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985 Atlantic Blvd (1021) LA Fitness Pool-spa 2012 r' CITY OF ATLANTIC BEACH c ' , X11 ^' 800 SEMINOLE ROAD ;-, N J s) j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000455 Date 4/25/12 Property Address 1021 ATLANTIC BLVD 985 Tenant nbr, name 985 LA FITNESS POOL Application type description SWIMMING POOL /SPA Property Zoning TO BE UPDATED Application valuation . . . 100000 Application desc INGROUND SWIMMING POOL AND SPA Owner Contractor EQUITY ONE ATLANTIC VILLAGE, EVOLUTION POOLS AND CONST. 16 NE MIAMI GARDENS DR SERVICES, INC. ATTN: TREASURY DEPT 2439 TETON STONE RUN MIAMI BEACH FL 33179 ORLANDO FL 32829 (407) Permit SWIMMING POOL Additional desc . Permit Fee . . . 480.00 Plan Check Fee . . 240.00 Issue Date . . . Valuation . . . . 100000 Expiration Date . 10/22/12 Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE REQUIRED INSPECTIONS: *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) SWIMMING POOL SAFETY INSPECTION REQUIRED *The State of Florida Dept. of Health shall inspect and approve of the pool installation before a final pool inspection can be given by the City of Atlantic Beach Building Department. * Other Fees STATE DCA SURCHARGE 7.20 STATE DBPR SURCHARGE 7.20 Fee summary Charged Paid Credited Due Permit Fee Total 480.00 480.00 .00 .00 Plan Check Total 240.00 240.00 .00 .00 Other Fee Total 14.40 14.40 .00 .00 Grand Total 734.40 734.40 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. B UILDING PERMIT APPLICATION F I �„� E C o P y : � ., C ITY OF ATLANTIC BEACH 3 —� 800 Seminole Road, Atlantic Beach, FL 32233 '.._ ' " /- Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 48S folm ic_ NIA Permit Number: /2 — 9s Legal Description LUG / I3JDck 26 j e® Rohe fIf Parcel# l 7 7�OIS2 -- GOY() Floor Area o Sq.Ft. Sq.Ft Valuation of Work $ 100,00 0, (h) Proposed Work heated /cooled non heated /cooled Class of Work (circle one): ew Addition Alteration Repair Move Demolitio pool/spa indow /door Use of existing/proposed structures) (circle one):• a 1 _ : ' Residential insta an existing structure, is a fire sprinkler system nsta e I . ( ircle one): Yes No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: W +r�rlfl�f _eA 4) )L 4 C f$ Property Owner Information: Name: ' , Tri Q-SS r i U 1. ) a T ll f i n +AZ- Address: - G )1 & as" - gip- 300 City _IX,CaUi OC' StateCA-Zip q24,2 Phone , 317 - 6 0S- 70-3 Y-. E -Mail or Fax # (Optional) Re fat TiVtpAc r Ct7 V5i k LK:Mn1 Cowl Contractor Information : )_ Company Name: E1)0Ltailiv' Ppt.As + COnlil . 2— Qualifying Agent: ./.Av'tieTi# ..1774112._ ShWil Address: `o2 - 1 - 6 - 641 i ..1774112._ f a . City ©24Aoc/ State Zip. cZ Office Phone X1 -SD Job Site/ Contact Nymber 49 LSOS- 6S i' Fax # 40?—, State Certification/Registration # CO , c 51- Architect Name & Phone # Engineer's Name & Phone # : t .. nt t , - 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 installation has commenced prior to the issuance of permit and that all work will be performed to meet the standards of all laws regulating construction in tt�hiis jurisdiction. This permit becomes null work is commenced. ommenced. of I understandxthat within six permits or must be be secur o ed for Electri or lumbing, Signs, a Wells, Po B time Heaters, 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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNE MBEFORERECORDING YOUR NOTICE OF I hereby certify that I have read and examined this application , • know the same to be true and correct. All provisions of laws ad ordinances governing this type of w a ork will be complied with whether specified herel • ot. The granting of a permit does not presume to give autho ' violate or cancel the provisions of any other federal, state, or local law regulating • orlon or the performance of construction. • • Signature of Owner >♦ _ .