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33 Lewis St RES20-0002 Replace Door rs I\ RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES20-0002 800 SEMINOLE ROAD ISSUED: 1/9/2020 ATLANTIC BEACH. FL 32233 EXPIRES: 7/7/2020 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: 33 LEWIS ST RESIDENTIAL WINDOWS/DOORS REPLACE DOOR $969.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172204 0000 DONNERS R/P COMPANY: ADDRESS: CITY: STATE: ZIP: BUTTERFIELD 4220 PLANTATION OAKS BLVD APT ORANGE PARK FL 32065 REMODELING LLC 1516 OWNER: ADDRESS: CITY: STATE: ZIP: HILL LINDA FAYE 33 LEWIS ST ATLANTIC BEACH FL 32233-1917 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. UST OF CONDI I• �.$ Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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: 1/9/2020 1 of 2 SLivi:r,, RESIDENTIAL PERMIT PERMIT NUMBER - CITY OF ATLANTIC BEACH RES20-0002 uly / 800 SEMINOLE ROAD ISSUED: 1/9/2020 �`°--t}'� ATLANTIC BEACH. FL 32233 EXPIRES: 7/7/2020 Issued Date: 1/9/2020 2 of 2 (A.Aii-r City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) tKlir800 Seminole Road ,�}��, Atlantic Beach, Florida 32233-5445 S Z J uGd/G� Phone(904)247-5826 • Fax(904)247-5845 l� Jfil!p E-mail: building-dept@coab.us Date routed: ( ZCD City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 3 L E(A.) i ti T De•artment review required Ye No Building j Applicant: U r Te-2-U`(CLQ fanning &Zoning Q Tree Administrator Project: 1M O Q l2- 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: pproved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONINGply- Reviewed by: Date: - G-c? 6 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. I '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: 33 LEWIS ST.ATLANTIC BEACH, FL. 32233 Permit Number: 1 \C S Z O-- C7000 7.. 19-16 17-2S-29E DOWNERS-RIP PT LOT 3— 1722Q4-0000 Legal Description S'1/2 1 OT R RI K.2 Parcel# iii of 969.00 Floor Area of Sq,Ft. Sit..1�1. t Valuation of Work S Proposed Work heated/cooled 900 non-heated/cooled 20 z N = .J Z V' Class of Work(circle one): New Addition Alteration �L ) ��ai� Move Demolition pool/spa window/door DJ C J. 0 i::: � LDO t)sc of existing/proposed structure®(circle one): Commercial esidenti O r Z iii If an existing structure,is a fire sprinkler system installed?(Circle one): es No 6/A) ca n Florida Product Approval#_E'L#22363.1 U U t� U v For multiple products use product ap rov it feint 1.11 f" d n Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR U 9 0 r; ILI Property Owner information: O tD � } Name: LINDA HILL Address: 33 LEWIS ST. Lt >' n — m City ATLANTIC BEACH StatefL Zip 32233 Phone-- .. __.9...__._ 904_75 14.9..4 - ---�j--�-}-vi � �� E-Mail or Fax#(Optional)__.._DEBBIE©JAXBEAM,ORG-_. —.- _._-.--_ ---- — r! cc w Contractor Information: LLI tit Et rz Company Name: ,BUTTERFIELD REMODELING,LLC. Qualifying Agent: CLINT BUTTERFIELD Address:g220 PLANTATION OAKS..BLVD.#1516 _-_,City ORANGE PARK — State FL Zip 32065 -- Office Phone 9t1A-333..84t}o Job Site/Contact Number 9nq_3 1ggnq Fax# __.._........_______ State Certifieation/Registration#, NSS-14 __.........,.-. Architect Name&Phone# 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 inrlallation has commenced prior to the issuance ot a permit and that all wank will he{ rformed to.meet the standards of all lanae regulating cunstrurtion in this jurisdiction_ lids permit becomes null and void tf work is not catnmenrein if construction within six(6)months, onstructio t or work is sus,ended or ahundont,d for ti .terrucI(!f six(t)months as any time after work is commenced. I understand that separate permits must be secured for ElectricallIPork, Plumbing,Signs, Wells,Awls, furnaces, goiters, herders, Tanks and Air Conditioners,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 OB'T'AIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined thi,s plication and know the same to be true and correct Al!provisions of laws and ardinanus governi+ this type ofwork will be complied whet whether s i ed herein or not. The grunion?of a permit does not presume to give authority to violatr.or cancel the provisions ofany other fedei al,state,or local law regulating construction or the performance ofconstruction. r ot � �_%� 2 Signature ofOwner Y�v}r�� .., /-�,t�-4/------._ Signature of Contra '_...__ Print Name _�..._.._..L.INDA..HILL.w......_..,.�..__.........._..._...._____. Print Name CLINT BUTTERFIELD...._. _ _ _._......,._ Sworn to and subscr` befo i me Sworn to and subscribed befo ,me this / Day of pi'' � .20 Ji thi D:., if I �+ 20i_ iN _� __ . t-t> - .. , cam-, e;54ittit ttary Public otary Pub is IF Revised 01.26.10 • iLOetCit6Gsartetlx�j v4+w, talar;I DO Wsitunuo0 Al ; CAROL.JEAN HUGHES mesas aoter susus8tk e' I — ,.:Commission/GO 274780 • r w i palms IQ^d k+sioN alb' -,:- -0.: Ex les December 3,2022 ",°.f.... Bonded Thu Troy Fain tuesnce800485-7019 r RE#172204-0000 OFFICE COPY 33 LEWIS ST. ATLANTIC BEACH BAS 1 t FOP OWNER PLEASE DRAW A CIRCLE ON THE SKETCH TO SHOW WHERE YOUR NEW DOOR IS BEING INSTALLED. INSURE YOU RETURN THIS SKETCH ALONG WITH YOUR PERMIT APPLACATION.