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344 10th St awning permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-RAAR-1817 Job Type: RESI DENTIAL ALTERATION Description: 18' RETRACTABLE AWNING Estimated Value: $2,475.00 Issue Date: 8/26/2016 Expiration Date: 2/22/2017 PROPERTY ADDRESS: Address: 344 10TH ST RE Number: 170039-0000 PROPERTY OWNER: Name: KRAWIEC, ROBERT Address: 344 10TH ST PERMIT INFORMATION: PUBLIC WORKS: Full right-of-way restoration, including sod,is required. FEES: PLAN CHECK FEES $31.19 BUILDING PERMIT FEE $62.38 Total Payments: $93.57 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I f. City of Atlantic Beach APPLICATION NUMBER A Building Department (To be assignedby the Building Department.) r 800 Seminole Road I�� 17 Atlantic Beach,Florida 32233-5445 IJ Phone(904)247-5826 - I'm(904)247-5845 q E-mail: building-dept@coab.us Date routed: 8 I f City web-site: http://www.00ab.us APPLICATION REVIEW AND TRACKING FORM Property Address:,._J44 i Q� ZS7 ent review re uired Yes No Builth Applicant: 0( I,D (L BZonin j Tree Ad trator Project: I�E`l 2 PC TA �6 I—i WNt ub ks blit Utilities Public Safety Fire Services fRe�leYf fee„$. . Dept Signature.; Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: (,Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANN ON Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved 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 Depaan�ment.) 800 Seminole Road tip— ° Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 ?jjrty>' E-mail: building-dept@wab.us Date routed: t i� I jb City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3ti�{ l00� St . De artment review required Yes No ui in Applicant: <alannng&tonin Tree Admmis ra or Project: C0wila- LIOUL a JtnifNl 'Public Works y Public Utilities ptUVIIXy JU', WtA 6k Public Safety Fire Services Dept Sig" Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: 4o / TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 t;t,.tiy City of Atlantic Beach APPLICATION NUMBER Building Department D1-Ery 1:_ To be assigned by the Building Department.) n 800 Seminole Road �n,1{/84 E II�V C7.. :r Atlantic Beach, Florida 32233-5445 eUG ' 6 t't0— (LhA�— I%1"'1 Phone(904)247-5626 Fax(904)2 _p; q E-mail: building-dept@wab.us f Date routed: D r 110 1 -h Cityweb-site: http://w .mab.us BY:__ APPLICATION REVIEW AND TRACKING FORM Property Address: 3ti�{ l�# St • Department review required Yes No ui din Applicant: O1rJ f\u Plann ng &Zonirigj Tree Admlms ra or Project: Publi orks P(Q J �kS�y (Qtj�Q t y b �puit 1 A t j Public Utilities Public Safety Fire Services Review fee $ Dept Signature .; Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: [Approved. ❑Denied. (Circle one.) Comments: fie /JJ• .j _A 6 BUILDING PLANNING &ZONING Reviewed by: Date: ZS TREE ADMIN. Second Review: ❑Approved as revised. ❑De PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 09/14/09 i > > , _ City of Atlantic Beach fz+ APPLICATION NUMBER �" ap Building Department EC ��IJ' � E ; (To be assigned by the Building Department.) 800 Seminole Road �D Atlantic Beach,Florida 32233-54'Wl �� i b 1015 ilko— RAAR— i Phone(904)247-5826 Fax(9 47- E-mail: building-dept@wab.us Date routed: DI rut 1 -19 CdywetMsite: http://www.mab.ua BY:—_ APPLICATION REVIEW AND TRACKING FORM Property Address: 3r-1 y l� St kSewlms ent review required Yes No Applicant: Dw(\U( Zonin lms ra or Project: f"O.LULIOL aWV1.ONA Public Work-s-1 Qf r�vA�V I W 0—wo 6 by ht;r ob A. ities W- D� etyeces" Review fee $ Dept Signature h Other Agency Review or Permit Required Review orReceipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPL1,GATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: r Date: f$ f�' TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. P 1C WORxS Comments: PUB UTILITIES PIAT�SAFETT Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 95/14/09 FILE COPY BUILDING PERMIT APPLICATION �n CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach Fl,32233 OiS1o� Office:(904)247-5826 a Fax:(904)247-5845 Job Address:3Ly LOTIA Sr AnANric 3Cnru FL. 3ZZM Permit Number: Legal Description 29E RE# I ')0O39O0OAR Valuation of Work(Replacement Cost)$ 2�4a5 0o Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition CStemtion Repair Move Demo Pool Wmdow/Door • Use of existmg/proposed structure(s)(Circle one): Commercial Gesidential • If an existing structure,is a the sprinkler system installed?