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307 4TH ST RES17-0189 door permit ,.,„.,„.,../..,,, 4, Sit' CITY OF ATLANTIC BEACH m ° j 800 SEMINOLE ROAD '-')V — ATLANTIC BEACH, FL 32233 1:-1-01-119 INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0189 Description: REPLACE DOOR Estimated Value: 620 Issue Date: 10/4/2017 Expiration Date: 4/2/2018 PROPERTY ADDRESS: Address: 307 4TH ST RE Number: 169829 0000 PROPERTY OWNER: Name: P & H BEACH PARTNERS LLC Address: 2309 FIDDLERS LN ATLANTIC BEACH, FL 32233 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. ?i,:LPir City of Atlantic Beach APPLICATION NUMBER JS }� Building Department (To be assigned by the Building Department.) rl 800 Seminole Road `� l _ /l t Q j ^ zr, Atlantic Beach, Florida 32233-5445 V V cl Phone(904)247-5826 • Fax(904)247-5845 /Z.-9 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 Q-7 A De artment review required YetyNo uilding Applicant: U l4 et-Ttdd Nemoddi &Zoning Tree Administrator Project: RC PIAL- Z jTh OP I� 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 p 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: proved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:/0 J -1 7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑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 OFFICE COPY 800 Seminole Road,Atlantic Beach,FL 32233 Office (904)247-5826 Fax (904)247-5845 Job Address: 307 4TH ST ATLANTIC BEACH, FL. 32233 Permit Number: R G s( 7- 01 EJC) Legal Description 5-69 16-2S-29E ATLANTIC BEACH W 40FT LOT 4, parcel# 169829-0000 E 30FT LOT 6 BLlkleor Area of Sq.Ft. Sq.Ft Valuation of Work$ 620 on Proposed Work heated/cooled non-heated/cooled 40 Class of Work(circle one): New Addition Alteration 4'epai Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one : Commercial esidentia If an existing structure,is ,-fire-sprinkler s-gsteW '..stalled?(Circle one): •es No N!A Florida Product Approv.. # FL.#22513.8(X2) i For multiple products us• , ,uct appreva orm Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR (X2) Property Owner Information: Name: PESTERFIELD, J. D. Address: 307 4TH ST. City ATLANTIC BEACH State FLZip 32233 Phone 904-923-1145 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 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,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 certOr that I have read and ex. fined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type ofwork will be complied with •ther specified herein or not. The granting of a permit does not presume to give authority to violate • cancel the provisions of any other federal,stat' or local law regulating construction or the performance of construction. 7 / ,./ \,... � / Signature of Owne /� Signature of Contractor `� '�� .a! e/ ' Print Name PE TERFIELD, J. D. Print Name CLINT BUTTERFIELD _____ _ ,_w..— Sworn t and subscribed before me Sworn to and subscri.•d be are me this - Day of ' t c ,20).7 this 7 Day,.f _.a a ' 1 L1 41 0/7 t No Public otary Public /� {��} Revised 01.26.10 ies —adzn��yCG�1�4^ �.- :� Y:47.. CAROL JEAN HUGHES ,....tM..=• •nt -Ir • -,; �•t .1. Commission#FF 171959 1 "" GRACE MACKEY ` Expires December 3,2018 .,°a, Si.'i.K• moo: w'� MY COMMISSION#GG 0429x9 ':f f: ,,t Bonded Thru Troy Fein Insurance 800.385-7019 V EXPIRES:October 27,2020 ' h-.:,:,i Thru Notary Public Underwriters , , , .,,,ii>Hwn- OFFICE COPY 307 4th St. Atlantic Beach, Fl 32233 1 --T--1r--� 26 u 25 RAS L.1.11 LUL 6 2e OWNER, THIS IS A SKETCH OF YOUR PROPERTY ACCORDING TO THE PROPERTY APPRAISERS OFFICE. PLEASE CIRCLE THE AREA OR AREAS WHERE YOUR DOOR IS BEING INSTALLED. PLEASE RETURN THIS ALONG WITH YOUR PERMIT APPLICATION TO MY PERMIT PROCESSOR. THANK YOU. 9/28/1017 Florida Building Code Online OFFICE COPY )### „€:PApTi.E::L)} f r Business & Professional Regulation SCIS Home { Log In User Registration { Hot Topics Submit Surcharge Stats&Facts Publications y FBC Staff BCIS Site Map I Unita i Search I d 5ap r Product Approval USER:Public User Product Approval Menu>Product or Application Search>Application Lest>Application Detailr*CA,„;14:-.At.i FL# FL22513 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 Masonite International Address/Phone/Email 1955 Powis Road West Chicago,IL 60185 (800)663-3667 sschreiber@masonite.com Authorized Signature Steve Schreiber sschreiber@masonite.