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370 10th St 2013 POOL V CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Emir Application Number . . . . . 13-00002879 Date 7/01/13 Property Address . . . . . . 370 10TH ST Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 25000 ---------------------------------------------------------------------------- Application desc NEW POOL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAMBERT DAVID M ISLAND POOLS, LLC 370 10TH ST 1546 LINKSIDE DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 334-5421 ---------------------------------------------------------------------------- Permit . . . . . . SWIMMING POOL Additional desc . . Permit Fee . . . . 17S . 00 Plan Check Fee 87 . SO Issue Date . . . . Valuation . . . . 25000 Expiration Date . . 12/28/13 ---------------------------------------------------------------------------- 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 PER SECTION 24-164 (b) (1) : "in no case shall the pool be located closer to a front lot line than the principal building is located" . PER SECTION 24-164 (b) (3) : "minimum required side and rear yard setbacks shall be five (5) feet from any lot line" . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 63 DEV REVIEW-SINGLE & 2-FAM 50 . 00 ENG REV PRE APP > 3 HRS 2S . 00 STATE DBPR SURCHARGE 2 . 63 UTIL REV PRE APP >3 HRS 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 175 . 00 175 . 00 . 00 . 00 Plan Check Total 87 . 50 87 . 50 . 00 . 00 PERMIT ISatkMWELF&eLiTntAWa;ORDANCE WhV15A42(UITY OF A*QJ4-Ik2_iEACH ORDINANCAPAND THE FLORIDAO 0 BUILDING CODES. o CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number 13-00002879 Date 7/01/13 Grand Total 367 . 76 367 . 76 . 00 . 00 PERMIT IS APPROVED ONL 1' IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jr BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 FILE COPYF�[ , Office (904) 247-5826 Fax (904) 247-5845 Job Address: 370 10hStreet Ad Bch FL 32233 Permit Number: AW Lf 7 9 Legal Description 5-69 16-2S-29E ATLANTIC BEACH Parcel# 170049-0000 Floor Area of Sq.Ff— Sq.Ft Valuation of Work$ 25000 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No Florida Product Approval # b � @ � 0 T R For multiple products use product approval form Describe in detail the type of work to be performed: In ground swimming pool PJ'U�Nrl 4 2013 Property Owner Information: By Name: Mike Lambert Address: 370 100'street City Ad Bch State FL Zip 32233 Phone 904-334-5421 E-Mail or Fax#(Optional) Contractor Information: Company Name: Island Pools Qualifying Agent: Ronald Gray Address 1546 Linkside Dr City Atj Bch State FL Zip 32233 Office Phone 904-334-5421 Job Site/Contact Number 904-334-542 Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address A cal hereb pade to ob an a e m t d t work a�d installations as i ndica or installation hay commenced prior to the a ards 0 a, r s thisjurisdiction. This permit becomes null 'd k i eriod ofsix months at any time after S',' t or or us V, '.'o.f !St 'Zt- 0 1 ctrlc p be e 0 d om P" io y (6 I -a c 0 a Perm a a a 0 k p ss ,�s a d' d ,k's no commenced wthi,s, on 0 " is , c, I n rs , t t s p , t p r its_, t T k c d d, ta d ha e a a e e be e ed rEe a ;ells,Pools, rnaces,Boilers,Heaters, T n s . " .i" a k andA" t ers,et, 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 herelb certify that I have read and examined th lication and know the same to be true and correct. All provisions oflaws and ordinances governing this "s work will be complied with whether srec,70 herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions ofany otherfederal,state,or local aw regulating construction or the performance ofconstruction. Signature of Owner CA A_I-e 1, Signature of Contractj Print Name Print Name .............. ..... .......... ............................................................. ....................... y ................. Swo and subscribed fi re me S o an bscrib" e e his o 20 th 3 Da Souf-Tvf A-e 201-3 9,,%�,L_GRAHAM L NoEFTPublic iRES:February 14,20 M Expl, 60 'te --Om-�I-s 0 01,4 5�79,577 Borleled TO",NotarY Public Unde 26.10 EXPIRE&February 14,2014 R ised 01. Bortried Thru Notary Public Underwriters 71 , 3 1 Doc # 2011125260, OR BK 15621 Page 2233, Number Pages: 2, Recorded 06/07/2011 at 02:42 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 DEED DOC ST $2184 .00 FILE COP Prepared by and return to: Pat Logan Ponte Vedra Title,LLC 115 Professional Drive Suite 101 Ponte Vedra Beach,FL 