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320 1st St (vault) j'l CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 D1,19r Application Number . . . . . 07-00000129 Date 2/14/07 Property Address . . . . . . 320 1ST ST Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc REPLACE BAD WOOD/INSTALL WINDOWS & FRENCH DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHNSON, CYRIL W. OWNER 320 1ST STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 2400 Expiration Date . . 8/13/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 , 50 . 00 . 00 PERmfr,IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUHAING CODES. JgPING PERMIT APPLICATION s RECEI r CITY OF ATLANTIC BEACH BUILDING 70N CITY OF ATLANTIC BEACH J1t1�T FEB 13 200100 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax:(904)247-5845 Job Address: 74 Permit Number: Legal Description /71y� Valuation of Work(Replacement Cost) ��• 0 ■ Class of Work(Circle one): New Addition <WEaD<Repair) ove ■ Use of existing/proposed structures) Circle one): Commerce ■ If an existing structure, is a fire sprmlMer system installed? (Circle one): Yes Q57 N/A ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes Nol7l� Describe in detail the type of work to be performed: Property Owner Information Wow Nam City StateipPhone Contractor Information: Name of Company: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number State Certification/Registration# Office Fax# Architect Name&Phone# Engineer's Name &Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be perforated tEeetthe standards o fall laws regulating construction in this 'urisdiction. This permit becomes null and void if work isnot commenced within six(6)months,or onstruct[ norwork is suspeded orabandoed for a perioof sis(6)monthsatany time afterworkced. Iunderstand that separate permits must be cured forElectrical Work,Plumbing,Sigtts,Wells,Pools,Furnaces,Boilers,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 cert that 1 have read and examined this application and know the sante to be true and correct. All provisions of laws and ordinances governing this pe of workwill e complied with whether specified he ein or not. ranting of a,pernzit does not presume to give authority t olate or cancel the provisions ojany other federal,state, or local law re lating co ruction aper nzance o construction. 01 Signature of Property O ignature of ntract Swor{t,t��nd subscrih efpre Sworn to an sub ri d e r we this ay of f� this Day of Notary Public: — Notary Public: r V �n�-swt a Fbft •:�/�.atmssion Expros Fab 14,2010 ..• •a; o<v d a'- Commission 0 DD 518533 �� 3 Z �b -�� -� ""^" Bonded By National Notary Assn. DO NOT WRITE BELOW `IMS LINE: OFFICE USE ONLY Review Res ircle one): A ro ed isapproved Approved w/ Conditions Review Initials/Date: De pment Size Habitable Space Non-Habitable Impervious area Total Area Miscellaneous Information Conditions/Comments: Occupancy Group Type of Construction ��ao Number of Stories Zoning District #Parking Spaces Max. Occupancy Loa Fire Srinklers Required FloodTne / Revised 12/11/06 RHODA ROWE Q001 02/14/2007 10:25 9042809618 vz/ae�=uur ue:14 Yeb pagelof2 Florida Building Code online oduct Approval Wr, l p;PubNc uar , wamtIse Demo FL4437-R2 FL# pavislon Application TYPe 2004 Code VeM100 Approved Application Statu$ Comments Archived PGT tndustAes Product Manufacturer 1070 Technology �rtve Address/phonetEmall Nokomis,FL 34.275 (941) 4$0-1600 ext 1124 iturnerQ p9tIndu atris6.com LUC&%Turner Authorized Sig"turo iturneropgtindustries.com ntative Lutes A.Turner 'Technical Repress 1070 Technology onve Address/phone/Email Nokomis, FL 34275 (941)4$0.1600 Itu mer@p9andustrles.com Quality Assurance Representative Address/Phoaa/Eme" Windows category Horizontal Slider subcategory Complian0e Method Certificatlon Mark or Listing Keystone Certifications..loe. CarttfiaatiOn Agency TAU iZefarenced Standard and Year(of "-nd,_rA 1997 sandard) ANSVAAMAINWW 101/I.5.2 2002 ASTM E-1300 2002 ASTM E-1886 r Special Information for Owner/Builders 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 THE LAW. The exemption allows you as the owner of your property,to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. . The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation,for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be employed under any circumstances. Owners are subject to a$5,000 penalty under Florida Statute#455.288(1)instigated via Building Division citations. An Occupational License is not adeggate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division(:247-5826�fm doubt. I hereby knowledge t at I have read and understand all the above on this �_Day of, y�. O er Sign Address Z O C:�� Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL to me well known to be the individual and Before me personally appeared owner builder described in and who executed this instrument and severally acknowledged the execution thereof to be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this L day of, Fra atA 1 tit ea ounty and tate aforesaid. NO Y PUBLI TA O FLO A PLftS1,M of F1aft Print Name: •SMY C,omffftw Expos Fab 11 2010 NIvIISSION EXPIlZES: -�, Comwftsion 0 DD 518533 Iy COM •• �` � Bonded By National Nota Asan. y i ' ❑Personally Known ,.- sWdentification: '� 2 5 .S 3 2- S__6 96 9 ' 6