The URL can be used to link to this page

532 Pelican Key garage door 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003108 Date 7/24/13 Property Address . . . . . . 532 PELICAN KEY Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1400 ---------------------------------------------------------------------------- Application desc garage door ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SOLDO SEAN M OWNER 532 PELICAN KEY ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1400 Expiration Date . . 1/20/14 ---------------------------------------------------------------------------- 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 ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 JobAddress: 5-,32, Aaoy-) )el,-y PermitNumber: Legal Description Floor Area of sq.Ft. Parcel# Sq Ft Valuation of Work$ *0 —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/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire Mrinkler system installed? (Circle.one): Yes No N/A Florida Product Approval 4 /-/ 49M - For multiple products use product approvalTo-rm Describe in detail the type of work to be performed: Apla et qq:::f a V e 64V Property Owner Information: Name:_,!�e,qv '54)1-pa Address: 1:57'3?1 CA�44 /�/Xy City lfjg��f-IC State�-1 Zip 2�? Phone -e-7,0-j E-Mail or Fax#.(Optional Contractor Information: y Company Name: Qualifying Agent: FILE COP Address: Office Phone Jo I J 1 State Certification/Registration REMWEID FOR CODE C-0 Architect Name&Phone Jo Engineer's Name&Phone 4 CM OF ATLQMiC BENCH SER PERMM FOR ADM 110NAL Fee Simple Title Holder Name and Adjdres REQuIRIPMEMA AND eONDMONS. Bonding Company Name and Address .- f� Mortgage Lender Name and Address REVIEWEDBY: f 11( L ca io he e made an a ermit to do the work and installations as in 7 7cer tat flu WV#1*W-.q—n tallation has commencedprior to the 11 be pe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. Thispermit becomes null to o't ' p t all work w, App" c is r r d th d 'thin six(6)months, or if construction or k f ix(6)months at any time after issuan e o ape mit an a a 'o , - t nd id f work"no commence wor is suspended or abandoned for a period q. s work is commenced I understand t at separate permits must be securedfor ElectricaT Work,Plumbing, Sijns, Wells,Pools, Flirnaces,Boilers,Heaters, Tanks andAir 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 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type work will be coTplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions 6f any otherfederal,state, or local law regulating construction or the performance ofconstruction. Signature of Owner V9,L11- � L Signature of Contractor Print Name _S�- ./ 5w_i,->0 Print Name ..................... ......................................................... .................................................. ......................................................................................................................................... B )r efor Before me this y Day of 20 SHIRLEY L G t*, MY COMMISSION#DD 95 1_� -�_ it NotMT:Fu-blic W,Ef-f ublic TO , BZ PUNCRAW 72 Revised 10.24.12 CITY OF ATLANTIC BEACH OWNER / 13UILDER AFFMAVIT 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),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN E)(EMPTION 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 BUIID 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 PRESUMEE 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. 111. 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 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. ADDRESS PHONE NUMBER Y,6-,f Ai LD 0 PRINT NAME Uj SIGN9TVRE Before me thi��day of I V 20in the county of Duval,State of Florida,has personally appeAred herin by I Tim-self herself and affirms that all statements and declarations are tru nd accurate. LU County Notary Public at Large,State of of �0(8rsonally Known Produced Idenfrlicatio _G _Identtrincatio )N 95776o SHIW[ii MY COMMISSI Notary Signa, L(��L =.�_ NrIHtzj:t-_ ruafy14,2014 ,g gF rm_Q onded Th R/BIDG/0—Builde,Afftdmi�.1m: 4/16/200 ru C3 16— Oct City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 0 v 800 Seminole Road (,4 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://Vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S5- ,—T, -Department review required Yes No Building Applicant: annin�g&Zoning Tree Administrator Project: I< aa� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Si6n6furie"' 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: FlApproved. DDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: EJApproved as revised. ODenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05114/09