The URL can be used to link to this page

1660 Jordan St Shed 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 Application Number . . . . . 14-00001168 Date 8/08/14 Property Address . . . . . . 1660 JORDAN ST Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 12 x 8 shed ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ THOMAS, JACQUELINE E OWNER 1660 JORDAN ST ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ACCESSORY STRUCTURE NEW RES Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 500 Expiration Date . . 2/04/15 ---------------------------------------------------------------------------- Special Notes and Comments *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE ---------------------------------------------------------------------------- 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 . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 64 . 00 64 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BMLDING PERMIT APPLICATiON CITY oF ATLANTIC ]REACH - 800 Seminole Poac�Atlantic Reach,FL 32233 FILE COPY Office(904)247-5826 Fax(904)247-5845 Job Address: t2 �OfAuk —64. Ferynit Number: eo'AA Lepl Description Parcel 0 floor or Sq. Valuation of Work Proposed Work heated/cooled non-heated/cooj�d Class of Work(circle one): (Aev gi.-ol Addition Alteration Repair Move I)emolition poollspa windpw/door Use of crMug/proposed struFturc(j) ircle one): Commercial If an existing ifracinre,is a fire sp=er system Installed?(Circle one): Yes No Florida Product Approval# For midtiple products use product approval Form Describe in dotail the type of work to be'pe d:. PraDertv OW er X—af—bugation: N&mJROtt' kbe5 Addressj -+A. --ge-IN State4% Zip -612-106, Phone city:)Um At94- V91c) E-Mail or Fix 4(Optional) A filk Comtraclujgformation; CONTRACTOXEINEAM;AkDRESS: —..JL Zupan Q> Qualifying Agent: Co zupan: Address.-!!� City Office Phone - b Site Contact Nwuber Fax# State Cerfification/Registration 0 Architect Name&Phone 4 Enginee's Name&Phon F S nple N ee Simple Title F Name and Address i 09 y o1ndin Name and Address L N M e Lender Name and Address 4ppikation is hem�b?madir to obtain a pennif to do the work and enstallarions as indicated. I oertify thc work butallation has comrhancedpriot,to the fftuanceo op"I and that all wer4%vill be porformed to mat the standards of a�laws replating oom?ai;:�.wn In I isjurisdicilon. 7Nyp'.ermilb�vornes nitil Yw&*is not commemead within arix(61monthi,or If amileuction or wor 1ss=qqqqdqddrabx�'cn;,4jbr driodol's Months at a rime 04pr a Work is commewed, 1 UnOurviand that swate pemuhr must be jecuredfor Sketricar Work,Plambink, Sign4 Wwls.PdvhNj011(jrnac#4 Tankv anflAir Can(fitionm,ere WAPIQN(;TO OVYMR: YOUR FAILLURE TO RECORD A NOT OF CONDIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR I WROVYEKENTV TO YOUR PROPERTY. IF YOU INTEND TO OBTAXN MANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC X OF COMASNCEMENT. ]here egrio that Ihm read andaw ' d1hb licallan and know the same to be ine and correct, A 11 provisions of laws awna ordinane thl$ orto,to es governing IN P=k will be comlied with whe'rh'e" eelva octne I WIN herein or not, ThLg�antingofaperinitdooinaprmtmeiogtyeauth the provisions afavothar construction 0r1he'P.