112 Pine St patio door 2012A
Application Number . . . . . 12 -
Property Address . . . . . . 112
Application type description TO Property Zoning . . . . . . .
Application valuation . . . .
-- ------------------------------------
Application desc
INSTALL PATIO DOOR
--------------------------------
Owner
------------------------
FRAZIER DONALD
112 PINE STREET
ATLANTIC BEACH FL 32233
OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0000933 Date 7/27/12
PINE ST
OW AND/OR DOOR
E UPDATED
550
----------------
Contractor
BUTTERFIELD REMODELING LLC
P 0 BOX 1954
CLINT BUTTERFIELD
ORANGE PARK FL 32067
-----Permit---- -----------------
WINDOW AND/OI
DOOR PERMIT
Additional desc
55.00
Plan Check Fee .
27.50
Permit Fee
Valuation . . . .
550
Issue Date
Expiration Date . . 1/23/13
--------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008'NATIONAI
ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL
DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIR
D
*ALL STICKERS ARE TO REMAIN ON T
E WINDOWS
* PROVIDE ACCESS TO ALL WINDOWS
INSPECT FASTENERS
-----------------
Other Fees . . . . . . . . . ST'TE
-------------------------------------
DCA SURCHARGE
2.00
ST
TE DBPR SURCHARGE
2.00
_____ _ __
Fee summary Charged
-----
Paid Credited
----------- ------ -------.00
Due
-----------------
Permit Fee Total 55.00
55.00 .00
Total 27.50
Plan Check Tot �
27.50 .00
.00
Other Fee Total 4.00
00
4.00 00
.00
Grand Total 86.50
86.50
.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY t ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT A„'PPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantis" Beach, FL 32233
Office (904) 247-5826 F x (904) 247-5845 1
w
Job Address: 112 PINE ST ATLANTIC BEACH JACKSONVILLE FL 3223
Le al Descri tion 10-16 21 -2S -29E.058 SALTAIR SEC 3 NI LOT 672 Parc J
Yloor Area ot Sq.Ft. q t
Valuation of Work S 550.00 Proposed Work heated/cooled 932 non-heated/cooled 944
Class of Work (circle one): New Addition Alteration Repair Move Demolition pooVspa window/doo
Use of existing/proposed structure(s) (circle one): Commercial <1 si
If an existing structure, is a f sprinkler system installed . (Ci aone): es N /A
Florida Product Approval # PL 1bffq (,.
For multiple products use product approval form
Describe in detail the type of work to be performed:
4-7-4- YA/SE aL Oce%'
Property Owner Information:
Name -DONALD FRAZIER Address: 112 PINE ST
City ATLANTIC BEACH State FL Zip 32233 Phone S
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: BUTTLKt+'lELDN REM
Address:PO BOX 1954 City
Office Phone 904-333-8409
State Certification/Registration #
F499*4-
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Job Site/
Zip
Applicafion is hereby made to obtain a permit to do the work an insta ahons as rr ica has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all ws regulating construction in this jurisdiction. This permit becomes null
and void :f work is not commenced within six (6) months, or if construction or work i suspended or abandoned for a_ period of six6) months at any time after
work is commenced. I to
that separate permits must be secured for Elec is Work, Plumbing, Signs, Wells, Pools, urnaces, Bailers, Healers,
Tanks and Air Conditioners, etc
WARNING TO OWNER: YOUR FAILL RE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR I AYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO BTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO IE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereby certify that I have read and examined this plication and Meow the same to
e j work will be com 'ed with whether sped :ed herein or not. The granting
provisions of any other f er state, or local law regulating construction or the per
Signature of Owner p"
Print Name
and subscribed before me
Commission #'
My Commission xpI
October 25, 2016
e tree and correct. All provisions of laws and ordinances governing this
f a permit does not presume to give authority to violate or cancel the
rmance of constnection.
ignature of Contractor Mlam Wim"
rint Name(/r'........"'�f�.?:[C%.._............_.
RES:
# DD
me
Revised 01.26.10
BP150UO2
CITY OF ATLANTIC
Contractor File
Contractor number . .
: 2420
Type information, press
Enter.
Name . .BUTTERFIELD
REM(
Address line 1
P 0 BOX 1954
Address line 2 . . . .
.CLINT BUTTERFIEI
Address line 3 . . . .
. SIDING ONLY
Zip code (F4) . . . .
. 32067
Phone . . . . . . .
.
Status . . . .
. . H
Contractor type (F4)
. . SPEC
Email address
Contractor Requirements
Document
LOCAL BUSINESS TAX RECEIPT NSS 14
FLORIDA CONTRACTOR LICENSE SPEC SID
WORKMANS COMPENSATION
EXEMPT
GENERAL LIABILITY
BL054567
F3=Exit F4 --Prompt F5=Zip code maintena
y t
q Ile c", ed �'° r,
7/23/12
s 15:12:14
ORANGE PARK FL
A=Active, I=Inactive, H=Hold,,,,^
SPECIALTY CONTRACTOR
;r Expiration Date
_ 93011
_ R 93011 R
R 31111 R
R 110912 R
F12=Cancel
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
E -mall: building-deptQcoab.us
City web -site: http:/haww.coab.us
APPLICATION REVIEW AN[
Property Address: //Z :zz r �-7 -
Applicant:
Project:
APPLICATION NUMBER
(To be assigned by the Building Department.)
/2 -9-33
Date routed:
TRACKING FORM
RNMMent review required YW No
Build'+
TPIaMing & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt
of F ermit verified B
Date
Florida Dept. of Environmental Protection
❑Denied.
Florida Dept. of Transportation
Comments:
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
Date: 9-c 1 12-
ZTREE
APPLICATION STiTUS
Reviewing Department
First Review:
❑Approved.
❑Denied.
(Ci le one.)
Comments:
O�UI�LDDING
PLANNING & ZONING
Reviewed y:
Date: 9-c 1 12-
ZTREE
TREEADMIN.
Second Review:
❑Approved as revis .
❑Deni
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed y:
Date:
Third Review:
❑Approved as revi .
[]Denied.
FIRE SERVICES
Comments:
Reviewed y:
Date:
Revised 07127/10