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency National Accreditation &Management Institute Validated By National Accreditation&Management Institute Referenced Standard and Year(of Standard) Standard Year TAS 201 1994 TAS 202 1994 TAS 203 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/13/2017 Date Validated 06/16/2017 Date Pending FBC Approval https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtdytNblepz46QE0wOhYDnHsj5AmuKMxab2u5G4EjDUgQ%3d%3d 1/3 ' 9I28/'L017 Florida Building Code Online 22513.6 Wood-edge Steel Side-Hinged Door 6-8" Opaque I/S or 0/S Single Door Unit Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL22513 RO C CAC NI013747.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes 06/30/2021 Design Pressure: +70/-70 Installation Instructions Other: Evaluated for use in locations adhering to the Florida FL22513 RO II FL0211.pdf Building Code, including the High Velocity Hurricane Zone, and Verified By: National Accreditation &Management Institute where pressure requirements do not exceed the design Created by Independent Third Party: pressures listed. 3'-0"x 6'-8" max nominal size. When impact Evaluation Reports resistance is required, hurricane protective system not FL22513 RO AE 514010.pdf required. See DWG-MA-FLO211 for details. I Created by Independent Third Party: Yes 22513.7 Wood-edge Steel Side-Hinged Door 6'-8" Opaque I/S or 0/S Single or Double Door w/or w/o Unit Sidelites Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL22513 RO C CAC NIQ13747.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: Yes 06/30/2021 Design Pressure: +55/-55 Installation Instructions Other: Evaluated for use in locations adhering to the Florida FL22513 RU II FL0211.pdf Building Code, including the High Velocity Hurricane Zone, and Verified By: National Accreditation &Management Institute where pressure requirements do not exceed the design Created by Independent Third Party: pressures listed. 12'-0"x 6'-8" max nominal size. When impact Evaluation Reports resistance is required, hurricane protective system not FL22513 RU AE 514008.pdf required on opaque panels, but is required on glazed sidelites. Created by Independent Third Party: Yes See DWG-MA-FLO211 for details. 22513.8 Wood-edge Steel Side-Hinged Door 6'-8" 3/4-Lite Glazed 1/S or 0/S Single or Double Door w/or Unit w/o Sidelites Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL22513 RO C CAC NI013747,Q3.odf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 06/30/2021 Design Pressure: +50/-50 I Installation Instructions Other: Evaluated for use in locations adhering to the Florida FL22513 RO II FL0214.odf Building Code, including the High Velocity Hurricane Zone, and Verified By: National Accreditation &Management Institute where pressure requirements do not exceed the design Created by Independent Third Party: pressures listed. 12'-0"x 6'-8" max nominal size. When impact Evaluation Reports resistance is required, hurricane protective system is required. FL22513 RO AE 514008,pdf See DWG-MA-FL0214 for details. Created by Independent Third Party: Yes Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement Under Florida 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 here. Product Approval�� Accepts: 71 w:heck Credit Card Safe sccuritrMETitIt https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQw1DgtdytNblepz46QE0wOhYDnHsj5AmuKMxab2u5G4EjDUgQ%3d%3d 3/3