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355 11th St 2013 pool CITY OF ATLANTIC BEACH 111 s� 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003158 Date 8/12/13 Property Address . . . . . . 355 11TH ST Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 34000 ----------------------------------------------------- Application desc pool and spa ------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- CDL AB LLC ISLAND POOLS,LLC 357 12TH ST 1546 LINKSIDE DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 334-5421 ---------------------------------------------------- Permit . . . . . . SWIMMING POOL Additional desc . Permit Fee 220 . 00 Plan Check Fee 110 . 00 Issue Date . . . Valuation 34000 Expiration Date . . 2/08/14 --------------------------------------------------- Special Notes and Comments Decking per original Building Permit only. 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 ------------------------------ Other Fees . . DEV-REVIEW SFR UNIT 50 . 00 STATE DCA SURCHARGE 3 . 30 ENG REV PRE APP > 3 HRS 25 . 00 STATE DBPR SURCHARGE 3 . 30 ---------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----- ---------- --------- Permit Fee Total 220 . 00 220 . 00 . 00 . 00 Plan Check Total 110 . 00 110 . 00 . 00 . 00 Other Fee Total 81 . 60 81 . 60 . 00 . 00 Grand Total 411 . 60 411 . 60 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION COPYI CITY OF ATLANTIC BEACHILE a c� 6 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 JUL 2 Job Address: 355 11th Street Ad Bch FL 32233 Permit N Legal Description 5-69 16-2S-29E ATLANTIC BEACH Parcel# 170108-0 oor Area of Sq.Ft. St Valuation of Work $ 34000.00 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 N/A Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be perfor d: Inground pool and spa Property Owner Information: Name: Chris Lambertson Address: 357 12th Street Ad Bch FL 352233 City Atl Bch State FL Zip 32233 Phone 904-334-5421 E-Mail or Fax#(Optional) Contractor Information: Company Name: Ronald Gray Qualifying Agent: Island Pools LLC Address: 1546 Linkside Dr City Atl Bch State FL Zip 32233 Office Phone 904-334-5421 Job Site/Contact Number_904-334-5421 Fax# State Certification/Registration# CPC 1457429 Architect Name &Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for apenod of six 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, 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 hereby 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 spec(ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provtstons of any other federal,state,or local law r gulating construction or the performance of construction. Signature of Owner Signature of Contractor rN Print Name Print Name ...:......al......... .4... !........................................... ......................................................................................................................................... ,..... Swo a b 'b d befo.