� Signature of Contracto ti • w. / . a 1.I b i P r i nt N ame an � 0 ._... _ .._..._ Print Name 1/....... 4)4 '7,4Q.1/ 2 _... ._- J before me Sworn o a nd subsc 'bed before me Swo to and subs ibe befo this 1, Day of 0 this 1 Day of A." , 201 a, --' T. PETERS l i. .f 1 Commission ;M 1925250 , w :r iE !RIM : blic ! 1 • ' t Notary P •California f. otary ubhc x J7 OMISSION It DD 983166 z `` + , Orange County * a_) `''' My Comm. Ex ties Feb 12, 2015l EXPIRES: April 19 POW , tPl 14, 0F F���\oP Bonded Thru Budget Notary Services .. d. .. t f o ELECTRICAL PERMIT APPLICATION ? CITY OF ATLANTIC BEACH E 1L E con Seminole Rd, Atlantic Beach, FL 32233 j t. ._. Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: '4S 4li f lc. /) /t,,J, PERMIT # 1? - 4 ? 3 /`t/CNA� l ! C. f,P,a-rI 3 ZZ -2)-. JEA INFORMATION REQUIRED ON ALL PERMITS ' AMPS 220 VOLTS S IU5 ) r� e PHASE VALUE OF WORK $ SW f, NEW SERVICE ❑ Overhead n Underground ❑J Underground up Pole ❑Residential (Main) Service ❑!0 - 1 00 amps ❑ 101 150amps ❑ 151 200amps ❑ amps # of Meters ' [ I Commercial (Main) Service ❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps 0 C Service amps Conductor Type Size 1Multi- Family (Main) Service 0 - 100 amps ❑ 101- 150amps I ".151- 200amps ❑ amps # of Unit Meters Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps 11150amps 11200amps ❑ amps PI CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps Appliances: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: / 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: At Pooi ) SPA OTHER ELECTRICAL PROJECTS Jwimming Pool ri Sign I 1 Smoke Detectors Qty CI Transformers KVA ❑ Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS ❑ Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG .Other: Pod_ I.0 l e,l a e Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. / Property Owners Name L A F i Tiu e s 5 .J/Tia? iFl-///ki a Phone Number 31) — 60s- - 20 Electrical Company P/�UFfosy()AAL £fc_°ct2/ C Office Phone3/4 &,-(f ?max Co. Address: IE55 CO IA& Y (c44 � BC'ALL El v 8 City 1\e ' -' ( State Fi Zip : 3 License Holder (Print): ace,„„) / �h 11e/2 , State Certification/Registration #CC 13 Oo f 6 g' Notarized Signature of License Holder 07.' , Sworn and subscribed before me this e day of 20I 45 STEPHANIEBAUMGARTNER # t_);.- * kW COMMISSION # DD 983166 Signature of Notary Public 73-4 k„ 15 41,.'1^ , � ' in EXPIRES: April 19, 2014 ''r9rFOF F`l Bonded Thru Budget Notary Services CL ,) W ,,, 47l eo %vr! t✓ 6c-6i , & NOTICE OF COMMENCEMENT Permit No. / — � � 7 ,^ s� Tax Folio No. / r/ 6 E/ n b2 IP THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information Is provided in this NOTICE OF COMMENCEMENT. LDescription of property (legal descrfpOOn): / .1 _. _ _. .