369 Aquatic Dr 2014 wind CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
X ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-WIND-428
Job Type: WINDOW AND/OR DOOR
Description: REPLACE EXTERIOR DOOR
Estimated Value: $445.00
Issue Date: 11/13/2014
Expiration Date: 5/12/2015
PROPERTY ADDRESS:
Address: 369 AQUATIC DR
RE Number: 171818-5268
PROPERTY OWNER:
Name: TUNG, DORIS L
Address: 1675 TUTBURY CT
GENERAL CONTRACTOR INFORMATION:
Name: BUTTERFIELD REMODELING LLC IDING ONLY
Address: 4220 PLANTATION OAKS BLVD APT 1516 S
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $27.50
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
800 Seminole Road,Atlantic Beach,FL 32233
Office (904) 247-5826 Fax(904)247-5845 42
Job Address: 369 AQUATIC DR. ATLANTIC BEACH, FL. 32233 Permit Number: 4VIA6—Al-7
Legal Description 38-71 38-2S-29E AQUATIC GARDENS LOT 21-B Parcel # 1718185268
-Floor Area or SqTt. S-0q-.Ft--
Valuation of Work S 445.00 Proposed Work heated/cooled 1328 non_heated/cooled 1360
Class of Work(circle one): New Addition Alteration le!Oi Move Demolition pool/spa wmidow/door
-1-W,��—-,
Use of existing/proposed Sir e One)-. Commercial esidentia �VwNWWAMP- . ..
4 �es DN o N/A
�a ffli ��slk&ir stem installed9 (Circle one):
If an existing structure.,i re sprin
Florida Product Approva 4 152 5.13
orm.
For multiple products us va FILE COPY
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Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR
Property Owner Information:
Name: DORIS TUNG —Address: 369 AQUATIC DR.
City ATLANTIC BEACH State FL Zip 32233 Phone 904- 5-2448
E-Mail or Fax#(Optional)—
Contractor Information:
Company Name: BUTTERFIELD REMODELING, LLC. _Qualifying Agent: CLINT BUTTERFIELD
State F1 Zip 32065
Address:-4220 PLANTATION DAKS BLVD.#1516. City nRANGE PARK Fax-#
Office Phone 904-313-8409 Job Site/Contact Number 904-333-8409
State Certification/Registration
Architect Name&Phone:4
Engineer's Name&Phone 9
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
p : 3 e Z� ain pe do ork a d inst,,C211� 'nd or installation has commencedprior to the
A io7i here b It thisjurisdiction- This permit becomes null
fo i fsixp6)months at any time after
k a erodo
!�' Wells Pools, urnaces,Boilers,Heaters,
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Tanks and Air ConMoners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESU-LT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
vj0 aw'z,0411 ordinances governing,this
-het�rue,andnoyyecf. Allprovi fl -
lhere cert6 that lhave,-ead and examined±s0ep,24cafion the same fq not presume to give authority to violate or cancel the
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117work will be complied with whether spec' ed herein or not. The granting of a permit does
provi.si.ons ofany otherfederal,state, or local law�egulating construction or the pe�foi mance ofconstruction.
Signature of Contract
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Signature of Owner 01-1
Print Name DORIS TUNG Print Name CLINT BUTTERFIEL.D .......................................................
.....................................-............
.......... .................... ............. ..............
Swom to and subs ibedo before me Swom to and subsc beforee e
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POO- �5,3643 C )L JEAN HUGHES
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11111F-PAVITMONT OF
w�Wsiness & Professional Regulation
ida Depamentcf BCIS Home ' Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search
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o fe s s i tn�-�` (kUSER: Public User
�gulation Pro uct Approval Menu>Product or Application Search>Application List>Application Detall FILE COPY t
FL15255 x
TICE OF THE FL#
New
�CRETARY Application Type
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer Trinity Glass International
Address/Phone/Email 4621 192nd Street East
Tacoma, WA 98446
(253) 875-7300
rickw@rwbldgconsultants.com
Authorized Signature Vivian Wright
rickw@rwbldgconsultants.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
,' Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who developed Lyndon F. Schmidt, P.E.
the Evaluation Report
Florida License PE-43409
Quality Assurance Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2015
Validated By Ryan 1. King, P.E.
I Validation Checklist- Hardcopy Received
Certificate of Independence FL15255 RO Col Certificate of Independence.t)d
Referenced Standard and Year (of Standard) Standard Year
ASTM D1929 1996
ASTM D2843 1999
ASTM D635 2003
ASTM G155 2004
TAS 201, 202, 203 1994
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL15255 RO Equiv of 5tandards.pdf
city of Atlantic Beach APPLICATION NUMBER
To be as by the Building Department.)
Buil
800 Seminole Road
ding DepartrneL-5'
Atlantic Beach, Florida 322:33-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed:
-site� http://"Iw..-�,:)ab.us
City web
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APPLICATION REVIEW AND TRA "'ANG FORM
Property Address: D rkaent review required Ye!%,-- No
—P Building
qk
anning &Zoning
Applicant: Tree Administrator
A Public Works
Project: Public Utilities
Public Safety
Fire Ser es
Review fee $ Dept Signature
'%.'�PONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: [�<pproved. E]Denied..
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: /21 — Date-.//-6—//
TREE ADMIN. Second Review: MApproved as revised. E]Den6ie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Reviewe� DApproved as revised. F]DeniE)(-:.
Comments:
Reviewed by:_ Date:
REVISED 09252014