#Ff*�MohVv aftonstrualion. 7 Signature of ow MAW k�L Signature of Contr tor Print Name Print N=e B re Mel Before me i Of dldA41 �Q 20 this —Day of. 20 ay, Nourr, u L Notary Public ROME 0.=wRo" W COMMM#FF 081164 Revised 01.26.10 EVIFIES.Dommber 16.2D17 L :WCJ�! 00:-7 L 1.1?-7.7-/0 W. CXTY OF ATLA"C BEACIT JUL (DA"ER / DUMDER AFMAIVIT 2 2014 L FLOMIDA STATUTES, CHAPTER 489 PLORIDA STATUTES, PART I 'CONSTRUCT CONTRACTING"REQUIRES OWNER/BUILD�R TO ACKNOWLEDGE THE LAW, JOISCLOSURE STATENM,NT FOP,SECTION 489.10,33(7),FLOIUDASTATUTF�S; CONTRASTATE LAW :REQLTJ�'M CONSTRUCTION TO BE DON2� .8Y LICENSE)D C70RS, YOU HAVE APPLIED VORA PERMIT UNDEp,AN 4. EXEMPTION TO THAT LAW' TM EMWTION ALLOWS YOXT.AS T�M OWNER,op 0*1 YOUR PROPER-Ty.,TO ACT AS 0 YOVR OWN CONTRAC-f-OR FVBN THOUQH YOU DO NOT RAVE A LICENSE, XW VyjMVISE'Tup. im Tm S Coll _QQ71 _bMSI 0. 2XY-MMUL—P. YOU MAY 13L'ILD OR RA)RovE A ONE-OR TWO FAMILY RE'OENCE OR A FAP-M OUTZ=WG. yOU MA,:..ALSO .8UMD OR DOROV13 A COMMERC�AL BtUDDT(J AT A COST OF M000,00 OR EF_Z,. UMDUMD c M3 T13E YOM - . WG OCCUPANCY, IT MAY Nor BE,BMLT Fi_'l SE E PR LEASE. 2 YOU SELL OR LEASE A BUILDING yoU I-IAVZ BUILT yoURSEL,. CTnW ONE .YEAI� LAJ AFM TEE CONSTRUCTION IS COWLEM'TRE LAW WZL PRESM. -HATYOUBLTILT IT FOI�SAIZ OR LEkSE,!Wmcjj IS IN VIOLATION OF Tj.�IS EXEWTJ'�. 1. M., I.. MUZILY T A _N CONIRAC-T-m-YOUR cc, -RUCTION MUST ACCORDING TO nM BUILDINQ coDgS ANr) ZONINa R, 1ATIONS. IT IS YOUR RES?ONSXBXLM1 TO MAKE, SURE' yjjAT PEOPLE ,gWLa� 13 E Y YALBAVE REQ1W= RX SrATR r.AW A7xkTn bV r, _0R.DWAbQL If. INJURY ILLABILITY, SINCE OWNERS MAy BILLMLE THE ' 13PILDING DEPAATMEN,_T FOR INJURIES TO WORKERS THEY HIRE� SUGGESTS PURCHASED. WCikK5R!S - COWENSATION INSURANCE BE III. IRS WITHHOLDING; OWNERS HIRING WO!if(ERS BECOME EMPLOYERS AND SHOULD A1,90 OBSERVE IRS WITHHDLDING TAX AND/OR F70RM 1099 REQUIREMENTS 01M THE WORKER,9-1HEy EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY,, bNUC ENSEd 9cI _QONT CTORS CANNOT 29 EAZ,�)YEQ UNpgS__A_Ny 459_UR_ffS__r6N_QES. OWNERS BEING-SUBJECT — 466-228(1). AN"OCCUE8_TION ' To $6'000 POUT-'Y UN6ER'��TATUT E NO, ALLMOLE"IS NOT 6DEQUATE 'riqEOWNET-�,,-$HOULI)PHYSICALLy SEE THE COUNTY "CERTII-KpAll: VF COMPETIEN OR THE FLGI 1-fDA 'CONTRACTORS CERTIFICATE- TO ASCERTAIN * A PERSON IS A LICENSED CONTRAc'�_)R. TELEPHONE THE BUILDING DEPARTMENT(247-6826) IF IN DOUBT, V.ACKNOWLEDGEmIENT, I HERliBYACKNOWLEDGE THAT I HAVE READ T;4� 00VE DISCLOSUREi STATEMENT AND THAT I COMPLY WITH ALL THE REOUIREMENTS FOR jE ISSUANCE OF AN OWNER-SVILDER PrmRMIT. RA50 AD RMS cot 0. /1l PHONE .2n NAM� S RE DATE S .re me is aIll Me!this day of 20 Al In the county of buvid,State Of Florida,has person—19h1lY SW�Gahwdin l'by hirmattl herself ww affirMs ftt Ell Oftmenta and declarations are true and ac&rate. NOMry Publio at Lerge,$14j*0f_EL0_rtd_t -County orIL--1 14"'it MICHaLe c. ftramally Know Cwm*6#ER&I= El FrOdUeed Idanonmth5m.