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2317 FIDDLERS LN RES21-0224 LAn- RESIDENTIAL PERMIT PERMIT NUMBER a f RES21-0224 CITY OF ATLANTIC BEACH • 800 SEMINOLE ROAD ISSUED: 7/13/2021 "cn p ATLANTIC BEACH. FL 32233 EXPIRES: 1/9/2022 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 2317 FIDDLERS LN RESIDENTIAL ALTERATION KITCHEN REMODEL $500.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE r SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169463 0122 OCEANWALK UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: RAINES DENNIS K 2317 FIDDLERS LN JACKSONVILLE FL 32233-4681 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $55.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$86.50 Issued Date: 7/13/2021 1 of 1 ;t= Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY ~-01119- IS REQUIRED. Phone: (904), 247-5826/ Email: Building-Dept@coab.us Job Address: 2,3 l ) - 144 . ,✓C' Permit Number:R ,J ee Z t ' Z Z4 Legal Description L,)ct k U I L-©4- J� RE# ()°i 4( -01 z Valuation of Work(Replacement Cost)$ LS—sag,00 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition EtAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial L9fi sidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes C3fd6' • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree R moval Permit) i;ifQo Describe in detail the type of work to be performed: (1 C�C4"-Lk QCT Q,Y1,0 Florida Product Approval# for multiple products use product approval form Property Owner Informat'on (� // Name � ie4//vff , , -J` Address �sA24k45'. City i -' ; _ State Zip 2_77? Phone Toy-22‘-7d E-Mail Z 1 tI C' c--,S X11 C, L CO(✓\ Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)) Contractor Information Name of Company Qit/ ,(J f✓Erf Qualifying Agent Address ,_7/ /‹./W ./. /<4v1e_ City State Zip Office Phone Job Site Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer I R Exempt❑ Expiration Date Application is hereby made to obtain a permit to do the work and ins . ations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work ' •e performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separat• •ermit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS, .-• AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicab - to this property that may be found in the public records of this county,and there may be additional permits required from of -r governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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. rt._ Cr (Signature of Owner or Agent) (Signature of Coaicactor)_ C)G.,..Dn Signed and sworn to(or affirmed) before me this day of Si ned a d swo to Lor ff' )before me this[ ay of ,by �i�. , / �b a k• Ct.1�l� (Signature of Notary) ur• TONI GINDLESPERGER MY COMMISSIgN#GG 353178 [ ]Personally Known OR :'. s ly Kni wn OR [ ]Produced Identification Q; EXPIRES:C o6��.2� rr �� p'�v�°; BmdedThruNolarYPLgtike ification Type of Identification: . Owner Builder Affidavit **ALL INFORMATION HIGHLIGHTED IN i City of Atlantic Beach Building Department GRAY IS REQUIRED. '-, 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "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 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 EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 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 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(1). 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. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE RQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: z5/ 2 / .."-:,--e:191/€4:1- Owner Name: 0c,..1/iv/f &I/0)e./ Phone Number: •2)91 ci—Yf f7 Mailing Address: sCy,4he_._. City: 174 I7Tc Zcta State: PI Zip: ?22..? Notarized Signature of Owner The ping instr ment was acknowledged before me this l day of� Q iv ,20in the State of Florida, County of f by' Signature of Notary Public AO [ ] Personally Known OR [ ] Produced Identification Type of Identification: s`�Yr—`'- DLESP ERGER dated 10/24/18 z,:4 !AlMYC-„ii„1SSlON#GG 353178 ��.19;` EX'"RES:October 6,2023 B Rt .,OFF;Q.` onded? •rlcter;Public Underwriters ate.:—