2007 Seminole Rd RES21-0013 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
CORNWELL BYRON
RICHARD ET AL 2007 SEMINOLE RD ATLANTIC BEACH FL 32233-5977
COMPANY:ADDRESS:CITY:STATE:ZIP:
BUTTERFIELD
REMODELING LLC
4220 PLANTATION OAKS BLVD APT
1516 ORANGE PARK FL 32065
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169723 0018 SEMINOLE DUNES, INC
CONDO
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2007 SEMINOLE RD RESIDENTIAL
WINDOWS/DOORS ONE DOOR $1176.00
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
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 1/13/2021
PERMIT NUMBER
RES21-0013
ISSUED: 1/13/2021
EXPIRES: 7/12/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
2 of 2Issued Date: 1/13/2021
PERMIT NUMBER
RES21-0013
ISSUED: 1/13/2021
EXPIRES: 7/12/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
RES21-0013 Address: 2007 SEMINOLE RD APN: 169723 0018 $94.00
BUILDING $60.00
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN REVIEW $30.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R14571 $94.00
Printed: Wednesday, January 13, 2021 10:11 AM
Date Paid: Wednesday, January 13, 2021
Paid By: BUTTERFIELD REMODELING LLC
Pay Method: CREDIT CARD 413139984
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14571
~+; CENTRALSQUARE
RES21-0013
~-Building Permit Ap.plication ~ Gr~
. ~) City of Atlantic Beach Building Department ~ I·.
800 Semino le Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email : Building-Dept@coab.us
Job Address: 2007 SEMIN OLE RD ATLANTIC BEACH, FL. 32233 Permit Number:
Updated 10/9/18
**ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
. 09-2S-29E SEMINOLE DUNES, INC CONDOMINIUM
Legal Descripti on DWELLING UNIT 2007 otR 5793_776 REIi 169723-0018
Valuation of Work (Rep l acement Cost)$ 1176.00 ___ Heated/Cooled SF ____ Non-Heated /Cooled. ____ _
• Class of Work: □New □Addition □Alteration □Repair □Move □Demo □Pool XlWindow/Door
• Use of exis t ing/proposed structu re(s): □Commercial !!Residential
• If an existing stru cture, is a fire sprin kler syst em installed?: □Yes □No
• Wi er ved ·n as i ti n · h ro osed ro·ect? □Yes must submit se arate Tree Removal Permit ~No
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR. NEW DOOR FLORIDA PRODUCT
APPROVAL NUMBER IS 20867.3
Florida Product Approval It FL#20867. 3
Property Owner Information
Name KARINA HAYCOOK
Ci ty ATLANTIC BEACH State FL
______ for multiple products use product approval form
Address 2007 SEMINOLE RD
Zip 32233 Phone ---><5=61_,_,5=0=6""'6""'26::..:5:c-_____ _
E-Mail ,K8RIN,1:All.H!0..!.~~c~~~:::l!..£~~!!.!.!..-----------------------
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)---------------~
Contractor Information
Name of Company BUTTERFIELD REMODELING, !-LC Qualifying Agent CLINT BUTTERFIELD
Address4280 GREAT EGRET WAY City MIDDLEBURG State FL Zip 32=0..::_68.:c.__
Office Phone 904-631-8511 Job Site Contact Number ______________ _
State Certif ication/Registration ti --'-N=S=-=S:....-1..:....4=------E-Mail JM .HUGHES1513@GMAIL.COM
Architect Name & Phone# ________________________________ _
Engineer's Name & Ph one# ______________________ _
Workers Compensa tion Insurer ______________ OR Exempu6X Expiration Date 5/18/2022
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 t o the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction i n this jurisdiction. I understand that a separate permit must be secured for ELECTR ICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements of t his
permit, there may be addit ional restrictions applicable t o this property that may be found In the pubhc r ecords of this county, and
there may be addi tion al permits requi red from other governmental entities such as water managemen t districts, stat e a gen c1 es, or
federal agenaes.
OWNER'S AFFIDAVIT; I certify that all the foregoing Information is accurate and t hat all work will be done in compliance with all
applicable laws regulati ng 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 OBifAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT
~E~~ROls.:;l~\! NOTICE OF. COMMENCEMENT
___. (Signature of Owner or Agent) -~~!::!::t.~Z:::;.....(S...:ig:::1n:::i:at;.,:ur:Ze:Po~f c"'o~ra;:.:c::...toc.r)~L::::::~::___
Signed and swo:L}or affirmed) before me this /iz!__ ~av of
J..u L < l, ~-i~v, (} l.L _
Signed and sworn to (or affirmed) before me this Yday of
~:• u tLAtd°t!-A---\------=-=r-l -~ Lff ~!L. of Noto,y)
..._/~~~-~~,~ JllLMOOEN •. ,·;.~~ .• CAROLJEAN HUGHES . / • ... \JJ.il • Commlnlon#GG349821 /f·IJ.,., Commisslon#GG274780 11-f Personally Known OR ~~~ Expires March 6 2021 )0 Persona lly Known OR l~-~_:;J Expjres December 3, 2022 [ ] Produced Iden tification •~o,r.~-«li B~TIWB1i~,t~Btm00t ( I Produced Identification ·-::~f:f.i~f BancredllruTroyfellllnslnoce~7019
Type of Identification:_____________ Type of Ident ification: __ .J.--------~I'!!!!!~~---
RES21-0013
Michael Co11nell
2005 Seminole Road
Atlantic Beach , FL 32233
(904) 252-7930
. January 6, 2021
Via e-mail: JM.Hughes1513@gmail.com
Jim Hughes
3079 Waters View Cir .
Orange Park, FL 32073
Dear Mr. Hughes:
I am the President of the Seminole Dunes HOA, which consists of 5 condominiums located at
2001-2009 Seminole Road In Atlanti c Beach . Our small HOA has no official letterhead.
On behalf of our cond ominium association, Karina Haycook's request t o install a new front door
for her unit (ti2007) is approved.
Michael Connell, as President of Seminole Dunes HOA