1601 PARK TERR E - WINDOW #4 t 4 ` , CITY OF ATLANTIC BEACH
r Ai j 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\0 i1`i
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-WIND-1534
Job Type: WINDOW AND/OR DOOR
Description: REPLACE DOORS
Estimated Value: $1,662.00
Issue Date: 8/2/2016
Expiration Date: 1/29/2017
PROPERTY ADDRESS:
Address: 1601 E PARK TER
RE Number: 171960-0000
PROPERTY OWNER:
Name: SANTACROSE, WILLIAM A.& DEBRA, *
Address: 1601 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: BUTTERFIELD REMODELING LLC
Address: 4220 PLANTATION OAKS BLVD APT 1516 SIDING
ONLY
Phone: - -
PERMIT INFORMATION:
4
FEES:
PLAN CHECK FEES $29.16
BUILDING PERMIT FEE $58.31
Total Payments: $87.47
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
rS!...tv.r f City of Atlantic Beach APPLICATION NUMBER
..4 Building Department (To be assigned by the Building Department.)
• = r:r.b 800 Seminole Road `; ` /tom,
Atlantic
(904)Beach247, Florida5826 32233Fax 5445 • .k
lore (904)247-5845�<:,-o.ni9>- E-mail: building-dept@coab.us Date routed: / Ei
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:I 'c I l Ptj;K ' P,PkG(' e Dgpaent review required Ye No
Building
Applicant: �3 Utfer4Qf�, RoclI anning &Zoning
Tree Administrator
Project: N CPtflCIE `D pv RS Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt 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: pproved. ['Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONINGn
Reviewed by: /'21 1 ' Date: 2
TREE ADMIN. Second Review: A roved as
❑ pp 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 05/14/09
CITY 01?ATLANTIC BEACH
COPY
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845 I I iU 3 -135/(
Job Address: 1601 PARK TERRECE EAST ATLANTIC BEACH, FL. Permit Number:
Legal Description 27-6 16-2S-29E SELVA MARINA UNIT 2 LOT 1 BLK 5 Parcel # 171960-0000
Floor Arca of Sq.Ft. Sq.Ft
Valuation of Work$ 1662.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration 4'epai Move Demolition poollspa window/door
Use of existing/proposed structure(s)(circle one): Commercial �Zesidential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No �N/A)
Florida Product Approval# 15129.6/13541.2/13541.8 OFFICE COPY
For multiple products use product approvalTorm
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR S
Property Owner Information:
Name: WILLIAM SANTACROSEAddress: 1601 PARK TERRECE EAST
City ATLANIC BEACH State FL Zip 32233 Phone 904-349-2818
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 FL Zip 32065
Office Phone 904-333-$409 Job Site/Contact Number g04-333-8409 Fax#
State Certification/Registration# NSS-14 T
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 of a 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 tf 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 Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces, Bolters,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.
1 hereby certib,that I have read and examined thisplication and know the same to be true and correct. All provisions of laws 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 ofconstruction.
Signature of Owner __G Signature of Contra is <S
Print Name SCt —Print Name CLINT BUTTERFIELD
Swo o . d ubscibed before me Swo and subscrie•d before me
ore. of 4 201 ' this Day of II . A 0 4 ;
„„,
Notary Public No Public
400
• Revised 01.26.10
` • • '" '''• •. CAROL JEAN HUGHES
A, VANESSA KELLY PIERRE . Commission#FF 1719 9
$ Notary Public,State of Florida - �o Expires December 3,2018
"��ii K Commissioii$FF956577 ;•1;80q' ezoowrnw,rFart frau/woe eooxstoi�
wii �'I x^gym.p,;i.e ~v.
_s Jan.78,2020