� 7 Swo and subscribed befor th ay o 2013 s D y of 20/ Notary u ;�Y "+ L GRAHAM GRAHAM 'S :x: 1 AY COMM SION#DD 957 ,. .. MY ION#DD 957760 �^ i= EXPIRES Pebrue - E RE ebruary 14,2014 TSP ` Bonded TAru ry 14 014 vi sed 01.26.10 ' $ G ryPubllcUn yr Bonds Notary Public Underwriters s ------------- Approx.Ship. Weight of Description 11 ber 00 Sq.Ft.Replacement Module for PLM100 11.5 1 2-0100S125 Sq.Ft.Replacement Module for PLM125 12 12 0125513 150 Sq.Ft.Replacement Module for PLM15 )2-01505Replacement Module for PLM175 14 175 SqFt.. )2 01755 200 Sq.ft.Replacement Module fo19r PLM200 02-02005 8 oz. 300 Sq.Ft.Replacement Module for PLM 300 02-0300S 1 2"x 1-1/2"Pipe Reducer Bushing 3.820P ' Spring Check Valve )O1-01305 , ' PLM300 it51 LM125, aA150, 5, A u u VA4 17.72 I' a. OUIIFI �; 7'NPf DUllft � 7.25 7 NR 7"NR INET � ISD All dimensions shown in inches. { _ PLM100,PLM125, _ PLM ISO,PLM 175, 4 PLM200,PLM300 ----- ----- 10 20 40 60 80 100120140160 W RATE IN GALLONS PER MINUTE MasterTemp0' Heater { High Performance Eco-Friendly Heaters Pentairru ,I,raddirts AElr • I-feats up Fast so no tong waits before 0 enjoying your pool or spa Select • gest-in-class energy efficiency s fr„rv•it �PoWturwatat - Manual gas shut-off when service Is 1 required ' • Eco-friendly MasterTempe is certified I` far low NOx emission and outperforms iI industry standards • Rotating digital display allows for easy - viewing MasterTemp High •Tough,rustproof exterior handles the Performance Heater heat and weathers the elements New MasterTemp”'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 time. Ordering Information Product Gas Type BTU (000's) Carton Qty Carton Wt 460792 Natural 175 I -128 460793 Propane 175 I 128 460730 Natural 200 I 128 460731 Propane 200 I 128 460732 Natural 250 I 133 460733 Propane 250 1 133 . 460771 Natunl 250 ASME 1 120 460772 Propane 250 ASME I 120 460806 Natural 250FID 1 136 460734 Natural 300 I 136 460735 Propane 300 I 136 460736 Natural 400 1 136 460737 Propane 400 1 136 460805 Natural 40OHD 1 136 t 460775 Natural 400ASME 1 149 460776 Propane 400ASME 1 149 NOTE:The Maswrlemp•'is certified for low NO,emissions. I "I , y I 1 1 f vGB 640-231 x V Waterway Technical Bulletin:VG62008 V� 2008 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. d. • 4' - .»..:' They are designed for single or multiple drain use.This drain cover assembly /� . 0 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: ❑ White ❑ Bone ■ Black J Gray ■ Dark Gray ■ Beige ■ Dark Blue Total Open Area Floor Flow Rate Wall Flow Rate Flow Rate GPM Model No. Description Size P Square Inches GPM GPM @ 1.5 ft/sec nti-Vortex $" 11.83 100 @ 2.27 ft/sec 64 @ 1.73 ft/sec 55 ,+ ,tea ....... ..._ ... . .. 08.650 Part Na Descnptwn 819-00051 #8 Stainless Steel Screw-32 x'h6 v4 7.624 642-215x V 8"Anti-Vortex Drain Cover 7.000 642-214x 8"Anti-Vortex Drain Frame 8t9-00051 � gin dO off°O�o�rp^o O 642 215x V o ®� 00 OHO i Op - w p010 8 � O `�Q o O . .300 IN ® O 0 642-214x 400OO OC "t"-- 0 O � ao�aio. .470 .975 .800 Be Sae WE l swum G TM 02009 Waterway Plastics•2200 Sturgis Road,Oxnard,CA 93030•Ph.805-981-0262•waterway@waterwayplastics.com www.waterwayplasti(s.com 807-0081.0309 Intelli 1 o°VS 3050 & IntelliFloVS+SVR _ High Performance Pump PWA-d• rPoo!Prodoats` Featured Highlights e •Slashes energy costs up to 30%or more Ecogram and operate select • Easy to pro "'""'°°""�' • Offers ultra-quiet operation ...lust 7— II � +t decibels or half a human whisper • Operates at the minimum speed require for unmatched longevity • Compatible with other pool systems, including EasyTouch®,IntelllTouche,and SunTouch'" IntelliFloVS 3050 High Performance Pump Patents Pending IntelliFlo®VS 3050 allows programming c oh d fferent tasks atf four various speeds ranging from 400 to 3450 RPMs toaccomplish lowest energy usage. Ordering Information On CWt Full Load Port Size(NPT) r Product Description Certifications Voltage Amps kW HP SF SFHP Suct.