1965 BRISTA DE MAR CIR - DOOR ss, 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: RES18-0310
Description: DOOR
Estimated Value: 899
Issue Date: 9/28/2018
Expiration Date: 3/27/2019
PROPERTY ADDRESS:
Address: 1965 BRISTA DE MAR CIR
RE Number: 169506 1668
PROPERTY OWNER:
Name: Valerie Steece
Address: 1965 BRISTA DE MAR CIR
ATLANTIC BEACH, FL 32233-4525
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.
/.s_—,,, City of Atlantic Beach APPLICATION NUMBER
; 9 \Ssl Building Department (To be assigned by the Building Department.)
,Ir z !f;?.) 800 Seminole Road
IJ "`•11-,, Atlantic Beach, Florida 32233-5445 i. _
u 0
/ Phone(904)247-5826 • Fax(904)247-5845
,nils - E-mail: building-dept@coab.us Date routed: 9 (: ( (-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 19 &25 j s U; bE 1111Ote—. Department review required Yes No
buil
Applicant: or(&f.�( Et_n RGiy‘CpE1.(IfoOnanning &Zoning
Tree Administrator
Project: , C)C? 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: oved. I (Denied. ( 'Not applicable
(Circle one.) Comments:
BUILDI► 11.
PLANNING & ZONING
Reviewed by: Vel ? -- Date:W2 6/c20/
TREE ADMIN. Second Review: Approved as revised. El 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 I5EACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904)247-5826 Fax(904)247-5845
Job d 1965 RRISTA DF M R rip ATI ANIC REACH FI T29'11 ne_....._�Number: 1� t c?�' _( ( O
Address: A• 1 Cl uu�1\UiuuGl. V �J
Legal Description 40-37 09-2S-29E SELVA NORTE UNIT TWO LOT 89 parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 899.00 Proposed Work heated/cooled non-heated/cooled 36
Class of Work(circle one): New Addition Alteration G—pa-1D Move Demolition pool/spa window/door.-_
Use of existing/proposed structure(s)(circle one): Commercial ''esidenti. -J Lr- - LI V \
If an existing structure,is fire sprinkler system installed?(Circle one): 'es No (N/A) --- —1 I 6O
Florida Product Approval# 22513.6 & 22363.4
For multiple products use product approval form SEP 1 3 201 w i
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR
+moi
.- V o
Property Owner Information: 0 03 E
�1 b� 1-�r�S-hA �� �/ �-i rz-��e.. Q m � z u.i
Name: LARRY STEECE VL Address: 0 0 u U p
City �- --- - -�N �.► (Z iv tate B rZip fi Phone 614-783-�an� [ `d 1� �j lttg
Gi
F-Mail or Fax#(Optional) 31-'2 3 Q < O ,
U ., ``- cn
Contractor Information: Q (0 I--
Company Name: BUTTERFIELD REMODELING, LLC. Qualifying Agent: CLINT BUTTERFIELD Li.. 2 S
Address:4220 PLANTATION OAKS BLVD.#1516 City ORANGF PARK State FL Zip1Site
Office Phone 904-333-8.409 Job Site/Contact Number 904-333-8409 Fax# LU }=. w 5 w
State Certification/Reaistration# NSS-14
Architect Name&Phone# W t>r�_
> ac w
Engineer's Name&Phone# W 5
Fee Simple Title Holder Name and Address tC iu
Bonding Company Name and Address
Mortgage Lender Name and Address
A..»IJ.- ..b.. .,1,.. -.-1_ .,{,t,. .J.,ti'''' ,.1.,,...,J J».-trn..tJ.. ».7;...,s.,.7 I�or*:f+.ti.,.t» rL »"f'q tinn h,o nnm.nnnrnil nrinr to tbn
.y.�....,,a:G::�.....^....,7X...,..,tC........:.».:f..^..'^,:L:tC.........work .»...«.........,.':.".48:...._.., ...... .._.-vim -. .:.0�.,�.:_^Y L._ ..___....._-_ __-._- _. __.r. _- ..._
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 sus ended or abandoned for a eriod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for EiectricalpWork,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
Tin VCT TR PR(1PV.RTV_ TF VITT TNTT.NII TO ORTAIN FINANCING. ( )NSITI,T WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby cert that I have read and examined thisapplication 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 . •
provisions of any other federal,state, or loc law regulating construction or the performance of construction. /
r ,/
Signature of Owner . Signature of Contrac or_A,Ofg Vii
- /�, " tdiffI#
Print Name - Name CLINT BUTTERFIELD
�- - LARRY STEECE .�... ...._...._......._. ... ... .. ........
Swogi to and su. .-. before I e ^ Sworn to and subscribe+ befo • me
this CO' Day o -_� �, thi i O r• .f J _ / ...4 • 20
ilD Ah...._14k Or .
Notary Public- otary ' . is
Revised 01.26.10
T-0I!,INDLESPERGER ::=y„; CAROL JEAN HUGI4ES
MY COMMISSION#FF 924951 rM Commission#FF 17195.9
r?FIRES:October 6,2019 .vr ' ' :; Expires December 3,2018 `
' -. ' ..bl.. ,'y Public Underwriters or''''P'. [lorded Thru Trcry Fain Inrurare800-085.7019
•
r
RE#: 169506-1668
r- --I 1965 BRISTA DE MAR CIR.
F _ OFFICE COPY
y-;
BA S
37
23 r
M� '
' , ..... -f- 1 -,. ,
Loom='-immi
FGR
,in mi
OWNER, PLEASE DRAW A CIRCLE ON THE
SKETCH SHOWING WHERE YOUR DOORS
ARE TO BE INSTALLED. INSURE YOU RETURN
THIS ALONG WITH YOUR PERMIT APPLICATION.
THANK YOU .