Permit Pool 191 12th St 2012 t!r:SI`1:�j.
CITY OF AT
�I LANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000831 Date 7/11/12
Property Address . . . . . . 191 12TH ST
Application type description SWIMMING POOL/SPA
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 40777
---------------------------------------------------
Application desc
INGROUND SWIMMING POOL
------------------------------------------
Owner Contractor
------------------------ ------------------------
ENNIS ALAN THOMAS I DENISE BLUE HAVEN POOLS & SPAS
191 12TH ST 2375 ST JOHNS BLUFF RD
ATLANTIC BEACH FL 32233 STE. 107
JACKSONVILLE FL 32246
(904) 620-0090
---------------------------------------------
Permit . . . . . . SWIMMING POOL
Additional desc . .
Permit Fee . . . . 255 . 00 Plan Check Fee 127 . 50
Issue Date Valuation . . . . 40777
Expiration Date . . 1/07/13
------------------------------------------
Special Notes and Comments
MUST PROVIDE ORIGINAL NOTARIZED PERMIT
APPLICATION PRIOR TO ISSUING PERMIT
2010 FLORIDA BUILDING 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
If on-site storage is required, a post construction
topographic survey documenting proper construction will be
required.
Pool -- Wellpoint (if used) must discharge into vegetated
area 10 ' minimum from street or drainage feature (swale,
structure or lagoon) .
Full erosion control measures must be installed and
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection prior to start of
construction.
--------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 83
ENG REV
PRE APP > C3 FHRS 25 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CIT'ATI'�[LAR44 '6k- FG QgFES AND THE FLORI A$3
BUILDING CODES.
s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
. r INSPECTION PHONE LINE 247-5814
Page Application Number _ - - 12-00000831 Pa g 2
---------------------------
- -- Date 7/11/12
--------------------
-ee-summary Charged Paid Credited Due
----------
Permit Fee Total 255 . 00 255 . 00 . 00
Plan Check Total 127 . 50 127 . 50 . 00 . 00
Other Fee Total 32 . 66 32 . 66 . 00 . 00
Grand Total 415 . 16 415 . 16 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Z fz 711AJ tfz / Permit Number:
Legal Description elOG1-r-SD r1MlaWJC14-q Parcel# 1 718 2 5-00x0
oor Area of 'q.Ft. 3".r'
Valuation of Work$ y0� 7 7 7 Proposed Work heated/cooled non-
heated/cooled_
Class of Work(circle one): New Addition Alteration Repair Move Demolition Ei>ndow/door
Use of existing/proposed structure(s) ((circle one): Commercial idea •
If an existing structure,is a fire sprinider system installed? (Circle on es No N/A
Florida Product Approval#
For multiple products use product pproval form p 1
Describe in detail the type of work to be performed: /1'14491 �1 �'Gl h%T� SW i rn m i i1 A Dao f
Property Owner Information: 1
Name: l4I n;s. Address: I q� l2-71 ' re
City State F2-Zip Phone OS/- 32 7- Z 77
E-Mail or Fax#(Optional)
NUNN
Contractor Information• Y"'`� " *' * �M��^ r* �,,
Iy�. ,�
e
Company Name: Qualifying Agent: /1_4 �'{- �• di ��/�-J
Address: z3 D City Tn�ks�W/1L- State Fy Zip 3Z.2--go
Office Phone '0 D Job Site/Con zLS Fax# Qiy-�2a-oto(.
State Certification/Registration#
Architect Name&Phone# lIzvIEWED R
CODE C0M_ _PLLANC_
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address SEE PE
Bonding Company Name and Address (?UIREME
Mortgage Lender Name and Address
DATE:
Application is hereby made to obtain a permit to do the work an ns a 1c'ttfd1'P�IAs ommenced priors the
issuance of a permit and that all work will be performed to meet the standards of all laws regu tang cons ru is permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned or a eriod o six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,PlutnbW a Sig ts, Wells,Pools, furnaces, Boilers,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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gave authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner �— Signature of Contractor �-�—
Print Name .L is.:1✓......L............. Vitt-G:S................. Print Name il...NAV.=..`r.......M.:....4t.'-'.:'.N%.."..!.. ...........,.................:.............
Sworn to and subscribed before me Sworn to a ubs 'bed Wb-itnil20 1 L
this Z z Day of Tu N t ,20 1 Z this z y of --
Notary Public
'N
KENNETH M.QUINTAL
Revised 01.26.10
•.- Cortmission#EE 146719
Expires JaWry 26,2016
Banded T-Troy Fan Yu mw 104305701!