(Circle one): Yes No N/ • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: SrE A- TAPn ED 1)Ro.TEct ZbC5CrIP.TI0tj) Zilc ?Nolo 1RoDuc-r IAiFoRMA71014 Florida Product Approval# for multiple products use product approval form Property Owner Information Name:Qo9ERT KFAW IEC_ Address: 0TH 51. City ATLANTIC %EACH State fLZip azz33 Phone 904) Z'19- 0153 E-Mail bk - 5LC (y C`ismtasf ew-* OWneror Agent uAgent,PowerofAttose or Agencyletter RequirM) 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 NOTIC7E OF COMMENCEMENT. Contractor Information: pb" /p yuv SuPacnE Name of Company: h�uPlto SEA.uicai iNL Qualifying Agent: Address: 7 �•i CSS .F be n`V City 'S'm k-4OJJilier State Zip FL T2Z5L Office Phone S- 1 t Job &te/Contact Number State Certification/Registration# E-Mail Ki a q MN04zro 1 N.rnA414 r n Architect Name&Phone# Engineer's Name&Phone# Worker's Compensation xemp[ Insurer ase mp oyees I ExpirsturesDat, Application is hereby made to obtain operant to do the work and installations as indicated. I certify that no work or instatlodon has commenced War to the issuance of a permit and that all work will be peyarmed to meet the standards ofall Imes regulating construction in this prirdictioa !'his permit becomes wtl and void if work is not commences within six(6)months, or if construction or work is susppeended or abandoned//o'r a period ofsix(61 months at any time after work u commenced, f understand thatsepamte permits must be searedjar ElecMca!We k,P(umDing, tgns, 111''e!!s,PP"Is,Furnaces,Bo AF H%afters;Tanks andAir Condvioners,eta Signature of Property Owner: //i-OWA:f /�?i.//.O C' Signature of Contractor: Bef me this Day of Z c TONI SPERGER MY ISSIO PFFS24S51 Notary Public: ` - u ' ;iy,;' awdemmraarP�mc umxam I hereby certify that I have read and examined this than and know the same to be true and correct. All provisions aflaws and ordinances governing this type o(work will be complied with whether spa lied herein or not. The granting of a permit does not presume to give authority to vso(ate or cancel the provisions of any other federal,state, or lata/law regulating construction or the performance ofconstruction. Rev.3/14/16 TREE & VEGETATION AFFIDAVIT o„ City of Atlantic Beach FILE COPY Department of Community Development Planning&Zoning Division B00 Seminole Road Atlantic Beach,FL 32233 (P)904247-5800 (F)904247-5845 PERMIT# SECTION I-APPLICANT INFORMATION r✓Owner(s) r Legal Authorized Agent" NAME OF APPLICANT �`O qRr ekW IfL - C)L-3 F\ pt- NAME OF COMPANY ADDRESS OF COMPANY PHONE 'Z4q_0JS3CELL 349321 EMAIL CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY y4 fDY}I ST- LEGAL rLEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE SOFT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach,FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above- ibedoradja at ropertles in conjunction with thisproject. SIGNATURE OF OWNER /� SIGNATURE OF OWNER Signed and sworn before me on this 1 day of ,� by State of 1/ / J- County of (7 Identification verified: KCozo (p f7- rjQ-Q] Oath sworn: r7 Yes r No NotarySignature 7oxlcNocbbftRCEq fP. oOME.NBBpRIFF924951 REV-TVA-00.12 My Commission expires: EXPIflES:OetaCx AER CITY OF ATLANTIC BEACH FILE ®WNER/BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW DISCLOSURE STATEMENT FOR SECTION 459.103(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 ACP AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRIy`TTON YOIIRSELF YOU MAY BUILD OR IMPROVE TOME6iTWO 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 YOLm nc AND OCCUPANCY. IT MAY NOT BE BUILTFOR SALE OR LEASE. 