1814 Tierra Verde Dr RES19-0123 Replace Door RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0123
ISSUED: 5/7/2019
800 SEMINOLE ROAD EXPIRES: 11/3/2019
ATLANTIC BEACH. Fl.32233
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ALL WORK MU5T-MI+UKFII I4FI At—LI A& —6y6-e by
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 addit onal restrictions applicable to this property
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that may be found lic records of this county,and there may be additional permits required from other
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overnmental entities such as water managern.,It districts,state agencies,or federal agencies.
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JOB ADDRESS: PERMIT TYPE: DES I CRIPTION: VALUE OF WORK:
RESIDENTIAL ALTERATION REPLACE DOOR $749.00
1814TlERRA VERDE DR RESIDENTIAL
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695425050 SEILVATlERRA
COMPANY: ADDRESS: CITY: STATE: ZIP: —
BUTTERFIELD 4220 PLANTATION OAKS BLVD APT ORANGEPARK FL 32065
REMODELING LLC 1516
OWNER: ADDRESS: CITY: STATE: ZIP:
MORRISON GUY 1814 TIERRA VERDE DR ATLANTIC BEACH FL 32233-4527
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ANOTICEOF
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.
FEES
DESCRIPTION
BUILDING PERMIT 455-0000�322 1000 0 $5500
$27,50
BUILDING PUN CHECK 455 0000-322 1001 a jM I
STATE USES SURCHARGE 455-0000�208-0700 0 $7.00
STATE DCA SURCHARGE 411 0
TOTAL:$86.50
Issued Date: 5/7/2019 1 of 2
City of Atlantic Beach APPLICATIO�N NUMBER
Building Department (To be assigned by ItheVilding DLepar7tment.)
Boo Seminole Road -0
Atlantic Beach, Florida 32233-1445
Phone(904)247-5826 Fax(904)247-5845
E_mail: building-dept@wab.us Date routed:
Cityweb-site hftp/A�coabus
APPLICATION REVIEW AND TRACKING FORM
Property Address: I Gvlt rtment revier Yes -No
I Rdi I g
FTOFIMU�&,Zoning
Applicant: Tree Administrator
Project: C-)n 2- Public Works
Public Utilities
Public Safety
Fire Services
Revi#N fee Dept Signafd
Review or celpt
Other Agency Review or Permit Require of Permit Ved led By Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
.Johns River Water Managenrent District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPUCATION STATUS
Reviewing Department First Review: Brppnovad. E]Denied. [:]Not applicable
(Circle one.) Comments:
(!��IDINO
PLANNING&ZONING Reviewedby:— Mo�— Date:%Z-!o�2&9
TREE ADMIN. Second Review: E]Approved as revised. E]Deniedw E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: DApproved as revised. []Denied. EINot applicable
Comments:
Reviewed by: Date:—
Revised 05119/2017
UITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,171,32233
offiec(904)247-5826 Fax(904)247-5845
JobAddress: 1814 TIERRA VERDE DR. ATLANTIC BEACH FL -PermitNumher: RU----,,[ q - o1z3
Legal Description 38-28-09-2S-29E SELVA TIERRA LOT 25 aK"I# 169542-5050
1
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ValuationofWorkS 749.00 VloorArea hq W NIA
Proposed�Vf,,k cooled ntn-hextedlicooled
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Class of Work(circle one): New Addition Alteration (� Moe Demolition pool/spa wi.dinv/Ax
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Use of existing/prefosed structure(s In one): Commercial esidenti < '0 E
if"exi5ting strucure,is a fin sp Uie-r system installed?(Circle one):i;iPiQ0 <KD Lu - 13
Florida Product ASproval 4 00
---FL#13�40.1 0 M != z
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Formultiplepro nets use product apprmna am C 0
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Dewribe in deWl the type of work to be perlomned- REPLACE EXTERIOR DOOR a M I.,
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Primorty O�Inforsonfloso 0 u,
Narne: GUY MORRISON ...Address. 1814 TIERRA VERDE DR. W
ChYATI ANTIC REACH SusuFL_ZipN2233 Phone 904-704-11370
E-Mail or Fax#(Option
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Contractor Information:
CorrEany Name: BUTTERFIELD REMODELING,LLC. Qualifying Agent: CLINT BUTTERFIELD x
Address:4270 PLANTATION OAKS EILVD.#1516 ......City oRANrp PARK State F1 ZIP 32065
OfficePhone 5104-39.1-114119 Job Site/Contact Number qo4-13q-a4 q Factl
State Certification/Regisuation# NSs-14
Architect Narne&Phone#
Engineer's Nanne&Phone
Fee Simple Title Holder Narne and Address
Bonding Company Narne and Address
Mortgage Leader Narne and Address
Appleation kk kemby mack to obtain aormit to dooze work aod im-wil.boo, wob,.1,d,
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work is 600nereed I totdrtiand that ,,00te ,ronia owl be re�wedjor Electric,, Work Pine-biv,sk., dA,Pdk
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 11"ROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING V6M NOTICE OF
CONMENCEMENT.
1�po o' 'work will be comphed with wketh ed heeiw or.". M groo,,V ffa pertirt doer not�.to�ott —tY
"r=aftag cook"Odoe re the led&�g OfCOM"'tt'rim
prorezons of=y odaerfedaW,swe,or loca
signaturcofo%incr -�4�3z Signature olcorrr-6��
Print Nme -G U YMO: F;LF�LSO N Print Norte MINT R
Sworn to and subscribed before me Sworn to and an *bed before me
this ]'I Day of Hvf-I I zo I C) 6 Day of 2047
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Pubk� Pexary Foul 0
V- RevisDd 01.26.10
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ARQUEANNUGHES
My Cwmissjon Expires 02101rMl
T "�.�Canvnivsen#G(1214780
Cwmwsm No.GG 68713
Evires December 3,2022
RE: 169542-5050
1814 TIERRA VERDE DR
ATLANTIC BEACH
OFFICE COPY
IFEIP,
BAS 41
FGR
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OWNER, PLEASE DRAW A CIRCLE ON THE SKETCH
TO SHOW WHERE YOUR NEW DOOR IS TO BE
INSTALLED. INSURE YOU RETURN THIS WITH YOUR
APPLICATION. FAILURE TO RETURN THIS WILL DELAY
THE PROCESS. THANK YOU.