381 AQUATIC DR - WINDOW ry\J\f�.
J�1 .
,,. s f CITY OF ATLANTIC BEACH
A�� 2 800 SEMINOLE ROAD
v ATLANTIC BEACH, FL 32233
` INSPECTION PHONE LINE 247-5814
�JSil9r
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-2232
Job Type: WINDOW AND/OR DOOR
Description: EXTERIOR DOOR
Estimated Value: $442.00
Issue Date: 9/30/2015
Expiration Date: 3/28/2016
PROPERTY ADDRESS:
Address: 381 AQUATIC DR
RE Number: 171818-5272
PROPERTY OWNER:
Name: EHLERS, MARK A & JENNIFER H,
Address: 1440 E SPINDRIFT CIR
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.
�,tyi;,,,, City of Atlantic Beach
Building Department APPLICATION NUMBER
grP'k-
;:• 800 Seminole Road
(To be assigned by the Building Department.)
-�
ifk, Atlantic Beach, Florida 32233-5445 /C..X it A ,✓2232-
Phone(904)247-5826 • Fax(904)247-5845
`,.f i, ;;ii,■1•• E-mail: building-dept @coab.us Date routed: coif
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: j(fi • • =: - -. •nt review required Yep/"No
Building f/. ti___W Applicant: ■ ,` Au - arming&Zoning
i Tree Administrator
Project: /A i ' Q� Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
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:
APPLICATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
CBUILDIf�V
PLANNING &ZONING
Reviewed by: nil • p• Date:/'d3 ./,-
TREE ADMIN. _
Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
CITY OF ATLANTIC BEACH c A! imi
800 Seminole Road,Atlantic Beach,FL 32233 „.-,-,,,+, U
Office (904)247-5826 Fax (904)247-5845
Job Address: 381 AQUATIC DR. ATLANTIC BEACH, FL. 32233 Permit Number: /S a///I'D 2c 3c
Legal Description 38-71 17-2S-29E AQUATIC GARDENS Parcel# 171818-5272
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 442.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration aelTaD Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esidentia
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 6/AA)
Florida Product Approval# 15255.13
For multiple products use piti-duct approval form
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR
Property Owner Information:
Name: MARK EHLERS _Address: 1440 SPINDRIFT CIR. E.
City NEPTUNE BEACH State FLZip 32266 Phone 904-200-0121
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: BUTTERFIELD REMODELING, LLC. Qualifying Agent: CLINT BUTTERFIELD
Address:4220 PLANTATION OAKS BLVD.#1516 City ORANGF PARK State.FI Zip_ 32065
Office Phone 904-333-8409 Job Site/Contact Number 904-333-8409 Fax#
State Certification/Registration# NSS-14
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 ofa permit and that all work will 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 ai period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for F_lectricaipWork,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby cert that 1 have read and examined this plication and know the same to be true and correct. All provisions of!ems and ordinances governing this
type of work will be complied with whether specified 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 law regulating construction or the performance of construction.
Signature of Own Signature of Contracts A.- -■ �� %.►/,'.
Print Name MARK EHLERS Print Name CLINT BUTTERFIELD..__......
Sworn 0 and subscribed before me Sworil tq and subscri,-d befe e me
this 1 b Day of Se,p k�,^�er ,20 1c-, this / Day f . ' A / /� -P71 0 5
<,--- I- r l/� L e I 1 , .
•
Notary Public No Public 0
Revised 01.26.10
rolr*""'sf;. TREBOR M. DEVERTER 1 0:'i;9,;.; CAROL JEAN HUGHES
Notary Public -State o1 Florida i. Commission#
y, FF 171955
I. ii o�= My Corn . Expires Mar 30,2018 ; r., Expires December 3,2 8 .
' '�` ;;ion # FF 107621 ''
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