423 ROYAL PALMS DR - DOOR ,, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
w, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0325
Description: Replace Exterior Door
Estimated Value: 407
Issue Date: 1/16/2018
Expiration Date: 7/15/2018
PROPERTY ADDRESS:
Address: 423 ROYAL PALMS DR
RE Number: 171487 0000
PROPERTY OWNER:
Name: PENN RUTH L
Address: 423 ROYAL PALMS DR
ATLANTIC BEACH, FL 32233-3925
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.
�S).:L� City of Atlantic Beach APPLICATION NUMBER
rf Sr � Building Department (To be assigned by the Building Department.)
_ .,-?, 800 Seminole Road `` _
. Atlantic Beach, Florida 32233-5445 �tJ 11 (�. 5
\ Phone(904)247-5826 • Fax(904)247-5845 pp
. on yip E-mail: building-dept@coab.us Date routed: I g./av/ ri
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: iii Royal �Jr On D ment review required Yes,„_. No
Buildn ) V
Applicant: - e,r-F;e- Kernodp kr,,q LL-6 lannmg &Zoning
J Tree Administrator
Project: tep Ce .e��. O,r,�,f- Public Works
1 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: [Approved. ['Denied. ['Not applicable
(Ci ne.) Comments:
BUILD
PLANNING &ZONING - 3—a01
Reviewed by: Vetly- Date:
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 CQPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 423 ROYAL PALMS DR. ATLANTIC BEACH, FL. 32233 Permit Number: R.ES ll —0_3o2 5
31-16 17-2S-29E R/P OF PT OF ROYAL PALMS UNIT
Legal Description 2A LOT 18 BLK 1 Parcel# 171487-0000
door Area of Sq.l t. Sq.Ft
Valuation of Work$ 407.00 Proposed Work heated/cooled non-heated/cooled 20
Class of Work(circle one): New Addition Alteration Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial kesidentia
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No CRT/A)
Florida Product Approval# FL#22513.8
For multiple products use product approval form
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR
Property Owner Information:
Name: RUTH PENN Address: 423 ROYAL PALMS DR
City ATLANTIC BFACH State Fl Zip 32233 Phone 904-249-0931
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: BUTTERFIELD REMODELING, LLC. Qualifying Agent: CLINT BUTTERFIELD
Address:4220 PLANTATION OAKS BLVD.#1516 City ORANC;F 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 1 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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for gpertod 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 certify 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 speced 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 of construction. -, r
Signature of Owner Q�y'—/ Signature of Contract. / i ._ / . /_
Print Name RUTH PENN _.. .__ Print Name CLINT BUTTERFIELD ._
Swo + d sub abed before me Sworn to_ and subs .'bed before u e
this'+'Day of -�;A.`4,,1 .20/7
7 this 3 Day o , / 1 20/
•
4 ublic Notary Public di
:*:°r''• CAROL JEAN HUGHES Revised 01.26.10
- a : it los fi Cornmission#FF 171959
;�: f.,>7., KAYLEEN STROTHER o Expires December 3,2018
Commission#FF 950832 ''%;r,' ;; B«;ded TMu Troy Fan Insmarre 800-385-7019 0
-- ' Expires January 14,2020
PAF OP'�
'!fit„��' Bonded Thru Troy Frain Insurance 800-385.70'P