830 CAVALLA 2015 WINDOW Nr `s CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
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: 15-WIND-707
Job Type: WINDOW AND/OR DOOR
Description: EXTERIOR DOOR
Estimated Value: $542.00
Issue Date: 4/3/2015
Expiration Date: 9/30/2015
PROPERTY ADDRESS:
Address: 830 CAVALLA RD
RE Number: 171717-0210
PROPERTY OWNER:
Name: WHITE, THOMAS M
Address: 784 CRESTWOD DR
GENERAL CONTRACTOR INFORMATION:
Name: BUTTERFIELD REMODELING LLC
Address: 4220 PLANTATION OAKS BLVD APT 1516 SIDING ONLY
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
t,;ITY OF ATLANTIC BEACH FILE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax (904)247-5845
Job Address- 830 CAVALLA RD.ATLANTIC BEACH, FL. 32233 Permit Number: 1-5- -Ull A/0 70 7
Legal Description 31-16 17-2S-29E R/P OF PT OF ROYAL PALMS UNIT 2A 03123 Parcel# 171717-0210
Floor Area of t
Valuation of Work$ 542.00 Proposed Work heated/cooled 1056 non-heated/cooled 1184
Class of Work(circle one): New Addition Alteration (&ap- Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed? (Circle one): e No N/A
Florida Product Approval# FL 15255.13
For multiple products use product approve orm
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR
Property Owner Information:
Name: AMY FOSTER _Address: 830 CAVALLA RD
City ATLANTIC BEACH State FL Zip 32233 Phone 904-237-9960
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 FI Zip 32065
Office Phone 904-333-8-409 Job Site/Contact Numbergnd ,n3 R409 Fax
State Certification/Registration# -
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
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 or f a permit and that all work will be performed to meet the standards of all laws regulating construction ' thiis jurisdiction. This permit becomes null
and void work is commenced.not
comm pended I understand that separate permits mumonths, or st be se used for Electrical work,p ng,Signs,or aion or work is sus FYells,Poeriod ols,XFurnaces&oialerys,Heate se,
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 BBEFORMEERREECORDING YOUR NOTICE OF
I hereb cert that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type oVwork will be complied with whether s ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,stat or local aw regulating construction or the performance of construction.
Signature of Owner
Signature of Contr
Print Name AMY.,FOSTER_._. Print Name
Swo and subscribed before,me Swom to and subscribed befor me 20
this
otarPu is
D _ of C 20 this Day of
Notary Public y
Revised 01.26.10
r•,..�;;!r�r..,,� SHARON MURK
Notary Public Slate of Florida :a Pi'. CAROL JEAN HUGHES
:` Commission#FF 171959
My Comm.Expires Apr 29.2018 � ,
tea;; Commission# FF 117769 Expires December 3,2018ain
BwJed Thm Troy Fmain .E04385-7019
f......`r•• Bonded Throw National Notary Assn
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City of Atlantic Seach
APPLICATION NUMBER
BY Department (To be assign d by the Building Department.)
800 Seminole Road
-<" - �,' Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http1/vm,,wcoab.Lis
APPUCATO""N REVIEW AND TRACKMG FOORKI
D required Yes 0
Property Add - ent review required
Building
Applicant: "__nin�ggZoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Review'fee $ Dept Signature
Other Agency Review or Permit Required of Permit Verified By 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:
Review or Receipt
Review
or Permit Required 0,Permit Verified By
Environmental
Protection
0 to
rta I n
R�.n. '.r' n'n.
Army
of Engineers A pm , orps Hotels
r y C
Division
on of H I and Restaurants
Di vision of Alcoholic
Beverages an,
Other.
APPLICATION STATUS
Reviewing Department First Review: [?Approved.. F]Denied.
(Circle one-) Comments:
QLDIN11
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN.
i hied;
Second Review: DApproved as revisedl. 0D hied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. DDenied.
Comments:
Reviewed by: Date:
sMsad 07/27/70