1F YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRH AN IINLICENcnn pER50N Ac vOUR CONTRACTOR YOUR CONSTRUCTION MUST HE DONE ACCORDING TO 1TTE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MA703 SURE THAT PEOPLE EMPLOYED By YOU HAVE -LICENSES REOLRRFD By STATE LAW AND BY COUNTY OR n ORDINANCES EPl M 11. 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 TOPENALTY UNDER FLORIDA STATE NO. 455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE, THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IFA PERSON 15 A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(2475826)IF IN DOUBT. STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE OWNER-BUILDER PERMIT. THE ISSUANCE OF AN A DREssY /n-ru ST1A11.An1 µ 3 (gpyl 249. 0/C4 I NE NUMBER rIC'AB a> �kAw)Fc PRINT NAM � /-- SIGNA URE 1(� .� GATE o/94 m 9aare e Mlsea p,� n \V 21 G tln counya ouwl,State aFlodde.neanalry v anLy nlmaercl nerselrena efimis Mat all detemama and aeclamt&mn ere Notary Publlcat Larye,Staba ��_ coumya i� ] (J✓Q� ❑Paowiay Kn. ❑PmEuua `p� ` 60so-o lEsMo9on- d GN "��` MY(YJMMISSION�iFFOt Notary Signature: FXPIflES:(ktobaz6,p1B Y �. Boehallvu M'u/PUEIi UNemAre P:/BIDGgw,y.Bwltiv AHarvi[RGNRp:Nyp]9 y; Howare SunSetters inthe wind?Can l leave my ^^V./ awning open all the time? AAnindependent lab tested our awnings for wind resistance.All of our models withstood between 55 and 75 mph wkhout damage in controlled tests.However,we do recommend that you retract them tludng strong,gusty wintls. Because they retract,they're great for breery locales where a permanent awning woultl be somewhat impractical and prone to damage. Our optional Wireless Wind Sensor for the Motorized awning gives you additional peace of mind by closing your awning automatically on very wintly tlays. If youtl like to keep your Motle1900M or Mode11000XT open most of the time,even in breezy locales,we recommentl that you order our optional ftainaway Arches'. They make the awning more rigid and keep the awning fabric at maximum tautness. • 1-800-876-2340 Feature.. Matod:ed PRO Motodzed 8 6 PRO%L M 3torbed IL Integrated roll-down Front NO NO Weatherbreaker Panel comfy motor with ✓ NO plug-in cord Multi-Channel Remote Control Q Manual override in case of power failure C � ' Heavy duty from bar -^ Baked enamel high quality �/ •? �[ '. aluminum supports Double stainless steel cable system Rich designer color choices ✓ All Sunsetter fabrics block 99%of UVA and UVB rays Up to 20°cooler on your deck or patio 5-Year Limited Warranty Good Housekeeping Seal UL Listed Motor (File No.E60495) N/A Skin Cancer Foundation ✓ ✓ Seal of Recommendation Adjustable pitch (during install) Installs over any kind of siding �/ p Installs on the wall or to the _/ ✓ underside of eaves and overhangs �P Optional roof mounting brackets ✓ available • �y�,.a...,y�: . I �: I � ..JYj,. '� ,. � `: �_. � � �.�. . r- ;'> � . y Z y. • � � � 3..: 1 t .,r - - - FILE COPY BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach Fl,32233 ,une% Office:(904)247-5826 • Fax:(904)247-5845 O Job Address:344 IpTIa Sr. AT ANTIC. f>EWW ft- 3ZZJ3 Permit Number: Legal Descripfion 16-25. 79 £ RE#� '70039000nR Valuation of Work(Replacement Cost)S 2415oa Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition C2temtion Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esidential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/ Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: Florida Product Approval# for multiple products use product approval form Property Owner Information Name:409EQT KRAW IEC Address: 0TN 5 . City_AILAan C. 8 A u State Zip=Phone 904) 249. 