536 Pelican Key RES21-0036 DoorOWNER:ADDRESS:CITY:STATE:ZIP:
WEIMER R LOUIS 1901 N 1ST ST UNIT 201 JACKSONVILLE
BEACH FL 32250
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:
172027 5568 SELVA LAKES UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
536 PELICAN KEY RESIDENTIAL
WINDOWS/DOORS ONE DOOR $979.00
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
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: 2/11/2021
PERMIT NUMBER
RES21-0036
ISSUED: 2/11/2021
EXPIRES: 8/10/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $86.50
2 of 2Issued Date: 2/11/2021
PERMIT NUMBER
RES21-0036
ISSUED: 2/11/2021
EXPIRES: 8/10/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $86.50
RES21-0036 Address: 536 PELICAN KEY APN: 172027 5568 $86.50
BUILDING $55.00
BUILDING PERMIT 455-0000-322-1000 0 $55.00
BUILDING PLAN REVIEW $27.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
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: R14864 $86.50
Printed: Thursday, February 11, 2021 2:19 PM
Date Paid: Thursday, February 11, 2021
Paid By: BUTTERFIELD REMODELING LLC
Pay Method: CREDIT CARD 422558644
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14864
~+; CENTRALSQUARE
RES21-0036
~,,;.?.,, Building Permit Application
~ City of Atlantic Beach Building Department -,A,,, ·L'
,,..L•
1
u;, 800 Semin ole Road, Atlantic Beach, FL 32233 rrU,/e,fl, y)'f,.(l,,4.,-
Phone: {904) 247-5826 Email: Bu1ldi ~ 0 CRt <lJLOJQ_!Js
V/)(/rrrro I lit-, , I)
*ALL tNFORMAllON
HIG H LIGHTED IN GRAY
IS REQU IRED
lob Ad dress:536 PELICAN KY ATLANTIC BEACH, FL Permit Number· _____ _
legal Description4,3-11 17-2S-29E SELVA LAKES UNIT 2 LOT 86 RE# 172027-5568
Valuation of Work (Replacement Cost) $..,9~7'--'9~.0~0"'------Heated/Cooled SF __ _ Non-Heat e d/Cooled __
• Class of Work : □New □Add1t1on □Alteration URepair []Move □Demo □Pool llQWindow/Door
• use of ex i sting/pr oposed structure(s): ncommerc,al ~Resi d ential
• If an existing structure, is a fire sprinkler system installed7· □Yes fJ No
• Will treelsl be removed in association with 1Jronosed nro•ect? l)Yoc I must submit se na rat e Tree Removal Permit I , 11\Jo
Describe in detail the type of work to be performed: REPLACE EXTERIOR DOOR. FLO RI D A PRODUCT
APPROVAL NUMBER F OR THE NEW DOOR IS 22363 4
Florida Product Approval# FL#22363.4 ___________ for multiple prouw t 1<;f' prtHlu, 1 1~1prr;v,.\ lt11
Property Owner Information
Name LOUIS WEIMER Address 1901 N 1 ST S T #20 1
City JACKSONVILLE BEACH State~FL __ Zip 32250 Phone 904 -333-34 03
E-Mail LOUIS WElMER@COMCAST,NET
Owner or Age n t (If Agent , Power of Attorney or Agency Letter Requi red) _________________ _
Contractor Information
Name of Compan y BUTTERFIELD REMODELING, LLC Q ualifying Age n t CLINT BUTTERFI ELD
City ORANGE PARK St ate FL Zi p 32065 Address 4220 PLANTATION OAKS BLVD #1516
Office Phone 904-631-8511 Jo b Site Con t act Num ber ______________ _
State Certification/Registration # __,_N:..::S=S:....-1...._4,.__ ___ E-MailJM .HUGHES 1513@GMAI L. COM
Archit ect Name & Ph one# ________________________________ _
tngmeer's Name & Phone # ____________________________ _
Workers Co m pensation Insurer ______________ OR Exempt X Ex p iration Date 5/1 8/2022
Application is her eby m ad e to o btain a permit to do thE! work and installations as indicated. I certify that no work or insta llat,on has
commenced prior to the issuance of a permit and t h at all work will be performed to meet the standard~ of all the laws regulating
co nstruction in this Junsd1ct1on. I underst and that a separate permit must be ~ecured for ELECTR ICAL WORK, PLUMBING SIGNS ,
WELLS, POOLS, FURN ACES, BOILERS, HEATERS, TANKS, and AIR CO N DITIONERS, etc. NOTICE : In addition t o the requir em ents of tlm
permit, th ere m ay be additi onal rest r ictions applicabl e to t his pro p erty t h at may be fou nd in the pub l ic records of thi!> county, and
the r e may be additional permits required from othe r gov er n m ental ent1t1 es such as water management districts, state agencies, or
fed e ral agenci es.
OWNER'S AFFIDAVIT. I certify that all the foregoing information 1s accurate and that all work will be done 1n cornpl1dn1e w111, ,ill
applicable laws regulating construction and zoning,
.. .,,.
rn to (or a ffirmed) before rne this~ day of
JW ( , by -~...i....n.~L....p..~~:.c-"-l-
'--
[~natty Known OR
f I )t1 IP,
I I Produced Identification
Type o f Identification: ____________ _
igned and sworn to {or affirmed) before me this o2 '6dao/Jf
A , d Q;ttlL ~~ .c:~ ~ ------~'4-_ ...... n,-atw: ;iifid
Wersonally Known OR
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