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387 10th St 2012 pool CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-�0000879 Date 7/27/12 Property Address . . . . . . 387! 10TH ST Application type description SWI�MING POOL/SPA Property Zoning . . . . . . . TO �E UPDATED Application valuation . . . . 8000 --------------------------------------- ------------------------------------ Application desc change vinyl pool to concrete --------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ MUELLER, CONRAD OWNER 387 10TH ST ATLANTIC BEACH FL 32233 ---------------------------------------- ------------------------------------ Permit . . . . . . SWIMMING POOLI Additional desc . . I Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00 Issue Date . . . . Valuation . . . . 8000 Expiration Date . . 1/23/13 ----------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 ITATIONAl ELECTRIC CODE REQUIRED INSPECTIONS : *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) SWIMMING POOL SAFETY INSPECTION R�QUIRED Full right-of-way restoration, in luding sod, is required. ----------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 ENG REV PRE APP > 3 HRS 25 . 00 STAr .1E DBPR SURCHARGE 2 . 00 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ----------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total 4S . 00 45 . 00 . 00 . 00 Other Fee Total 29 . 00 29 . 00 . 00 . 00 Grand Total 164 . 00 164 . 00 . 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 ATLAN*IC BEACH "[kJ03 nu . 800 Seminole Road,Atlantic Beach, FL 3223 Office (904) 247-5826 7ax(904)247-5845 Job Address: Permit Number: L - I Q.L Legal Description Laqz_ f3��_t�5 0 _ SOW4.5wo "A t\Parcel# Lbl?) Floor Area of Sq.Ft q Valuation of Work$ 00 P—posed Work heated/cooled n�heated/cooled Class of Work(circle one): New Addition Alteration Rc pair Move Demolition (0spa window/door Use of e�i�ting/pro osed structure(s)(circle one): Commercial If an existing strucrure,is a fire sprinkler system installed?(CircIE!one)(��A. �E_/A Florida P�oduct Approval # For multiple products use product approval form Describe in detail the type of work to be perfonne%A. -5 VIcA k in t6 OLYIULLk 4 4 Property Owner Information: Name: M ad� V__r — - Address: city �Wwla),ItIL nOO-CY-1 State LLZi p?5aDM Ph—on e E-Mail or Fax# (Optional Contractor Information: Company Name: Qualifying Agent: Address: city -State Zip Office Phone Job Site/Contact Number F # State Certification/Registration Architect Name&Phone# Engineer's Name & Phone 4 Pw L11 P_V il Fee Simple Title Holder Name and Address I IL- L UU1 I N Bonding Company Name and Address ammax4f A Mortgage Lender Name and Address ,1 ica'10 is h re Y made 10 oin a ,ermit 10 do the work and installations as'�nc,icated I certify that no work or installation has comInencedprior to the s m e orme to mZt t sto so "t P be r d he n� rd �a' ,rws regulating construction in thisjurisdiction. This permit becomes null e 0 a per a d h 'a work w n e e t i,(6)fnoths,or, c ntruct'o or k 1.;� suspended or abandonedfor aWeriod ofsix(6)months at any time after 'pp' c k is i,ot c,_- 'c d hin s P suan e o d -d -0, 0 r an t at P rate per'i s m. t "cure f or El ct d de d h se a b d e icar Work,Plumbing,Signs, ells, Pools, Furnaces, Boileis, Heitiers, k s co �_,.c, st T" s , j Con ti""S, , k a dA et WARNING TO OWNER: YOUR FAILU11E TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF COMMENCEt' ENT. I hereby certify that I have read and