0153 E-Mail mak - 5LC (J C'eimteef. ew Owner or Agent (rAgmt,Pa—idAttamry or Agency Letter Raptirc+3) 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. Contractor Information: pbP C/}WN ftAr'RG'iAd Name of Company: ry�,h�V PRrin3 SE/tVi ceS lNt, Qualifying Agent: Address: 7 �,.i� S Rk- ryLvO IV City n'pLk'SaiJll'i State Zip 1'G 422sL Office Phone S- 3 Job Site/Contact Number State Certification/Registration# E-Mail �i c W�r}W4 z'a I w N r • + ; c Architect Name&Phone# Engineer's Name&Phone# Worker's Compensation erupt nearer a tap oyees prranon ate Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced Wor to the issuance ot'a permit and that all warkwill be per(�omed to meet the standards ofall laws regulating mnstruclion in this jurisdiction. fhis permit berom or null and void if work u mt commenced avidin siz(6)months, or ifconsou no or x+ork es suspended or abandoned Pro period Qx(V)months at anytime after work is commenced. Iundurlca that se ouopermm main,osemredfor Geclrical Wo Plumbing, Signs, Wells,Pools,Furnaces,Boilers,N tors,Tankss and Air Conditioners,em Signature of Property Owner: �/( /O lie C' Signature of Contractor: Befme this�Day of Zc:) L 'N;jkY MTTOM Ia910N�ai Notary Public: .q'k;(>• aeMNThq Na'r/PUEkager•6xe I hereby cert that I have read and examined this kation and know the same to be[rue and rorrect. All provisions of laws and ordinances governing this type yf work will be complied with whether specifted herein ar not. The granting of i permit does not presume 10 give authority to violate or cancel the provisions ojany other federal,state, or local law regulating construction or the performance ofconstruction. Rev. 3/14/16 TREE & VEGETATION-AFFIDAVIT City of Atlantic Beach FI7COPY i Department of Community Development D - Planning&Zoning Division ry �" 800 Seminole Road Atlantic Beach,FL 32233 yr�t9 (P)904247-5800 (F)904247-5845 PERMIT# SECTION I-APPLICANT INFORMATION )YOwner(s) n Legal Authorized Agent* NAMEOFAPPUCANT L<QF Rkf 'IKkAu if1 _ — d(� NAME OF COMPANY ADDRESS OF COMPANY (A� PHONE 7,4q_01,5 CELL 34-1 EMAIL CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREETADDRESS OF PROPERTY Iyy /VTH ST- Ilan addresslwsnotbem assignedro Mlspropert};mntatttheAB BulldlnaDepamm¢ntat(904)20-5816 to requert an address. LEGAL DESCRIPTION r(0 - 25 LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOTOR PARCEL SIZE: SOFT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that I have reviewed the provisions of Chapter 23, "protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach,FL and(or 1 have participated in a preapplication meeting with the Administrator of those regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above- bedoradj/a/rknt roperties in conjunction with thisproject. NUNATUREOFOWNER SIGNATURE OFOWNER Signed and mom before me on this 1 dayof 10 ZQ` by State of I� County of Identification verified: K CoZ o (pb— s o Oath sworn: n yes n No Notary Signature n TOM GINCIEBPERGER V OOEMSSION#FFM951 REV-NA-v1 0.12 My Commission expires: }� •t EXPIRES:OMW6,MIS CITY OF ATLANTIC BEACH FILE C��Y OWNER/ BUILDER AFFIDAVIT V NB 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING°REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT.—SECTION 489.103(72 FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED LAWN THE EXEMPTION ALLOWSP OU AS THP OFOR A WNER OF YOUR PRUMER AN EXEMPTION MPTY,TO ACT AT YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUSAS SUPERVISE UM CONSTR tCUM YOURSELF, YOU MAY BUD,D OR IMPROVE A ONE–OR TWO FAMB.y RESIDENCE OR A FARM OUTBUILDING. YO IMPROVE A COMMERCIAL U MAY ALSO BUILD OR AT A COST OF 525,000.00 OR LESS. THE B 0I DSV MUSTBRFORYO g/ SPAND OCCUPANCY. ITMAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WTIHEV ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WE,L PRESUME THAT YOU BUILT LI FOR SALE IC LEASH,WHICH IS IN VIOLATION OF THIS EXEMPITON. YOU MAY NOi LIME AN UNLICENSED PPRc c ' ONTrs C'7 Q& YOUR CONSTRUCTION MUST BE DONE ACCORDING TO ITiE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE E LI PLACES EOLERED STATE I �vr�OYH AY YOU HA ORDINANCES AW ANm BY COill� E,R"gp li 1]CERSING II. 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 THEWORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNUCENS D CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORE 455-228(1). AN'OCCUPATIONAL LICENS 'IS NOT ADEQUATE IDA TA UTE NO. SEE THE UN THE OWNER SHOULD PHYSICALLY CERTIFICE" TCOTY CERTIFICATE OF COMPETENCY° OR THE FLORIDA "CONTRACTORS ATO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(24 6)IF IN DOUBT. V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. A EE s4 ; 7x C'.LA'H.A r� gOYI 1/4. 