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566 Plaza 2014 door CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Js3� Application Number . . . . . 14-00000135 Date 2/05/14 Property Address . . . . . . 566 PLAZA Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 477 ------------------------------------------ Application desc exterior door ----------------------------------------- Owner Contractor ------------------------ ------------------------ HEINE JOHN N & NISSE GOLDBERG BUTTERFIELD REMODELING LLC 566 PLAZA P O BOX 1954 ATLANTIC BEACH FL 322334123 CLINT BUTTERFIELD FL 32067 ORANGE PARK (904) 333-8409 -- ------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . 27 . 50 Permit Fee 55 . 00 Plan Check Fee . Issue Date . . . Valuation 477 Expiration Date . . 8/04/14 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 . 0 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-1 0 1111 CITY OF ATLANTIC BEACH FILE 0 800 Seminole Road, Atlantic Beach, FL 32233 JA 3 0 2014 '!. Office (904) 247-5826 Fax (904) 247-58451.1\ �F _ gy Job Address: 566 PLAZA RD. ATLANTIC BEACH FL. 32233 Permit Number: 4997�- Legal Description 35-6417-2S-29E SEASPRAY LOT 4 BLK 1 Parcel# 170703-0208 -Floor rea o q t• q' Valuation of Work$ 477.00 Proposed Work heated/cooled heated/cooled 1612 1206 non- Class of Work(circle one): New Addition Alteration Re air Move Demolition pool/spa window/door le one . Commercial e�idn 'Use of existing/proposed str ) .If an existing structure,' a fire sprina ystem installed: (Circle one): s No Florida Product Appro al# For multiple products se pro u app val form Describe in detail the type o wor to be performed1ristall rehun exterior door Property Owner Information: Name: JOHN HEINE Address: 566 PLAZA RD. City ATLANTIC BEACH State FL Zip 32233 Phone 904-521-3526 E-Mail or Fax#(Optional) Contractor Information: LD Company Name:BUTTERFIELD REMDELING LLC Qualifying Agent: CLINT BUTTERFI Zip O 3 Address:4220 PLANTATION OAKS BLVD 91516 City ORANGE PARK StatFax# 904-771 098 Office Phone 904-333-8409 Job Site/Contact Number 904-333-8409 — State Certification/Registration# NSS-14 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Addres01 s OLD REPUBLIC SURETY COMP•PO BOX 1635 MILWAUKEE WL 532 Mortgage Lender Name and Address has he be a ormed to meet the standards of all laws regulating constraabandoned fora 1 iod of six 6)Tmonths attany time after Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation jurisdiction. commenced priors t issuance of a permit and that all work will p rfe ,pools, Furnaces,Boilers,Heaters, and void rf work is not commenced within six(6)months, or if construction or work is suspended o work is comme o understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Tanks and Air C NOTICE OF WARNING TO OWNER: YOUR FAILURE RECORDTCEFAOR MPROVEMENTS PAYING COMMENCEMENT MAY RESULT IN YOUR TO ING YOUR NOTICE YOUR PROPERTY. IF YOU INTEND TO OBTAI CFOIN�ANCING, CONSULT WI TH OUR LENDER OR AN ATTO�OIVIMEN C OF MENT. r s eci►ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the 1 hereb certify that 1 have read and examined this 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 whet pp provisions of any other federal ate, or local!sw regulating construction or the performance of construction. Signature of Contracto Signature of Owner Print Name JO HEINE.. ......................................................................._............_ Print Name CLINT BVI'TERFIELD............... .......................................... ........................... _. Swo and subscrid before me Sworn to and subscribed y qre me 20� 20�L thi of thi ay of H E No ub i �+ �FENCANI Decem 3, ryfFlorida '++,pt,, • murmrFgnaw�ooeoa3ssaa�e Revised 01.26.10 Commission#EE 49709 My comm.expires Dec.16,2014 City of Atlantic Beach APPLICATION NUMBER � (To be assigned by the Building Department.)s �� Building Department )? 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 La4 %i J��? E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: to az ,(_. gement review required Yes No p Applicant: Zoning Tree Administrator je, Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Den d. 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