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72 W 14th St 2013 Shed CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003554 Date 10/24/13 Property Address . . . . . . 72 W 14TH ST Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc 8 x 12 shed ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ INMAN, DEVON OWNER 72 W 14TH ST ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ACCESSORY STRUCTURE NEW RES Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 4/22/14 ---------------------------------------------------------------------------- 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 ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION D �( CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 OCT 21 2013 Office (904) 247-5826 Fax(904) 247-5845 Job Address: -2,23-3 Permit Number: Legal Description Parcel# Floor Area of q. t. Sq.Ft Valuation of Work$ 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/pro osed structure(s)(circle one):. Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: 8 X 12, AAETA G Wo QD P2PAiAT QS*Eb. Property Owner Information: Name., 1/2\/911 -TeX(YkCul- Address: _7 cC �fV e3� city f?? State-Uip 2Z-3'�Phone S % E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: ; Company Name: Qualifying Agent: ent: Address: city Office Phone Job Si / er State Certification/Registration# Architect Name&Phone# CITY OF ATLADMr- REACH Engineer's Name&Phone# SEE PERMITS F NAI Fee Simple Title Holder Name and Address REQUIREMENTS AND COND Bonding Company Name and Address Mortgage Lender Name and Address DATE—44) RIQ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the 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, urnaces,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. I hereby certify that I have read and examined this application and know the same to be trite and correct. All provisions of laws and ordinances governing this type o 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 other federal,state, or local law regulating construction or the performance of construction. �ti� �k U `�1"('"C�Signature of Contractor Signature of O _ gn Print Name V-w-,\ l cf-V_SLn-._.. Print Name ................................................................. Befor e Before me thisa of 20 13 this Day of - 20 r r"J lc Nota lic *. ._ AY COMMISSION N DD 957760 —7 � x ., ,a EXPIRES:February 14,emRevised 01.26.10 �, V ��;p���4;,•' Bonded 7hru Nntary public Underwriitters CITY OF ATLANTIC BEACH ! � FILE COPYE OWNER / BUILDER AFFIDAVI' ` 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 FAN 1LY 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 FORYOUR 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. -79:\n; 141' �1,��-l' S �t t-006 0 ADDRESS PHONE NUMBER PRINT ( NA RE �+ DATE Before me this 1 day of �/ 20 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 PL County of ❑Personally Known �A 71 -714 1 A q/ �cluced Identification- �(/ /(1 a "Py,, SHIRLEY L.GRAHAM * *_ 1Y COMMISSION#DD 95776r Notary Signature: a-` EXPIRES:February 14,2014 BondedThruNotary Public Underwriter F:BLDG/Owner-Builde Affadavif REVISED: 4/1612109 MAP OF SURVEY 'S _- - - - " BOUNDARY " ` FILE COPY ' f.' 7 � v4�'"AYlltiIRrVi'HP.rF'.iriFV+tlr'i rales..ac..b DESCRIPTION: THE EAST 25' OF LOT 3 AND THE WEST 6. 25 ' OF LOT 2 IN BLOCK 56 OF " SECTION "H" ATLANTIC BEACH" ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 18 PAGE 34 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. `\ cir & \ LB 7261 A 'sC �K Cpq `✓2p>` Ste, S. R.C. 7261 \ \ 2- STORY FFE-13.95' / A/C � 2 / CONC. PATI l 1) / S.I.R.C. / LB 7261 . 