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342 7th st Siding 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000482 Date 4/18/14 Property Address . . . . . . 342 7TH ST Application type description SIDING PERMIT Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 13250 -------------- ------------------------------------------------------------- Application desc siding ----------------------- ----------------------------------------------------- Owner Contractor ------------------------ ------------------------ GHELERTER, RICHARD & VANESSA OWNER 342 7TH ST ATLANTIC BEACH FL 322335434 ---------------------------------------------------------------------------- Permit . . . . . . SIDING PERMIT Additional desc - - 60 . 00 Permit Fee . . . . 120 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 13250 Expiration Date . . 10/15/14 ----------------------- ---------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 120 . 00 120 . 00 . 00 . 00 Plan Check Total 60 . 00 60 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 184 . 00 184 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I ,-I-- -�,ft, . � �:::7t 9 T BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH A4AR 31 2014 ILECOPY 800 Seminole Road, Atlantic Beach, FL 32233 sy Office (904)247-5826 Fax (904) 247-5845 Job Address: V� Permit Number: Legal Description �Lzajd 4, Parcel 4 Floor Area ot Ft. Sq.Ft Valuation of Work$ g rO—Proposed Work ated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration .k�epEai)r Move Demolition pool/spa window/door Use of e�Ki�ting/pro osed structure(s) circle one): Commercial 41--w—lesiden ' If an existing structure,is a fire sprin=system installed? (Circle one)—: es DO N/A Florida Product Approval# ----Ff'--- For multiple products use product approva orm Describe in detail the type of work to be performed: 42,e4lac--m Property Owner Information: Name: &c�ae C2-Aele-- Address: city---' etc 4 —State&zip Phone 5--?l 7 E-Mail or Fax#(Optional) - Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: 42tutle-- Qualifying Agent: Address: Citv State Zip Office Phone Job Site/C er State Certification/Registration# V RCO"1V OnXA Architect Name&Phone# IW X%W A rETV AIM Engineer's Name&Phone# SRE PERAM FOR ADDfNONAr Fee Simple Title Holder Name and Address REQUIREMENTS A NJ)Co _�MFff E". Job Sit" e, n Address RE* 'ess ss io " ! me arid Bonding Company Name and Address— Mortgage Lender Name and Address DATE. F fy that n as rommencedprior to the 4pplication is hereby made to obtain a permit to do the work and installations as indicate I certi issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null x(6)months, or if construction or work is s dqd or abandoned for a period ofsj6)months at any time after and void ffwbrk is not commenced within si work is commenced I understand that separate permits must be securedfor Electrica ork,Plumbing,Siins, Wells,Pools, urnaces,Boilers, aters, 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. of laws and ordinances governicneg this I here mit does not presume to give authority to violate or can I the ,lb certify that I have read and examined this application and know the same to be true and correct. Allprovisions work will be complied with whether ecii'led herein or not. The granting of a pe? provisions of any otherfederal,state, or local aw regulating construction or the pe�formance of construction. Signature of Owner 41- A_ Signature of Contractor AZ A- PrintName ............................................................................ Print Name ........................................................... j ..................................................... Beforq Lne Before me this 1015�Day of MAA01 20 1* this —Day of 120 i L4&rj St ublic Noldry Notary P Notary ublic milton David Carver Revised 01.26.10 my commission EE129112 It Expires 12104/2015 CITY OF ATLANTIC BEACH ri OWNER / BUILDER AFFIDAVIT ,. ILE 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. 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 WELL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATTON OF THIS E)CEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR- YOUR CONSTRUCTION MUST BE DONE ACCORDING TO TBE 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 ORDYNANC S. 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-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. �7 4,, ADDRESS PHONE NUMBER h?",LI j PRINT NAME SICAATURE E/ Before me this I OL�'dyff M4rch 20_Nin the county of Duval,State of Florida,has personally appeared herin by himself I herself and affirms that all statements and declarations are true and aGcura'te. Notary Public at Large,State of V forlild ik County of buy4A__� X�ersonally Known 0 Produced Identification- �V'Plp,, Notary Public State of Florida Milton David Carver my Commission EE129112 Notary Signature.. bavi& PQ Expires 12/0412015 F:IBLDC,/Own�-Bufld�Affadavit;.REVISED: 4/1612009 City of Atlantic Beach APPLICATION NUMBER Building Department Fo be assigned by the Buildin Department.) 800 Seminole Road /� . 6 0 t antic Beach, Florida 32233-5445 9 -5826 - Fax(904)247-5845 Phone(904)247 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: De—par-tment review required Yes'- No Applicant: '0 14) PT5—nning &Zoning Tree Administrator Project: Public Wo-rks Public U1 ilities 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 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: [9A'—pproved. DDenied. (Circle one.) Comments: /V (:E� PLANNING &ZONING Reviewed by: /71 Date: TREE ADMIN. Second Review: DApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. FIDenied. Comments: Reviewed by: Date: Msed 05/14/09