuation $__Y_Q C?_C2_ •__ _____—
(State cost of Improvement) —— -! _ — '
BUILDINGS AND OCCUPANCY F '... -
is present use of building—Residential or Business? —-- - --�
Wh at P — - �
If residential, what type—Dwelling, Garage Apartment, Apartments or Rooming House?______----------�
How many families accommodated now?_____ _---___________-How many when altered?____—________—,,� -0--..
If business, what type?________________ . ________-__ __---------_Will food be prepared for-ale on premises?___ '
What plumbing work to be done?
Size of present building._ __Size of extension__—_____—_____— ____-Size.of lot________
Number of stories now after altered....__________________________Material of roof_______--_:-___.__________—_--•
Material of present building__..—_._ ________—____ Material of extension-___________—__ __----------*Nov NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH
OIL BURNER OR GASOLINE EQUIPMENT
Name of Oil Burner or Gasoline Pump Type or ModeL_—_—___ _
_ _ - -
Name and Address of Manufacturer__— —--- -- - ------ -'-`---_'
In connection herewith, application is als made to install:— (How many)- ---- gallon capacity tank (s)
made by __ __ _ e metaL_-_________—_-------•---------------•ground
o!__--_--------------fig
(Name of Manufact er) (Under or above)
of building. For---- ---—--- --_-- ------ —
(Inside or outside) —(Name of Purchaser)
FURNISH DRAWIN SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK
SIGNS
Size_______ ---- —
____--___ ------ -- (State whether ground,roof,wall, projecting, banner, special,etc.)
Weight_____-_____________ Materi construction___— —--- — —— —
Illuminated? -------- Type illumination- --— -— - - — - — - — - — — - .
—_______-_ (State whether Lamps or Neon)
Will sign be over public pro @ rt Y•- --- -----
------------- -- --- --------------- ---- ----------
SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING
WRITE ADDITIONAL INFORMATION OW C./
For canvas}awnings provide dimensioned draw on reve rC./
_ELErifiiii ,-_/A.1:::-- _W_Z__ -"Ito, IMPORTANT NOTICE:
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform
said work in accordance with the attached plans and specifi cations, which are a part hereof, and in accordance with the
building regulations of the Town of Atl ti Beach.
Signature of Builder _ _, Address___________________ Phone No.__________
Signature of Owner _________ Address._____-_____— __--___ Phone No._______
FOR OFFICE I/UrrSE ONLY
-',A,I.__b
Date ? 19 -a
Permit # 1...3__.3.-.Fee$ v�V
TOWN OF ATLANTIC BEACH °a
Valuation $ !-_0/..00
L FLORIDA House #
/6Q 1i A c,.
04.4„.„..,
APPLICATION FOR BUILDING PERMIT
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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic
Beach and all rules and regulations of the Building Department of the Town 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 Town 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. /� 19 Ae
� /��f Date �!y� C a '
Owner___1,9e 1,_ 1: lF, -es Address; �4 gelephone No. ..�1-V
Architect Address Telephone No.
Contractor Builder Address Address Q,,, Telephone No.
Lot No. / Block No. ej Sub Division__._.V0- `4.--e�ii� *'s(, 2J Zone
.
„__Street Side Between and
/6Q���r� ----��� - Sts.
4c,
Valuation 0/0/._O0.O –t For what purpose will building be used Type of construction
LDimensions of Building Dimensions of Lot Size of Footings
Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof
How will Building be Heated? Will Building be on Solid or Filled Ground?
Size of Ceiling Joists , Distance on Centers , Greatest Span "
Size of Floor Joists ,Distance on Centers , Greatest Span "
Size of Rafters , Distance on Centers , Greatest Span "
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.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. W 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. F H
4. When framing is completed. a S
5. When rough plumbing is completed,and ready to cover up. W W
6. When septic tank drain field is laid but before it is covered. A a
7. Electrical inspection by City of Jacksonville. co m
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
p FRONT OF LOT
Illw In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the Town of Atlantic each. �
• der._ _- eo .'�G�°'— Address - - - - -!Z
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CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5826-FAX 247-5877
r'; PE RNIrriNFORMMONMW",Vrirt:43-MKO`ttOCATION-44 .AT10
Permit Number: 19851 I Address: 1695 SELVA MARINA DRIc'E
Permit Type: DRIVEWAY ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0
Square Feet: Subdivision: SELVA MARINA
Est. Value: Parcel Number:
Improv. Cost: 2,600.00 > OWNERINFORMA
Date Issued: 4/06/2000 MILLER
Total Fees: 25.00 Address: 1695 SELVA MARINA DRIVE
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/06/2000 Phone: (904)241-8842
Work Desc: CONSTRUCT DRIVEWAY PER PLANS
PROPERTY OWNER S PERMIT 25- .00
PUBLIC WORKS
' •
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.00 14
Date: 4/06/00 01 Receipt: 0047540
CHECKS
00100003221000 7436
ATLANTIC BEACH BUILDING DEPT
CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CfTY RIGHTS OF WAY AND EASEMENTS
DATE v4 4 6 PERMIT NO.