34 AV � s`'w r CONC. PATIO/ \ \ S.I.R.C. \ LB 7251 \ \ \ \ CERTIFIED TO AND FOR THE EXCLUSIVE BENEFIT OF: DEVON IMMAN SUNSHINE TITLE CORPORATION FIRST AMERICAN TITLE INSURANCE COMPANY ADDRESS: 72 WEST 14TH STREET N I HEREBY CERTIFY THAT THE MAP OF SURVEY SHOWN SURVEY NOTES.' HEREON IS IN ACCORDANCE WITH THE TECHNICAL STANDARDS AS SET FORTH BY THE BOARD OF o QCAGTNnQ AGF RAQFn nN TNF WFQT ITNF nF lnT P RlnCK 613 PPnFFQQTnNAl IAmn SIIAVFYnP.Q TN CH.4PTFQ F1G}7-6. 1. City of Atlantic Beach APPLICATION NUMBER Building Deparbnent Cfro be assigned by the Bu�9 ) 800 Seminole Road �Ir� Atlantic Beach,Florida 32233.640 Oct y Phone(so4)247�82s = Fax(so4)24�- 4s 2 '?0)13 oar. ..... E-mail: binding-dept@coab.us City web-site: httpJ/www.coab.us \ APPLICATION REVIEW AND TRACKING FORM Property Address: 72- nt review required Yes No Applicant J�j 22 8 Zoning~- Tree7khTnktiaWr Project 9X 12= r�c�Jtilit3 u 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: 6Approved. []Denied. i (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by,-z&==.-Da: O TREE ADMIN. Second Review: [,Approved 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: Retidsed 05R4AM9 3' lF City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Bu&ft Depwknwi.) 800 Seminole Road Atlantic Bim,Florida 32?.33- W Phone(904)247.5826 : Fax(904)2475845 E mail• bur7dirng4epQcoab.us Orate nested: City web-site: http:/A~coab.us APPLICATION REVIEW AND `RACKING FORM Property Address: /z DqAW*nent review required Yes No Applicant da) y &Zonin ree min Project , Fins Services Review fee Dept Signature rDivision Agency Review or Permit Required Review or Receipt Date Of Permit Verifted Dept.of Environmental Protection Dept.of Transportation s River Water Management District orps of Engineers of Hotels and Restaurants of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: �Appnoved. [Denled. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed Date: o ` 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 05H4W rs1Fn City of Atlantic Beach APPLICATION NUMBER Building Department (ro be assigned by the Building DeparUr nt) 800 Seminole Road 445 Atlantic Beach,Florida 32233-6 Phone(904)247-5826 Fax(904)2475845 /O 2 .1 E-mail: bui�ng-dept�Oab.us 0a / City web-site: hV1ANww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address• 2—LN �`� �� DeRaronent review required Yes flo Applicant &Zoning r+ee n r Project Z2_ SJ7'i A lits u ty Fire Services Review fee Dept Signature Other Agency Review or Permit Required Review] eor Receipt of Peerrmmit Verified By Date 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. j (Circle one.) Comments: B ILDING PLANNING &ZONING Reviewed by: Date:-/0 'o?!-,2013 TREE ADMIN. Second Review: ❑Approved as revised. F]Ifinfed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05M4M City of Atlantic Beach APPLICATION NUMBER `r Building Department (To be assigned by the Bu&ft DW*rie s i 800 Seminole Road r . Atlantic Beach,Florida 322332445 y Phone(904)247-5= Fax(904)247-5845 E mail• buiIding4Wt@ooab.us Dade muted: City web-site: http:/Mww.c:oab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7Z1,A) `� '� nt review required Yes No Applicant: &Zoning �l nee minrstr�r Project z 2- 1, tic W u tic_�Itifiti l�ub` 6fety Fire Services Review fee$ Dept Signature Emy gency Review or Permit Required Review or Receipt Date of Permit Yeritied ept.of Envimmental Protection ept.of Transportation s River Water Management District rps of Engineers f Hotels and Restaurants f Alcoholic Beverages and Tobacco APPLICATION STATUS Reviewing Department First Review: proved. Denied. (Circle one.) Comments: 1 ' _ i BUILDING PLANNING&ZONING Reviewed by*Z ) Date: d. TREE ADMIN. Second Review: OApproved as revised. ®Denied. RKS Comments: PU IC L ES PUBLIC AFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by: Date: