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1748 Live Oak Ln 2013 shed CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r Application Number . . . . . 13-00002392 Date 4/04/13 Property Address . . . . . . 1748 LIVE OAK LN Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ---------------------------------------------------------------------------- Application desc 12 x 10 shed ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CUTLER CHRISTINE & LACY ROBERT OWNER 1748 LIVE OAK LANE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ACCESSORY STRUCTURE NEW RES Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 10/01/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 ENG REV BLDG MOD OR ROW 25 . 00 STATE DBPR SURCHARGE 2 . 00 UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 54 . 00 54 . 00 . 00 . 00 Grand Total 144 . 00 144 . 00 . 00 . 00 PERMIT IS APPROVED ONLI' IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH D 13 00 Seminole Road,Atlantic Beach, FL 32233 2 M Office (904) 247-5826 Fax(904) 247-5845 \0_1 Job Address /l/ l ve TeC B mit Number: d 3 92 Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 15,60.ad Proposed Work heated/cooled! non-heated/cooled /o- Class of Work(circle one): CS2Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proosed structure(s) (circle one):installed? idential If an existing structure,is a fire sprinkler system nstalled? (Circle one): es o /A Florida Product Approval # For multiple products use product approval orm Describe ib in ie n detail the type of work to be performed: �X /O �ydao A2lymc f&40 Property Owner Information: Name: `Wfa r 4igry Address: c-1✓E 4AA! LB/ City R>tq is 6e.*ed Statef-'Z Zip 2.1Phone 90��yG E-Mail or Fax#(Optional) Contractor Information: Company Name: Yomf Owivr - ("Sen F) Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# _ State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and CM OFATLAMC BEACH Address SBE BOR ADDMM-AF 1L E COPY Bonding Company Name and RBQiJIRE>1�[�Ti��pp�I1TQAIS Address Mortgage Lender Name and Address p�L: 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 t e issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces, Boilers,Heaters, Tanks and Air Conditioners,dr- WARNING tcWARNING 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. I hereby certify that 1 have read and examined this ap l* ation and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether speci ied herein or not. The granting.of a permit does notpresumeto give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the pe ormance of construction. Signature of Owner Signature of Contractor Print Name &Aoz j �flC „a P�,,, GOIA It R10FIDT, X60MY Coi�lA41� `. xPIR=. ' 'Ica 2014 d s scribed before me Sworn to and ub�scnflbdfo `'a`•.:..• sona�aTn this Day 2af,F" a3 20 CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT I. 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 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. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. 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; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(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. 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. I*7#1 t_1V C O/fA Zd�,� P O�E NUMBY4-71OW AD A06,Ctl 7- PRINW (/,� //�� s7 ,/ SIGNATURE ` 22 DATE Before me this ✓ day of k rc'11 ,20Z33 the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of / L County of �U ❑Pysonally Known ,T -Produced Identification- J— Notary Signatu <' Y9 SHIRLEY L GRAHMA R/BLDG/Owner-Builder AfladaviS REVIS :411 009 ;"l f.�pit4.%WSICN 9 DD 557760 tS'IRES: r 4 '> t Mi I n!notary Public Undelwrters S E<✓� 1"Ale?IAIA 2 vN/T NO 5 —EASPL�L �� po'r 3O,�P�G�S � vN� I I 8""op ump in m � o N 'C'ONC. I PA7lp' n� 'PpTIlJ ~ 70, S FOR YO 1 13RYCK R46-51 vfNG6 "4. /7-I8NYr .1 f Y 28.9' 71J, --- e c oivc. ,CA TIC � �• 395' 97.�E' r2.6' � •� — �35 �i3.�E'L. 00 `rou,vv �'z�ieo.v �vavv �fi"ita�v 67 �rorE� ,q6,:, Ac,,<f 0 1IAAI, 7, /974 jo Or-VOW II.A• PYRPaN f A:6506'/A77G66, •%1/Cr No T.F R6CN•ECk6D ARQ,'L /9, 74 7'0 -5140W FINAL. suRYk Y. fl. A- p41RDAN47 ASS ®C,) /NC. 1 HEREBY CERTIFY THAT 1 HAVE GURVKYKD THt LANDS AS SHOWN IN THt ADOVIK CAPTION City of Atlantic Beach APPLICATION NUMBER ` Building Department To be assigned b the Building Department.) 9 p ( 9 Y 9 800 Seminole Road �`�Z— - Atlantic Beach, Florida 32233-5445 Phone(904) 247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �7 �J �� C/ � C ;ri Department review required Yes No - Applicant: uildi Applicant: (/ x Panning &Zoni .h 'T-r, e-A _/ administrator Project: f O( w � /7 C r1� bIic Works P tic Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUI NNING &ZON Reviewed by: Date: Ol ZD! TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: _ Date: Revised 07/27/10 { City of Atlantic Beach RECEIVED { APPLICATION NUMBER Building Department ; MAR 2 9 2013 To be assigned b the Building Department.) J p ( 9 Y 9 800 Seminole Road .. Mhz =� Atlantic Beach, Florida 32233-544'9Q,,-- 'S�jj Ls Phone(904) 247-5826 • Fax(9047- 'o,s�z� • E-mail: building-dept@coab.us Date routed: 512$�3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: !'70 zOg'e L 71 De artment review required Yes No (Buildi Applicant: ox� �� anning &Zoni J `��Administrator Project: c� X �� 7 C r1S �blic Works P lic Utilities Public Safety Fire Services Review fee $ �� Dept Signature /�-- Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: yp proved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date. TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [–]Approved as revised. ❑Denied. Comments: Reviewed by: _-_--- — —_-- Date:----—_ Revised 07/27/10 ��1rlr City of Atlantic Beach APPLICATION NUMBER 2 "\S Building Department (To be assigned by the Building Department.) 800 Seminole RoadC1�� Atlantic Beach, Florida 32233-5445 LJy Phone(904) 247-5826 Fax(904)247-5845 L E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 77 CI ZI r� / � L 7) Department review required Yes o /) uildi Applicant: U f anning &Zoni dministrator Project: / w �7 C blic Works P Tic Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle onn Comments: � 'BUILDING PLANNING &ZONING d 9—( `3 Reviewed by: �� Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: i Reviewed by: Date: Revised 07/27/10 RECT;'T'X7F1D rS �, City of Atlantic Beach i APPLICATION NUMBER Building Department MAR 2 q ? 113 (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445. Phone(904) 247-5826 Fax(9 -- -- - Z o,i�>•• Email: building-dept@coab.us L Date routed: City web-site: http://www,coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '"70 ll'v �W' Z 7) Department review required Yes No uildi Applicant: Ox X arming &Zoni / dministrator Project: � X 16 � /7 C r blic Works P `Iic Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: VApproved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: /' TRE ADMIN. [-]Approved ftUBLIC Second Review: roved as revised. ❑Denied. Comments: Reviewed by: _ Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: _ Date:— --___ � Revised 07/27/10