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379 1st st 2014 window CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001354 Date 9/12/14 Property Address . . . . . . 379 1ST ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 650 ---------------------------------------------------------------------------- Application desc door ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LYLE, JEFFREY M & ELIZABETH BUTTERFIELD REMODELING LLC PSC80 BOX 10546 4220 PLANTATION OAKS BLVD#1516 APO AP 96367 CLINT BUTTERFIELD ORANGE PARK FL 3206S (904) 333-8409 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 6SO Expiration Date . . 3/11/15 ---------------------------------------------------------------------------- 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 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 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 00 INSPECTION PHONE LINE 247-5814 Page 2 Application Number . . . . . 14-00001354 Date 9/12/14 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. FILE COPY BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: .379 1" St.Atlantic Beach, Fl. 32233 PermitNumber: Legal Description 5-69 16-2S-29E ATLANTIC BEACH W 1/2 LOT 26 BLK 3 Parcel tt 169774 0000 Floor Area of Sq.Ft. Sqj.Ft Valuation of Work$ 650.00 Proposed Work heated/cooled 1849 non-heated/cooled 2301 Class of Work(circle one): New Addition Alteration (ZD Move Demolition pool/spa window/door Use of e�xi�ting/pro osed structure(s)(circle one): Commercial esid * If an existing strucriure,is a fire sprinkler system installed?(Circle one)IGWRNN) Florida Product Approval 9 15220.4 For multiple products,use product approval form Describe in detail the type of work to be performedAnstall Patio French Double Entry Door. PropgM Owner Information: Name: ELIZABETH LYLE Address:379 1ST Street City ATLANTIC BEACH State FL Zip 32233 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 ation ish reby mat ob d a in ai, �aiianso s .,,a,,, or inslailation has commenced prior to the 0 'a 0 erm' =e"'a "d �',' 2_ds ja,,,aw ar� V 7 m7ll be 0 ed to 7"he a thisjurisdictimi. Thispermit becomes mill iia L,�_ )_�mih,,or, �_cti., or 0. P�ce 0 ji"_d 'e'a', '�thp, t6 rk is f t d g .id c. -ec a god qfsixj,6)months at anj,,tim:Ye,er is ce titid"'Jai t t e or. 't T ,C d d ib _k. ic op ,Pooh� tanaces,Hoders,11 ers, d d. 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 hereby cerlib-that I hm,e read and ewmined this application andlazow fire same lobe rme and correct. Allprovisjoyis ojiau,s midordipioncesgoveriling this tvpe of work-will be coTplied with whelher speefried herein or not. Ae gr�mting of a permit does not presume to give aiithoriti,,to violate or cancel the �ioiiiions ofai�v otherfederal,state,or local al.regulating construction or the pe�fonnance ol"constniction. Signature of Owner 4d�� Signature of Contract r I 4�r�� , X Print Name ELIZABETH LYLE 0 A L2, Print Name CLINT BUTTERFIELD Swom to and subscpbed before me Sworn t d b 'b CAROL this y�an su scrigdb S S rAVWW UiEV�MW240094 this i a Day of f-Vu a us-t 2 0 lko� Dav of 1.4 3 Cwv*q� V,* 0_&%1mCV S F- Is A? _ NB[aryPublic rjsr\k4_9 C,S I e-U ,S'( ry .70 Revised 0 11&10 City of Atlantic Ber, I APPLICATION NUMBER Building DepartmE (To be assigned b the Building Department.) 800 Seminole Road ?led �8v�� Atlantic Beach, Florida 32 33-5445 Phone(904)247-5826 - � ax(904)247-5845 E-mail: building-dept@cc.-ib.us L__�ate routed: City web-site: hftp://vvww,roab.us APPLICATIOlk" REVIEW AND TRACKING FORM .,,!��ent review required Yes., No Property Addressj� 7- r-f7- . uil�ing ,B V*1 Applicant: -gin 2'� /,I ?'r� Planning &Zoning Tree Administrator Public Works Project: ee-s Public Utilities Public Safety Fire Services Review fee Dept Siunature Other Agency Review c Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environme�_il Protection Florida Dept.of Transportati-n St.Johns River Water Man-,jement District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Reviev BApproved. ElDenied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: V TREE ADMIN. Second Revi-v: FlApproved as revised. F-]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. OlDenied. Comments: Reviewed by: Date: Revised 05/14/09