- EXOM JOY S.2017 Notary Signature, AL (,,L T 7-F, D I-Zlj- City of Atlantic Beach Building Department APPLICATION NUMBER To be assigned by,the Building D rt JUL 23 2914 eop men,,, 800 Seminole Road 1 9 - Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904) r0i I E-mail: building-dept@coab,us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: dew De artment revi.ew required Yes No Applicant: 0 JA)111J,4 annin &Zonin Project: Tree A Mi i rator Ic Utilities y Fire Services t Review fee $ Dep Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Veri d 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 Fobacco Other: APPLICATION STATUS Reviewing Department First Review: yApproved. FIDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed-by.- 4ze Date: TREE ADMIN. Second Review: DApproved as revised. E]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. F]Denied.. Comments: Reviewed by:_—.— Date: Revised 05/14/09 City of Atlantic Beach APPLICATIO?N NUMBER Building Department (To be assigned iby,the Bui�tirng De rt t) men. 800 Seminole Road r) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 - 77 114 E-mail- building-dept@coab.us 1. -FDate routed: Cityweb-site: http://www.coab.us w APPLICATION REVIEW AND TRACKING FORM Property Address: 9".artment review required Y e—s —No Applicant: JA) Tree A minis rator Project: C ic Wo Ic Utill y ;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 RE I Reviewing Department First Review: []Approved. , 4Denied. M (Circle one.) Comments: 0;'rC f tv V I de, 6" 41010t BUILDING 4.v� r-eAr- A eX lr^d PLANNING &ZONING Reviewed by:'0��"-/ Date: TREE ADMIN. Second Review: pproved as revised. [—]Denied. PUBLIC WORKS Comments: 6-f /,'e C�t .5M /.6 AlKx Ae ..,5 PUBLIC UTILITIES x"edc rk*iw 4ti-S PUBLIC SAFETY Reviewed bv,<--O-� Date: FIRE SERVICES Third Review: DApproved as revised. F]Denied.. Comments: Reviewed by:_-- Date: Revised 05/14/09 5 b�" City of Atlantic Beach APPLICATION NUMBER PPL be ssign (To Building Department REC 0 J F-1 (To be assigned by,the Building De rt 'P 800 Seminole Road F ' /il 6 02 menl,, 5 Atlantic Beach, Florida 322 33-5445 JUL 23 2014 5845 Phone(904)247-5826 - Fax(904)24 r Y: E-mail.- building-dept@coab,us Date routed: BY City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: De artment review required Y Applicant: annin Project: I ree A rn nistrator Fire Services Review fee $ Dept Signatur Other Agency Review or Permit Required Review or Rec ipt Date of Permit Veri 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: X'Approved. nDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by.--. Date TREE ADMIN. Second Review: []Approved as revised. FIDenied. IC WORKS ornments: P BLI UTILI ES PUBLIC SA ETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. F]Denied-. Comments: Reviewed by:_-- Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by,the Building Den2rtment.) 800 Seminole Road 87 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 -T E-mail: building-dept@coab.us Date routed: 2. 11 — 7/�'z City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM De artment review required Yes No Property Address: L7"-- i 8,Zc Applicant: JA) < annin 0 _q Zoniin� - -A Tree -d—m fin-i 7sratc,r Project: P 0 V i F_Ut_iri t_ie—s '- I un Trz!.!��y 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 -]Denied. Reviewing Department First Review: RApproved. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. F] 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