examined this application and know the same to lie true and correct. Allprovisionso ,flaws and ordinances governing this ope of work ivill be complied with whether Sp �fred herein or not. The granting of a permit does not presume to give authority to violate or canc�l the Jj provisions ofany otherfederal.state, or lo re�ulating construction or the peFfo rmance ofconstruction. Signature of Owner Signature of Contract6t., . . . . .......... ..... Print Narne -e..L......... Print Name .. ......... ......... .... .. ..................... Sworn to and subs b efore rne Sworn to and su b s cr i be d o Xreme this 11- Day of . 2011- th is _Day of 20 Notary Public (j ESSA�.J7YCE R 5iary Public isslon#EE 120438 res August 9,2015,j Revised 0 1.26.10 70,9 w-np,d id- 400l MAP SHOWING $URVEY OF U'Yr 42 BUY"K L3, PLAT NJ. 1, !�S RECORTWT) IN 111,AT BOOK 5, PAa.-. 64 ot, n-LE cuRmir PUBLIC OF DUVA� "�("U*lly' FLIORIDA� LOT 43 LOT 41 LOT 3 9 FND 1/2"I.P d 5CLO' FNC 1/2"I.P V P 0 0 L p 2.0 .2 6-,W- -�y DECK FILE COPY [ 6.1 CON C. N w PATIO SA NOTES 2i-9 9.9 1. ANGLE AS PER PLAT C> _0 U. 0 0 2. NO S.R.L. AS PER PLAT 6 2- STORY MASONRY RES. No.387 0 4.9' -9. 0 Ix 20.2' 1 O.d 0 0 Z C ON C. -fo In Ld "c- in 0 R I VE 9i U) ej 6.0, 0' F NO 112"I,P. F N D I/;Z 7"1.+P 50.0' V\f N D 1/2"I.P 113th- -STREET PAVEO) 40 � RIW I HEREBY CERTIFY T11AT TRE PROPERTY SHOWN fil?A�JEON IS IN FLOOD ZONE 'C" AS SHCWN ON THE FLOOO HAZARD BOUNDARY IMAP MR THE CITY OF ATLANTIC BEA FLORIDA. I HEREBY CERrIFy 1,0 CONRAI) AND ELVA KO�I�LER; RTBANc AND METROPOLITAN TITLE COMPANY THAT I HAVE SURVEYED TRE, LANDS AS SIK3WN IN I'HE CAPTION AND THAT TIHIS IMAP IS A TRUE A14D I HEREON NIEETS ME coRmcr RE 'L',ih- SURVEY WPRESENTF) .PRESENTATION OF Tt-JAT SURVEY AND KINIMUM STANDARD REQuiREmFNrs ADOPTFD BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21-RH AND THE FLORIDA LAND TITLE ASSOCIATION. THIS SURVEY NOT VALID UNLESS SEALED WITH. AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON !;ONN W. BOATWRIGHT, FLORIDA REG. LAND SURVEqO—R No. 329 5 0 SuqvEYORS, INC. DATE SIG SCALE: BOATWRIGHT LA; S�T —7/P. DRAWN BY: 1301 PENMAN ROAD 1. E D SHEET Z OF F.S. JACKSONVILLE BEACK.FLORIDA 241-8550 ry CITY OF ATLANT OT (OWNER BUILDE _7 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKN:)WLEDGE THE LAW* DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTI(N TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PEPI/11T UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OVvNER 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 ORIMPROVE A ONE—OR YWO FAMILY RESIDENCE OR A FARM OUTBUHDING. 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. ITM NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE 3UILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WELL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE.WHICH IS IN VIOLATION DF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTR CTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO TFIE BUILDING CODEE, AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU -HAVE LICENSES REQUIRED BY STATE LAW AND B COUNTY OR MUNICIPAL LICENSING ORDrNANCES, 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABL FOR INJURIES TO WORKERS THEY HIRF_ 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. W. PENALTY; UNLICENSED CONTRACTORS CANNOT BE ..EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,OC 3 PENALTY-UNDER FLORIDA STATUTE NO. 455-228(l). AN-OCCUPATIONAL LICENSE" IS NOT ADE)UATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETEN'�Y' OR THE FLORIDA "CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A Ll(�ENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE RHQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. V)1_11 q0q ADETRES-S PHONE NUMBER Co n r (,t w-6 PRINT'AME SIGNATUPE CZI`\MAej b� _r,1k.