431 SELVA LAKES CIR �
� CITY OF ATLANTIC BEACH
. 800 SEMINOLE ROAD
, �~~ ATLANTIC BEACH, FL 32233
,O13» INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0078
Description: replace exterior door
Estimated Value: 549
Issue Date: 3/7/2018
Expiration Date: 9/3/2018
PROPERTY ADDRESS:
Address: 431 SELVA LAKES CIR
RE Number: 172027 5004
PROPERTY OWNER:
Name: RAINES KENDRA D
Address: 431 SELVA LAKES CIR
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
t�AP r��� City of Atlantic Beach APPLICATION NUMBER
41 �� Building Department (To be assigned by the Building Department.)
r 800 Seminole Road �,C ��( _ �.y
j, r Atlantic Beach, Florida 32233-5445 1 (�
Phone(904)247-5826 Fax(904)247-5845 r-7
'��o,t >%' E-mail: building-dept@coab.us Date routed: CZ--A -02(91 S
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:43J c Iv6t,4 0<es ment review required Yr No
Building
Applicant:-At it-<;--- 1e(0( � Y occur , Ar� Panning &Zoning
q � U Tree Administrator
Project: 75 .p c�e`t U(Ac--) 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
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
-(elrc e one. Comments:
BUILDING
PLANNING &ZONING /M� Date: 3)5l�al ir
Reviewed by: / , y
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
�7M
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 431 SLEVA LAKES CIR.ATLANTIC BEACH FL 32233 Permit Number: f S —cC51
Legal Description 41-55 16-2S-29E SELVA LAKES Parcel# 172027-5004
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 549.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration MVO.• Move Demolition pool/spa window/door.
Use of existing/proposed structures)(circle one): Commercial e esidentia
If an existing structure,is a fire sprinkler system installed?(Circle one): 'es No N/A
Florida Product Approval# FL#20101.1
For multiple products use product approval form
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR rF
2 2016
Property Owner Information:
Name: KENDRA RAINES Address: 431 SELVA LAKES CIR
City ATLANTIC BFA(H State Zip 32933 Phone 904-53C-6101
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: BUTTERFIELD REMODELING, LLC. Qualifying Agent: CLINT BUTTERFIELD
Address:4220 pLANTATJON OAKS BLVD.#1516 City ORANGF PARK State Fl Zip 32065
Office Phone qn4-333-840g 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 certfy that no work or installation has commenced prior to the
Issuance of a permit and that all work will be p ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void work is not commenced within six(months,or if construction or work is suspended or abandoned for aperiod 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,I i rnaces,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 herebycert i that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type owork will be complied with whether spec herein or not 77he granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or cal law r dating construction or the performance of construction.
Signature of Owner 1�, Signature of Contrac•• �'�` � % ' _ (
Print Name KENDRA.R.AINES,•_ Print Name CLINT BUTTERFIELD
Swo . • and subscri.-. b-fore 'e, SwornA to d subscr'.ed '-fo e me
this e r Day of ' / r A „dr 20 6 this Da •f ' * I • A.v_ 20
,
N. Whc No —Pu•li
fit" •
Coral Self •
If Revised 01.26.10
'?a �• yrs1 mission f GG17O65,5 ` •
` Expires:December 25,2021
�;....�, ::t:Y:ai;a-. CAROL JEAN HUGHES r
°�� �R a`� Bonded thru Aaron Notary A‘ 14'Comm'ssion#FF 171959 •
-
• •`"'' ;` Expires December 3,2018 `
o,,pd Ft°.•` Bonded Tien Troy Fein Insurance 900-385-A19 ` • ,
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431 SELVA LAKES CIR. ATLANTIC BEACH, FL.
PARCEL: 172027-5004
OFFICE CORY
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REVIEWED FOR CODE COMPLIANCE
4 CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS
/
REVIEWED BY: 1._ DATE:32V20/
OWNER, ABOVE IS A SKETCH OF YOUR PROPERTY ACCORDING TO THE
PROPERTY APPRAISERS OFFICE. PLEASE CIRCLE THE AREA WHERE YOUR
NEW DOOR IS TO BE INSTALLED. PLEASE RETURN THIS ALONG WITH YOUR
PERMIT APPLICATION TO MY PROCESSOR. THANK YOU.