597 Aquatic Dr 2012 door install t)1,, `��' CITY OF ATLANTIC BEACH
my)�J 800 SEMINOLE ROAD
J -,, X ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 12-00001773 Date 12/10/12
Property Address 597 AQUATIC DR
Application type description WINDOW AND/OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 459
Application desc
door install
Owner Contractor
CIMINO LORI S BUTTERFIELD REMODELING LLC
4041 EUNICE ROAD P 0 BOX 1954
JACKSONVILLE BEACH FL 32250 CLINT BUTTERFIELD
ORANGE PARK FL 32067
(904) 333-8409
Permit WINDOW AND/OR DOOR PERMIT
Additional desc .
Permit Fee . . . 55 . 00 Plan Check Fee . . 27 . 50
Issue Date . . . Valuation . . . . 459
Expiration Date . 6/08/13
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 597 Aquatic Dr. Atlantic Beach, Fl. 32233 Permit Number: /2 — / 77?
Legal Description 38-71 38-2S-29E AQUATIC GARDENS LOT 29-B Parcel# 171818 5344
Floor Area of Sq.Ft. S I''t
Valuation of Work$ 459.00 Proposed Work heated/cooled 1056 non-heated/cooled 1104
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa 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
Florida Product Approval # /5-0// 3• /4'
For multiple products use product approval form
Describe in detail the type of work to be performed:INSTALL JELD-WEN FIBERGLASS DOOR
Property Owner Information:
Name: LORI CIMINO Address:4041 EUNICE RD.
City JACKSONVILLE BEACH State FL Zip 32250 Phone 904-424-3677
E-Mail or Fax# (Optional)
Contractor Information:
Company Name:BUTTERFIELD REMODELING, LLC. Qualifying Agent: CLINT BUTTERFIELD
Address:PO BOX 1954 City ORANGE PARK State FL Zip 32067
Office Phone 904-333-8409 Job Sits on ac a 04-33.E-840") -----',t4-771-0981
State Certification/Registration# REVIEWED F I ; 1 t 1 ► ' _ -' n' i _ stir
Architect Name&Phone# _ w „ , - '
Engineer's Name& Phone# • _• : • „ ; - . ., I ; '
Fee Simple Title Holder Name and Address • • : „ .r . . _.. . el : '�r n�',w lc
Bonding Company Name and Address _ t `
Mortgage Lender Name and Address REVIEWED BY: = • . -1) 1,-....:,„-.1, -"-
i
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wor or installa ion has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and
ork void c o commenced. I commenced within six understand that separate permits or must be secured for Electrical Work, Plumbing,nSignos,a Wells, Pools, months Heaters,construction or work is suspended or
Tanks and Air 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 BE OMERECORDING YOUR NOTICE OF
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gi e thority to violate or cancel the
provisions of any other federal,state, or local •gulating construction or the performance of construction./ ' /
Signature of Contractor ��J
Signature of Owner ■2_
Print Name CLINT BUTTERFIELD
Print Name 4-0k-I t rn.-t no
Sworn to and subsc ibed befor- me
Sworn to and subscribed before me this / D. of ' e f - . 20/
this It�Day of 1 av ekm (9&v-- , 20 ( a • �� /� ��.�
• ►rs= _ /
l_ ' ~ .�•"`•'l � -OLJEANHUGFIES
Notary Public ' • ' pp,. • , /r; z evised 01.26.10
M .. Commission# 2014 _*; ;�: EE 040809
Expires March 7, 7019 4 Expires December 3,2014
ggdedThNTroy Ftinl b "AR(„, - Bonded ilw Troy Fah insane 800.98S10N
rs ,l;y;: City of Atlantic Beach APPLICATION NUMBER
. , Building Department (To be assigned by the Building Department)
r y 800 Seminole Road / / 7 73
.. Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
• oits i- E-mail: building-dept @coab_us Date routed: /7/'1//Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7/4i Ql? (`, /A'-- 12epartment review required ye No
-/ //---4,‘ (Building _Applicant: 77�'/` C 1 �/f/1(/�l YLf (Building &Zoning
Tree Administrator
Project: d e /-i-? _ )j Public Works
Public Utilities
Public Safety _
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: I
APPLICATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
r
PLANNING&ZONING
Reviewed by: irl Date: /)- / -I-
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 07127110