ISSUED BY THE CITY
C/
JOB ADDRESS ' `. i�t j ' ii'4 i VALUATION $ �7�,
)rB/G".= -/03
FERMI IItE ec LTA-j,--7-W 74 f---
FERMI I I LE DDRESS .✓ r�:%>, , , TELEPHO E NO. (VV..? J/51_3
REQUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT ,
LOCATIONS: (REFERENCE TO CROSS-STREET) / y '5.�11 alriar .s �ks,
I . APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION OF ALL
EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON•tHE
SKETCHES
A LETTER OF IjOTIFICATION WAS MAILED TO THE FOLLOWING UTIUTIES/MUNICIPAUTIES:
JACKSONVILLE ELECTRIC AUTHORITY YES ( ) No ( ) DATE:
BELL SOUTH TELEPHONE COMPANY YES ( ) NO ( ) DATE:
FERRELL GAS YES ( ) No ( ) DATE:
MEDIA ONE CABLE TV YES ( ) NO ( ) DATE:
2. WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT
OPERATION, ALTERATION OR RELOCATION OF ALL„ OR ANY PORTION OF SAID STREET OR EASEMENT AS
DETERMINED BY THE DIRECTOR OF PUBUC WORKS, ANY OR ALL OF SAID POI FS, WIRES, PIPES, CABLES OR
OTHER FACIUTIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALL BE IMMEDIATELY REMOVED FROM
SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REQUIRED BY THE DIRECTOR OF PUBUC
WORKS, AND AT THE EXPENSE OF THE PERMITTEE UN! F5S REIMBURSEMENT IS AUTHORIZED.
3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR F RI/9A DEPARTMENT T/��9pF T//¢¢ NSPIRATION STANDARDS
AND BE PERFORMED UNDER THE SUPERVISION OF ,-/L c/ //(7 ( (L'" (CONTRACTOR'S
PROJECT SUPERINTENDENT) LOCATED AT ,�,,�1( TELEPHONE No. &3i 51 3
4. Au.. MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBUC WORKS OR
HIS DESIGNEE.
S. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH
CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY.
6. A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT,
7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY
OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN DAYS. IF THE BEGINNING DATE IS
MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE
DIRECTOR OF PUBUC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD
AFFECT THE PERMITTED CONSTRUCTION.
I 8. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO
THE EXTENT OF THE CITY'S RIGHT, TITLE AND INTEREST IN THE LAND TO BE ENTERED UPON AND USED BY THE
HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE
HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF
EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE
AFORESAID RIGHTS AND PRIVILEGES,
9. THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWENTY-FOUR (24) HOURS PRIOR TO STARTING WORK
AND AGAIN IM DI TE UP P TI
SUBMITTED BY: �� .- •
r��1 (PLACE CORPORATE SEAL IF APPLICABLE)
a e7 C
B
SWORN TO AND SUBSCRIBED EF E ME THIS ; DAY!. . / 4 f 1
NOTARY PUBLIC .
MAP SHOWING BOUNDARY SURVEY OF
LOT 11, BLOCK 6, SELVA MARINA UNIT NO. 5, AS RECORDED IN PLAT BOOK 30, PAGES 29 AND 29A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
RICHARD T. MILLER AND LAURA B.MILLER
STEWART TITLE GUARANTY COMPANY
SUNTRUST BANK,NORTH FLORIDA N.A.
RICHARD R.MOREHEAD,P.A.
I
GOVERNMENT LOT 6 .
S 11'56'50" E 150.00' (PLAT)
FOUND l/2' IRON PIPE S 11'45'33" E 149.37' (MEASURED FOUND I/2" IRON PIPE
NO IDENTIFICATION o 0.0'�NO IDENTIFl ION
IC 44 s4
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0
. : +
r
I
O U COVERED
a PATIO
°o zs.e I LOT 10
z J .. 6H•B BLOCK 6
Q w w ONE STORY Jzz,
0- MASONRY
2 POSTED # 1695 3
t`
37.11'
.� in COVERED PORCH d "j p co
Z 26.0' p, 22.S' 7h'.
c�5l V)
90
5r l 89,4'
.z 0
In
N"I K
.115 k!� O' \.
