699 Seaspray Ave RES21-0279 DoorOWNER:ADDRESS:CITY:STATE:ZIP:
LEFT DEBORAH H ET AL 699 SEASPRAY AVE ATLANTIC BEACH FL 32233-4152
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:
171273 0000 ROYAL PALMS UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
699 SEASPRAY AVE RESIDENTIAL
WINDOWS/DOORS new door FL 22513.6 $1259.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $60.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
IN-PROGRESS INSPECTIONS ARE REQUIRED FOR EXTERIOR SIDING, WINDOW, AND DOOR INSPECTIONS, AND SHOULD BE SCHEDULED FOR THE FIRST DAY
OF WORK.
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: 9/17/2021
PERMIT NUMBER
RES21-0279
ISSUED: 9/17/2021
EXPIRES: 3/16/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
2 of 2Issued Date: 9/17/2021
PERMIT NUMBER
RES21-0279
ISSUED: 9/17/2021
EXPIRES: 3/16/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
RES21-0279 Address: 699 SEASPRAY AVE APN: 171273 0000 $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: R17191 $94.00
Printed: Friday, September 17, 2021 1:12 PM
Date Paid: Friday, September 17, 2021
Paid By: BUTTERFIELD REMODELING LLC
Pay Method: CREDIT CARD 513385453
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17191
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
City of Attantic Beach Building Department ALL INFORMATKON
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (9(:4) 247-5826 Email: .iui cl ng Deptticoa3.Js
sREQWRED.
lob Acdress: 699 SEASPRAI AVE ATLANTIC BEACH,FL 32233-4152 Permit Number:
Legal Descr pticn 30-94 17-2S-i i±E ROYAL PALMS wirr 2 LOT 10BLX 7 REI 17127$40000
Valuation of Work(Rel.laceree it Cost)S 1259.Od Heated/Cooled SF X424 Non-H COPY
Class ofWork: "_New Addition ^Alteration fiepair , IMove l_iuerno L;Pool Win
nn Approved By Permit DeskUseofexisting/proposedgfproposedstructure(s): CI-Commercial XResidentia'Building Department
If an existing structure is a fire sprinkler system installed': Eves '31 No City of Atlantic Beach,FL
WO trgtjV be remo'rr i it association with proposed Droirc. 1:,es'must submit separate Pee Removal Permit) YNo
Describe in detail the type of r ork to be performed.
REPLACE EXTERIOR DOOR F_ORIDA PRODUCT APPROVAL NUMBER FOR THE NEW DOOR IS FL#22513.6
lo,i1,1 ?rind.;CI Approval IF r #22513 6 for multiple products use product approva term
Property Owner InforrnatiQ .
Name LEFT DEBORAH,H Address 699 SEASPRAYAVE
City ATLWTICBEACtf State FL Zip 32233 Phone 904-59f-5816_
E-Mail MO Etoetrc.4L@A01 .COM
Owner or Agent)If Agei it.Powe'of Attorney or Agency Letter Required) __
Contractor Informat:i)n
Name of Company BUTTERF EL(}REMODELING. LLC Qualifying Agent CLINT BUTTERFIELD
Address4280 GREAT EGREi WAY City MIDDLEBURG Stare FL Zip 32068
Office Prone 904-631-8511 ub Site Contact Number
State Certification/Regrstratior k NSB-14 E-Mail JMHUGHES 15130)GMAfL.CON
Architect Name&®hone C
Engineer's Name&Phone M_
Workers Compensation Insurer
zd OR Exempt XX Expiration Date 611/2022
Application is hereby made to c stain a permit to an the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuan a of a permit and that all work will he performed to meet the standards of all the°aws regulating
construction in this Jurrsd'ctron I understand that a separate permit must be secured for E ECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,ROI ERS,HEATERS.TANKS,and AIR CONDITIONERS,etc. NOTICE.in addition to the requirements of this
permit,there may be additiona restrictions applicable to this property that may be found in the public records of this county,and
there may be addition/1i permit required from other governmental entities such as water management districts,state ageneses,or
federal agencies.