32082 File Number: PVT11294 (Space Above This Line For Recording Data) Warranty Deed This Warranty Deed made this 2nd day of June,2011, between Henry Milburn Isaacs,an unremarried widower whose post office address is 469 Palmwood Lane, Atlantic Beach, FL 32233and Martha Isaacs Gainer, a married woman whose post office address is 67 Evans Drive, Jacksonville Beach, FL 32250, both conveying non-homestead property, grantor, and David M. Lambert, an unmarried man whose post office address is 370 10th Street, Atlantic Beach,FL 32233,grantee: (Whenever used herein the terms "grantor"and "grantee" include all the parties to this instrument and the heirs, legal representatives,and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N01100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate,lying and being in Duval County,Florida,to-wit: Lot 31,Block 12,Atlantic Beach,according to the map or plat thereof,as recorded in Plat Book 5,Page(s)69, of the Public Records of Duval County,Florida. Parcel Identification Number; 1700490000 Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. SUBJECT TO covenants,conditions,restrictions,easements of record and taxes for the current year. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances,except as specified herein. The property described in this instrument is not, nor has it ever been, the constitutional homestead of the Grantor(s) under the laws and constitution of the State of Florida in that neither Grantor(s)nor any members of the household(s) of Grantor(s)reside thereon or have ever resided thereon. Warrant),Deed-Page I r re MAP SHOWING BOUNDARY SURVEY OF LOT 31, BLOCK 12, PLAT No. 1 SUBDIVISON "A" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. CERTIFIED TO: DAVID LAMBERT FIRST FEDERAL BANK OF FLORIDA PONTE VEDRA TITLE, LLC/HATHAWAY & REYNOLDS, PA CHICAGO TITLE INSURANCE COMPANY 10th STREET C*0' RIGHT OF WAY) 50,00' (PLAT) BLOCK N 83*59'56" E CORNER 50.04' (MEASURED) 350.00' (PLAT) '�50.00' (MEASURED) .F0'3' . 4 -A 0,3' CHIMNEY LLJ _j 14,4' 0 LLJ 1,4 b 1; d o4 W LAJ U) < �15' N _�' ': 7, ' TILF _-8Ar--:- " 1- . FILE OPI V1 W b 10'1' Lj < 0- M 4 M -A C,a� 40 C) 0i 2 �C) C1 ONE 11ORY 04 — LOT 33 MASORRY BLOCK 12 POSTED #370 LOT 29 BLOCK 12 7' ET] CAP u A/C City f Atlantic Beach PAD planning and Zoning Department This spproval verifies compflance vAth applicable zoning, subdivision and other local land ,levelopment regulations, but does not constitute its. Compliance 1pproval for the issuance of perm Jith Florida Building Code and all Other applicable 1 -1"-)Ilk ocal, State and Federal permitting requirements 'nust be verified by signature of the City of Atlantic 3esch Building Official prior to the issuance of a Building Permit. 1 J, A p prove d Sy: A- Date, C, POOL,- 0�7' 0.2' S 8,3'48'46- W 50.00' (MEASURED) LOT 34 50.00' (PLAT' LOT 30 LEGEND: BLOCK 12 0 -SET 1/2-REBAR PC - PONT OF CURVATURE BLOCK 12. STAMPED PSM#6`146 FOUND I/�Z�IRON PIPE PT - PONT OF 7ARGE14CY No OEM CATION PRC - PUNT OF REVERSE LOT 32 (UNLESS OTTiER*SE NOTED) CURVATURE BLOCK 12 U- -V*V CONCRETE MONUMENT PCC - POINT OF COMPOUND A/C - AIR CON0111ONER CURVATURE ---X--- - FENCE CONCRETE. I L I I [ REVISIONS 1-1 i_ Ray Thompson I SURVEYING, Inc. DESCRIPTION fSTANCE for Youl AMEX 1— 4613 Philips Highway,Suite 210 PONTE VED94TITLE, L.L.C. Jacksonville,Florida 32207 (Phone)904-448-5125 (Fax) 904-448-5178 JOB # 1,9273 1 DATE OF LD SURVEY: 5-7 2011 SCALE: 20' CERTIFICATE NOTES: 1: BEARINGS ARE BASED ON THE 6559Yla BEARING OF I HEREBY CERTIFY THAT 1H NDER MY RESPONSIBLE NAWAL ALONG THE IMESTERLY BOUNDARY LINE OF SUBJECT PARCEL. AND MEETS THE MINIMUM L FORTH BY THE FI.OPICIA BOARD OF PROFESS!0N RVEYL%*ft MAAPP 11 CHAPTER 6IC17-6. ILORCA 2: BY GRAPHIC PLOTTING 014LY 'THE CAPTIONED LANDS LIE INITHIN FLOOD ZONE ADMINSTRATNIC C VANT TO 47 _ORLDA STA-NTES, AS SHOW ON THE NATIONAL FLOOD INSURANCE MAP, 5-A-T-EDE APRIL 17, 1989, COMMUNITY NUMBER� 120075 PANIEL =1�a . 