549 Vikings Ln 2014 Shed CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ji I
Application Number . . . . . 14-00000297 Date 3/10/14
Property Address . . . . . . 549 VIKINGS LN
Application type description SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2016
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Application desc
10 x 10 shed
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Owner Contractor
------------------------
------------------------
SUTTON JAMES M. OWNER
6318 KELLOW DR
JACKSONVILLE FL 32216
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Permit . . . . . . ACCESSORY STRUCTURE NEW RES
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2016
Expiration Date . . 9/06/14
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Special Notes and Comments
Shed may not be located within or on 101 Utility Easement
at rear of property.
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 6S . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 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 rEFILE COPY
Office (904) 247-5826 Fax (904) 247-5845
Job Address: ��!Z U I Z dME Permit Number:
-/L/- 00 V
Legal Description _�,4jvv F__ arcel#
Valuation of Work S Floor Area ot sq.Ft. Sq.Ft
-J 0/6 .6 P, Proposed Work hentedlyooled non-heated/cooled
Class of Work(circle one): (S;;D Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residgu-tial
If an existing structure,is a fire sprinkler system installed? (Circle.one): No N/A
Florida Product Approval#
For multiple products use prod uct_app_ro_vaTro_r—m
Describe in detail the type of work to be performed: 17)
Property Owner Information:
Name:C_1441W I-L:& L, 4- C-LtO-Ji K 6VA Aj GY Address: ,1:1j6LFAZ_
Stategk�zip�n 4- )-� hone ;2()7- 7 ra- 40 1
E-Mail or Fax#(Optional Z C%miAlc v/ gL_ 4 c-, cn o-1
Contractor Information:
Company Name: Qualifying Agent:
Address: city
Office Phone Job Site/Contact Number ��tate- Zip
I I j try-#
State CertificationlRegistration# I LA-5
Architect Name&Phone 4
Engineer's Name&Phone# A M
Fee Simple Title Holder Name and Address A
I .
Bonding Company Name and Address
Mortgage Lender Name and Address
Ipw
mine c e
i s ermi e ull
lont s n tit ter
aces, oi rs,
W RNING TO OWNER: YOUR FAILURE TO REC A TI E 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.
here certify that I have read and examined thi's a lica ion and know the same to be true and correct. Allprovisions of laws and ordinances governing this
71work will be in lie ith whether s eci te herein or not. The granting of a permit does not presume to give authority to violate or cancel the
rovisions ofany oth r e er ,state, aw reg ling construction or the pe�formance of construction.
ignature of Owne Signature of Contractor
rint Name Notary Public State of Flolillint ame
..........................................................
Shirley'L'Graham .........................................................................................................................................
My Coinmils ton 086911
�for S 02/14/201 efo me
ayo Day of 20
ot u ic Notary Publj�c _
Aal,11 Revised 10.24.12
CITY OF ATLANTIC REACH
(OWMR / BUILDER AFFIDAVI F7F1 L E COPY
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. TTIE EXEMPTION ALLOWS YOU,AS TEE 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. IT MAYNOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHN ONE YEAR
AFTER THE CONSTRUCTION IS COAPLETE, THE LAW WILL PRESUNM THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF TMS EXEMpTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO TTIE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAXE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSIN
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 FLOMDA 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.
Ut4r14'LlAICo !� 0 6
ADDRESS CW, PHONE NUMBER
g
AM
&6A- C H
DATE
Before me this day of 20, in the county of
Duval,State of Florida,has personall ppeared herin Ly hi4MS1f1 herself and affirms that
all statements and declarations are true and accurate. —
Notary Public at Large,State of County-fD4 C,
El Personally Known
0 Produced Identifica
Notary Public State f Florida
Shirley L Grahamo
Notary nature: Ornmillsion FF 086990
EAPires 02J1412018
F:/BLDG/O�er-BuilderAffadavi�Pd----VISED: 4/16/2009
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CITY OF ATLANTIC BEACH
OWNER / ]RUIULDER AFFMAVIT
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
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 PRESUNM 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 TFIE 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 LJCENSIN
ORDINANCES.
