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310 7th St siding 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000433 Date 3/24/14 Property Address . . . . . . 310 7TH ST Application type description SIDING PERMIT Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 3000 ---------------------------------------------------------------------------- Application desc siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ VITALE JOHN P OWNER 310 7TH ST ATLANTIC BEACH FL 322335434 ---------------------------------------------------------------------------- Permit . . . . . . SIDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 3000 Expiration Date - - 9/20/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 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. 771 FILE COPY CITY OF ATLANTIC REACH OWNER / BUIULDER 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 EXEWITON To TT-JAT LAW. TBE ENEUTTION 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 MROVE 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 SA—LE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER TBE CONSTRUCTION IS COMPLETE TBE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLA110N 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 RESPONSIBLOTY 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. 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 DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 3(0 -5 ADDRESS PHONE NUMBER ty/V V�: PRINT NAME n1__1 3-a I __/ SIGNATURE%—�f DATE Before me this_day of 120 -_ in the county of Duval,State of Florida,has personally appeared herin by h7imself herself and affirms that all statements and declarations are true and accura'te. Notary Public at Large,State of County of El Personally KnoQw—n 0 Produced Identifi 091`�0010 State of Florida Notary Sig p�,Nf!dy L Graham NIVdiI 'liftesion FF 086990 F:/BLDG/013ui1du Affadavik.RFVISED; 4116/200D 114P Ex i�iwwloola E U,j?-.-, City of Atlantic Beach Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach, Florida 32233-5445 z1.3 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us I APPLICATION REVIEW AND TRACKING FORM Property Address: Slo 7TN Sw Department review required Yes,oNo r5ul"Iding L000, Applicant: 6 Planning &Zoning Tree Administrator Public Works Project: 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 Environmec-tal Protection Florida Dept. of Transpor- 'on St.Johns River Water M- -gement District Army Corps of Engineem Division of Hotels and Re-aurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS 0"_ Reviewing Department First Reviev [qAopproved. nDenied. (Circle one.) Comments (Eg� PLANNING &ZONING Reviewed by: /177 — Date: 3:21� TREE ADMIN. Second Review: E]Approved as revised. FlDeni PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date'. FIRE SERVICES Third Review: F]Approved as revised. F-lDenied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION # CITY OF ATLANTIC BEACH k 800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY Office (904) 247-5826 Fax (904) 247-5845 MAR 21 Job Address: to S-T- Permit N Idw Legal Description Floor Area of Sq.Ft. Parcel# Sq.Yt Valuation of Work$ 01 1000— —Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition GEE) Repair Move Demolition pool/spa window/door Use of existing/proposed irele_Gnjo� Commercial < [e si id s�ntia is tr�prin er system Circle one): :�es N/A If an existing strw-t4ff a rireSDrin ? FloridaProduct Xvproval # F L E 9' 7-7) For multiple procdl�cts usFpE�24uct approval form Describe in detail the type of work to be performed: IP 1,A tj A f k N LAW k- Property Owner Information: Name: `T-y qV VZ 7,A �--ik Address: 31 c3 -1 s city State Ot-Zip 3_k L.A 2 -Phone !Fo r .2 :7 E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: Address: city State Zip Office Phone Job Site/Contact Number Fax State Certification/Registration Architect Name &Phone# Engineer's Name & Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address- Mortgage Lender Name and Address__ 4pplication is hereby made to obtain apermit 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 abandonedfor a period of six(6)months at any time after work is commenced I understand that separate permits must be securedfor Electricaf Work, Plumbing,Signs, Wells,Pools, Furnaces,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 FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOVIi NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this VwOrk 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 otherfederal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor PrintName Print Name ....................................................................................................................................... .......... ............................................................................ Befor Notary Pu ic t e of . 20 this ay f Shirie L r AWS — My Commission FF 086990 Expires 02/14/2018 Not u I Revised 01.26.10