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. I of " &3j Tax Folio No. 17/,72 5-000!7
State of Florida County of Duval
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property, and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: LOT 1<12 BLOCK S�
PLAT BOOK O PAGE(S)
SUBDIVISION
Address of property being improved: l�t� j� .Sj�rGc
City 144 I&M -i c B e.C-A , Florida Zip 37,Z 33
General description of improvements: In-ground gunite swimming pool and screen enclosure
Owner—A la,h 041 n;5
Address 191 /2 �iStateZip 322-33
Owner's interest in site of the improvement Fee Simple
Fee Simple Titleholder(if other than owner)
1 Name
�J Address
Contractor North Florida Pools, Inc. DBA Blue Haven Pools&Spas
Address 237 Saint Johns Bluff Road South#107, Jacksonville, FL 32246
Phone No. 904-620-0090 Fax No 904-620-0206
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06 (2)(b), Florida Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Slgned: ----=5- DATE (--Z&-14
Beforeme this Z Z day of Ty a C 1-012- In the
County of Duval,State of Florida,has personally appeared
Ar.AA1 I-, G^.fIJIS herein by
himself/herself and affirms that all Ist , leee�
are true and accurate 'r6 � KENNETH M.Ti
INTAL
Doc#2012138143,OR BK 15988 Page 1149, .: ..� Commission#EE 146719
Number Pages: 1 Expires January 26,2016
Recorded 07/02/2012 at 04:24 PM, „ �dedTtruTroyFainhw�ance804385.7019
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00 Notary Public at Large,State of Ft- , county of v ✓�-t
My commission expires:
Personally Known k or
Produced Identification
BWE%ce
,954
. HAK!!N
PALS®
World's Largest:
NORTH FLORIDA POOLS MC. 2375 Saint Johns Bluff Road South, Suite 107 •Jacksonville, Florida 32246
Phone 940-620-0090 • Fax 904-620-0206 • CPC-1456765
Inground Concrete Swimming Pool
for
Alan Ennis
19112 1h Street
Atlantic Beach, FL 32233
2 Story Frame & Coquina Single Family Home
Florida Building Code—2010
National Electric Code—2002
Atlantic Beach Unified Land Development Code
Table of Contents
Boundary Survey/Site Plan
Silt Fence and Temporary Fence Detail
Parking Plan
ExistingFence Plan................................................................................................... Page 1
Site Plan, Pool Deck Plan
ChildSafety Detail .................................................................................................... Page 2
Pool Structural Detail, Filter System, Electric Diagram.......................................... Page 3
Total Dynamic Head Calculations and Manufacturers Specs...................................Page 4
City of Atlantic Beach EDate
PPLICATION NUMBER
Building Department signed by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 �a -- (S_;j r
Phone(904)247-5826 - Fax(904)247-5U5
E-mail: building-dept@cOab.us ��;
City web-site: http:/lwww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Ja4putEftnt review
required Yes I No
Applicant: 1 - -� �� anning Zo
/ :InaeJWhkMs-t—Mt0r
Project: C / Publi
LIVED u is Utilities
Public Safety
J U L 0 3 2012 Fire services
-nom -71 Z
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B -
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
S#.Johns River Water Management District
L rt
Army Corps of Engineers ,
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco ,
Other. , 1
APPLICATION STATUS
Reviewing Department First Review: pproved. VDenied.
(Circle one.
Comments:
BUILDING -- �-
PLANNING&ZONING Reviewed by: Date: )k /Z
TREE ADMIN. Second Review:
oApproved as revised. ❑Denied.
PUBLIC:WORKS Comments: �—
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: Al
FIRE SERVICES Third Review: OApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07!17/70
- City of Atlantic Beach APPLICATION NUMBER
Building Department
(To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 js /
Phone MU)247-5826 - Fax(904)247-5845 /
E-mail: building-dept&oab.us Date routed: -7- -Z-
City web-site: http:/w w.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / � GC� JDqpaAMnt review wired Yes No
�.
Applicant:
• tratOP
Project: Public
u is Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
cj—
St.Johns River Water Management District
�r
Army Corps of Engineers ,Z c
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: B(Pproved. ❑Denied.
(Circle one.) Comments:
BUILDING9AA�)-�O"ate:
LANNING 8�ZONING Reviewed by:
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
s City of Atlantic Beach _
Building Department APPLICATION NUMBER
800 Seminole Road :C E p (To be assigned by the Building Department.)
'
Atlantic Beach,Florida 32233-5445 J U L 0 3 2012
Phone(904)247-5826 - Fax(904)247- _
,." E-mail: building-dept@coab.us Date routed:
City web-eke: hJ/wcoab.us
APPLICATION REVIEW AND TRACKING FORMA
Property Address: / ��� nt review required Yes No
Applicant: arming&Zo-Tree A '
trator
Project: C Publi
u is Utilities
Public Safety
Fire Seni
Other Agency Review or Permit Required Review or Receipt Date 2a-z,
of Permit Verified B Florida Dept.of Environmental Protection
Florida Dept.of Transportation 7 -
St.Johns River Water Management District
Army Corps of Engineers ,,�L•c. 1
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco ,
Other.