40' BUILDING RESTRICTION UNE l..n `f 4i it. F4'i a
;r Dr,vIWR I+� AAt1
POINT OF TANGENCY 'iii
c.l lfr�� ` I �•�+°+
FOUND 1/r IRON PIPE �(,// V ,
sc NO IDFli11FlCAT10N 0 )) �(.IL r �l rlt�F of Atlantic each
►t ., ----r! "° ..+1 r1 CY
2& ti $. 514 `
?,. it e ��'�j. P C
/ \
�'��.emu,,F90/,� SET I/.^,• Rill AR aFOUND 1/2- IKON PIPE
STAMPED 'ACM U) 6702' N 11'46'15" W 130.00' (MEASURED)
Cf/ co 0• G F POINT OF CURVATURE NO IDLNI1FlCAIION
O. ( �F N 11 s6'so" w 130.00' (PLAT)
�J .) �J
SELVA MARINA DRIVE
(100.0' RIGHT OF WAY)
NOTES: ACCEPTED DY:
LEGEND:
K = RADIUS —x— = FENCE
L = LENGTH O = CONCRETE
VOTES:
. BEARINGS ARE BASED ON THE PLAT BEARING OF __N 789'10" Ey ALONG THE REVISIONS
NORTHERLY BOUNDARY LINE OF SUBJECT PARCEL.
X
!. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE AND AE— AS SHIM! QN 1HE DATE DESCRIPTION
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 19139, COMMUNITY NUMBER 120075, PANEL UU01 0 2-2q-9' C6irie 16.1r-inn,r
THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED UV THE UNDERSIGNED.
. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
—
JOB N 3320 1 DATE OF FIELD SURVEY: 1-4-98 DISK # ZIP 6 .1 SCALE. 1" = 30'
1`A CERTIFICATE
j 1'• ''i .'i, 923 Peninsular Plocc, Suite I I IICKCOY CERTIFY Tllni 11115 SURVEY WAS MADE
Jacksonville, Florida 32204 UN2ER..E F RESPONSIBLE DY THE FLORIDA[
jF` ,,,,,;erg �� ) � IG r' AND MCLfS THE MINIMUM TECHNICAL STANDARDS :-S .•ET FORM UY TIIE 0121U
l � L ,3 I". n (Phone) 90.1-351-11.11 UOma) OF Ii1I01 C55IONPL SURVEYORS AND MAPPERS III CHAP ILK 61017-6, 1LORII.A
.P',1 /�// ! ADMINISU II E CODE'. i•u1i5Unr11 10 SIC TION ,72.072 1101 IOA STAIUICS.
r;✓' e If Vim.).) 911 1 3J 1 I LJJ
7
sun E-JI�I1G in� - ,%� AIX4MA MIC,.,,EI 1'ICLL(�= =��=L—
REGISTERED SURVEYOR AND MAPPER b 4879 STATE OF FLORIDA
IICFN;;D IIU;INCS S k 670?
LAND SURVEYS 0 CONSTRIInTinm clIR\/Eve - 1
CITY OF
>r4tlanhc Beads-4'
Office of Building 0 i al
REQUEST FOR INSPECTION / g 2 f3i Permit No. y ?4/`
Date (/
ime A
Received �/f A.M..M.
I
i
Locality
Job tdresss.
Owner's Contractor it'
Name PLUMBING MECHANICAL
CONCRETE ) ELECTRICAL
BUILDING / Rough ❑ Air Cond. & ❑
❑ Rough Wiring ❑ g ❑ Heating
Framing h emp Pole Li Top Out ❑
Re Roofing ❑ Final ❑ Sewer ❑ Fire Place
Insulation ❑ Linte Pre Fab
READY FOR INSPECTION AM:
Mon. Tues.
Wed. Thurs. Friday
A.M.
Zlo , 7D_ P.M.
