326 8TH ST - DOOR RESIDENTIAL PERMIT PERMIT NUMBER
J
AP'
\i\
CITY OF ATLANTIC BEACH RES18-0381
800 SEMINOLE ROAD ISSUED: 12/5/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 6/3/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
326 8TH ST RESIDENTIAL ALTERATION DOOR $469.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169923 0010 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
BUTTERFIELD 4220 PLANTATION OAKS BLVD APT
REMODELING LLC 1516 ORANGE PARK FL 32065
OWNER: ADDRESS: CITY: STATE: ZIP:
Jonathan Young 326 8TH ST ATLANTIC BEACH FL 32233-5436
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
5�
+
J
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $55.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $86.50
Issued Date: 12/5/2018 1 of 2
,51..14r., City of Atlantic Beach APPLICATION NUMBER
ry illejko Building Department (To be assigned by the Building Department.)
800 Seminole Road R la 038 1
t)_„ Atlantic Beach, Florida 32233-5445
�v Phone(904)247-5826 • Fax(904)247-5845 ` ( r_
J;t 9P•r E-mail: building-dept@coab.us Date routed: CU
it8
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 Z Cc, g`--4-C v--(--- i D ent review required Ye No
uilding
Applicant: &r R er-`C,eaRet Planning &Zoning
j� Tree Administrator
Project: -X+ r(Q(' `� /' 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 4C-f.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:
APPLI ATION STATUS
Reviewing Department First Review: Approved. (Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: ��'4207S/
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
`''��„ BuildingPermit Application Updated 12/8/17
it 4, , Pp
y
,r �� City of Atlantic Beach
447T 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 j� `
Job Address: 326 8TH ST. ATLANTIC BEACH, FL. 32233 Permit Number: i \ � `
Re--_--f- E) -- 0 36
Legal Description 5-69 16-2S-29E .149 ATLANTIC BEACH LOT 13 BLK 9 RE# 169923-0010
Valuation of Work(Replacement Cost)$ 469.00 Heated/Cooled SF Non-Heated/Cooled 22
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door W
• Use of existing/proposed structure(s)(Circle one): Commercial Residential 0
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A _Q N
= J Z •
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal J 0 zQ O
0. I
Describe in detail the type of work to be performed: INSTALL EXTERIOR DOOR 2 w O 6
003 ~ Z i±
W V w U
Florida Product Approval# Fl #17772 1 for multiple products use product approl ya pry Z
Property Owner Information
w
Q
Name: JONATHAN YOUNG Address:39A RTH ST. 0-i a"u)
City ATLANTIC BEACH State FL Zip 32233 Phone 904-613-7145 p g w
E-Mail LL
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) W O � ix m
Contractor Information 17--; w 3 0
� wp w
Name of Company: BUTTFRFIFI D RFMODFI INC- LI C Qualifying Agent: CLINT BUTTERFIELD uU NU w
Address 4220 PLANTATION OAKS RI VD #1516 City ORANGF PARK State Fl Zip 32nrip 5
Office Phone 904-333-8409 Job Site/Contact Number gf14-1:13-R4f19 CC w
CC
State Certification/Registration# NSS-14 E-Mail .IM HUGHFS1!1. 1 (MAll CCrM
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation :S/ ( 9 /Zz'-�' 7
Exempt surer/lease Emplees/Expiration Date
Application is hereby made to obtain a permit to do e 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 secured 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 i ` ' T WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR • • OF •MMENCEMENT.
,��
1111Z1111s ,ig -
, '
i
• A ► • ► — CI INT RUTTFRFIFLI
(5'. ature Owner Agent) (Signature o ontractor)
(including contra or) iSi ed and sworn to(o :• med)be , e - this i day ,f Signed and sworn to/(or affirmed)before me this /d day of
Mimi - –. by . tic % 49l c---,by -' . ■
‘3, L,3111MVI° 1/
J InigrArtlff e
(Signature of .tary) (Si'ure of Notary) ,
L
[ I Pe onally KplI,wwwR - - - ersonally Known OR
[+ roduced Id -1,-. ° . j
i JAMIE D.SMITH [ 1 Produced Identification 4ig;y CAROL JEAN HUGHES
Type #iA `
=' y: COMMISSION#GG 255331 Type of Identification:T e of Identifiwa n i.. 011111.
.1%.,54;•;*. EXPIRES:Se r 2022 .t.-� Expires December 3,2018
�,toF io'. Bonded Thai��eiw iters 1,R:F°'`' Bonded Thru Troy Fein Insurance 800.385-7919
RE#169923-0010
OFFICE COPY
ec
326 8TH ST.
ATLANTIC BEACH , FL. 32233
. ,u
1 i
, 1,-
16 ,,,, F —1
to BA[ S Li
s,........J
'-' ADT i.
3o. FII
. ,16 I.
, 6
20..1
t rj i•.
OWNER, PLEASE CIRCLE AN AREA ON THE SKETCH
TO SHOW WHERE YOUR NEW DOOR IS TO BE
INSTALLED. PLEASE RETURN THIS SKETCH ALONG
WITH YOUR PERMIT APPLICATION TO MY
PRCESSOR. THANK YOU .