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59 Forrestal Cir 2014 window CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD rJ � ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 14-00000110 Date 2/05/14 Application Number 59 FORRESTAL CIR Property Address . . . . . Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 475 ----------------------------- Application desc exterior door ----------------------------- Contractor Owner ----------- BUTTERFIELD REMODELING LLC TUCKER EVA B P O BOX 1954 59 FORRESTAL CIRCLE ATLANTIC BEACH FL 32233 GLINT BUTTERFIELD ORANGE PARK FL 32067 (904) 333-8409 __ --- -----Permit---- WINDOW AND/OR DOOR PERMIT Additional desc • plan Check Fee 27 . 50 Permit Fee . . . . 55 . 00 475 Issue Date Valuation Expiration Date . . 8/04/14 -------------------------------- ---------- --------------------------------- Special Notes and Comments 2010 FLORIDA UNFORSEEN STRUCTURAL DUILDING CODE, 2008 AMAGE ATOETHE TRIC O BUILDIDE NG * 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 ---- _____ ------------------------------------ --- 2 . 00 Other Fees • . . . STATE DCA SURCHARGE 2 . 00 • � STATE DBPR SURCHARGE ---------------------------------------Paid------Credited Due Fee summary Charged Permit Fee Total 55 . 00 55 . 00 00 . 00 00 . 00 Plan Check Total 27 . 50 27 ' 50 . 00 4 . 00 4 . 00 . 00 Other Fee Total 86 . 50 . 00 . 00 Grand Total 86 . 50 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 y //0 Job Address: 59 FORRESTAL CIR. S. ATLANTIC BEACH FL.32233-3325 Legal Description 30-56 38-2S-29E ATLANTIC BEACH VILLA UNIT 1 LOT 8 BLK 1 Parcel# 171736-0000 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 475.00 Proposed Work heated/cooled 169_3 non-heated/cooled 1771 Class of Work(circle one): New Addition Alteration 'Reair Move Demolition pool/spa window/door Use of existing/pro osed str a s) circle one):• Commercial eside If an existing strucure ' a fire s r� er system installed? (Circle one): es No /A Florida Product Appro al# 12769.1 For multiple products se pro uc appr val form nu Describe in detail the type of work to be performed:Install re-hungexterior door -4 Property Owner Information: Name: EVA TUCKER Address: 59 FORRESTAL CIR. City ATLANTIC BEACH State FL Zip 32233-3325 Phone 904-241-9664 E-Mail or Fax#(Optional) Contractor Information: Company Name:BUTTERFIELD REMODELING LLC Qualifying Agent: CLINT BUTTERFIELD Address:4220 PLANTATION OAKS BLVD#1516 City ORANGE PARK State FL Zip 32065 Office Phone 904-333-8409 Job Site/Contact Number 904-333-8409 Fax# 904-771-0981 _ State Certification/Registration# NSS-14 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address OLD REPUBLIC SURETY COMP.PO BOX 1635 MILWAUKEE WL 53201 Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation 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 ended or abandoned for a period of six6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells,Pools, urnaces,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 TTORNEY BE ORE RECORD NG YOUR NOTICE OF TEND TO OBTAIN FINANCING, CONSULT H YOUR LENDER OR ANA COMMENCEMENT. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this tovisions o e oj will be rederal,state,whether local pe fled herein construction ogrhetingofmancrof does not uctipresume to give authority to violate or can cel the p .f any f P � f Signature of Owner&"_�iC2-1. �-� �--� Signature of Contract Print Name EVA TUC_KER Print Name CLINT BUTTERFIELD _ .._.......... Is orn toand subscribed before worn to and subscribed . � CAROL JEAN HU�GI�FSl aDT` ay of SA+vN v4✓1 __261_01T MORENO is ;4 3Day of atissiert E — ;�� Notary Public-state of Florida Expires December 3,2014 _' ' • My Comm.Expires May 26,2015 Badedn"TmyFah InauraroeMMW7019 o; Commission# 7846 ply 1C Lary Public Bonded Through National Notary Assn. Revised 01.26.10 SrLy;�� City of Atlantic Beach APPLICATION NUMBER s` Building Departmr (To be assigne y he Bui ding D artment.) 'i 800 Seminole Road "' � r� Atlantic Beach, Florida: 6-5445 Phone(904)247-5826 x(904)247-5845 r E-mail: building-dept@c--,u.us Date routed: City web-site: http://ww�.coab.us APPLICATION REVIEW AND TRACKING FORM r 62 rt Address: f O- ,e D enrt review required Yes o Property Building Applicant: 7�� _15anning &Zoning Tree Administrator Project: .�/� P � �/�• d <�7 Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review Permit Required Review or Receipt Dateof Permit Verified B Florida Dept.of Environm,: + 1 Protection Florida Dept.of Transports_..i St.Johns River Water Mar : ament District Army Corps of Engineers Division of Hotels and Rest ..rants Division of Alcoholic Bever ss and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Re, *w: ❑Approved as revised. ❑Den d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Reviev ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09