3: THIS SURVEY REFLECTS ALL, EASEMEN'TS & RIGHT OF WAY AS PER RECORDED PLAT &VOR TITLE COMMITMENT IF SUPPUED� UNLESS OTHERV41SE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. AYM OMP 4: THIS SURVEY IS NOT VALID W'MOUT AN AUTHENTICATED ELECTRONIC SIGNATURE R.GIS'IF-RFD SUR- M PP_E 146 STATF OF FLORIDA AND AUTHENTICATED ELECTRONIC SEAL, LIC 7469 LAND SURVEYS 0 CONSTRUC_55� SURVEYS -—�� SURDIMSIONS MQAAL A# AA_A0 3MMIX A64a MAP SHOWING BOUNDARI SURVEY OF LOT 31, BLOCK 12, PLAT No. SUBDIMSON "A" ATLANTIC BEACH. AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBUC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: DAVID LAMBERT FIRST FEDERAL BANK OF FLORIDA PONTE VEDRA TITLE, I'-LC/HATHAWAY & REYNOLDS, PA CHICAGO TITLE INSURANCE COMPANY 1 Oth STREET (40� RI-M4 r OF WAY) 50-00' (PLAT) N 83*59'515* E 0.Je BLOCK COWER 50.04' (MEASURED) 540 to. -1150.00' L 350,00' (MEASUREn) 0 02< W LLJ 0- I A eu 0 z-x L.Li 5 0 20 ot V) uj LAj 0 ch < 0 LL� < LLJ Li 4 x L CD Pal 6 0 09 Oi O�7' ONE %OR\r' C14 7k; MAS NRY POSTED #370 LOT 29 BLOCK 12 rt b A/C 0 PAD r� 0 z I V) jv Cow FILE Copy IV LE6= 41 61h u -OIL— af S 8N8'46" W 50.00- (MEASURED) LOT 34 50.00' (PLAIl LOT 30 . %. T i/2' REBAR LEGEND: BLOCK 12 BLOCK 12 STAMP-0 PSW#6148 PC PUNT(V rURVATURE FOUND 1/2o IRON PIPE PT PONT OF TANGENCY LOT 32 NO IDENTIFICATION PRC POINT OF REVE.R.SE (UNLESS 0714ERMSE WfED) CURVATURE BLOCK 12 a- 4!'xe C014CREW MOWMENT POC POINT OF COMPOUND A/C AJR CONDITIONER CURVATURE FENCE (--,). - CONCRETE Ray Thompson DATT- DESCRIPTION — SURVEYING, Inc. — FG—oing the DISTA�� PONTE ITLE, L.L.0 - 4613 Philips Highway,Suite 210 Jacksonville,Florida 32207 (Phone)904-448-5125 (Fax) 904-448-5178 Jop 19273 DATE OF '--LD SURVEY: 5---26-201' SCALE: 1" = 20' CERTIFICATE J.- NOTES: i HEIIEBY CERTIFY THAT THi NDER MY RESPONSIBLE CHARGE t BEARINGS ARE BASEL) ON THE 6;i�kd�� BEARING OF A14D MEETS THE MINIMUM L STAND I.FORTH BY THE FLORIDA ALONG THE WESTERLY BOUNDARY LINE OF SUBJECT PARCEL, BOARD OF PROFESSIT VFYOM.6M MA CHAPTER 6IG17-6,;rLORIDA 2: BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FILOOD ZONE ADMIMSTRATIVE C )ANT 70 SFCTION 47 ORIDA STATUTE& AS SHOW9 ON THE NATIONAL FLOOD INSURANCE MAP, DATED; APRIL 17, 1989, COMMUNITY NUMBER� 120075 PANEL -Q=-a . 3- THIS SURVEY REFLECTS ALL. EASEMENTS & RIGHT OF WAY AS PER RECORDED PLAT &/OR TITILE COMMITMENT IF SUPPLIED, UNLESS OTHERWISE STATED. NO OTHER TITLE YERIFICATTON HAS BEEN PERFORMED By THE UNOEFMGNED A VOWEIMOMF 4z THIS SUR19Y IS NOT VAUD WITHOUT AN AUTHFINITIrATIED ELECTRONIC W- NATURF REGI TFRED SUR D MAP 46 STATIF OF FLORIDA AND AUTHENTICATED ELEMONIC SEAL. 7469 LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 'ZIlDn"ASIONS Fr FILE COPY rooku Cover page 370 101h Street Atlantic Beach FL 32233 Occupancy class R-3 FBC 2010 NEC 2010 1.1mpervious calculations 2.Building Permit Application 3.Proof of ownership 4.Notice of Commencement (to be filed) 5.Site survey 6-Site management plan 7.Site plan 8.TDH worksheet 9.Drain and entrapment prevention 10.Pool steel drawings 11.a-g equipment cut sheets 12.Tree removal application 13. Door and window alarm specifications Project Overview L Palm trees are not being removed Beam elevation is 9" below Barriers and alarms per FBC 2010 existing deck +12ff fie! W 80 :62 + ca\ + FILE COPY REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTTC BEACH SEE PERMITS FOR ADDITIONAL RE UIREMENTS AND CONDITIONS. Exisiting home REVIEWED BY: DATE: Designer RD Gray Scale 1/8" = 1' Date June 7th 2013 Phone# 3345421 HTM T Pool*UX Pool Specifications Pool Specifications Excavation Length:24 Type�-: Width: 12 Remove Dirt: IP Depth:3.5-5.5 fed stumps: Perimeter:90 Ift Rem ove Fence: owner Square Footage:280 A �e—place Fence: own r Capacity: Remove Decking: lets: Water Features: F Spa Specifications Length: Filter Pump;VS3050 Width: Fitter Type:cartricige Depth: Spa Pump: Perimeter: Other Pumps: Heater: Square Footage: Chlonnatix:Easy ch 4 hinction Capacity: Cleaner: Material: Other Equipment: Water Features: Deck Specifications Pool Line Size: 2" Length: Spa Line Size: 2" Width: Skimmers: 1 Perimeter: Returns: 3 Square Footage: Deck: Brick Pavers Drains 2 Coping: V19- Auto Fill: Turn Over Rate: Tile specs Size: Style: Additonal information L Lft: 120v LID llilglldtpoollts�a 399K STU gas heater 1.5 hp blower Interior Finish Manufacturer: Color: # Bags: WOO /'f" Ge VS' 10:1 SS/00\- Customer Lambert Robert Wood PE 31542 2000 Sandpiper Point Neptune Beach, FL 32266 Address 370 10th Street 32233 Phone/Fax: (904) 241-2021 14 (0 x Cl 0 Q) U) cc 0 0 o CIL 0 CL (j) S m D, CL C'� CO 0 0 ... ........... ................... 0 C.) W............ E Fn 2 w co CL m 0 75 (L) (0 iz 0 C', c 0 lll� cz 3: 0 C:) C) C) m OC) ILD .2 Cl) < C) < z a-U) 0 - C-4 L) 0 U) IN I CL C) C) ,)—J 41-t"I, Ul 9 1 0 (D 4) m ca 0 — E 0 LO E E Co a) CL (D a) 0 MO 76 o 0 '40 0 E < z E E Cl) co 3: 0 0 co 0 (D a) 9 cam) -)C,DO A. 0 C\l 0 'o 610 CL 0 cn F- o 0 10 Ce) 0: z U3 C� cn� 6 z CU (D li 0 (D LZ -I,- c: 0 0- 0 -5 CU C-) O)o .9 (D r- 0- CO -1 A? '40 v 04 IN 0 04 'Ul 9,4 It 04 0 �; 'IT —`Ce)IN 4% In LO c 0 T-* q M LL It Lu C� 0- a) Q_L)0 .