�jKW DATE Before me this �-I_ day of Y'1_( _,20 in the count� of Duval,State of Florida,has personally appeared herin by herself aj id affirms that all statements and declarations are true and accurate. Notary Public at Large,State of 1710 county of VANESSA L.JOYCE 11 ersonallyKnown duced ldenfmr2fion- k1k un Commission#EE 12OL438 Exores August 9 2015 ww 800-3851-7019 NotaFySignatura: V(M9_/`;JA Id, 9_N_k�� U �j F/BLDG/0�BuilderAfmdavi�REVISED: 4/16/2009 Permit Number S7 i Tax Folio Number I NOTICE OF COMM19NCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be mad to certain real property,and in accordance with Chapter 713,Florida Statutes,the following inforination is provided in this Notice of Commencement. 1. Description of property: 16�L L!'? 2. General description of improvement: q&4kinc, Q�n�j 0661 ho &ncr�,kQ- 3. Owner information: i ,) q )Q-1 I vy, 1. Name and Address: 2. Interest in property: 1h)th 3. Name and addressif ice simple titlehold(T(other than owner): 4. Contactor's name and address: a. Phone number: b. Fax number: Doc#2012145473,OR BK 15998 Page 769, 5. Surety Information: NUmber Pages: I a. Name and address: Recorded 07/12/2012 at 10:39 AM, b. Phone Number: JIM FULLER CLERK CIRCUIT COURT DUVAL c. Fax Number: COUNTY d. Amount of Bond- RECORDING$10-00 6. :Lender's name and address: a. Name and address- b. Phone Number: 7. Pei-son within the State of Florida designated by owrer upon whom notic documents maybe served as provided by 713.12(l)(a),Florida Statutes. a. Name and address: I Copy b. Phone number: t IL L c. Fax number: 8. In addition to himself/herself,owner designates to receive a cop) of the Lienor's Notice as provided in Section 713.12(l)(b),Florida Statutes. 9. Expiration date of Notice of Commencement(the e)piration date is one(1)year from the date of Recording vless a diffierent/da/t�is specifie ASignature ot�Owner A �TA, M11"kel b- MU4[VF — I r V \-,— , j Sworn to and subscribed before me this day of J'A 200- Notary:VM4tQ,A \j Known personally/ID shown: My commission expires: VANESSA L JOYCE Commission It EE 120438 Expires Augi st 9,2015 Bor&dTftTmyFa n Wmrar=M385-7019 CO) z 0 0 0 (00 wo N^A 11 w 0 M c CL -n 0 - 0 -1 8 0 CL 'n 0 0 (31 w — - 0 ', 0 ovn CL 0� CL CL M 0 0 777 0 09 ....... r4 3k 3ft.6in. 0 CM3 Ns� -b ;t Oft.11 a CIYO -3* t' -6 ,—4r-�, OU3 CD 0 Sm (D 0 Cl) "a 0 CD Oft. 11 n. Oft. 11 slo pj'a 0.ft.9 &D o 3 Oft. -01 m 3 Q v a) (D ID 0 ft. in. ft. in. A ......... ... C/) (D 00 0 .. .... > m OR cn .. .... O'D .... . CD ... ... 0 4 X.I... K") 0 m O�< m 0 0) w c .. .... 0 C,) cx a :::,: M ::.I... ................ 0 c C, 3 . ................ Y'' 0 �7)03 KI) -4(0 ...... ................ ....... 