The URL can be used to link to this page

500 Crusier Ln 2013 window CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003234 Date 8/14/13 Property Address . . . . . . 500 CRUISER LN Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc window replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MCPHERSOM, JOHN K OWNER 1433 PONTE VEDRA BLVD PONTE VEDRA BEACH FL 32082 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 2/10/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 Job Address: 500 Cruiser Lane, Atlantic Beach, FL 32233 Permit Number: /-?— K) Legal Description 35-64-172S-29E Seaspray Lot 22 --Tq-.Tt-Parcel 9 170703-036 Sq.Ft P'loor Area ot 1620 Valuation of Work$. 2,000 Proposed Work heated/cooled 1620 - non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa q�E� Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): e s No N/A Florida Product Approval # FLI 1834 For multiple products use product approval form Describe in detail the type of work to be performed: lRt"i@rtq7gTaTtno inclu4e4leor-�ring/app4amees4-�p�r shertruck�pai-nt/replace windows. Roffi— exte.M. ,....y I Property Owner Information: Name: John K. McPherson Address:143 3 Ponte Vedra Blvd City Ponte Vedra Beach State FL Zip 32082 Phone 904-285-9155 E-Mail or Fax 4 (Optional)— t ILL UUPT Contractor Information: j Company Name: Qualifying Agent: Address: City -State Zip Office Phone Job Site/Co State Certification/Registration# Architect Name&Phone# ANA:101LEVRD OR CODE COMPrali.Vllcmr, Engineer's Name& Phone# CITY OF ATLANTIC BEACH Fee Simple Title Holder Name and Address SEE PERMITS FOR ADDITIONAL Bonding Company Name and Address KtQUIREMENIS AND CONDITIONS. Mortgage Lender Name and Address M A= I ]RE1qEVFEDM'- Application is hereby made to obtain a permit to do the work and Installaiturn as Irsufram F F P F 0'to OP onced prior to the issuance ofa permit and that all work will be performed to meet the standards of all laws regu'li��,��-'c�iiruction-'i'n-t'hi's'j-u'r-is--di-c!-ti-o'n-.---T-h-i-s-p-ermit becomes null ded or ab and void if work is not commenced within six(6)months, or if construction or work is suspen. . - andonedfor a period ofsix(6)months at any time after work is commenced 1 understand that separate permits must be securedfor Electricar Work, Plumbing, Signs, 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined thi.sa plication and know the same to be true and correct. All provisions of laws and ordinances governing this ecA me to give authority to violate or cancel the 1�work will be complied with whether te herein or not. The granting of a permit does not presu provi st.ons ofany otherfederal,state, or localsf1w��ing construction or the pe�formance ofconstruction. ........................... 7!! Signature of Owinei: Signature oV7—on a Print N r- L-A (04 PrinZtaj�� ............. ................ .. .....i SwoCto-j�subscribed before me Swom to and subscribed before me thisqt�' Dayof Pv�v5-�- 20 1� this 1*'N -Dayof 200 A:ENN 1 37271 Revised 01.2 015 M S# 2] =ON EE 1 37271 11 015 011c MAIT SENN N MATT SENN -1 MY COMMiSSION #EE 137271 Revised 0 1.26.10 MY COMMISSION#EE 137271 OF A_ilv VMS:OcWw 11,2015 DMRES:October 11,2015 CITY OF ATLANTIC BEACH FILE COPY OWNER BUILDER AFFIDAVIT 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 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. ITMAY NOTBE 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 OR-DINANC S. 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(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. f-500 QW16a LUAL ADDRESS PHONE NUMBER PRINT `SIGNA� E DATE -`�—Before me this day of 20/,z inthecountyof ;4.:jct-0Tv`aIState of Florida,has personally appeared herin by,himaQl herself and affirms that all statements and declarations are true and accurate. T-- J Notary Public at Large,State of County of El Ppreonailly Known MATT SENN 0 Produced Identifiration L My COMMISSION#EE 137271 Notary Signature: WIN t,KPIRES:February 14,20114 j,) d Thru Notary Public Underwriers F/BLDG/O�er-Builder Affadavit�REVISED: 4/16/2009 ndo, T City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 43 .3 2_3 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /-.s er P_qp,��ftent review required Yes (�- Building _'�) V/ No Applicant: to—;�1E PfanniFg—&Zoning Tree Administrator Project: lao A-) I Public Works A Public 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: RAO'pproved. F]Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: TREE ADMIN. V Second Review: []Approved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by.-- Date: FIRE SERVICES Third Review: FlApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14/09