— M 0) o CL(D IV 0-0 LM X CL 0 m a)L M C 0 ....... 0 CL =3 (D C:)— C: 0 1- -0 C) CL 0 Ck 0 f- 0 0 C) (D-r- ,a W 04 Z 0- c o LL r..: E 0 E (D c4 D (U U) 0 o C%4 0 V) ...... .2 CL 0 U. > E 0) 0 r- 0 ...... LL - 0 CL a- (L 0 Ca — = 0 ca 0 0 z Mc 0 U) REEK! ENC:LOSUP-.,,E 400- S/F + UNDCF-: R R001 RIBBOI� FOOTING YOTH PAVER Dlzv.,-- K N-.00%, lu 9 -to s Robert Wood PE. 31542 2000 Sandpiper Point TF ptune Beach FL. 32266 �25001 PSI CoN' f,;= PE Ne Phone/Fax� 904-241-2021 40 'f 0 SARS4 ILI 'INOFF GRO ND fe !j:;? Tr 70 'C 0 ea,0 cc a co e Rr�ielarej-,d LJ- 3 6,51YWV7- 1�20434%�00,") 8e-�Pf-rIS W211 67 f-r iwAy Orol�l 7 30P MPI" W11 4-lqh4, or ej OV V mer OSERT teW V C \ �6 it. OF DP- +-4ZAfA E Robert Wood PE. #31542 2000 Sandpiper Point Neptune Beach, FL. 32266 Phone/Fax: 904-241-2021 ANSI/APSP-7 201D Specifies three methods for determining the maximum system flow rate. The following simpffied TDH calculation is one of the methods specified. Simplified rotal . Dynamic Head. (LDH) Calculation Worksheg-f DetwNne Maximum %2tgM Flow Ratim, Minimum Flow Rate Required: 35 gpm Per Skimmer (Required: 1 skimmer per 800 sf of surf. area) 1. Calculate Pool Volume: �bg x 4-,6 x 7.48 (gal./cubic foot) = (Surf. AM) (Avg. Depth) (Vol. in gal.) 2. Determine preferred Turnover Time in hours: c6, x 60 (min. / hr.) = -3&0 (H--) �Tumover in Min) 3. Determine max now Rate: 36o I 2b + 0 - �Up (Vol. in gal.) �Turnow Ming.) (Pool Flow Rate) (Feature now Rate) (System now Rate) 4. Spa Jets: x 16 —gPM per jet = &0 flow rate. (No. of Jets) (Jet flow) (Total Jet Flow Rate) (For single pump pool/spa combo, use the higher of No. 3 or No. 4 in the following calculations for the pool spa) Detwmine PlIm Sizes Branch Piping to be inch to keep velocity 0 6 fps max. at &!4 gpm Maximum Systemnow Rate. Trunk Piping to be inch to keep velocity G 6 fps max. at gpm Maximum System Flow Rate. Return Piping to be L �Z'i inch to keep velocity 0 8 fps max. at - &Z gpm Maximum System Flow RotlL Detivinim SimRVW Mit 1. Distance from pool to pump in feet: -44- 2. Friction lose (in suction pipe) in inch pipe per 1 ft. 0 gpm = iOb (fram pipe flow/friction loss chart) 3. Friction loss (in return pipe) in inch pipe per 1 ft. 0 gpm = 10 (from pipe flow/ffiction loss chart) 4. 4�- ---x '013 1 (Length of Suct. Pipe) (Ft of heod/l It of Pipe) 5. 4,S x . 10 (Length of Return Pipe) (n of head/i ft of Pipe) TDH in Piping: -16 C-t-l3ov;,15" �e VAi--VC-5 5-r Io /-t A I d Filter loss in TDH (from filter data sheet): Heater loss in TDH (from heater data sheet): Total all other loss: Seleded Pump and Main Didh Q= Total Drxm* Hood (TDH): 144 Pump selection I fma '� V6--),D50 3 4- using pump curve for TDH & System Flow Rate (Pump model and size in Fiorsepow) Main Drain Cover[WA T EKVq A�I jpj�o.,151 x (System Flow Rate must not exceed approved cover flow rates) (Make and Model) Notes: Minimum system flow based on min. flow per skimmer of 35 gpm. Determine Um Number and L= of enuirlad In4bor &xtm Outlehr Check all that apply. 3'-0- (D 21 -P)A,--]suction outlets 0 gprn max. flow (see note 2). @ 3 suction outlets 0 gpm max. flow (see note 3). channel drain 0 gpm W/ ports (see note MH Calculation Doom Total Head In Feet Conversion Chart For each pump lndm Mwwfy (Vocuum Gouge) Check one. _2 2 1 4 1 6 8 1 10 12 1 14 1 16 10 Simplified Total 4nomic Head (SMH) U 2.3 1 4.5 84 9.0 11.3 111 15A 1 ILI W 2J 4.6 5A 9.1 11.4 13.1 15S 1&1 214 22.7 Complete STDH Worksheet - Fill in all blanks. 2 4.6 6A 9.1 11.4 117 154 IL2 20.4 22.7 25.0 Total Dynamic Head (MH) 3 U 92 11.5 117 IU IL2 203 22A 2U 27.3 4 &2 11.5 13.8 ILO 15.3 2113 222 25.1 Z7.3 29A Complete Program or other coics. Fill in required 5 11.5 13A 1111.1 IL3 20.6 22A 25.1 27.4 20.0 1 31.9 X3 3U 3" 9 2U 211 2U 27.6 29J 3zi mi 3Ls mi 41.1 10 23.1 25.4 27A 291 3LI 34.4 W 3111A 41J AIM 11 11 25.4 27.7 213 32.2 34.3 X7 38.0 41.2 415 4&8 blanks on worksheet & attach calculations. 6 IJJ ILI 1L4 2U 22A 25.2 27.4 2V 31h 34.2 7 IL2 IL4 20.7 23A 2&2 273 29.7 32.0 34.3 As Maximum flow CoRgicity 8 IL3 211.7 23A 25.3 27.5 294 of the new or replacement pump. 27 M 32.2 34.5 311A 31111A 413 413 1 45A 41LI 13 3U JW 34.4 311A X.1 41J 43A 45J 4LI SM MK 14 32.3 36A 3U 38.1 41.4 4&6 4U 41111 5M 5V 15 34A 3U 392 41.4 4&7 4U 4U SU M7 %A 1. If a variable speed pump is used, use the max. 2! 10 37A X2 41.5 417 41141 4U MS 3U = 57.3 17 39J 413 43A 4LI W 511A 5U 3LI 57.4 58A pump flow in calculations. 