0 0 (D C/) 0 ��; 40 0 0 Cl) 0 co 0 WD Total Head(Feet of Water) 2.31 Feet of WaW 1,;PSI cn cp cm T— co C3 Cr-,, CL CD CA 0 0 X CO) 0 ?n- c 0 C --I m 0 0 > IE x 0 -4 in ca 0 co c �4 -4 Cn cn x x 4 m m CIO cf) CD C, CD cn Head Loss (Feet f Water) 2.31 Feet of WatO I PSI co 0 CD Cc MU) -04 C - m cn 0 0 ;u 0 rm C4 r- G) C� m "a (0 ;u O > ic C/) ca 0 CD CD 0 0 cn CD The Association ofi Pool&Spa Profes.,�ionals ANSVAP, SPACC 15 ENERGY EFFICIENCY COO 11PLIANCE INFORMATION FOR RESIDENTIAL SWI11WNG pOOLS PROJECT NAME: CONTRACTOR NAME AND ADDRESS AND ADDRESS: ER: Cal)(6k k j P oy CONTRACTOR PHONE: DATE: 'his information sheet was Prepared by the APSP d ncy Standard Writing Committee -IS Residential Swimming Pool and Spa Energy Efficie of the Association of Pool and Spa Professionals(APSP). It Is not part of the American National Standard ANSIj APSP/ICC-1S 2011 but is Included for Information only.Contractors should acquire and comply with the ANSI/APSP/ICC-15 2011 standard which can be purchased at www,apsp.org. 1. §5.2.1:Calculated pool volume a. Gallons: ; r , 1. gallons b.Calculated Gallons. 5 ce area)X love rage depth)X Z48 (gallftA3) Y_ 2.§5.2.1:Calculated maximum filtration flow rate 2. gpm (Pool volume+360 or 36gpm whichever Is tar er 3.§5.2.2:Auxiliary Pool Load: _ye `7 No? (En ter the highest'auxiliary Poo/load'to be powered by the swin Ming pool flitration pump.Do not odd owdilary 3.- gpm pool loodflow rates together,a*the highest is used.) 4. Calculated maximum flow rate 4. OM (item 2 or item 3,whichever is larger.) S.§5.5.1:Pipe sizing: a.Minimum suction pipe diameter SIR. Inches (Enter the smalkstpipe sizefrom,Table I with 0 6fpsft)w capacity the some or more than item 4.) b.Minimum sullon branch pipe diamet (quantity)=branch flow rate (QZ Igpm). 5b. inches (Calculate.,Item 4. '41 (gPm)+Branch Pipes 7- Enter the smallest pipe sizeffarn Table I with a 6fpsfto w capacity the some or more than the calculated suction btanchflow rate.) c.Minimum return pipe diameter sc. Inches (Enter the smallest Pipe sizefrom Table 1 with a 8jps p4 jw capacity the some or more than ftin 4.) d.Minimum retu"branch pipe diamet'e 5d. Inches (Calculate.,Ite-A!Utgpm)+Branch Pipes uontity)-branch flow rate_6LOPM). Enter the smallest pipe sizefrom Table I with a 8fpsPO w capacity the some or more than the cakuloted return branch flaw rate.) 6.§S.4.1:Filter type and size: a.Filter type: DE,Sand) 6a. b.Minimum fiker area (Calculate.item 4. 1 +filterfactor 6b. �sq.f L� 4 1 (OPM) ±a Filterfactors:CartridgeaO.37S, Sond=15,Diabatnaceou Eafth4 7. §S.4.2:Ba"ash valve: ___Yes, &_No? 7. Inches (When using a backwosh volve,enter result of item Sc or 2 inches whicheve is larger) Tame I mw%w, ir I r Lr to �&r 4o 1 r I ,=04OWN 0060-mm-Nd ftmkial Will III I to 38 1 63 90 138 185. 23A 1 274 1 540 1 a.Pump selection: §5.3.2.1:Pools J 7,OW gallons or less,select pump*fromthedutabasewith;Curve-A gpinflaw equal to Item 2 or less. §5.3.2.2:Pools 17,001 gallons or more,select pump*from the database wit i a Curve-C qpm flow equal to Item 2 or less.*Multi- speed pumps Must hove One speed listed that satisfies this requirement. a.Pump model b.Pump flow 8b. Spin (§5.3.2.1,5.3.2.2.Appikable Cvrve A or C Upmflow llst�din database) 4M/12 ANSI/APSP/ICC-iS Standard Writing Committee Form 1of2 I pmw po"Am"0 somm.wwwww"ems W.Mb amom-OW40 al wober P go RedisAppoond hish:Ppaim,C~Wd 00 WeebA"WAUMAlfi&"A4W 112400 AWE_ I FlOtIOWt�— T"M m W(- I RVAd Fbw. Lb UP I.W 1 152 1 w "MO KXX Opm. W sommisso,cA r mod .50 — I N 1 G2.5 71 w EWE Tr -1 --W4WAV9w 234 2551 2zo WNW =40 mlm� Wxir 199 41911.011445-9 ormim 1114 w ww.OW Moh drah Foodwou If, UL M"CPMImZFWv— r ON" 21.35 1 170 1 UL 170 GPM am G-dMn WOO" 12.00 1 1� a UL InOPMSPSudkO wevlm I .I Im 14 too GPM am sucom wxr 170OWWINGS I tk%VO I IG;-- -- WAPO .