254 S Ocenwalk Dr 2014 garage door "I SS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000130 Date 1/31/14
Property Address . . . . . . 254 S OCEANWALK DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 1200
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Application desc
garage door
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Owner Contractor
-- --- -- ----- ---- ------ --
--------- - - - -- -- -- -- --- -
BRANDSTAETTER RAYMOND & DIANE OWNER
254 S OCEANWALK DR
ATLANTIC BEACH FL 322334676
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . . Plan Check Fee 30 . 00
Permit Fee . . . . 60 . 00
Issue Date . . . . Valuation . . . . 1200
Expiration Date . . 7/30/14 ------ -
---- - - - - --- - --- -- - -- -- -- ---------- ----- - --- - -- --- -- ----- - ------- --- --
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
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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 ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
NER / 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 LICEN
CONTRACTORS. YO�,' HAVE APPLIED FOR A PERMIT UNDER AN EXEMPITON TO T
LAW. THE ENEMPT"C-N ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY.TO AC
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU ST M
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD 0
IMPROVE A COMIVIERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILD
MUST BE FOR W
YOUR USEAND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEAd
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE Yj Uj
AFTER TBE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BU L
IT FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY� D
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION M S
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. I I
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EW_LOYED BY YOU V
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR,!MUNICIPA
ORDINANCES. 0
CD
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJUR16S TO WORKERS T ambw
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPrENSATION INSU
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 DISCLOSU
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF
OWNER-BUILDER PERMIT.
ADDRESS -0 PHONE NUMBER 0
z
PRINT NAMZ_j
_dTol ly
SIGNATURE DATE
Before me this day Of 20 in the county of
Duval,State of Florida,has personally appeated herin by t�imself/herself and affirms that
all statements and declarations are true and accurate.
41 o
Notary Public at Large,State of JL_ County f7zik�ll
O��Peally Known
.duc.
duced Identificatil
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Not Signature�
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FIBLIDG/0��-Build�Affiffadavil�RFVWIS 4/16/2.009
AR�N I N
Pulling an Owner/Builder Permit is Riskv Business!
If you do not intend to do the work yourself and have been asked by
someone without a contractor's license to pull the permit,you are at risk of
financial harm.
Section 489.103 (7),Florida Statutes requires that when property owners
act as their own contractor,they must supervise the work being performed.
Any person working on your building who is not licensed must be employed
by you,which means that you must deduct F.I.C.A.and withholding tax and
provide workers'compensation for that employee.
Without workers'compensation insurance,you could
be held liable for injuries incurred on your property.
Typically,your homeowners'insurance policy will
not honor your claim if the work being performed
required a licensed contractor.You could end up
responsible for thousands of dollars of medical bills.
Not only is it dangerous,but irs against the law.
Section 455.227(l)(j),Florida Statutes prohibits any person from aiding,
assisting, procuring,employing or advising any unlicensed person or e ntity.
Individuals who aid unlicensed persons may face fines of up to $5,000
is it worth RP
For more information,speak with your local building Mda Depaqment�f
department before you apply for a permit or contact the 3usine��(`Q))
:Irofessibnal
Department of Business and Professional Regulation at Regulation
850.487.1395 oi-online at www.MyFloridaLicense.com U,,-Effili-tly Pl,�011M
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