18 41A 4U 4&1 4L4 SU M1 5&1 57.4 311.7 11.9 2. For side wall drains, use appropriate side wall drain 11 43.0 4L2 411.4 5V 52A M2 57.4 SL7 GRUA GKU2 20 4&2 4L3 5V 5U A2 37.5 502 1 MA 04.3 OU flow as published by manufacturer. 21 4L5 MA _5M 5U 1 57.8 5U KLI W OU SU 3. Insert manufacturees name and oproved maximum 22 55 ii-I -5" 57.0 1 502 ILI 64.4 1U OU 712 23 511 5&4 573 5114 U2 $4.4 OV 0.0 71J W flow 24 M4 37.7 0&0 OU W OV OU 714 713 7U 25 57-9 SOS UJ GU OU 0.1 713 73.6 M 7LI 4. See installation instructions for number of ports to 25 110-1 UJ 64.8 OU 0.1 71.4 1 13A 75.9 7LI 8114 be used. 27 BU $44 OU OU 71.4 717 75J 1 78.2 BU I IV 21 84.7 8U 71.5 717 M 7111 1 US MJ i OU 5. In-Floor suction outlet cover/grate must conform to 20 07.0 01.3 71.5 73A I 7LO M BU I au aii I V.3 most recent edition of ASME/MSI A112.19.8 and be 30 OU 71.6 73A M 1 7&3 au vj ;' I&I V.4 I OU ;M embossed with that edition approval. 31 71.6 73A 7LI M 1117 OU aU V.4 K7 OU L 32 73J 7LI V7L4 80.7 M OU VJ OV 9U "J 6. Pump, Filter & Heater make and model cannot te, 33 1 7111 78.5 K? M M3 1173 NJ ILO "J OU changed, and equipment location cannot be moved 34 M aDJ III OU V.5 NJ 9 1 94AL closer to pool without submitting a revised plan and 35 BU UI &L4 VA NJ OL2 I SK4 9L7 I ZLOUI-.2 j MH calculation worksheet fcr approval. NOTE FED TDH MUST BE UNA M OR HOU THAN THE C&MILMED TDH. Flow and Mfion Low Per Foot Schedule 40 PVC Pipe Feet Pw Sewlif a in _. I Is W" We 21 WR I 01Y I.r 37 wn Ur W" I'V . I 6afaloq_ C&-/ Sbeet;s, f- a wo 0.01r_ 0.1 236- 0 2PM OM 117 OM O.Or T_ 136 gpn Moir 181 OM 0.07 4' 234 Wo O.Or 31390 tar r ja= yte-v Robert Wood PE. 31542 2000 Sandpiper Point 4 Neptune Beach, FL-32266 614- d&A-19/Zl Phone/Fax: 904-241-2021 Swimming Pool kation For. E Dot# / /*�'\c - I*;-",* ';� , pecif % S. !c- 1542 contractors 5-ignature AT F 0 F Contractors Printed Norne Contractors Cert No. Atli tttl Scale: None contractors FeTe-pWore No. IntelliFlo"WIS 30SO & 1nte11iF1oVS+SVRS High Performance Pump Products Featured Highlights "ashes energy costs up to 30%or more Eco select Easy to program and operate .4 Offers ultra-quiet operation ...just 7— 10 Pentair Water decibels or half a human whisper Operates at the minimum speed required for unmatched longevity Compatible with other pool systems, including EasyTouchl,IntelliTouch',and SunTouch'" IntelliFloVS 3050 High Performance Pump Patents Pending lntelliFloOVS 30SO allows the programming of four various speeds ranging from 400 to 3450 RPMs to accomplish different tasks at lowest energy usage.- Ordering Information Product Description Certifications Voltage Full Load kW HP SF SFHP Port Size(NPT) Carton Wt Amps Suct.&Disch. (Lbs) INTELLIFLOVS 3050 PUMP 011013 IntelliFloVS 3050 LIL,CSA,NSF 230 16 3.2 3 1.15 3.45 2" 47 011017 IntelliFloVS+SVRS UL,NSF 230 16 3.2 3 1.15 3.45 2" 47 ACCESSORIES 520641 IntelliComm 4 8 350122 50'Communication Cable' Included in package with pump. 'j, 1A Note:I See pa. IntelliProO VS 30SO High Performance Pump Dimensions and Performance NSF LISTED CSA Certified Listed 120- 35- 100- 30- 50 rpm 80 25 a) 3110 rpm _j 0 - 207 0 60--- Q) a) 235 LL 40- rpm 10 20 1560 r pm. 57 50 rpm 0 0 20 40 60 so 100 120 140 160 U.S.Gallons per minute 5 10 Is 20 25 30 35 Cubic Meters per hour 26.406 T —:7 P 11.047 14.4kin 0.) -Vi "I.:y 10�75 ------------ See page 494 for replacement parts Clean & ClearO Filters Pent&f Fiberglass Reinforced Polypropylene Tank x Pool ProducW V 7 Af "Featured Highlights iJUM0 A-W - NSF listed - Unionized connections Integrated continuous High FIOWTI internal air relief* Chemical resistant tank body Lock ring with spring-loaded safety latches • Coreless cartridge for easy cleaning • High Flow manual air relief valve. • I in.drain and wash out Single piece base and body design Clean & Clear Filter The Clean & Clear'Filter features a chemical resistant tank with no-tool servicing and a coreless cartridge for easier cleaning.All models are equipped with easy spin-on unions for plumbing hook-ups.These filters are NSF listed,and are available in 50,75, 100, 1 SO,and 200 square foot sizes. Ordering Information Effective Flow Flow Rate' Turnover Capacity(in Gallons) Product Model Filtration Rate (GPM Carton Carton Area(Sq_Ft) (GPM Res) Comm) 8 Hour 10 Hour 12 Hour Qty Wt(Lbs) CLEAN&CL EAR FILTER 160314 CC 50 50 50 19 24,000 30,000 36,000 1 160315 CC 75 75 75 28 36,000 45,000 54,000,�--_ 4!, 26 160316 CC 100 100 100 38 48,000 60,000 72'000 '3J 56 72,000 ' 90,000 --Y� 108,0 35 160318 CC 200 200 150 75 72,000 90,000 108,000 35 'One GPM per sq.ft shown recommended flow rate.5 GPM per sq.ft Commercial rate is a maximum of.375 GPM per sq.it of filter area. Dimensions and Performance Clearance to remove Filter Module Listed Dimension Table B –,0—_�_ NoteActual system flow will depend on plumbing size del Dim B Dim and other system components. A 160314 18" 30" Note:Pentair Pool Products does not recommend 160315 25-1/2" 39" flow rates above 150 GPM. 160316 33' 61- *Integrated continuous High Flow internal air relief is 160317 40-ir2 76' 160318 40-1r2 76" operational only when there is unobstructed flow in the circulating system. 