-T Tirr'Nowd 1 146 02 AMPO vmmudftv(I:W" AN WAPO WON LOA ftV V WK 146 woo Ym M.NIV("a opm) MM VVAhgw*WWT-rTkobftdOdkb(145GPM 62 Of T &Ampo vftettafevIaTmrp"commew" Rs I ----T4*9— 42 S.".WT-rpo.O'dw(l4som r f0t 146 oupo 9..vmTwrpipom*m(%4GQPm) E117-79X 82 =8wWmMTvofISP"QAft(l45WW NOF SIR- Ida"" 2rxw Ampo InI2,opvirio AA mh!.OW MEN 2rxar 1 4.1 ftle-oper" jwm .1. 24*X24*= .v MAM 975 .75 3r.3r EVA.w as.vmi� !M4 1 Na72 IWNIW' L�MM STAIMESS-STIEL & irsir 01.3 1 400 301) NSF NIPM&FL lr ale elf rw 4232 156 1-1 U.3 340 3w I IrxIr Mae 7 11,41 Iw.Ir 181,911 r.3r No 1416 34144 014 INA FIWI;MW - SkWitwial,fq.WWW Walf 216 FIT—NSFAAPMO aill 123 123 LAPMO 1 1 1432 1 OF I All LVW X, I 2w 432 1 MP M at MOU or IADX OM"Pittaft MormaloscookcWn I g,"—CL�ks, lisest 1 1420 874 NSF 2Mk*Wlt1tt.. to"tttetvtod 132" 1 120 $72 20" low -1145 IM2 GAS 422.15 12M ICA) 94' m an 31426 Q5.74 :zi Tw 20"PCOO I i0skorel-11 I n 1; to?M 93-a loamocrol 1 1 31 r I tw [;::::h— Az I Idea.loaq wtommom,uq�w-mw 46 Nu L a" I f too I w I m I too r roum 14'.le" Sri"—MPwo CA D.. MwaWdFit V..Loomut OMMM 11 :bqkVWA dWnd all mot shm or4*&q"POOM P�k P.W. -Vlo�NOM LOP ROWL AR oldd 1, WqAy IM ddloisilmossOfteppketio FMOP" —L ON 1. 2pftmNC.V.Smn1@WQA owmt p W""Nd I sphow t4Ni$d-, "a'"N'd Z" No ff �Comblowas,CA FMW.DWWAM Ft. 8.,Ar^Ch r whoom wasis h*@bdr* "2 92 MoVile .0 Cam@MGNWM VMLgMdde.AZ vvf�di 1211VEN" PN&"bW*.,UMBLWO�CA kd"d 1-222=60 HAWARKY Max=Fto 11 MEDIUM HEAD PUMP SERIES Count on a great pool experience every time. Max-Flo 11 is held to the same excellent standard as the original.New and improved features such as union connections and an elevated base make it the ideal choice for both new pool and aftermarket installations. When you're looking for both economy and performance,specify Max-Flo 11. ......... ------- HAYWARKY Star-Cteafm Ptus CARTRIDGE FILTERS Star-Clear Plus filters from Haywardo deliver quality, value and convenience in cartridge filtration. From precision engineering to its PermaGlass XL T' body, Star-Clear Plus filters work harder, achieving maximum water flow and superior filtration with minimal maintenance necessary. Trust Star-Clear Plus filters to perform in the most demanding applications and environmental conditions.Thanks to its larger filtration element, it utilizes a greater effective filtration area than cartridge filters of similar size and price range. For greater performance, higher efficiency and crystal clear results, step up to Star-Clear Plus, 4 -,o Call 9 o co 0 V4 W a I E 0 a - § =0 13) :3 z FD Rr 31 :3 0. (D I in 557 > 0 m 3 0 cr. 8 —j IAC:) .0 IMD 0 + 0 rL �2 o) CL 'D CD :e -= ; 8 C, "o M 25. cD c.), 11 4 Ch C� - % QQ m F-1 ZO 'D cb 0 CD m 2 100 K 3 0 z C: V) ;r (2) 3 1 1 (D 0 0 0. 0 42 =r 0 a (>-, 0 0 5 1� Z CI 3 CD 1771 CL cn co 0 0 C) CD a R 3 C-1 Q 0 C, ;z CL :s CD CD a CL 23 CL (D CD (D a G- 0 0 z op (D i 0) C. -6 cn 5 cf) PSI( -n a it el rd w 911:41alm IWININk Isla 4 fl!l1leleleli.11 2*1114jejEllIg e e la c r, ck. z 9 sr sr am .9 m u CD mIzi"s lial2le I e Ile I*lE I MlEIRldle co V--,a yj CD 0 CL 19 a a a I j -n CD E!-t Z MAP SHOWING S�URVEY OF 1-4,)N """ 2EX--'H %s P Fj.)FT) 17N PLAT BOOK 5, U-Y�Ir' 42, B11"Of"K 13, PLAT F �4 F�PAGF, 69 01' 'ITIE CURI*�Nr PUBLIC Rla� 'OPOLi (W !Xjvit-� ""CIAMT, FLIORIDA� LOT 43 LOT 41 LOT 3 9 FND 1/2"I.P 5 OLO' ��NC 1/2"I.P. ------------- 0.1, X P 0 0 L �1 2,0'r. l)ECK 13.0 1 - -5.4 C 0 N C. 4 71�" —' I , P A T 10 4. od t2.1 —0.1, 9.9 NOTES 1. ANGLE AS PER PLAT 0 ZW -0 0 0 0 2. NO S.R.L. AS PER PLAT 2- STORY 3: MASONRY R ES. No.3 8 7 0 4.9' A.5, City of]Atlantic Beach plaming anj Zoning Depa"" This approval eompillenae