Inspection Ma �o Final Inspection ❑
i ��� �`,'i∎A�
Inspector Certificate of Occupancy ❑
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL 247-5826-FAX 247-5877
PERMIT INFORMATION „ INFORMATIQN'
( Permit Number: 19497 Address: 1695 SELVA MARINA DRIVE
Permit Type: STORAGE SHED
Class of Work: NEW ATLANTIC BEACH, FLORIDA 32233
Proposed Use: SINGLE FAMILY Township: 0 Range: 0 Book:
Square Feet: Lots) _ Block: Section: 0
Est. Value: Subdivision: SELVA MARINA
lmprov. Cost: 1,500.00 Parcel Number:
Date Issued: 1/24/2000 OWNER INFORMATION n
Total Fees: 30.00 " Name: MILLER
Address: 1e95 SELVA MARINA DRIVE
Amount Paid: 30.00 ATLANTIC
Date Paid: 1/24/2000 BEACH, FLORIDA 32233
Phone: (904)241-8842
Work Desc: CONSTRUCT STORAGE SHED
t+v ..;$.07;4 7.c. FEES?-
PROPERTY OWNER
PERMIT 30. .,:
.* ”` . :ctions Re•if
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. q
P 2 S 2003
C+tY of Rtlantic BCC
.�� - f�.88141
Date: 1/25/08 81 Receipt: �29b2487
ATLANTIC BEAC :UILDI • DEPT. CHECKS
08180083221000
/ „
RECEIVED
CITY OF ATLANTIC BEACH
PERMIT APPLICATION RMIODEL, ADDITIONS, OR ALTERATMT2 1 2000
MOVING, DEMOLITIONS City of Atlantic Beach
Owner(s) :
Building and Zoning
A Litc-Z-IiPt e°.
Job Address: a, ,S-- ' Phone: ,2r7-3/V3
Lot 4 Block or Unit 4 Subdivision:
Contractor: . State License
?-ccress : Sr5-aCe4 e "liZAVOL.Aar ?tone No: C3W7---r/V3
City Stare • zio :cde 524733'
//-3-'ke " 7 //
cc,..7-4.-=.----be work to ce Cone: I . et 1. "41 A
. , / /
7
, ...../........ . ,,_'.., ...., . „ .., :-., ... .:..,, .. ... ../.... _. .
Present use of buil:ring: 44;ce •
Val:la:Lon of P.rocosed Construction: .or/sro, "
z• / /v. /
Proposed use: ,A,"i ..., _Ad__.
Is this ,Ir, addirion? If yes, what are the dimensions of the added
/......-b-4.3 "
space: 74.1-- ft. X /431.. ft . Will the added area be heated and
cocied? A New n' =(---4c=' •or increase) ? A
New plumbing fixr,ures? New '' -.71 =c1 New Heat/AC?
SUBMIT THREE (COMMERCIAL) TWO (RESIDMVTMAL) COMPLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF C01.2.9M=g7M AND
OWNER/CONTRACTOR AFFIDAVIT, IF 0 m- IS CONTRACTOR.
Signature OWNER: A „___A/z2/AINK Date: / -11 --00
Signature CONTRACTOR: / Date:
AS TO OWNER:
Sworn to and subscribed before me this / day of
_•
. _
? •y ''UBL IC POWS AMOS
AS TO CONTRACTOR: ifill* MY COMMISSION#CC553881 EAMES
August27.2000
Sworn to and subscribed before me this day of___14*E__mmamiosEleodsomaJ •
NOTARY PUBLIC
:4 -
�.; , . CITY OF
/*E4 t ie &earl - " e
800 SEMINOLE ROAD
_ ATLANTIC BEACH,FLORIDA 32233-5445
,� TELEPHONE(904)247-5800
FAX)904)247-5805
SUNCOM 852-5800
CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. I 03(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 CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR
FORM 1 099 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. 455-226(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.tic\ 711/
A741 PROPERTY OWNER/BUIL R
4,-;it 4( a,9 J/
ADDRESS TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE ME This / . DAY 4‘F
_ Ai`_
NOTARY PUBLIC
MY COMMISSION EXPIRES: i lrit�,w' ,� PatrldaAmonette
NOTE: PHRASES UNDERLINED ABOVE :*_ MY COMMISSION M CC553881 EXPIRES
IN ;+
ARE EMPHASIZED BY THE BUILDING Find August 27,2000
DEPARTMENT.
6•, tyQv BONDED THRU TROY FAIN INSURANCE,INC.
RE C Ffl/ED
• AM 2 1 2000
Is
City of Atlantic B ach
ei Build' and Zon
k'el_
___ 4ila4-11c 6.4_ tzaaa3
)- 1
A PrOOCt 41 kalleat POOr
,.... I
■ ---____\
Z_ fa-"twer-4444- 4.
oIX (p @ Otriatr. to mdek 4)4411 "9'
•
Qx 14,914,14 ........................4 ,... or 701,14,4irtic t
+4_MA,_t_A___Existrie Ei+-ev-i_cr
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46c)kkSe°
_Pismetrj4iflat 9)__LLIA+lat l't egt2to_Skil_ktAtid 1w ilkis _ II"' __g_Roji_s__11_5_Rebar
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* - yaMO*Y1.0 its+Itic eaviefeteSta) la/ 53" Fool:er
o"F eck\C) ) ""3 X 1 3 on reverse .
1