287 NAUTICAL BLVD - DOOR ''
�S, CITY OF ATLANTIC BEACH
�; . . 800 SEMINOLE ROAD
• ATLANTIC BEACH, FL 32233
J INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-WIND-3680
Job Type: WINDOW AND/OR DOOR
Description: REPLACE DOOR
Estimated Value: $749.00
Issue Date: 4/10/2017
Expiration Date: 10/7/2017
PROPERTY ADDRESS:
Address: 287 S NAUTICAL BLVD
RE Number: 170703-0371
PROPERTY OWNER:
Name: Vogel, Lane
Address:
GENERAL CONTRACTOR INFORMATION:
Name: BUTTERFIELD REMODELING LLC
, NSS14
Address: 4220 PLANTATION OAKS BLVD APT 1516 SIDING
ONLY
Phone: 904-631-8511
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55.00
STATE DBPR SURCHARGE $2.00
STATE DCA 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.
City of Atlantic Beach APPLICATION NUMBER
,� Building Department (To be assigned by the Building Department.)
( JJ .
;` 800 Seminole Road I -7-. 41 ND -3680
_ Atlantic Beach, Florida 32233-5445 ` ! 4/
rPhone(904)247-5826 • Fax(904)247-5845 � (� E-mail: building-dept@coab.us Date routed: 7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2 7 N la Oi t e A L E LV' D ent review required Y7—No
Applicant: OYTeR ( EL RE Y\00-ECa • &Zoning
Tree Administrator
"D 2 Public Works
Project: �cP(_�,ee
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: roved. ['Denied.
(Circle one.) Comments:
BUILDU
PLANNING &ZONING Reviewed by: j'71 Date:41.7 �J
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 05/14/09
. -a. • .
T.
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 17_� ti J' D _ 2 ( o�"x�,
Office(904)247-5826 Fax(904)247-5845 / C
Job Address: 287 NAUTICAL BLVD S.ATLANTIC BEACH,FL.32233 Permit Number: .
,` Legal Description 35-6417-2S-29E.172 SEASPRAY LOT 2(EX SLY 5FTParcel# 170703-0371 ; ,!
Valuation of Work S K 4 749.00 PFlroposed r Area Work heatteed/cooled 1234 Ft non-theated/cooled 272 ,,
►
Class of Work(circle one): New Addition Alteration MT" Move Demolition pool/spa window/door t,,,„,
r
• Use of existing/proposed structures) cirt e): Commercial t:1 `
If an existing structure,is fire apnnkler�yste walled?(Circle one): 'es No 4� �..
Florida Product Approv # FL#5507.1 r
s For multiple products product approve
9 Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR '
•
Property Owner Information:
Name: LANE VOGEL Address: 287 NAUTICALBLVD. S.
City ATLANLTJC'.BFACH State,ELZip 32233 Phone_678-319-74.29
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 R Zip 32065
Office Phone an4-3.314ga) 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 ( 737 E 7 -- o. -r C' e__
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
i. uance a o 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(6months,or if construction or work is suspended or abandoned for a period of six 6J months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, drnaces,Boilers,Heaters, ,
Tasks andAlr 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 certify that!have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofwork will be complied with whether specified ted herein or not. The gr ting of a permit does not presume to give authority to violate or cancel the(-
provisions ofany other federal,state, A. local i.,regulati co ttgn or performance of construction.
1
Signature of Owner r L,i t.�. V eifiSignature of Contracto ,_ i"'
Print Name _ LANEyO,GFj,______._,._,_,.- Print Name CLI NTBUTTERFIELD --
Sworn to and subscribed fore ane Sworn to and subscribed befo , me
this Zc'"Day of . 0 r<{'1 20 ."s4�D: of ,I i . .. I 20 ?
Notary Public otary ' " i '
fi-t-5044ej f L.014. -SLIC•„re,. • . . Revised 01.26.10
1 i CAROL JEAN HUGHES
Commission#FFr171959
r .;F�'�(�y GRACE IIApE1' .1 j_ Expires December 3,2018
.a, • NY!yy���� CMM t y� Bled iMu troy Fein Immo 019
. ,IM tIN�I,tIilrrdiUIY�1�
..
287 NAUTICAL BLVD. S.
ATLANTIC BEACH, FL. 32233
RE: #170703-0371
OWNER, PLEASE CIRCLE THE AREA ON THE SKETCH WHERE THE
NEW DOOR WILL BE INSTALLED. PLEASE RETURN THIS SKETCH
WITH THE PERMIT APPLICATION AS INSTRUCTED BY THE INCLOSED
LETTER. THANK YOU.
•
BAS
UGR
ADT