The URL can be used to link to this page

1450 Ocean Blvd 2013 drywall repairs CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r Application Number . . . . . 13-00003670 Date 11/13/13 Property Address . . . . . . 1450 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2499 ---------------------------------------------------------------------------- Application desc DRYWALL REPLACING ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ROGERS, PAYTON OWNER 1450 OCEAN BLVD. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2499 Expiration Date . . 5/12/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 6S . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY 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: N50 OCC-190 1?d-,VP 3 2'Z'_�Z Permit Number: Legal Description Floor Area of Sq—.Ft. Parcel 9 Sq.Ft Valuation of Work$ Z-499 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration g� Move Demolition pool/spa window/door Use of existing/pro osed structure(s) circle one): Commercial 14;;;;;&l If an existing structure,is a fire spriWer system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product apj_ir__o_v_aTT6rm Describe in detail the type of work to be performed: R615� PPYWALL Property Owner Information: 19no Name:112AT uhnir-i g_X4 ez 4- Address:- TZZ 3 1 City Ar.-ArADA: X3Q4W . StateA_ZipVL2S3 Phone E-Mail or Fax#(Optional) 4M 1+;ErpnAl&�. 6-0 0% Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: V?Q ingAgent: State Zip Address: tv -ti— — Office Phone—Job Site/Contact N er Fax State Certification/Registration 4 A�chitect Name&Phone# — Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address as indicated I certify that no work or installation has commenced he 4pplication is hereby made to obtain a perm' do the work and installations rall laws regulating construction in thisjurisdiction. This permit beffoioretson'u 1 issuance ofa permit and that all work will be performed to meet the standards oj ter and void if work is not commenced within six(6)months, or ifconstruction or work is suspended or abandonedfor a geriod ofsixp6)months at any time af work is commenced I understand that separate permits must be securedfor Electrical Work,Plumbing,Signs, �011s,Pools, urnaces,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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined this,a ca,,,,qn and know the same to be true and correct. All provisions of laws and ordinances governing this yr e§, 7Mrk will be cmnplied with whether eci herein or not. The granting of a permit does not presume to give authority to violate or cancel the sf,provisions of any otherfederal,state, or local aw regulating construction or the peFformance of construction Signature of Owner Signature of Contractor Print Name Print Name ......................pit ..................... ....................................................................................................................................... ..............1� Befor e Before me this 0 203 this —Day of 20 nuici ry i G IRAHAM 41V GO D 95T 60 Notary Pub ic *�*3 E.,,pjp,,r--S-February 14,2014 tary Public IN erwfaers 6 Revised 01.26.10 T��,otary Public Und CITY OF ATLANTIC BEACH OWNER ]BULDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "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 MI JST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL 6-R—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 RESPONSIBLUTY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MLN—C1—P-A—L---L-1C—E—NS-1NQ ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. ill. 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-O�CUPATIONAL 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. jq�gC) ADbRESS PHONE NUMBER PRINT NAME )A TURE ��t DATE Before me this 7A OV 3in the county of ay of 2.L Duval,State of Florida,has personally appeared henn by himself/herself and affirms that all statements and declarations are true and accurate- Notary Public at Large,State of ,County-7DWLa—L Kersonally Known j:7.b - .2619 -0 P on R G=A roduced lde4ntincafion- �57760 YL N R D 472 4 I # �: ru Feb a' r'Notary Pub",U den"'ars u SHIRLEY L GRAHAM .T �.v COMMISSION#DD 957760 EXPIRES:February 14,2014 'r ru Notary PUbIIC Underwi rs Notary Signatur Sonded Th F1BLDG/Owner-Builder Affadavzl�REVISED: 411 0109