vft 8pPft8bl6 zoning, subd sl and other local land Y development let no,but does not constitute I O.d approval for th noe of PeMb- Compliance with Florida Bu ode and all other applicable local, State an ral permitting requirements must be verifle nature of the City of Atlantic F his eppv oning evelo�rr d ---'L- 2 0.2 Beach Building I prior to 00 iss"n*4 Of G C ON C. Building Permol - ORIVE to Approved Dr. G 'S1 Date: 31.0, 6,0' Val - tFND 1/2"I.P. F 50 F ND 1/2"LP ND .PT--7 .0' 1 () th STREET PAVED) 40 ' R / W -)NE "C" AS SHOWN ON THE F1001) I HFMBY CERTIFY T11AT TRF PROPERTY SliCWN fiF2EON IS IN rLOW Z( HAZARD BOUNDARY MAP FOR THE crry OF NrLANTIC BF-N2H, , FLORIDA. I RFj�EBy cER,riFy 111) CONRAD A14D ELVA MUF1.119IR; "rBANc AND WMOPOLITAN TITLE M4PANY TtiAT MAP IS A TRUE AND I "AVE SURVEYES) ME, LANaS AS S11GWN LN '111E ABOVE cAprioN AND THAT THIS I REON CORRECf REPRESEWATION OF T11AT SURVEY AND Ti-wr inih- suRvFy REPliEsgNT1-:r) HE wzm Kinmum sTANE,)ARD REQuiREmwrs ADoiyrpD By THE FLORIDA STxrE BOARD OF PROFESSI(14AL LAND SURVEYORS CHAPTER 21-HH AND "(1iE FLORIDA LA041) TI E A-S-SOCIATION. THIS SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON DONN W. BOATWRIGHT, FLORIDA REG. LAND SURVEYOR No. 3295 NED: UOVEYORS, INC. DATE 913 ! SCAL BOATWRIGHT LAND Sl DRAWN-BY: 49. 1301 PENMAN ROAD SUITE D SHEET OF F.B. 1-/ JACKSONVILLE BEACH, FLORIDA 241-8550 I NMW0WNWMW00=W� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 ..... ..... ..... Phone(904)247-5826 - Fax(904)247-5845 2 /Z- E-mail: building-dept@coab.us Date routed: City web-sKe: http:/Avww.coab.us APPLICATION REVIEW ANIO TRACKING FORM 11 De ent review required Y *'No Property Address: 7 77/ Applicant: bo --�i ing &Zon(613 416ministrator Project: Vol L , --15— ) ft lic Uti� Z TV eel-) Cl-� rE 7ubficSafety Fire Services Other Agency Review or Permit Required Re fiew or Receipt Date of P,irmit 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: APPLIJCATION STATUS Reviewing Department First Review: 03�pproved. ElDenied. (Circle one.) Comments: PLANNING&ZONING Reviewed b Date: 2-17-1-2- TREE ADMIN. Second Review: F]Approved as revis-IA. RDeniecV PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b�1 : Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed bt: Date: Revised 07127110 City of Atlantic Beach F RkU f 3— APPLICATION NUMBER Building Department (ro be assigned by the Building Department.) 800 Seminole Road JU L 12 �012 12 Atlantic Beach,Flonda 32233-5445 Phone(904)247-5826 - Fax(904) E-mail: building-deptCbcoab.us Daterouted: Cilyweb-cite: http:/Ayw.eoab.u6 APPLICATION REVIEW ANIII TRACKING FORM Property Address: Dp2gqMent review required Yes No uil Applicant: ?%nning&gon-i&q 7 1 .. --nistrator Project: -�AlrnV tl L Zublt&o =g 'p-fif—lic Uti -Pe up Z 77 Public Safety A-, Fire Servi Other Agency Review or Permit Required R low or Receipt Date Florida Dept.of Environmental Protection Of rmit Verified By Florida Dept.of Transportation St.Johns Rim Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Mer: APPLICATION STATUS Reviewing Department First Review: pproved. []Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by:. Date: TREF.-"IN. SecondReview: DApproved as revised. f-lDenied. u Comments: P I E P#'TY U IC SAFETY Reviewed b Date: -]Denied. FIRE SERVICES Third Review: OAPproved as revised Comments: Reviewed bl i f: Date: Revised 07WMO City of Atlantic Beach APPLICATION NUMBER Building Departnient (To be assigned by the Building Depaftent.) 