APPLICATION STATUS
Reviewing Department First Review: pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by:
TREE ADMIN. Second Review- ❑Denied.
Approved as revised.
AW*ORComments:
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
-s� City of Atlantic Beach
A u Building Department EDate
LICATION NUMBER
SW Seminole Road ned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 l�
�r;; E-mail: building-dept@coab.us
City web-site: http:Jlwww.eoab.us : 2 ��2
APPLICATION REVIEW AND TRACKING FORMA
Property Address:
nt review re uired
. Yes No
Applicant:
anniZ'onjin
Project: C trator
Publi
u is Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Protection of Permit Verified B Date
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: [Approved.
(Circle one.) Comments: Denied.
BUILDING
PLANNING&ZONING
TREE ADMIN.
Reviewed by: Date: 7, 3-t2--
Second Review: ❑Approved as revised. ❑D ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
!3 � ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000831 Date 8/08/12
Property Address . . . . . . 191 12TH ST
Application type description SWIMMING POOL/SPA
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 40777
--------------------------------------- ------------------------------------
Application desc
INGROUND SWIMMING POOL
--------------------------------------- ------------------------------------
I
Owner Contractor
------------------------ ------------------------
ENNIS ALAN THOMAS I DENISE BLUE HAVEN POOLS & SPAS
191 12TH ST 2375 ST JOHNS BLUFF RD
ATLANTIC BEACH FL 32233 STE. 107
JACKSONVILLE FL 32246
(904) 620-0090
--------------------------------------- ------------------------------------
Permit . . . . . . ELECTRICAL PE MIT
Additional desc WIRE FOR POOL
Sub Contractor OCEAN ELECTRICAL CO. , INC.
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/04/13
---------------------------------------1------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 ATIONAI ELECTRIC CODE
REQUIRED INSPECTIONS :
*POOL STEEL
*ELECTRICAL GROUNDING AND BONDING
*FINAL (PUMPS MUST BE RUNNING FOR FINAL)
SWIMMING POOL SAFETY INSPECTION R QUIRED
If on-site storage is required, a , post construction
topographic survey documenting pr per construction will be
required.
Pool -- Wellpoint (if used) must discharge into vegetated
area 10 ' minimum from street or d' ainage feature (swale,
structure or lagoon) .
Full erosion control measures mus be installed and
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection p for to start of
------construction.
------------------------ ------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
------------------------------------
STA E ELEC DBPR SURCHARGE------2_00-
------------------- ----
PERMIT RE+&PHW21D10N]P Y IN ACCORDAWUMAJOIJALL CITY OF dTIC BEACIf A�N@A AND THE IliIJ9IDA
BUILDING CODES.
j CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-(0000831 Date 8/08/12
----------------- ---------- ----- ---------- ----------
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 j . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 199 . 00 . 00 . 00
I
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1
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i
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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF TLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Bleach,FL 32233..
Ph(904)247-5826 Fax(�04) 247-5.845 ... '.
JOB ADDRESS: l PEP .,#' /�, -' 5? 3
NEW SERVICE ❑Overhead ❑ Underground El Underground up Pole
❑Residential (Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
i
❑Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Senice amps
J
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES ETC.)
❑100 amps ❑150amps 0200amps ' ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amp 101-200amps
Appliances: 0-30amps 31-100amp 101-200amps
A/C Circuits: 0-60amps 61-100amp
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OT ELEC tRIC I O?ROJECTS
SwimL Pool Sign ❑Smoke Detectors Qty ❑transformers KVA ❑Motors hp
'FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alam Checklist) .
Qty volts/amps VALUE OF WORK
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
Permit becomes void if work does not commence within a six month period or work is s'spended 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 oth state or local law regulation construction or the performance of
construction.
Property Owners Name r N W 15 Phone Number
Electrical Company Office Phone ,2 V S- 3 1 !�_ Fax 2 -71 -3 t!
Co.Address: G - "`f D City _h-g`�5�•�- ���4 State r-L Zip
License Holder(Print): cv G�,ft Certification/Registration# l✓c- 13 U
Notarized Signature of License Holder
JAMS L.GRI- z. zA+ Rio oM.and subscribed before this�_day f 20 2.
:':° Notary Public-State of Flerida afore Of Not Public v
e My Comm.Expires Sep 17,201 i
P:: commission#.EE 100515
Bonded Through National Notary Assn.