OWNER'S AFFIDAVIT:I certify t at alt the foregoing information is accurate an that at wort will be done:n romp lance with all
applicable laws regulating cons ruction and toning,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR FAY! 16 TWICE FOR'IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCIN s,CONSULT WITH YOUR LENDER OR A ORN , B FORE
RECORDINGYOUR NOTjE OF COMMENCEMENT iS 44.0
Signature oft r or Agee 1 Srgnaprre of Ccntre:
41.. 22
Signed and sworn to(or affirn ed)before me this ' day of Signed and sworn to for affirmed)before me this/.7 day of
A
a It l3 yrLi._ t%\ s j
res of Notary
7!S?la: NEr
wwmaiwii
Jrrt "iSSQa a:1902;9
to*!ary) -
x-+ Fees.' CAROL JEAN HUGHES1' erscsally Known OR se :s'•''; 1 Commission 1 GG 274780ProducedidlMiftetio1
Type et(dent*ation f L'PL K.C.- `s',l-c-,3-`Mr-C Type of identification:_ Expires December 3.2021
C k n_ r< 'd r= 7C 3
t"'"°"-tan O/RI Troy Fan,Issuance 800-385~7019
699 SEASPRAYAVE
ATLANTIC BEACH, FL
32233-4152
RE# 171273-0000
JOB COPY
Approved By Permit Desk
Building Department
City of Atlantic Beach, FL
U$1 `.
F
26 BAS
19
FOP
tF
ADT
1
Owner, please draw a circle on the sketch to show where your new
door is to be installed. Please return this and the permit application
as soon as you can. Thank you.
c,PRODUCT APPROVAL INFORMATION SHEET FOR THE CITYTLOFATLANTIC BEACH, FLORIDAp (*REQUIRED)
JOB COPYProjectAddress: 699 Seaspray Ave. Atlantic Beach, Fl. 32233-4152 Permit#:
Approved By Permit Desk
Owne Project Name Marilyn Berry Building Department
Glry of Atkliti.Beach, rt
As required by Florida Statute 553.842 and Florida Administrative Code Rule 61G20-3, please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at:www.floridabuilding.org.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A. EXTERIOR DOORS
1. Swinging Masonite Stl. Side Res FL#22513.6
2.Sliding Hinged
3. Sectional
4. Garage Roll-Up
5.Automatic
6. Other
B.WINDOWS
1. Single hung
2. Horizontal slider
3. Casement
4. Double hung
5. Fixed
6.Awning
7. Pass-through
8. Projected
9. Mullion
10.Wind breaker
11. Dual action
12. Other
Page 1 of 4 Updated 06/21/21
JOB COPY
Category/Subcategory Manufacturer Product Description Limitation of Use State# Approved Eiplaitirihit Desk
C. PANEL WALL Building Department
C'ty of Atlanta:Beach TL1.Siding
2.Soffits
3. EIFS
4.Storefronts
5. Curtain walls
6.Wall louvers
7.Glass block
8. Membrane
9.Greenhouse
10.Synthetic stucco
11. Other
D. ROOFING PRODUCTS
1.Asphalt shingles
2. Underlayments
3. Roofing fasteners
4. Nonstructural metal
roof
5. Built-up roofing
6. Modified bitumen
7.Single ply roofing
8. Roofing tiles
9. Roofing insulation
10. Waterproofing
11. Wood shingles/shakes
12. Roofing slate
13. Liquid applied roofing
14. Cement-adhesive
coats
15. Roof tile adhesive
16.Spray applied
polyurethane roof
17. Other
Page 2 of 4 Updated 06/21/21
filp rovedCategory/Subcategory Manufacturer Product Description Limitation of Use State#
uild{np
No l IAit Desk
E.SHUTTERS City o ti:lr;te
r+rre^'
1.Accordion
2. Bahama
3.Storm panels
4. Colonial
5. Roll-up
6. Equipment
7. Other
F.STRUCTURAL
COMPONENTS
1. Wood
connector/anchor
2.Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11.Wall
12.Sheds
13. Other
G.SKYLIGHTS
1.Skylight
2. Other
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
Page 3 of 4 Updated 06/21/21
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
I
