1830 Live Oak Ln RES19-0310 Two Doors 45mvfr,'f RESIDENTIAL PERMIT PERMIT NUMBER
' a RES19-0310
i At '. CITY OF ATLANTIC BEACH
'� ' ' ISSUED: 10/22/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES:4/19/2020
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:
1830 LIVE OAK LN RESIDENTIAL ALTERATION TWO DOOR $1200.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0740 SELVA MARINA UNIT
10A
COMPANY: ADDRESS: CITY: STATE: ZIP:
BUTTERFIELD 4220 PLANTATION OAKS BLVD APT ORANGE PARK FL 32065
REMODELING LLC 1516
OWNER: ADDRESS: CITY: STATE: ZIP:
JOHNSON DAVID R 1830 LIVE OAK LN ATLANTIC BEACH FL 32233-4510
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 10/22/2019 1 of 2
s
'` ''it RESIDENTIAL PERMIT PERMIT NUMBER I
tt
'' CITY OF ATLANTIC BEACH RES19-0310
-- ~� ISSUED: 10/22/2019
j' 1111 , 800 SEMINOLE ROAD EXPIRES:4/19/2020
ATLANTIC BEACH. FL 32233
TOTAL:$94.00
Issued Date: 10/22/2019 2 of 2
. ;-r%i,, City of Atlantic Beach APPLICATION NUMBER
.} ., , Building Department (To be assigned by the Building Department.)
� O ' I D
r 800 Seminole Road E l
j �.- Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 it' 3 1)t- E-mail: building-dept@coab.us Date routed: ICD &
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: i e)30 Liv e On, De ent review required Yes o
uilding i
Applicant: 1, u { . el eikt Rea ncie ,1& Planning &Zoning
Tree Administrator
Project: 1 00 a 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 ,,,,c,
Army Corps of Engineers '
Division of Hotels and Restaurants V-
.
Division of Alcoholic Beverages and Tobacco '
Other:
• APPLICATION STATUS
Reviewing Department First Review: [ Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
C BUILDINJG
PLANNING &ZONING Reviewed by: !� `' Date:/0`/ / 'I9
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 OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
FL 32233, k E. CD31 C)
Job Address: 1830 LIVE OAK LN ATLANTIC BEACH, Pet-mit Numbers � -
Legal Description 36-60 09-2S-29£.211 SELVA MARINA UNIT 10-A LOT 4,2FT STRIP(+1PaTCel# 172020-0740
1200.00 Floor Area of Sq.FL 2537 F t
noNIA
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alterationepairr 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): es No (N /A)
Florida Product Approval# 22513.6 & 1352 1 of each)
For multiple products use product appyrov41.a oi•ni --
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR(S) E
R
CELVE D
Property Owner Information: 4
Name: DAVID JOHNSON Address: 1830 LIVE OAK LN. : OCT7 2018City ATLANTIC BEACH StateFLZip32233 Phone 904-241-1191
E-Mail or Fax#(Optional) SCANAIRFL1 @AOL.COM
Contractor Information: Building Department
Company Name: BUTTERFIELD REMODELING, LLC. Qualifying Agent: CLINT BUTTER t$ of Atlantlf'-Beach, FL
Address:4220 PLANTATION OAKS BLVD.#1516 __City ORANGF PARK State FL Zip 32065
Office Phone M3a3.R4o9 Job Site/Contact Number go4-333434()q Fax#
State Certification/Registration#._..._ NSS-14 _
Architect Name&Phone if
• 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 pe f onned to meet the standards of all laws regulating construction in this jurisdiction This permit becomes null
and void g.work is not commenced within sic(6)months.,or if construction or work is suspended or abe tdcne:;l jor at polar'of six(6)months at ay time after
work is commenced. I understand that separate permits trust be secured jar Electrical-l ork,Plumbing,Signs. tells,Pools,PYrrnaces,Boilers,Healers,
Tanks and Air ContTnioners,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 INTEND TO OBTAIN FLNANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby ceniif'that I have mad and examined this o,optication and know the same to be true and correct. All provisions of taws 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
provisions of any otherfedernl,state,or local law regulating construction or the performance of construction. til
1
•44 m „or
Signature of Owner ' -, � '�" ^-�'" Signature of Contract. d�1/� , .j Z
Nor _1 Li Q O
Print NameDAVID JOH SON. - ...__.__....._-._.. Print Name CLINT BUTTERFIELD.__.. - a-..‹ p f'
Sw and subscri.:• .-fore me Sworn and subs :••-' So ! e [l5 H 6 H
this" Day of 4 '* sem- ,20 1c/ th' Da • t9 2U_ U 0
Q U O
Al Pu►tic t i otary pt.'. •F ill a• Q 0 Q
Cynthia Young . Revised 01.26.10 Q LIa z
04�Y p4e,i Notary public '-�—°-�- O u- Lu
* State Of Florida S «'.''': CAROL JEAN HUGHES'. 0 ui w 5:
Q : Commission A GO 274780 C) } a x cc
My Commission Expires 10105/2020 = w I— Is, 5 c
i ,-%��P Expires December 3,2022 �u s3 u
Commission No.36480 * •'F F'°° Bonged Thru Troy Fain Insurance 8003857019 () 0
UI 5
u.
ce - (2
A
OFFICE COPY
R E#172020-0740
1830 LIVE OAK LN
ATLANTIC BEACH
F-11:-.: 24. 1
Ili ADT l'-' FEP lia ADT 10
3 I
1 a 1•.; 241—....-16
35 BA
PE' I
INSTALL AREAS
iTi
IF YOU ARE INSTALLING MORE
THAN 1 DOOR THEN DRAW A
CIRCLE FOR EACH DOOR.
I
FGR
L 2 2
OWNER PLEASE DRAW A CIRCLE ON THE SKETCH TO.
SHOW WHERE YOUR NEW DOOR IS BEING INSTALLED.
PLEASE RETURN THIS SKETCH ALONG WITH YOUR
PERMIT APPLICATION. THANK YOU .