15-ii2in. Dimensions See page 349 for replacement parts. SECTION IV. TECHNICAL DATA A. Filter Pressure Loss Chart B. Flow Rate Table PRESSURE LOSS vs FLOW Residential Commercial Maximum Cartridge Maximum Cartridge Flow Rates Flow Rates 7-- Product# sq.tt GPM GPH 6 hour 8 hour GPM GPH 6 hour 8 hour 16G314 so 50 3,000 18,000 24,000 19 1,14o 6,84o 9,12o 6- 160315 75 75 4,500 27,000 36,000 28 1,680 10,080 13,440 3 Of — 160316 100 100 6,000 36,000 48,000 38 2,280 13,680 18,240 160317 150 150 9,000 1 54,000 72,000 1 56 1 3,360 20160 26,880 16G318 200 150 9,000 1 54,000 72,000 1 75 4.af 27.: 2 1 W-000 (1) One GPM per sq.ft.shown,recommended flow rate for residential is.5 GPM per sq.ft. (2) Commercial flow rate is a maximum of.375 GPM per sq.ft.of filter area. 0 20 40 60 so 100 120 140 NOTE: Actual system flow will depend onplumbing size and other system components. FLOW Wm) C. Replacement Parts Item Part Number Description 3, 4 1 98209800 High Flow"manual air relief valve 2 190058 Pressure Gauge 3 178553 Lid,50, 100 sq.ft.filter 4 178561 Lid,75,150,200 sq.ft.filter 5 59052900 Locking Ring assy. 6 87300400 Body 0-ring 5 7 59016200 Air Bleed Sock Kit r—dr-Y JED- 8 59053500 Center Core,50 sq.ft.filter 9 59053600 Center Core,75 sq.ft.filter 10 59053700 Center Core, 100 sq.ft.filter 7 11 59053800 Center Core, 150,200 sq.ft.filter 12 R173213 Cartridge Element,50 sq.ft.filter 8, 9, 10, 11 13 R173214 Cartridge Element,75 sq.ft.filter 14 R173215 Cartridge Element, 100 sq.ft.filter 15 R173216 Cartridge Element, 150 sq.ft.filter 12, 13, 14, 1571-6—) 16 R173217 Cartridge Element,200 sq.ft.filter 17 178562 Bottom,50 sq.ft.filter -- 18 178554 Bottom, 75 sq.ft.filter 17, 18, 19 72 O� 19 178563 Bottom, 100 sq.ft.filter 20 178560 Bottom, 150,200 sq.ft.filter 21, 22 21 86202000 Drain Cap Assy. 22 51005000 Drain Cap Gasket 5 23 39104500 Union Nut"C"Clip 26 24 98212200 Union Nut 25 071426 Union 0-ring 13101 26 793(A600 Body,Swivel 2 2 Rev. D 6-26-09 7 P/N 178556 Waterway Technical BUIletin:VGB2009 640-231 x V 8"Anti-Entrapment Main Drain Cover and Frame Waterway main drain covers are compliant with the Virginia Graeme-Baker Pool and Spa Safety Act(ASME/ANSI Al 12.19.8-2007)and are UL Certified. Theyare designed for single or multiple drain use.Thisdrain cover assembly includes frame and stainless steel screws with brass inserts.Packed 25 per case. The Waterway 640-231 x V series covers and frames are available in: Ll White Ll Bone E Black Ll Gray 0 Dark Gray U Beige 8 Dark Blue Model No. Description Size Total Open Area Floor Flow Rate Wall Flow Rate Flow Rate GPM Square Inches GPM GPM @ 1.5 ft/sec 640-231 x V Anti-Vortex 81, 11.83 100 @ 2.2 7 ft/sec 64 @ 1.73 ft/sec 55 - 08.650 Part Na DesmPtion 07.624 819-00051 48 Stainless Steel Screw-32 x M6 642-21 Sx V 8"Anti-Vortex Drain Cover — 7.000 642-214x 8"Anti-Vortex Drain Frame 819-00051 0 0 ID T U0 - M'-"�o '00'�o d 0 642-21 5x V 0 0 0 ' 0 0 Zs' 00 '0 0WAft �0 10 0 010� 0 10 0 ' .300 ko 0 0 %J) 642-214x U000 Ito 0 -0 0 0 OF- .470 975 B= @2009 Waterway Plastics-2200 Sturgis Road,Oxnard,(A 93030-Ph.805-981-0262-waterway@waterwayplastics.com-www.waterwayplastics.com 807-0081.0309 masterTempO Heater High Performance Eco-Friendly Heaters PenWr,�.l Pro&wft, "Featured Highlights up fast so no long waits before Heats enjoying your pool or spa (4E9 Edo Y. Best-in-class energy efficienc Select -off when service is Manual gas shut ired requ Eco-friendly MasterTemp"is certified for low NOx emission and outperforms industry standards Rbtating digital display allows for easy viewing -Tough,rustproof exterior handles the MasterTemp High heat and weathers the elements Performance Heater New MasterTe mpe heaters offer all the efficiency,convenience and reliability features you want in a pool heater,plus a lot more.As easy to use as your home