459 INLAND WAY - DOOR ss‘
61' Afr
CITY OF ATLANTIC BEACH
'
800 SEMINOLE ROAD
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: RES18-0079
Description: Replace Exterior door
Estimated Value: 427
Issue Date: 3/7/2018
Expiration Date: 9/3/2018
PROPERTY ADDRESS:
Address: 459 INLAND WAY
RE Number: 169463 1534
PROPERTY OWNER:
Name: Luke Cornelius
Address: 459 INLAND WY
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.
0 ' yjjCity of Atlantic Beach APPLICATION NUMBER
0 P. 1 Building Department (To be assigned by the Building Department.)
r 800 Seminole Road /Q` czY7'/
-r Atlantic Beach, Florida 32233-5445 (\ t �) t1 r
Phone(904)247-5826 • Fax(904) 247-5845 , 1-7_ ��/
0%' E-mail: building-dept@coab.us Date routed: C7� ( p
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Ad, Wa De ment review required Yes/ No
- r uilding ) 1�
Applicant: ��1]e�l rij2delkC, Planning &Zoning
vi Tree Administrator
Project: ` \aCQ ��/( ( 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: Ipproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING VS/26111CReviewed by: 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
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 459 INLAND WAY ATLANTIC BEACH, FL. 32233 Permit Number:
Legal Description 42-18 37-2S-29E OCEANWALK UNIT 4 LOT 17 Parcel# 169463-1534
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 427.00 Proposed Work heated/cooled non-heated/cooled 22
Class of Work(circle one): New Addition Alteration (kepair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial ( esidentia
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/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
Frio
Property Owner Information: 2 i
2078
Name: LUKE CORNELIUS Address: 459 INLAND WAY
City ATI ANTIC BFACH State Zip 32233 Phone 904-372-7542
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 Fl 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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora. 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 INTENT) TO OBTALN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby cert(that I have read and examined thisplication 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the 1\
provisions of any other federal,state,or local laly regulating constructpn or the performance of construction.
`
Signature of Owner 1,1 /1-1, Signature of Contrac er ,„Ie„o _
Print Name LUKE CORNELIUS Print Name CLINT BUTTERFIELD_______
Sworn t and subscribed before me Sworn to and subsc 'bed before me
this Day of Fi i ,20 LC( this it,! -')
Da of .! _a A., �. . � 41 20 t
Notary Public Notary Pu e Ii S •
VICTORIA sE Revised 01.26.10
t!',' .Y. `•.= MY COMMISSION#FF 171725 � •SSP; CAROL JEAN HUGHES
EXPIRES:February 27,2019 Comm!ssi0n#FF 171959 ,
..db Bonded Thru Notary Public Underwriters I :, Expires December 3,2018
4,-,;o2;•.°0 Bonded Thm Troy Fein Insurance800-385.7019
REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS
f4
REVIEWED BY: DATE: 3/5-/.201S, FSP
BAS
<
FGR
OWNER, ABOVE IS A SKETCH OF YOUR PROPERTY
ACCORDING TO THE PROPERTY APPRAISER'S WEB
SITE. PLEASE CIRCLE THE AREA ON THE SKETCH
WHERE YOUR DOOR IS TO BE INSTALLED. RETURN
THIS SKETCH ALONG WITH YOUR PERMIT
APPLICATION TO MY PERMIT PROCESSOR. THANK
YOU.