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337 1st St RES19-0337 Door : RESIDENTIAL PERMIT PERMIT NUMBER (,,c1.,\,,-/; , �, CITY OF ATLANTIC BEACH RES19-0337 ,55 x ISSUED: 12/2/2019 �� j 800 SEMINOLE ROAD '��J;ilvr ATLANTIC BEACH. FL 32233 EXPIRES: 5/30/2020 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: 337 1ST ST RESIDENTIAL ALTERATION DOOR $959.00 RESIDENTIAL TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169763 0000 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: MCCARTHY TRUST 337 FIRST ST ATLANTIC BEACH FL 32233 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 $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: 12/2/2019 1 of 2 r, RESIDENTIAL PERMIT PERMIT NUMBER 41IL s CITY OF ATLANTIC BEACH RES19-0337 ~ 800 SEMINOLE ROAD ISSUED: 12/2/2019 � V \�`013 Yr ATLANTIC BEACH, FL 32233 EXPIRES: 5/30/2020 Issued Date: 12/2/2019 2 of 2 /I A,y�1, City of Atlantic Beach APPLICATION NUMBER �� _ � Building Department (To be assigned by the Building Department.) 800 Seminole Road ._ ;,. Atlantic Beach, Florida 32233-5445 6 Phone(904)247-5826 • Fax(904)247-5845 `moo;; E-mail: building-dept@coab.us Date routed: ( I l (C5 it (-7=3, City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM PropertyAddress: 3:S 7 l ( Department review required Ye No Building ___) Applicant: 4. L)ITER ( ClI 1\ eiYv00ELPIanning &Zoning Tree Administrator Project: (E)____ ) 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: Fl Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING ,/fin PLANNING &ZONING Reviewed by: f� ' 1 Date: //'a 4/'Y9 TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I /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 Job Address: 337 1ST ST. ATLANTIC BEACH, FL. 32233 Permit Number: R `` 1 -c3 1 Q 5-69 16-2S-29E ATLANTIC BEACH W 22FL LOT 10, V a Legal Description I OT 12 F RFT LOT14 Parcel#1697Q -0000 Z Work959.00 loor Area of Sq.Ft. Sq.l't Q J Co et Valuation of Proposed Work heated/cooled 40 non-iheated/cooled_� Z,, Q O 1 • Class of Work(circle one): New Addition Alteration +. Move Demolition pool/spa window/door 0 03 O Z H Use of existing/proposed structures)(circle one): Commercial 'esidenti. W 0 G U G If an existing structure, fire,is a sprinkler system installed?(Circle one): es Na l.. p Florida Product Approval# FL#16468.4 0 Z rc Z For multiple products use product approva o`2T rm 0 524 Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR O Q g w ALL, Qn ...L11" ,x� W LJ a CC >. Property Owner Information: Id 1. W p w Name:ANNIE MCCARTHY _ 4 Address: 337 1ST ST. W V co wW City ATLANTIC BEACH State FL Zip 32233 Phone 904-249-4515 W cc w E-Mail or Fax#(Optional) ILI CC CC Contractor Information: Company Name: BUTTERFIELD REMODELING, LLC. Qualifying Agent: CLINT BUTTERFIELD Address:4220 PLANTATION OAKS BLVD.#1516 City ORANGF PARK State FI Zip 32065 Office Phone 904-333-8409 Job Site/Contact Number 904-333-8409 Fax# State Certification/Registration# NSS-14 Architect Name&Phone# IiIP ,I"N . Engineer's Name&Phone# ?�t _LYA i!. Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address _ NOV 8 Application is hereby made to°brain a permit to do the work and installations as indicated. I certify that no work or installation has commencedpr or to the 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 suspended or abandoned for apperiod of six(6)months at any time after work is commenced I understand that separate permits must he secured for Electrical Work,Plumbing,Signs, WN'ellT3 :fir tge�s Boilers,Healers, Tanks and Air Conditioners,etc. C t� 1 apartment WARNING TO OWNER: YOUR FAILURE TO RECORD Al°� '(if" Bench, FL 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 RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb certify that I have read and examined this. plication 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 the provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of Owner l/t/jw�•,;� )91-e. ma . • Signature of Contrac .1 1 l� 7" _-./i- ��ili�- y Print Name ANNIE MCCARTHY Print Name CLINT BUTTERFIELD ._ ... _ _..__.__..__.... .....---.__.-- _ Sworn_lo and subscribed before me Sworn and subs '.ed before Si Day of 7.J o w.w b eY ,201 q thi $ Day of • Ci Y .t I.�4 20 1 E .. - • liseSiti/ s ►ill,� Notary lis — -- Notary � �!'� '�i - Revised 01.26.10 ,io""�POa'- VIRGINIA ROSALES I.?-1,.:41 Notary Public-State of Florida : �' "•'?• •. CAROL JEAN HUGHES :N� +m� - Commission #GG 059564 �:• Commission#G0274780, 'r �` �' ExPlres December 3 2022 '•,FOF r''gP'' My Comm. Expires Jan 27,2021 .'OFt,?' "„"'��, Bonged Tin Troy Fain Insurance 800.3857019 OFFICE COPY R E#169763-0000 337 1ST ST ATLANTIC BEACH , FL. INSTALL AREA ( ) IF: BAS 14 .1 30 23 UGR 3' BAS I 13 18 1 L---....14--] OWNER PLEASE DRAW A CIRCLE ON THE SKETCH TO SHOW WHERE YOUR NEW DOOR IS BEING INSTALLED. INSURE YOU RETURN THIS ALONG WITH YOUR PERMIT APPLICATION. THANK YOU 4