The URL can be used to link to this page

239 Seminole Rd 2014 - door CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 Application Number . . . . . 14-00000915 Date 6/06/14 Property Address . . . . . . 239 SEMINOLE RD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1245 ---------------------------------------------------------------------------- Application desc sgd ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JEVIC, LEONARD OWNER 239 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . - SLIDING GLASS DOOR 30 . 00 Permit Fee . . . . 60 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 1245 Expiration Date . . 12/03/14 --------------------------------------------------------------------- ------ 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. UILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE C Py J90 Seminole Road, Atlantic Beach, FL 32233 i Office (904) 247-5826 Fax (904) 247-5845 Job Address: J16 0 Permit Number: Legal Description Floor Area of Sq.Ft. Parcel# Sq.Ft Valuation of Work 962 JL51-0-0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New -Addition ----Alteratio_ Repair Move Demolition pool/spa window/door n Use of existing/prop sed t t *s) (circle one): ConirarreAq Residential s'ruc If an existing struct re,is a sprinkl;e e72-st2fled? (Circ e): Yes No N/A Florida Product App r al 4 2- d" _T For multiple products use pro uct approvalFtfo—rm Mork to rfol Agia j5,AT- Describe in detail the type of work to rformed: /OLL Property Owner Inform tion: 1.0-7 V Address: c), 317 Name: nnv 0_0� city J' State rjZip :�22,�ne E-Mail or Fax#(OptioLl) Contractor Information: Company Name: Qualif�i Address: Citv State Zip Office Phone Job Site/Contact Numberz Fax State Certification/Registration Architect Name&Phone# Engineer's Name&Phone# 1100" Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4pplication is hereby made to obtain a permit to d Ith,work and installations as indicated. I certify that no work or installation has commencedprior to the issuance of a perm it 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 i's not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsix�6)months at anytime after work is commenced. I understand that separate permits must be securedfor Electricar 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 YOUR NOTICE OF COMMENCEMENT. 1��hereb certify that I have read and examined thl . U ation and know the same to be true and correct. All provisions of laws and ordinqnces governing this Pe o7work will be complied with whether srPeci i herein or not. The granting of a permit does not presume to give authority to violate or cancel the C, provisions of any otherfederal,state, or cal aw ul ing construction or the performance ofconstruction. Signature of Owner Signature of Contractor s a V (ried 'al state, or c PrintName Print Name ....................................................................... B Before me is Day o 2A this —Day of 20 N y Pup!��rjda J—I A - ey raham otary Public Nota_�y-�ublic_ -Min L(3 My COMmission FF 086990 of GxPfts 02/14/201a Revised 01.26.10 FILE COPY CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER I 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 EXENIPTION TO THAT LAW. THE E-NEAPTION 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 CONBLETE, 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 RESPONSIBILITY TO MAKE SURE THAT PEOPLE ENPLOYED 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. 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 PENAL TY UNDER FLORIDA STA TUTE NO. 455-228(l). AN-OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTfF[CATE 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 ? ADDRESS PHONE NUMBER PRINT NAM tlbNATORE L DATE Before me this .6 day of 20 4 (the county of _L i Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are t andaccurate. 1! �_Ue Zblic at Large,State of Countyof&kVaL1 ..ully Known __—N e tion- IF Produced ld Notary public State of lovida Shirley L Graharn My CommiWon IFF 086990 Notary Signature: "o p6rgs 02114/2018 F:MLDGIO�er-Builder Affkdavi�REVISED: 4/16/200) City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by e uilding Department.) 800 Seminole Road 91S Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM c�31 -5fikir)o If_ Dlp##gLent review required Yes -No Property Address- (-Building rrJRFing &Zoning Applicant: n fP- Tree Administrator Project: If Public Works Public Utilities Public Safety Fire Services 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: K41proved. []Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: 6- 6-/,'/ TREE ADMIN. Second Review: FlApproved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09