770 PLAZA - DOOR v 'rj•
- f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
0.1119j INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0041
Description: replace exterior door
Estimated Value: 679
Issue Date: 6/20/2017
Expiration Date: 12/17/2017
PROPERTY ADDRESS:
Address: 770 PLAZA
RE Number: 171286 0000
PROPERTY OWNER:
Name: RAMIREZ JOSE F
Address: 770 PLAZA
ATLANTIC BEACH, FL 32233-3932
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: BUTTERFIELD REMODELING LLC
Address: 4220 PLANTATION OAKS BLVD APT 1516 SIDING ONLY
ORANGE PARK, FL 32065
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
owv y,J, City of Atlantic Beach APPLICATION NUMBER
�3 � Building Department (To be assigned by the Building Department.)
r 800 Seminole Road //� c II
j Atlantic Beach, Florida 32233-5445 �,GJ 1 — O�( I
Phone(904)247-5826 • Fax(904)247-5845 � (�
„ DS
-I4-9%- E-mail: building-dept@coab.us Date routed: II-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 11-0 P u Gl a> rnnt review required Yes o
Applicant: B'A 4 -{ S j `3 1L c d.L\(\ Planning &Zoning
J Tree Administrator
Project: c L,OV LL -Q..}( f11)1 Clea( 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: 1 proved. ❑Denied. . ['Not applicable
(Circle one.) Comments:
BUILDI 1G
PLANNING &ZONING Reviewed by: Date: S' 3O'/7
TREE ADMIN. Second Review: ['Approved as revised. ❑Deni d. . Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. . ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 OFFICE COPY
Office (904)247-5826 Fax (904)247-5845
Job Address: 770 PLAZA RD. ATLANTIC BEACH. FL. 32233 Permit Number. �eS T 't Ut tI
Legal Description 30-94 17-2S-29E ROYAL PALMS UNIT 2 LOT 13 BLK s'arce1 # 171286-0000
Floor Area of Sq.Ft. Sq.F't
Valuation of Work$ 679.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration IMMO Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial ( esidentia /
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No (N/A)
Florida Product Approval# FL#20101.1
For multiple products use product approva orm
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR
Property Owner Information:
Name: RAMIREZ, JOSE Address: 770 PLAZA DR.
City ATLANTIC BEACH State FLZip 32233 Phone 904-891-9701
E-Mail or Fax#(Optional)____ _
Contractor Information:
Company Name: BUTTERFIELD REMODELING, LLC. Qualifying Agent: CLINT BUTTERFIELD
Address: . . - Lk , •k, •_.. : • : Il. ity ORANGF PARK State FI Zip 32065
Office Phone 904-333-841. 19_ Job S f r i .r•ty;.it.` i•:i• Tc't�:_ Fax#
State Certification/Registration# NSS-14 u C-... t V Iln
Architect Name& Phone# —l1 !(
Engineer's Name&Phone# �(p Y 2
Fee Simple Title Holder Name and Address i 1 2017
Bonding Company Name and Address
Mortgage Lender Name and Address f — ---- �.,.�"'y
•
Application is hereby made to obtain a permit to do the work-aiilt trutalla ' indicated I certi 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 o a aarrrgrlating 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 abandonedfora eriod 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,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 certt&that I have read and examined this application 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 speciieerherein 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 Owner ��fl(4 'Signature of Contractor - ___ "/ _ G%
Print NamePrint Name CLINT BUTTERFIELD_ __ .-.......
.._.., . _...__-;_-_....W_,
Sworn to and subscribed before me Sworn to and subsc '.-• before me
thisi.5.- Day of �-C1 ,20 IS thi 1• Day of t .4. . 00/
0}0.4 f � I .� <. � �� P
•
Notary Publi C� Ter ndry 'otary 'u. is ,
N ubl'ic Revised 01.26.10
State of Florida •
My Commission Expires 1113012017 ::� CAROL'JEAN HUGHES
Commission No.FF 66026 �' a. = Commission#FF 171959
` Expires December3,2018
''2r,gr.:r, Bonded u Troy Fen Immo bX.3e$.7 l
r
770 PLAZA RD ATLANTIC BEACH, FL. 32233
PARCEL# 171286-0000i OFFICE COPY
INSTALLATION SITE
/D :ritlial":11411.111441111.11"1"lir Z61
.;W
/
:�
010 �.w 0T i lam a 0 5
kid :ti,,a
PLCAIGA.2OPAATMR'T OF
Business & Professional RegulationOFFICE COPY
r i "?n OIYIE!eltS.
BCIS Home Log In User Registration ! Hot Topics I Sutrt Surcharge Stats&Facts PubLcations FBC Staff BCIS Site Map Links Search
d bor
( )Product Approval
USER:Public User
Product Aocora!Meny>product or Aophcaboc Search>Aoohcatcon List>Application Detail
.030f4CE91t114p FL# FL20101
Application Type New
Code Version 2014
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified
by the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Silverline Building Products Corp.
Address/Phone/Email One Silverline Drive
North Brunswick, NJ 08902
(800)234-4228 Ext 4644
Jonberrian@slbp.com
Authorized Signature Jon Berrian
Jonberrian@slbp.com
Technical Representative Jon Berrian
Address/Phone/Email One Silverline Drive
North Brunswick, NJ 08902
(732)435-1000
jonberrian@slbp.com
Quality Assurance Representative
Address/Phone/Email
Category Exterior Doors
Subcategory Sliding Exterior Door Assemblies
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturers Association
Validated By Window and Door Manufacturers Association
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/I.5.2/A440 2011
TAS 202 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 05/05/2016
Date Validated 05/10/2016
Date Pending FBC Approval OFFICE COPY
Date Approved 05/11/2016
Summary of Products
FL# Model,Number or Name Description
20101.1 Series 5500/5700- Model Sliding Patio Door
5502HV/5702HV
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL20101 RO C CAC 5502HV-5702HV CCL.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 01/07/2026
Design Pressure: +50/-50 Installation Instructions
Other:See Installation Instructions, SWD003, and Product FL20101 RO II SWD003 SS 2016-04-24.odf
Evaluation Report,PER4236,for installation requirements Verified By:Hermes F.Norero,P.E.Florida P.E.73778
and limits of use. Created by Independent Third Party:Yes
Evaluation Reports
FL20101 RO AE PER4236 SS 2016-04-10.odf
Created by Independent Third Party:Yes
rNe,rtl
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/B-0 employer.Coovnaht 2007-2013 State of Honda.::Privacy Statement::Accessibility Statement::Refund Statement
Under Honda law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic
mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.`Pursuant to Section 455.275
(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The
emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,
please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter 455,F.S.,please
click tem.
Product Approval Accepts:
LCr«rl
112
(,rccilt Card
Safe
sccuritvAtt.rRlc