512 N Nautical door 2014 s 's CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001458 Date 9/12/14
Property Address . . . . . . 512 N NAUTICAL BLVD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 539
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Application desc
exterior door
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Owner Contractor
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MOTES, JENIFER A BUTTERFIELD REMODELING LLC
512 NAUTICAL BLVD N 4220 PLANTATION OAKS BLVD#1516
ATLANTIC BEACH FL 32233 CLINT BUTTERFIELD
ORANGE PARK FL 32065
(904) 333-8409
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 539
Expiration Date . . 3/11/15
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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
----------------- ---------- ---------- ---------- ----------
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
Grand Total 94 . 00 94 . 00 . 00 . 00
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 FILE C
Office (904)247-5826 Fax (904)247-5845
Job Address: 512 NAUTICAL BLVD N ATLANTIC BEACH, FL.32233- Ae r mi r S
Legal Description 35-64 17-2S-29E SEASPRAY LOT 10 BLK 3
Parcel# 170703 0364
oor Area ot Sq.Ft. Sq.Ft
Valuation of Work$ 539.00 Proposed Work heated/cooled 1370 non-heated/cooled 1546
Class of Work(circle one): New Addition AlterationRepair Move Demolition pool/spa window/door
Use of existing/proposedFst 'rcle one):. Commercial ResidentiIf an existing structure tle system installed? (Circle one): es No N/AFlorida Product App oFor multiple prod ctsa oval form
Describe in detail the o be performed:Install pre-hung exterior door
Property Owner Information:
Name: JENIFER MOTES Address: 512 NAUTICAL BLVD.N.
City ATLANTIC BEACH State FL Zip 32233-4119 Phone 904-616-7091
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,W1. 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 wall 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 period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrics!Work,Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,eta
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 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 speci ted 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.
Signature of O Signature of Contract4-BUTTERFIELD...ZNRM4TES Print Name Print Name CLINT
SWAY to and subscrib d before me Sworn to and subscrib d,. die, ROL JEAN HUGHES
t 's Day of this Day of mission#EE 04
tY ..
.: . Com ion#FF 07 S=Wnw rroT F&lnsuarce eaaasro1s
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az
Notary Public "Thu Tny Fdn W-WXN o.80D3t15 19 Notary lc
Revised 01.26.10
rs�`i�7;;+ City of Atlantic Beach rV APPLICATION NUMBER
Building Department (To be assignedby the B ildi Department.)
P
800 Seminole Road / /
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-5845 i
E-mail: building-dept@coab.us L_ Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z /Y /(A2;;64'1 -CLepartment review required Yes No
BuiIdin
Applicant: �F� Planning &Zoning
Tree Administrator
Project: VT-fp. /'0 J9 Public Works
Public Utilities
Public Safety
Fire Seivices
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Recent Date
of Permit Verified By
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: [9Ap`proved. ❑Denies:±.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by.-
TREE
y:TREE ADMIN. Second Review: []Approved as revised. ❑Den ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.-
FIRE
ate:FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09