heating system,plus,user-friendly indicator lights make system operation.and monitoring a snap.The compact design and super-quiet operation won't intrude on your poolside leisure tim.e. Ordering Information C Carton Qty Wt arton 175 1 128 460792 Natural A. "'Urv" "All, IN WW� W 128 460730 Natural 200 Orowe 133 250 460732 Natural M-0 120 250 ASME 460771 Natural 25OHD 136 460906 Natural v� Tzpm Vr _T 300 136 460735 Propane K 400 136 0?A -42 40775 Natural 400ASME 149 r RIF 400ASM NOTEThe MasterTernpO is certified for low NO,emisskms- Techko USA - ALARM PROTECTION PRODUCTS - MODEL: S 18 7D Page I of I Sam— Close WincI7 Quality,Service,integrity,Commitment to Excellence ow Model: S187D -SAFE POOL One unit per single entrylopening(and/or with its screen by using the second set of sensors). Can not be used for 2 windows next to each other. Magnetic sensor entry alarm "Always on"alarm protection Adult pass-through auto reset button High output 110-115 dB alarm Water/weather resistant housing Magnetic sensor for additional door/screen door Low battery LED display CONTAINER: Addtional pass-through button for delayed entry from either side door or fence 20 FT� 9,600 pcs. 40 FT: 19,680 pcs. Intended for interior or exterior use 40 HQ: 22,896 pcs. 9V battery operation(not included_ UPC Barcocle� 014575 18701 1 Pool Guard Alarm USA Patent No. 5,473,310 and No.6,727,819 ETL Approved under UL 2017 Standards www.techkomaid.com I Office Products(888)883-2456 Security Products(949)380-7300 http://techkomaid.com/security/pool/S I 87D.htm] 6/6/2013 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 C'21f Phone(904)2 47-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: -------------i��W/z City web-site: http://www.coab.us I If APPLICATION REVIEW AND TRACKING FORM Property Address: j D_epartrnent review required Yes No QLUild' /Aanning &Zoning--> Applicant: ��Istra , Project: L15ubliSMqLk ,—.4-10-Bric-Utilities Public Safety Fire Services boo Review fee $ __T7ef�'ligga 6reIV, T' 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: P'A_`pproved. [-]Denied. (Circle one.) Comments: V1 c?LC COVJ a44clf UD I V-611 BUILDING set A-0 'Prk v)-t- 0/1 pe4' C 5' (j�NNING�&ZO Reviewed by::: P do.,J�Date: 10 16/17/U�3 TREE ADMIN. Second Review: DApproved as revised. F�Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. F]Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Z,5 — �ef 79 Phone(904) 247-5826 - Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: QepadWent review required Yes No uild' Applicant: lanning &Zoning�> Project: ublicW rsf—or tilities Public Safety Fire Services Review fee Dept Signature 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 W ter Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other APPLICATION STATUS Reviewing Department First Review: [9A/pproved. [:]Denied. (Circle one.) Comments: (ER PLANNING&ZONING Reviewed by: /77 Date: 6—/7—/-2 TREE ADMIN. V Second Review: [—]Approved as revised. FlDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 07127/10 BP250U01 CITY OF ATLANTIC BEACH 7/01/13 Application Tracking Step Selection by Revision 15:28:31 Application number . . . . 13 00002879 Address . . . . . . . . . . 370 10TH ST RE number . . . . . . . . . 170049-0000- - Application type . . . . . . SWIMMING POOL/SPA NCR OLD ACCOUNT NUMBERS . . : AB06031 Tenant name, number . . . . Type options, press Enter . 2=Change 4=Delete 5=View 6=Fast log 8=Action log maintenance 9=In/out maint Path ---- Key Dates --- - Review Summary opt Agency description Rev Step Req In Est Cmpl Resulted Stat By BUILDING DEPT. A 01 Y 06/17/13 07/04/13 06/17/13 AP MJ PLANNING & ZONING A 01 Y 06/17/13 07/04/13 06/17/13 AP EH PUBLIC UTILITIES A 01 Y 06/14/13 07/04/13 06/17/13 AP LS PUBLIC WORKS A 01 Y 06/14/13 07/04/13 06/24/13 AP LS Bottom F3=Exit F5=Land inquiry F6=Add F7=Revisions F8=Misc info inquiry F9=Corrections report F10=View 2 F11=Sort by agency F24=More keys NOTICE OF COMMENCEMENT state Tax Polio No.—170049-000 Cotmty of—Duval To Whom It Afty C,=cemz Ile undersigned hereby Lnfbrm you that improvements wjU be made to ceTtedn real property.end in 6ccordonce YAth Section 713 of the Florida Stems,the fbilowing Information Is stated in this NOTICE OF CM04MCEMENT. Legal De6cripdon of XopsrW beft jTnproyBd;_6419 16-2S-29E ATLANTIC BEAGH– Address of prwcrty being irwrovcd;--j7Q I e Sit— Atl Vich YL 3223 Gencral description oftagroven=ts!_Swimming Pool Owner.