Contractor Name (Print Name): CLINT BUTTERFIELD Contractor Signature:
Company Name: BUTTERFIELD REMODELING
Mailing Address: 7530 SUITE 1 103RD ST
City: JACKSONVILLE State: FLORIDA Zip Code: 32210
Telephone Number: 904-631-6827 E-mail Address: Im.hughes1513@gmail.com
Cell Phone Number: 904-631-8511 Fax Number:
JOB COPY
Approved By Permit Desk
Building Department
City of Atlantic Beach, FL
Page 4 of 4 Updated 06/21/21
fzy:,
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department
ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
Job Address: 7 99 '5 " t4 ii Permit Number:
Legal Description vv — ! 61/ 7 '4S•—c Q j
Valuation of Work(Replacement Cost)$V 0 Heated/Coo1 led SF on-Heat_e,d/Cooled '
Class of Work: *ew Addition Alteration Repair Move Demo Pool Wi d w Door G6
Use of existing/proposed structure(s): Commercial ¢Residential
If an existing structure,is a fire sprinkler system installed?: Yes No
Will tree(s)be removed in association with proposed project? rives(must submit separate Tree Removal Permit) INo
Describe in detail the type of work to be performed:
J 0 t)V7 G j-/d6
o¢ Florida Product Approval#r.../,
a )3. 4, for multiple products use product approval form
Property Owner Information
Q(Name b)a i t / ick-P4 Address tO l ! JC'-/140 0 ,eCityArr..
State FL. Zip (?„,?.."3 Phone 9 be e/ g-- ..- 61E-Mail a(4 IC'. Yt.'eL i+-91:4 L (An) a C--7) 7
S4 I`
Owner or Agent(If Agent, Power cif- ttorney or Agency Letter Required) 10'—{ S _n_[,_ __j-N 1 i,Contractor Informatio
Name of Company
041-
1-,11 -• = •" - ,
7"•• ,:,-,i; =" 'k -
4-- Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt o 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 regulating
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
RE DING,YOUR NOT CE OF COMMENCEMENT.
ate k I.i
f SignArere of
r4;(
144— Signature of Contractor)
Signed and sworn to(or affirmed)before me this 1 ')day of Signed and sworn to(or affirmed)before me this day of
Q0.(i‘`t e4 Li by
p• •,o
JJENNIFERJOHNSTON
E.: t`= , MY COMMISSION#HH 057579 , (Sign ure o Notary) Signature of Notary)
wr, , EXPIRES:October 27,2024
t.i: 5"Bonded Thru Notary Public Urea
e lona y sown Personally Known
kO"roduced Identification Produced Identification
1
Type of Identification: "— Ct./'J S <<. it J- Type of Identification:
A,,, Owner Builder Affidavit ALL INFORMATION
J' HIGHLIGHTED IN
aCity
of Atlantic Beach Building Department GRAY IS REQUIRED.
9 z1 800 Seminole Rd, Atlantic Beach, FL 32233
cm 9;-
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER
OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT
TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THETHREQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: 6 9? .. 4iL7
Owner Name: be..17,,r4 6 1 ,E P4- Phone Number: ! l7 lur
Mailing Address: 6 Q? •SettsZ City: I'L e State: /Li Zip:
Notarized Signature of Owner if ,1 71<
5 Vg-eI IVy rq1
r
The foregoing instrument was acknowledges before me this 3 ( day of tt.tJllitS 1- , 203 k, in the State of Florida, CountyofINA.,Vc-t l
Signature of Notary Public
Personally Known OR [ oducedldentification
A: , dENIyIFERJpT Type of Identification: •FL ( ll%- ^ L Ji R
6.p ox
Ba
EXPIRE$•
r2277
479 '
Not.y.Qatr,,,._...,_ I Updated 10/24/18
If the door is going in one of these 3 walls it is an
exterior door and requires a permit.
If the door is going in this wall it is an interior door
and does not require a permit