If. 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
ADDRESS KIONE NUMBER
-N4AMF--.
ftog A- c H
SIGNATUR DATE
Before me this day of in the county of
L411
Duval,State of Florida,has personally appeared herin by hims If/herself and affirms that
all statements and declarations are true and accurate
Notary Public at Large,State of Cour�,:
11 Personally Known
El Prooduced Identilica
"'ca
4P NO' Public State of Florida
Shirley L Graham
Ommission FF 086990
,ur
Notary i nature: E,"Pir6s 02114/2018
FIBLDG/0�er-Builder Affadavi�REVISED: 4116/2009-40ANKI
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
19 E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9 41�2 4 J?o�nt review required Yes No
R- I—, I/
Applicant: Elanning-& Zoning-3
Tree Administrator
Project: S//I-46 kf5u-blic Works7-_)
.dg��filitie_s_�>
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date MAR 0 3 2014
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: WApproved. EDI[Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: I?q V Date:
TREE ADMIN. V
Second Review: nApproved as revised. OlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department o be assigned by the Building Department.)
800 Seminole Road
4 lzk�0-t?
Atlantic Beach, Florida 32233-54
if'?014
-584
Phone(904)247-5826 - Fax(9
Oate routed:
E-mail: building-dept@coab.us l'?014
City web-site'. http://www.coab.us
APPLICATION REVIEW AN ACKING FORM
-flapaftm_ent review required Yes No
Property Address: S�9 V1,6?26-6
Applicant: 1,42 -77 Elanning
Tree Administrator
Project: 115-y b I i C Wc,r_ks-
e�s ���
Public S,4y
Fire Ser.,:.,:,-�s
Review fee Dept Signature
na ure
ig t
w 0 11-
Review or Rece ..'
Other Agency Review or Permit Required of P rmit V Date MAR 0 3 2014
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation B
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: g(Approved. ElDenier..
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:_0�0__
TREE ADMIN. Second Review: [-]Approved as revised. FIDenied.
q" S Comments:
U C UTILITIE
Date:
PUBLIC SAFET Reviewed by:
FIRE SERVICES Third Review: FlApproved as revised. []Denied
Comments:
Reviewed by.- Date:
Revised 05/14/09
APPLICATION NUMBER
City of Atlantic Beach
C'
Building Department MAI 042014 'ro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-58 5
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us ir V
APPLICATION REVIEW AND TRACKING FORM
Property Address: S'0�9 V/z/ J)ep@0�.-nt review required Yes No
Ri a
Applicant: 9) -77 ELani;ing &�Zonin
�T—ree Adrninistrator
Project: 45_ublicT),�Ks
Public Safety
Fire Services
RevieW fee Dept Signature
Review or Receipt
Other Agency Review or Permit Required Date MAR 03 2014
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation IBy
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
FGther:
APPLICATION STATUS
Reviewing Department First Review: Approved. [:]Denie,i
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: F
]Approved as revised. RDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
Date routed:
E-mail: building-dept@coab.us I
City web-site: http://www.coab.us ---or 7
APPLICATION REVIEW AND TRACKING FORM
Property Address: )31!�ent review required Yes No
- 5" N;F� -
Applicant: -n giani�inq &ZoningE!)
-Tree Adrn inistrator
Project: 11ru b I i c W o r_k�s)
;J tilities
Public Safety
Fire Services
Review fee Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit VerifiedBy Date MAR 0 3 2014
Florida Dept. of Environmental Protection
Florida Dept. of Transportation LB�
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other-
AaPPLICAT N STATUS
pprov
Reviewing Department First Review: pproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING ed by� VA"
Review Date: :3AWAL
TREE ADMIN. Second Review: []Approved as revisCd. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09