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1436 Linkside Dr 2013 new front door CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5814 INSPECTION PHONE LINE 247 Application Number . . . . . 13-00002591 Date 5/06/13 Property Address . . . . . . 1436 LINKSIDE DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------- ----------------------------------------------------- Application desc REPLACE FRONT DOOR ---------------------------------------------------------------------------- Owner Contractor-------------- ---------- ------------------------ ESPARZA, BARBARA A. & JODY J OWNER 1436 LINKSIDE DR ATLANTIC BEACH FL 322337320 -- ------- ----------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc - - 60 . 00 Plan Check Fee 30 . 00 Permit Fee . . . . Valuation . . . . 2000 Issue Date . . . . Expiration Date . - 11/02/13 ------------------------ ------- -------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE To THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS - ---------------- --------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 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 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLt' IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION bo-u-f- CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: IA36 LAnY51 Permit Numbp- Legal Description LU-1— 10Z, <4�:jyLIL))OV60it - ( In il Parcel# ev Floo Sq.Ft. Sq.E -=_ J� Valuation of Work$ Z000 —ProposedWork heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa windol& Use of existing/proposed structure(s) (circle one): 4�denti � es N/A If an existing structure,is a fire sprinkler system fns��eircie one):. es No Florida Product Approval 4 EL15Z,316 For multiple products use product approval torm Describe in detail the type of work to be performed:un L_,<-�!55 fivn t d W U 4 I-L I la55 dmf ull k"herij PrODertV Owner Information: �ip_32 3-3 P Name: 4TD-s ,, Address: 13 Li n ks. Q4q+_.ja 7;p hone !)Q -!i3 City A10t" St,3ke&zj E-Mail or Fax# (Optional) Contractor Information: CompanyName: Q li in en Address: I ILI mk C, Office Phone 1 State Certificati)rvR strat Architect Name &P ne C11 YOFATL bMC R Engineer's Nan e&Phone# k AC r i Fee Simple Titl�Holder Name and Addr s M FOR AADDIMNA I Bonding Company Name and Address ______T%X5WWM1MhNT5 AMND Mortgage Lender Name and Address installation has commencedprior to the Application is hereby made to obtain a permit to do the wor n ins ting co isjurisdiction. This permit becomes null 11 work will be performed to meet the standar (vabliallst eg! ` fte r issuance of a permit and that a or abandon d or eriod of six(6)months at any time a -ed within six(6) months, or if construction or work is sus ende or abandon and void if work is not commenc. 11s,pools, Fiirnaces,Boilers,Heaters, work is commenced. I understand that separate permits must be securedfor Electrica Work,Plumbing, i S, Tanks andAir Conditioners,e1c. 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 governing this type pf work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherfederal,state, or local law regulating construction or the pe�fbrmance of construction. Signature of OwenerW Sign re Cont tor Printa e .................... ....................................... ....... .................... .................... Print Name .......................................... .... .. .... ....W. .1t Be e Befo e 0 h* D 20 this D f AU Nota ublic "`XWM1S310N#DD95776w0 o ary Public ')WIRES:February 14,2014 ,imed Thru Notary pUblit;UrWfWbM Revised 10.24.12 TY OF ATLANTIC BEACH C1 y FILE COP F , (OWNER BUILDER AFFIDAVITI 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION CONTRACTING" REQUIRES OWNER i 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 ENEMPTION TO THAT LAW. TBE 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. YOUMAYBUILDORIMPROVEAONE-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 WITHN ONE YEAR A.=rxZ 11-M CONSTRUCTION IS COMPLETE, T IPIE LAW WI-1 L.PRE SUME 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 OR-DINANC S. fl. 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(l). 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 CONTRACT OR. 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. N3(p Liyd;�6,&Lb�_ uq -5j6 -q)1V ADDRESS PHONE NUMBER A PRillTINAME �Jp4m 5- IGMATURE V DATE Before me this L day of jq-) 2)3in the county of Duval,State of Florida,has personally appearAd hann b h seit i nersel affirms that t', Y all statements and declarations are true and accu Notary Public at Large,Ste C ty o 61<_�on.,,y Known El Produced ldentfficati _L1 GRA Notary Signa �LA-' Abru'ry 2 4 ::XPIFlES: ters F/B1,DG/0 i �:t;-K�aw 04qwb�lic nde V City of Atlantic Beach R 176 86 In VePaRme uilding Department B nt) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Cityweb-site: hftp://vmw.wab.us APPLICATION REVIEW AND TRACKING. FORM pejMgMent review required Y Property Address: �eX N o Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities P.ublic Safety Fire Services 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: BA"'pproved. DDenied. (Circle one.) Comments: ZBU I L:D:IN:G) PLANNING&ZONING Reviewed by: Date: -1—-7) TREE ADMIN. Second Review: []Approved as revised. F]DeWed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by:___ Date: Revised 07127110