800 Seminole Road 12- - J / 9 Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 7112 Z- City web-afte- http:/Aww.coab.ua /A APPLICATION REVIEW AN'I, TRACKING FORM Property Address: Department review required Yes. No it Applicant: &ZonI& Pfaming Tree-Mministrator Project: J 'Au lic Ut� Public 90-6 Te) 1) z 77 ty Fire Services Re r1ew=orReceIpt fP it VOX Other Agency Review or Permit Required 4 Date of P rimit 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: APPI-19ATION STATUS Reviewing Department First Review: 0;�Pproved. nDenied. (Circle one.) Comments: BUILDING CP�LANNING&Z�ONING� Reviewed b, Date: L,22- -I�L TREE ADMIN. Second Review: DApproved as revised. [:]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed biF: Date: FIRE SERVICES Third Review: DApproved as revise J. [-]Denied. Comments: Reviewed b��: Date: ReAwl 07#77nD City of Atlantic Beach APPLICATION NUMBER Building Department JUL 12 2012 (ro be assigned by the Building Deparbnent.) 800 Seminole Road Atlantic Beach,Flonda 32233-5445 Phone(904)247-5828 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Z—/,/z L z- City web-sife: hftp:/A~co9b.us APPLICATION REVIEW AN-IIII TRACKING FORM Property Address: -Do-parWent review required Yes No Applicant: in &_4onft inishator Project: (Public!�� I - m 'P615 fic UtH71f_1_"_ "==Tafety 77 Public Fire Services Other Agency Review or Permit Required Review or Receipt Date of E�rrnllt 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: E]Approved. XIDenied. (Circle one.) Comments: BUILDING -7 1 7 PLANNING&ZONING Reviewed b Date: TREE ADMIN. Second Review: 1�pproved as revis�. E]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b, Date: FIRE SERVICES Third Review: DApproved as revise []Denied. Comments: Re v*iewed b1f: Date: Rev"d 07127110 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assoW by the Building Department.) 800 Seminole Road Aftntic 11mrh.Florida 32233-5� 12 . Phone(904)247-5826 - Fax(904y�47-5845 zo/z E-mail: bulkfing-deptacoab.us 1 Date routed: City we&eile: hflpJAwjw.eoab.us APPLICATION REVIEW AN b TRACKING FORM Property Addrew: -10e Sr Department review required Yes No Buildino Applicant 402eqom Planning&Zoning Tree AdminisbutDr Project: Adtoo��S�— PW—Aqj"N1—=- 7u-blic UbIWes Public Safety 49M40- Fire Servnts-A �4^ Other Agency Review or Permit Required RsvIew or Receipt Daft 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 STJ i kTUS_ Reviewing Department First Review: E]Approved. [:]Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed b V: Date: TREE ADMIN. Second Review: DApproved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b Date: FIRE SERVICES Third Review: ElApproved as revise d. [-]Denied. Comments: Reviewed b Date: RrAsed 07WM0 M ss' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000879 Date 9/06/12 Property Address . . . . . . 387 10TH ST Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8000 ---------------------------------------------------------------------------- Application desc change vinyl pool to concrete ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MUELLER, CONRAD OWNER 387 10TH ST ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/05/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 14, TIONAl ELECTRIC CODE REQUIRED INSPECTIONS : *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) SWIMMING POOL SAFETY INSPECTION REQUIRED Full right-of-way restoration, including sod, is required. -----Other-Fees STA�E-ELEC-DCA-SURCHARGE-------2 . 