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70 Beach Cottage Ln RES19-0314 Door ,-c1..i 1r/,. RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES19-0314 V 800 SEMINOLE ROAD ISSUED: 10/22/2019 X !�� 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: 70 BEACH COTTAGE LN 202 RESIDENTIAL ALTERATION DOOR $1299.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169700 0130 COTTAGES AT ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: BUTTERFIELD 4220 PLANTATION OAKS BLVD APT ORANGE PARK FL 32065 REMODELING LLC 1516 OWNER: ADDRESS: CITY: STATE: ZIP: HUNTER MAUREEN E 1800 ALMA AVE WALNUT CREEK CA 94596 TRUST 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 Issued Date: 10/22/2019 1 of 2 %".- , RESIDENTIAL PERMIT PERMIT NUMBER 411"Y.% CITY OF ATLANTIC BEACH RES19-0314 ‘1-03,1- "' 800 SEMINOLE ROAD ISSUED: 10/22/2019 r 9' ATLANTIC BEACH. FL 32233 EXPIRES: 4/19/2020 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $94.00 Issued Date: 10/22/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road /r� ( _ 03i 4 Atlantic Beach, Floridada 32233-5445 S Phone(904)247-5826 Fax(904)247-5845 / ',01119:" E-mail: building-dept@coab.us Date routed: j c / i C t City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM required Y review Departmente No Property Address: JO l3���,�-�. COTTc6 B: *mg U-c'-G.2 i _ •T . Applicant: �l L • �,. &Zoning Tree Administrator Project: _ 60 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 ":7C St. Johns River Water Management District Army Corps of Engineers ,�� Division of Hotels and Restaurants vj IR.Ct Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: (.:proved. ❑Denied. ['Not applicable (Circle one.) Comments: :UILDIN PLANNING &ZONING Reviewed by: mnj/ Date: '/S `�' TREE ADMIN. Second Review: Approved as revised. ❑Denied.G ❑Not applicable T 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 COPY P Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 r 70 BEACH COTTAGE LN. #202ne:(904)247-5826 Fax:(904)247-5845 Job Address: ATLANTIC BEACH, FL.32233 Permit Number: N G3 19 - CD D (� 09-2S-29E THE COTTAGES AT ATLANTIC BEACH CONDOMINIUMS REN 169700-0130 Legal Description UNIT 202 BLDG 2 1/7 INT COMMON ELEMENT O/R 12036-17.49____ Valuation of Work(Replacement Cost)$ 1299.00 Heated/Cooled SF 2850 Non-Heated/Cooled 2850 • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Grcle 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 Li (A U ` T r � i Florida Product Approval N FL#21704.3 for multiple products use product approt l fGAnj N �I Property Owner Info ation a J © 0 Name: MAUREEN HUN Address: 1800 ALMA AVE APT 104 00 t O d City WALNUT CREEK State CA Zip 94596 Phone 925-260-7820ca to . . Q U 0 E-Mail MAUREEN2747QGMAIL,COM rl L n- a Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 0 < © Q w Contractor Information C3 F- u., /2 OCQYz Name of Company: BUTTFRFIFLD RFMC)DFI INCA LI C Qualifying Agent: CLINT BUTTERFIELD 0 w Address 4220 PLANTATION OAKS RI VI) #1516 _ City NCE PARK State FL Zip 3208 t > Office Phone 904-333-8409 Job Site/Contact Number 904-11:1-R4119 Ui y 0- Lr m State Certification/Registration U NSS-14 E-Mail .IM HIJGHFS1513QGMAII CnM it wlt! 3 0 Architect Name& Phone It Ld U to w w Engineer's Name&Phone N 5 cc Workers Compensation LU 5:W CC Exempt/Insurer/Lease Employees/Expiration Date 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 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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI G YOUR NOTICE OF COMMENCEMENT. , : , - ;QLD (SignaturejauREfEts46/7,,Ft--- wner or Agent) (Signatur f Contractor) (including contractor) /7 Signed and sworn to(or affirmed)before me this. S- day of ' ned and sworn to(or affirmed)before me this ! day of , �ZP YYl13e� ,- )� ,bY �'� -' 'y -:• _. • • A)Le¢ C. e_ e_f,1..•o1C< e Lt.,it-e lei T� 9..`-.. i/ An. ' (Signature of Notary) (Sig :tur• of Notary) [ 1 Personally Known OR Q`fPersonally Known OR ..PT.'y4•,• CAROL JEAN HUGHES [ 1 Produced Identification [ ]Produced Identification '+Q' ., Commission GO 274780 Type of Identification: _ Type of Identification: s.,r_3. '- . • I-a it•.v I 'jF ofl P' Bonded Thru Troy Fain Insurance 800-385-7019 mail -6 Jimu hes 9&9 - 5 30q 1,34'i3 V Ode >- Or4nie Pik, FL 207 a 3 O v w �e repked U - tto4Icsr4o • O abninD dam 01 _7& Gvy-)d -4(6i UMW 4a) row bQd,z_. 1444,1h-c,o nor d -PorWpirint D-c -16 Vie etak- t°"ttieLA11 - F/(y-diL 32733 ELLS OFFICE COPY FARGO Jurat Certificate California only A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Subscribed and sworn to(or affirmed) before me on this day of Ser4-04.4 ,201c1,by I v Ci LA( - H Q--✓ • proved to me on the basis of satisfactory evidence to be the person(s)who appeared before me. Place Seal Here Signature J1/11111111111111111111111111111111116 '40 DAVID FLORES-NAVARRO COMM.#2220299 z (t) '1 q>.;��5• NOTARY PUBLIC-CALIFORNIA CO • Z ,110 CONTRA COSTA COUNTY . My Commission Expires 10/30/2021 7111111111111111111111111111111111111P Description of Attached Document Type or Title of Document nt G�i P-2krM + Apt \ t C72L- t 6n Document Date Number of Pages //c2 I I Signer(s)Other Than Named Above DSG 3018 CA(Rev 02-V15) ri���rin Cash Register Receipt Receipt Number / City of Atlantic Beach R11781 4 m >/' DESCRIPTION I ACCOUNT I QTY PAID PermitTRAK $55.00 RES19-0314 Address: 70 BEACH COTTAGE LN 202 APN: 169700 0130 $55.00 BUILDING WINDOW DOOR INSTALL 02/19/2020 DA $55.00 BUILDING WINDOW DOOR INSTALL 02/19/2020 DA 455-0000-322-1002 0 .$ 5.J0 TOTAL FEES PAID BY RECEIPT: R11781 $55.00 Date Paid: Thursday, February 20, 2020 Paid By: BUTTERFIELD REMODELING LLC Cashier: CT Pay Method: CREDIT CARD 2 Printed:Thursday, February 20,2020 9:47 AM 1 of 1