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1019 Big Pine Key RES18-0222 �.t�1iYYj,;. r �„ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 .-_o.i �p INSPECTION PHONE LINE 247-5814 RESIDENTIAL-ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0222 Description: Exterior Door Estimated Value: 378 Issue Date: 7/5/2018 Expiration Date: 1/1/2019 PROPERTY ADDRESS: Address: 1019 BIG PINE KEY RE Number: 172027 5072 PROPERTY OWNER: Name: GEIB LOUISE Address: 1019 BIG PINE KEY 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. City of Atlantic Beach am UMBER Jr Building Department lding Department.)Boo Seminole Road 2�Atlantic Beach,Florida 32233-5445 .fPhone(904)247-5828- Fax(904)247-5845 1 n q E-mail: building-deptecoab.us City web-site: hhp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Intl RIG �PINE7-- ant low uired Ye No o f tet/ (� � ,,� � ] Applicant: {J(.l�C TCJY ci�t�' \K-LJ_ ` •— Tree ing Zoning PP ��/ inistrator Project: li - o r �� / rksitiesetyces keview fee $ Dept Signature A Review or Receipt Date W ency Review or Permit Required of Permit Verified Bept.of Environmental Protectionept.of Transportation River Water Management Districtrps of Engineersf Hotels and Restaurantsf Alcoholic Beverages and Tobacco APPLICATION STATUS Reviewing Department First Review: 14prcived. ❑ Denied. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING 8 ZONING Reviewed by: Date: Zoe 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 OFFICE CO9 IdingPermitApplieation J1I1 Updated 12/6/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(984)247-5826 Far:(904)247-5845 ��' _ Job Address: 1019 BIG PINE KEY ATLANTIC BEACH, FL.32233 Permit Number: Legal Description 41-55 17-2S-29E SELVA LAKES LOT 35 RE# 1720275072. Valuation of Work(Replacement Cost)$ 378.00 Heated/Cooled SF Non-Herted/Ceoled 20 • Class of Work(Chicke one): New Addition Alteration Repair Move Demo Prwl Window/Door • Use of enisting/proposed stmcture(s)(Circle one): Commercial Residential • If an eaisting structure,Is afire sprinkler system installed?(Circle one): Yes No N A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe In detail the type of work to be performed: INSTALL EXTERIOR DOOR Florida Product Approval# FL#22513 3 for multiple products use product approval form Property OwnM Information Name: IB Address: ^` City ATI nAmC RFACH State F1 Zip 12911 Phone 904.241-3956 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Rt ITTFRFIFI n RFMODEI ING 11 C Qualifying Agent: T Rn TTCRC1el n Address 499nPi AATAT )N OAKS 9IVn Y1S1A CityORANGE2ARK State_ rl _Zip 191V45 Office Phone 13-8409 Job Site/Contact NumberFDA 1 •`nR State Certification/Registration# NSA—t4 E-Mall au Architect Name&Phone# Engineers Name&Phone# Workers Compensation EatR carer/IBX Empbyees/Eaplrrtlon Dile Application is hereby made to obtain a permit to do a 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 the laws regulationg construction in this jurisdiction.I understand that a separate permit must be seared for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.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. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 RECORDIN OUR NOTICE OF COMMENCEMENT. r joY r .�EEI f - C d I (SIplaNre ofOwneror Agent) (Signa eof Contractor) (including d d contractor) � Si n`BI esworn to(or affirmed)before me this L1�day of igned and sworn to(or affirmed)before me thisI�day of D/ by A, Atm by OI IFAN HI I(• (510 ure of Notary) . 5 nahare of Notary] aLyPersonally Krlown OR J } [ ]Personalty Known OR I ]Produced Ide cation 'BARCARa lEAN �� Ion _ Commhskln#FF 171959 TTrn �' Type of ldentlfu[ion: -6Dilva2019UaaVWNTfPplarylyalk-Aalealnprya(emmissunY CL Ib59aYTomm.Bpre kp 4,2N1 OFFICE COPY PBusiness & rofessional Regulation BCS none I Log In I as am.. I ..T". submasorm.rve soneFe..0 wbx<•non: fac smrc aas sm n•o u�u: i s.•.a 1Y Product Approval °, "•ly;•� rroeona .ni Me•o> nom mrm un>apP-W''a �* 1"3•W"� ApYFLols1cm R2 Application Type Revlsipn Code Version 2017 Appliatlon Status Approved *Approved by DBPR.Approvals by DBPR shall be reviewed and a[ by the PDC and/or the Commission if necessary. Comments W Archived Z Q = J V) product Manufacturer Masonite International a V 2 O Address/Phone/Email 1955 Powis Road Q West Chicago,IL 60185 W — p (800)663-3667 rU O a W F a V o Authorized Signature Steve SchreiberO Z O 2 ssdireiber@masanite.mm V J 14 a F : tz Technical Representative O Q W Ad,m.S/Phone/Email W y a ¢ m Quality Assuan.Representative ~ W O W O W Addreni/Phona/Email W > Category PXtedorpoom (c W Subcategory Swinging E#edor Door Assemblies Compliance Method Certification Mark or Listing Certification Agency National Accreditation B Management Institute Validated By National Aceredltation B Management Institute Referenced Standard and Year(of Standard) Vear TAS 201 1994 TAS 202 1994 TAS 203 1994 Equivalence of Product Standards Certified By Product Approval Method Method I Option ... Date Submitted 04/16/2018 Date Validated 01/18/2018 Date pending FBC Approval i 1019 BIG PINE KEY, ATLANTIC BEACH, FL. 42� 2 OFFICE COPY 23 2S' [:UA BAS 'F 32 20 r 10 o 4 �oPJ F2 , E' 20 FGR 20 :J 2 OWNER, ABOVE IS A SKETCH OF YOUR PROPERTY TAKEN FROM THE PROPERTY APPRAISER'S WEB SITE. PLEASE CIRCLE THE AREA WHERE YOUR DOOR IS TO BE INSTALLED. PLEASE RETURN THIS SKETCH ALONG WITH THE PERMIT APPLICATION TO MY PROCESSOR. THANK YOU.