355 10th St door 2013 CITY OF ATLANTIC BEACH
it 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Wilt
Application Number . . . . . 13-00002736 Date 6/05/13
Property Address . . . . . . 355 10TH ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 401
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Application desc
INSTALL ENTRY DOOR
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Owner Contractor
-
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DAVIDSON RYAYMOND E BUTTERFIELD REMODELING LLC
355 10TH ST P O BOX 1954
ATLANTIC BEACH FL 322335529 CLINT BUTTERFIELD
ORANGE PARK FL 32067
(904) 333-8409
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Permit WINDOW AND/OR DOOR PERMIT
Additional desc .
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 401
Expiration Date . . 12/02/13
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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
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Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
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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 @ 0
CITY OF ATLANTIC BEACH M ' 2 3 013
800 Seminole Road, Atlantic Beach, FL 32233 ,
Office(904) 247-5826 Fax (904) 247-5845 13v-
M3_4�3—� 34
Job Address:355 10TH ST. ATLANTIC BEACH, FL. 32233 Permit Number:
Legal Description 16-2S-29E ATLANTIC BEACH Parcel # 170082-0000
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 401.50 Proposed Work heated/cooled 1568 non-heated/cooled 108
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa Cindo
Use of existing/proposed struct ne). Commercial
If an existing structure, >ts a f e sprinkler y em installed? (Circle one): es No /A
Florida Product Approval # 15129.17
For multiple products use roduct appr a form
Describe in detail the type of w o be performed-.INSTALL ENTRY DOOR
Property Owner Information:
Name: RAY DAVIDSON Address:355 10TH ST.
City ATLANTIC BEACH State FL Zip 32233 Phone 904-607-5578
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 32233
Office Phone 904-333-8409 Job Site/Contact Number 904-333-8409 Fax# 904-771-0981
State Certification/Registration# NSS-14 ^v
Architect Name&Phone# a 01%rift
CITY OF ATLANTIC BEACH jr 1.1
Engineer's Name &Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address _.
Mortgage Lender Name and Address_�b� DATE
Application is hereby,made to obtain a permit to do the work-72 installations as incutatedIcern that no wor or insta talion 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 void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a enod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers,Heaters,
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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined this a lication and know the same to be true and correct. ,411 provisions of laces and ordinances governing this
type of work will be complied with whether spped ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of arty other federal,state, or local law regulating construction or the performance of construction. R
Signature of Owner A Signature of Contract
Print Name RAY DAVIDSONPrint Name CLINT B,UT FERFIELD
SN subs b f re e Sworn to and subscribed before me
y of 20-Lthis Day of 20 / 3
Notary u i Notary Publia x res December 3,2014
State of Florida .;.o��eP', Bonded Tin Troy Fair Insurance 900.385.7019 Revised 01.26.10
My Commission Expim 0?l2a/Mf
Commission No.1332370
City of Atlantic Beach APPLICATION NUMBER
Js Building Department (To be assigned by the Building Department.)
3. 800 Seminole Road 3j
Atlantic Beach, Florida 32233-5445 J
Phone (904)247-5826 • Fax(904)247-5845
MJ.31y'' E-mail: building-dept@coab.us Date routed: '51
2
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
I r\Property Address: 355 u) S"�• D rtment review required Yes No
Building
Applicant: F .�fi�CGI ��l Pil nfn Planning &Zoning
•,� ^ ,� J Tree Administrator
Project: =nStN\I1 �1 1 tr v1 D�Y 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 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:
APPLI ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circ) one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni
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