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1821 Tierra Verde 2014 SDG SS1 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Jjilt Application Number . . . 14-00001117 Date 7/22/14 Property Address . . . . . . 1821 TIERRA VERDE DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT Application valuation . . . . 629 ------------------------------------------------------- Application desc patio door ------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- PRICE, ELAINE C BUTTERFIELD REMODELING LLC 77 SAINT JOHNS DR 4220 PLANTATION OAKS BLVD#1516 GLEN MILLS PA 19342 CLINT BUTTERFIELD ORANGE PARK FL 32065 (904) 333-8409 ---------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 629 Expiration Date . . 1/18/15 ------------------------------------------------ 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 ----- ---------- ---------- . 00 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION D ITY OF ATLANTIC BEACH C FILECopy ." 800 Seminole Road, Atlantic Beach, FL 32233 JUL 14 014 Office (904)247-5826 Fax (904)247-5845 n3N•[' ;.-th"Y.M1V�r•:ex. :.,NYu......e.: Job Address: 1821 TIERRA VERDE ATLANTIC BEACH FL.32233 Legal Description 38-28 09-2S-29E SELVA TIERRA LOT 45 Parcel# 169542-5090 Floor rea o Sq.Ft. Sq.Ft Valuation of Work$ 629.00 Proposed Work heated/cooled 1660 non-heated/cooled 1660 Class of Work(circle one): New Addition AlterationRe air Ze�side ov emolition pool/spa window/door Use of existing/proppos;(W d �firi le one):. Commercial ntia �N1A� If an existing struc}ursystem installed?(Circle on s No Florida Product Appp val# 10976.1 For multiple produ s use product- roval form Describe in detail the type o work to be performed:Install exterior padio door Property Owner Information: Name: ELAINE PRICE Address: 1821 TIERRA VERDE DR. City ATLANTIC BEACH State FL Zip 32233 Phone 484-574-4248 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. I 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 thppis jurisdiction This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is sus or o S nsr aWells,Poeriod ols xArnaees,, Boilermonths at s, Heaters, Heaters, work is commenced. I understand that separate permits must be secured for Electrical[ g 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 BECMENTCORDING YOUR NOTICE OF COMME1 hereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether sppeci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local Imv regulating construction or the performance of construction. Signature of Owner L�.��t C� Signature of Contractor Print Name ELAINE PRICE Print Name CLINT BUTTERFIELD....._...__...._.._._.....__ ........ _..__ ......................................... Sworn to and subscribed before me Sworn to and subscribed before me 'IT- Day of �� 20 I q this Day of "" 0-7 t I seat EE 040809 Notary Publi NOWYPu t ., „ eaaeanwnayFaw,w,a..b.aooae�ra�e y?MiD•.cheaw C +ly !tC=WANW Boo My 14,2015 Revised 01.26-10 MHVIK City of atlantic Beach APPLICATION NUMBER to be assigned b theBuilding Department.) Building Department R 9 � / 9 800 Seminole Road Y Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904) 247-5845 / E-mail: building-dept@coab.us Date routed: #`- City web-site http://www.coab.us - APPLICATION REVIEW AND TRACKING POR vllwd ent review required e o Property Address: Elm+ Building Applicant: .l elm IL,I s A Planning &Zoning Tree Administrator Public Works _ Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receir't Other Agency Review or Permit Required of Permit Verified "-'y Date 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: rApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: 7—/H —V TREE ADMIN. Second Review: ❑Approved as revised. ❑Denier PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denies Comments: Reviewed by: Date: Revised 05/14/09