00----- STATE ELEC DBPR SURCHARGE 2 . 00 --------------------------------------- ------------------------------------ Fee-summary------ Charged--- ----�aid Credited- Due--- --- ------- ------- --- -------- --- Permit Fee Total 95 . 00 9S . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 99 . 00 99 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF AILANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTI C� BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax 1(904) 247-5845 JOB ADDRESS: 97q PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS ��AMPS VOLTS PHASE VALUE OF WO�RK$ NEW SERVICE El Overhead El Underground Underground up Pole !']Residential(Main) Service 0-100 amps 1110 1-15 Oamps 1151-200amps amps # of Meters I]Commercial(Main) Service 110-100 amps I �10 1-15 Oamps I i 151-200amps amps i :ICT Service amps Conductor Type Size ']Multi-Family(Main) Service 0-100 amps F1 10 1-15 Oamps 151-200amps J_amps # of Unit Meters I Temporary Pole -i_aMps SERVICE UPGRADE I I amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) P100amps � 1150amps �-200amps I !_amps �CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESS Y STRUCTURES,ETC. Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps Appliances: 0-30amps 3 1-1 00amps 101-200amps A/C Circuits: 0-60amps 6 1-1 00amps Heat Circuits: circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHE�ELECTRICAL PROJECTS Swimming Pool I I Sign [-]Smoke Detectors _Qty I I Tran�formers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty_volts/amps VALUE OF WORK$ REPAIRSIMISCELLANEOUS '-]Replace Burnt/Damaged Meter Can I ]Safety Inspection I I Panel Change IOH to UG I Other: Permit becomes void if work does not commence within a six month period or w ;uspended 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,,r state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Electrical Company —6 d Office Phone —Fax Co. Address: City State—Zip License 11older (Print)i mA(t-1 12 tate Certification/Registration 4 Nota cen-se Rolder mo/t tCdayk q. SHIRLEY L.S%Wfi anc ubscribed before��e t is ay f 20 MY COMMISSION#OD 957760 .. fn- EXPIRItS:Fef'r%1149�w f Notary Publi Borided Th�u Notary 81 CITY OF ATLANTIC'BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "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 PERNOT 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 BL11LDING 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 WR LEASE A BUILDING YOU HAVE B' T 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 CONTRA TOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT P".OPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY C)UNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKE R'S COMPENSATION INSURANCE BE PURCHASED. Ill. 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(l). 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. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 3 k7 V-7�9 ADDRESS PHONES NUMBER P T ME RIN )-7 SIGNA`rukE 20 12-M the county '5ATE Before me this_!�_�dy of -f�ffirms that Duval,State of Florida,I as per; ..Ily.4--red herin by f�iimself/herself and all statements and declarations are true and accurate. jr tyfR\/ Notary Public at Large,State of Coun Known "a 0 Produced Identf on-, ur IRLEY L.GRAHAM SH D9 Notary S6 ure: j MY COMMISSION 7#DD 795776C�; 'r, y ()J] EXPIRES wI :Feb ruary 14,2014 R/BLDG/6�Buildu da it;.,.:�.,2_009 Bonded Thtu Notary Public Underviritefs