0/C4 P NE NUMBER l'Z.c9 All, +2.QWICc rnlM NAM S GNANR I/ GATE Be(eremefbia tleY o1 • 1V ]Y SG. Nacounh of euvel,Btete of Floritla,haa pelacnelty p Iln by bimseX/ber»I(entl egillna Nel u atatemenb ane aedaraeona alabc.an rea. Notary,public of Large,Sdte W_�Jcepery0 n V eZ C O pemnaly Wwwn opca,m ,m abuec_ Ca7-0 - (�O-So-p �,".""`- EINIGINMESPEEGER ;.� �� MYO7MM1851PNRFF 920.A61 Was,SignaNle: ti' E%P RES:O:fober6,P➢1B ''.�, BondalAn ronanvuek Unamnit:> F'/ALIXitlxn—Swb aAO&uV a6VL9EU:1/I b�fq Au4 9, Zol& �u1LDiNC+ �CCtM1T A??LICAilDrl INFoRM}tT )Ohl FO—N. - J-p copy ?NU IOTH STZECT �, m a3�CT ESCRIPTIOrJ MUSS fI�E�RATA$LE SU�ISErTf R vlsTAt --e-cva WkSTS��F CAR-?oRT CANcSZ�iAc�� ALUMINUM vurrN CTALVA017-vD TNRoorzP 'Fjot_ts w/NU'rS Im-f0 DOoeuL WIDE 2XS ` HFAD[f , AWNW(r �1i �� �E MOUNTF7 IPO ' SACK Fco�n FTZO"-r EAVES r IS I to L&i c,TF1 . 05E* ING Awrl!NE WI>7IN WILL- 'FJF_ IN COMPLIANCE Wr71 LIME SE-r 'gact-, K AwwJa CovR No T? iE 'F rTMWAL I�FCC SAS y Foe i on c 5 � A-(TACk1'6T) . SII-F- 4\\91-0 • SUI.ISF i T'EfC. \kI A erio Anf WOW"r 'NTo2mh"Po r CI TYOFATLANTICBEA BTHIS PLAN MUST BE ®WNER/BUILDER AFF JOB SITE FOR I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STAIR EACH INSPECTION CONTRACTING"REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW; DISCLOSURE STATEMENT FOR SECTION 489.103(7) REBA STgTUTBE STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION IC THAT LAW. .THE EXEMP77ON 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 7H8fn c NYO cF yOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMB,Y RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR LMPT�OB E AORCOMMER cR BUILDING AT A COST OF$25,000.00 OR LESS. -THE B 11r DH4 AND OCCUPANCY. IT MAY NOT BH HUB,TFOR SALE OR LEASE. IF YOU SELL OA LEASE A BUILDING YOU HAVE HUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT TT FOR SALE OA LEASE,WHICH IS IN VIOLATION OF THIS EXEPdP'RON. YOU Y NOT BLRfl AN IINLICENCFn nn O*1 pq yO] YOUR CONSTRUCTION MUST HE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED HY YOU H AV LICENSES RPnIIrRED BY STATE LAW AA^ *'Y OR NRJMfIFAI EN SING ANCES rL II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY ENHIRE, 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. 456-228(E AN"OCCUPATIONAL LICENSE'IS NOT ADEO ATE 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. A...IYY 107W Ci/-TLp l (�-g gpNl 2y9 OIC r/ NE NUM9ER 2cRcet K"LJ1Fc PRINTNAMM L ��oi it®� 019/t 6 SIGNATURE // DATE Betore me Nis h.a P. 2L5C��ma aaan m Duval,Stab of Flo4da,M1es parsonallY ePP u erin by blmaeift M1a.w.nd afiinna fba, an amremanb:and awa,auona areAw�a an 2b. Notary Publlcat Lage,Sinmace _1 I_ Count,I op.v ❑Pnr d a'p l,lAir uw- Lll yA''' i. TONI GINOIEJPEPGEA AIV COMMISSION l FF 92.951 Notary Signature: ' �§ EXPIRES,Odober6.20/9 ' 9anEaElaa W: Nbk UMVMna FiBLpCAxya-BwItic AOLrit aEVLSEp;UIbIW3 i 1 1 1, Hand Operated... SunSetter VISTA® Awning Economical and Easy to Use (Non-Motorized) j Don't need the ease and convenience of our Motorized model, but still like the look and sophisticated lateral arm technology of an awning without vertical support arms? Then our manually operated SunSetter VISTA is the perfect lu , awning choice for your home. A non-motorized version of our motorized model, it opens and closes with a simple - + hand crank tool (provided) that anyone can use. The VISTA requires no electricity. It includes the same high quality alu- The VISTA hand crank only operates minum components and dual stainless steel cable lateral from the right side—facing the house. arm system as our Motorized SunSetter. VISTA.Up to 10 ft.2 in. projection.Widths _ from 8 to 18 ft.Woven acrylic and lami- nated fabric available on all widths. p y Over 650,000 Satisfied SunSetter Owners! 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