—Mike Larribert Address; 370 lot's=am Bch FL 32233 CKvnor'3 interrA in site of the improvement; 10 Fee Simple Titleholder(if othar then owner): eAdd-- T.1wh S—ty(if-Y) Address: Amom of BOW S Telephonewo. Fax NO, Nun and add=&of any pvzon making a loan for the constrtwdon of ft improvanertu 141me: Address; Phone No.- Fax No, Nmm of person wid2in t4a Sotue of FIxide,affier 63an himself,desigazhed by owner upon wt2om notices or offier documents may be served:, Name: Addrm; Telepbogm No: Fax No; In fiddidon to himself;owwr desomas the ftAk"Pmon to Melva A 00PY Of the Manors Notice as provided to Secdon 713,06(2)(b),Florida gtata�, (Fill in at 0—'s op&m) Name:� Addms; TelMh=No! Fax No: Exphrion date of Notice of Commencement(the explmloa.dffm is one(1)year tom the date of recaft unless a d1mcent Me is specified), THIS 1PACA FOR RECORDER'S USE ONLY OWNER f 0-9 2(H 31 Sol 0,Olt SK 164M Numw Paves,I PMR Z 52, Before me day of In the County ofDuvid.9= R,,,OW 071MM 3 at I Z,5 pM Of PlWd-Ei,jh ly Rctirft Fu-W cLtRK CfRCUrr 6OURT DUVAL Nomfy Public ax Largc,�—X-ftqrldl-Cor/4�1, CCU" My comatission / I REC0P0)p4G$7V.Do Personally KnOWALT6C4 or P.6.. ldenfiE-i5. 8MRE1,S:F&uwyA20j4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002879 Date 7/09/13 Property Address . . . . . . 370 10TH ST Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 25000 ---------------------------------------------------------------------------- Application desc NEW POOL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAMBERT DAVID M ISLAND POOLS, LLC 370 10TH ST 1546 LINKSIDE DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 334-5421 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . HAZOURI ELECTRIC, INC. Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/05/14 ---------------------------------------------------------------------------- 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 PER SECTION 24-164 (b) (1) : "in no case shall the pool be located closer to a front lot line than the principal building is located" . PER SECTION 24-164 (b) (3) : "minimum required side and rear yard setbacks shall be five (5) feet from any lot line" . ---------------------------------------------------------------------------- other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 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 ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph(904) 247-582 Fax (904) 247-5845 PERMIT# JOB ADDRESS: JEA INFORMATION REQUIRED ON ALL PERMITS AMPS —VOLTS PHASE VALUE OF WORK$ NEW SERVICE F� Overhead F-1 Underground E3Underground up Pole 01 Residential(Main)Service [10-100 amps 11101-150amps 0 151-200amps O—amps #of Meters [-"C ommercial(Main) Service M OCT Service amps EO-100 amps 11 101-150amps 0 151-200amps 0 a ps Conductor Type__ Size '---'Multi-Family(Main)Service E 0-100 amps 0101-150amps 0 151-200amps amps #of Unit Meters D Temporary Pole 0 amps SERVICE UPGRADE 0 amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps 0 amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 3 1-1 00amps 10 1-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 0 Swimming Pool 0 Sign D Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS 0 Replace Burnt/Damaged Meter C n 0 Safety Inspection 0 Panel Change D OH to UG EjOther: 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�- //Li Phone Number Electrical Company Office Phone Cy—YV(l Fax Co.Address: I-e)e*pj i city C/t,17 State Zip � 2,61 io "-/ gistration j�'C 0 0 License Holder(Print): X 0 State Certificat ji/Re Notarized -of License Holder I SHIRLEY L GPAH&efor me this day o 1-3- My COMMISSION#DO 957760 �XPIRES:February 14,kft%_� imded Thru Notary Pubtic e of Notary Public City of Atlantic Beach, APPLICATION NUMBER Building Department (To be assigned by the Building Department) / A, 800 Seminole Road Atlantic Beach, Florida 32233-5445 9S 79 Phone(904) 247-5826 - Fax(904)247-58345 E mail: building-depi@coab.us Date routed: City web-site: http://www.coab.us L APPLICATION REVIEW AND TRACKING FORM Property Address: ge-partMent review required Yes No �,I d' Applicant: 21,16nning &Zonin0! nistraf6r Project: (Public.Wo s <Vu_bTic_-,UtiIities Public Safety Fire Services Review fee Dept Signature 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 i Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: NApproved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREEADMIN. Second Review: FlApproved as revised. E]Denied. Comments: I ILI IES! Ty 1P LU7 L I FCS ALFI TY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 07/27110