469 Skate Rd door permit CITY OF ATLANTIC BEACH
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: 16-WIND-1942
Job Type: WINDOW AND/OR DOOR
Description: replace exterior door and storm door
Estimated Value: $629.00
Issue Date: 9/14/2016
Expiration Date: 3/13/2017
PROPERTY ADDRESS:
Address: 469 SKATE RD
RE Number: 171522-0000
PROPERTY OWNER:
Name: WALKER, RONALD R
Address: 469 SKATE RD
GENERAL CONTRACTOR INFORMATION:
Name: BUTTERFIELD REMODELING LLC
,NSS 14
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.
Atlantic Beach FPhon.(9247
CATION NUMBER
Building Department by the Building )epadmeM.)
Atlantic Beach, Fiends 322335445) -5626 Fax(904)247-5845.,_� Emaililding- ptecoab.us � dJ 1117
City web-site: http://www.co.b.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Li1pct 5 r--attL Q� . _ "Sewices
nt review r uired Yes o
pp � �� �
Building
Applicant: �FLAIuA UMO� t. AI &Zoning
'" inistrator
Project: (Q. .kAL f- Q,yL-yj )! loot and $10( f1 rks
do 0 lities
ety
ces
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
BUILDIN
PLANNING &ZONING
Reviewed by: Date: 3�
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/74/09
ILITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Addrear 469 SKATE RD,ATLANTIC BEACH, FL. 32233 Permit Number. (ko—WIA)b— y�
31-0'�68-2S-2t9sE R/P PT OF ROYAL PALMS UNIT 2 A LOT 3 BILK 18
L.ega escrip on parcel# 171522-0000
Floo
Aica
Valuation of Work S 629.00 proposed Work beated/�oled eon-hestedlrnokd
Class of Work(circle one): New Addition Alteration Move Demolition pool/spa window/door
Use of
existinglse,d straetnre(s) rce one): Commercial
Ifnexistingstcreisafiresprinksystem installed?(Circle ne): es'
Yes No /A
Florida Product Appproval# V1 #1-4541 1
For multiple pro use product approval torm
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR AIJD STO M D,9"
Property Owner Information:
Name: VIRGINA WALKER Addiese: 469 SKATE RD.
City ATI ANTIC PEACH Smx-E1.Zip 39933 Pboae 904-2 a.97M
E-Mail or Fu#(Optional)
Contractor Information: pp
Company Name: BUTTERFIELD REMODELING,LLC. Qualifying Agent: CLI I, IS
Address: City ORANGFI 65
Office Phone an4-333-114pn Job Site/Contact Number ax#
State Certification/Registmtion#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address_
Mortgage Lender Name and Address
APPliemion it hereby made to obtain a perms to da rhe work and fumllanom ar brdtcraed 1 certify rhm ro work or ivmllanan has commencedpriw ro Chs
wuance ojapermttaMdmall work wil(be d[o weerfiesmrd rds ojalf laws re8ulating conrtruction in UtisJu+'irdic'tion/.�Tlvspermdbecomeso/m�ll
and void iJ work u not eamme b d teithin sie(�mhr,ar fcownrctioa w work a evspewMed p abardanedS°�, P AL�m�m Bo1�ba,Hedera,
ork u commexed f aMentaM thm separme Permits must be eecuredf r Et rk, lambing,51gn4
TaNv mtdAbwe d#attas,rm
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.
Therebbyy certify tha�lhme rrnd mrd�amin�thisppP/icotion and bane the samerobe(rue andcorrect AllProei+ima oojj/awsaM ordinmxesgoszrntm,q��UJa
OPe ojwork wit/be eo�lied wnh whetMr aappeec9�ed herein or not The grandng ofa perms does wt presume to g[ve amhwRy m riolme a ratxel the
provinom of wry other jederaf,state,aloco[Imv rogula(in8 coutracnon m theperjormar¢e ofeamaaetion.
Signauue of Osmer Signature of Conte r
Print Name YJRO A WAI KFR Priat Name _glLtTBI,L 1 FIELD
Sw and ser a befm . e Sw to snd bscri before
this Day of I this 0
Notary ub m
vised 01.26.10
s
lA+n_riyfi, CINDY J.MCINTIRE - i :.'",. CAROL JEAN HUGHES
3 Cgnmissbn#FF 192145
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