__ a ) Street ( J o b ) Address: r9'y' c ATLRg 77 a _ - L. Comm 2.General description of improvements: e,+:._ . '. H w y 1P■ (-, 3.0wner Inftion a) Name orma and address: IA 1rnC.SS dtTlh't+� .24000 tt c '► 60 S7r. le ) b) Name and address of fee simple title (if other than owner) ,� ✓'�Ui air* CA bbl z c) Interest in property f�WNe2 4.Contractor Information a) Name and address: _ ' _ Vt tN► Po bib. 'k" �Qdl +QG!Cr z .'�r''D(lq 5 Cgen# X731- GIj &12Ji) b) Telephone No.: Ti CM.. - ate 4^� Fax No. (Opt.) 4cam - /a 2.c'� 5.Surcty Information 04.2.4 v pi. 32 €(7 TOO' 40) 505 q a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: -- -- - Phone No. -- 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address.__ b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(6), Florida Statutes: r a) Name and address: b) Telephone No.: ._ __Fax No. (Opt.) . 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unhas a different date is specified): _ . . WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 YOUR LENDER OR AN RNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMME 'CEMENT. STAIR OF FLORIDA COUNTY OF PINELLAS 10. . _ Signs• a r or Owner's Authorized Officer ircctor/Pam i 1\1 4, 40 L.12 ro/ -_ Pr. � ame A f A � j_ The foregoing instrument was acknowledged before me this I day of [[[ L11 , 201 , byy t Q,f ) eS O Lt; Lt; Ate I (type of authority, e.g. officer, trustee, Q 8 8 attorney in fact) for (name of party on behalf of om instrument was executed). a t 4 H Per sonalty Known � R Produced Identification Notary Signature _. a ? . 0 Type of Identification Produced Name (print) _ - 5 OR t1 H I dec that 1 hav read the foregoing and that _ tr) _M Verification pursuant to Section 92.525, Florid Statutes Under penal of perjury, g g Y 0 the facts stated in it are true to the best of my knowledge and belief. - to • cr X e U rorrMMMOC,rbmoio 'l 0 N Y O Stture Natural arson Signing (in line Y 10.) Above pp re O c CJ ,- W J 8 `amt ro 0 ,,, T. PETERS P w Z Commission # 1925250 ` w a D i Notary Public - California I 1 . * -- "` # E o w D u Z r Orange County B=CmOw 11 _ _�,_ My Comm. Expires Febl2_2015t ��10� �i ' � i■/�, � �� �,�/y 01.A,y: f, City of Atlantic Beach APPLICATION NUMBER a 1 Building Department (To be assigned by the Building Department.) r A iv 800 Seminole Road f3 Atlantic Beach, Florida 32233 -5445 ' ' `:' Phone (904) 247 -5826 • Fax (904) 247 -5845 j 9 E -mail: building- dept @coab.us Date routed: T "' // /O � City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /22 / / -1D De. - • -nt review required Yes/No / / 'din. • �/ Applicant: l/ 710 -PPoo / c - anning & Zoning Tree Administrator Project: AO/ Public Works ��c7��2.5 f —G2 Public Utilities G/ 1 / )de- S� Public Safety Fire Services ooPC 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: V Approved. ❑Denied. (Circle one.) Comments: UILDIN PLANNING & ZONING Reviewed by: 7 y Date: 9- 19 — ta TREE ADMIN. Second Review: Approved as revised. ❑knied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH b Building Department , 800 Seminole Road J r Atlantic Beach, Florida 32233 (904) 247-5800 .• 401119`' PLAN REVIEW COMMENTS Permit Application # CS Property Address: , /-e.n a el 1 FtfT Applicant: &fro 4' 1I r Paoli Project: Poo ;44 / h Gloorz S -Por L 9 r) -1.1e 5 ' This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: 6001c-S 5 arc , no/ .S vr-47 a 0 1 - " frovi siovi I " Sia.•+12 -Go rr" +a le / -;Ir'a afar Lit r 5 W �{-J..� -L cMs hAk /�'irNtA %/111- Please re- submit your application when these items have been completed. Reviewed By: Date: /F-,/