&Disch. (Lbs) 11 47 3.2 3 1.I S 3.45 2„ 230 16 47 01 1013 IntelliFloVS 3050 UL,CSA,NSF 3 2 3 115 3.45 2 o11017 IntelliFloVS+SVRS UL,NSF 230 16 � 8 520641 Int elliComm 4 350122 50'Communication Cable' 'Included in package with pump. s �1 I 4.. VP i�P V y' t 4i411t If .A'4 ye#FFarr wr.z,�.awN-1s�i:�sK� Ot Q o Pools= Impervious calculations for 355 11th street Current lot size 7500 sft Decking to be provided by contractor All impervious calculations submitted with building plans under Lot 20 11th street Completed by RD Gray Island Pools LLC 904-334-5421 ANSUASP-7,.2005.Spec►fres ttloeeama"s for determining the maximum system flow rate.The following simplified t6H'Caltxllafiot it vls specified. .simat w-few D*tamieAead(TDHI'C'aik>platidn�Vifaarkaheet Determine Maximum System Flow�Raato�, Minimum Flow Rate Required:3a$pm.per skkt mer „ 1. Calculate Pool Volume:_Cg 1 x x 7.48(gMicubic foot)= (S+Lam Area) (Average D6A) (V in s&Vons) �* 2. Determine preferred Tuover 7irne in hours:._x BU(minutes J rnhDu�j +� 3. Determine Max Flow Rate: 1 u} 1 �CDQ___�9 tn)— (Vok,rne fnn,a.1Tum wW11( i-) (P 11"Ram) (F..,,,.Fl"forte) (syslern Flow Rate) C.-) ! 4. Spa Jets: 1I) _` (•reg b.)gpm per jet= ~k1R flow rate. Je40dwRste) m (For single pump pooltspa combo.use the higher of No.3 or N6.4 In the f llowing—k.�I/atans for the poo!8 spa) L46 J Determine Pipe Sizes: ". rra h Branch Piping to be OL inch to keepve'locity a 6 fps maxc.at JW gpm Maximum System Flow Rate. 8 dw.`st gprr►Mamdmum Sys#em Flow Rate. *i Trunk Piping to be �Inch to keep Vebcity fps r' ' Return Piping to be inch to keep vib o X10 fps mAx.et 9Pm Maximum System Flow Rate. Determine Sirrwg!gd TDH, 1 Distance frt)tn pool topa R .. L: p�from flowlfricfiw loss Chan) 2. Friction loss(in auction P'"110111 K*vPkX Pgr 1 11. {k�'��Spm= ( Pkv 3. Friction loss (in return ow Ire ! tJnC't 0100 00"-1"R a D gpm- (from pip9/0 flow/friction k>e9 chart} 4. Length of suction Pipe Xf,9t hf..?Wi t'4 pipe ), =TDH suction pipe 5. Length of rietum pipe x ft of hes&`!1Gotpipe Q =TDH neturrm.Pipe >� TDH in Piping: Filter loss in TDH(from filter data sheet): hteot lofs in TDH(from heater data ttleet): - ToAal.aN ott►�iCNsa: _,,.� Tota131mplifted TOM.- selected DH:Selected Pump and Main fNairt t&M. Pump Wtaction 1 p I r VS-3o�ftr pimp curve for Simpithied TDH 8 Symem Flow Rate T�!vr�aro�h Ffwwpw,er) Main Drain Cove=r7j "j'y'.(a�0 (System Flow Rate mrd not expo roved cover flow rate) ( ;M Kkdg Notes:Minimum system flow based on minimum flow per skimmer of 35 gp . ;- ter,^0ine the Number and Tyne of Rmuired In Fkxx SuCt1p� " r--Check all that apply. [] • e a 3 suction ouner� ,^` t = ►.E dote 3) Q Aquastar Channel Draih.6 318.40h'k&X Mk rete ►� vi sae a U z`�! A 8 A Channel Drain 217gpm W1?Pat $278 gpm rv!3 ports( ) a U UA0 A A ~ �In °CA U _ SAMUEL LIBERATORE, PE s5740 w W 1268 ROGERS ST �) CLEARWATER, FL 33756 727-44248443 A G a M ?'./.3 --Z' �� TDH Calculation Options Total Head In Feet Conversion Chart For each pump InchesMeroxy cuum Gau e 0 2 4 6 8 10 12 14 16 18 Check one 0 , 0.0 `7.'2.3 1 4.5. 8.8' 1 9;0• 11.3 116j 15.8. 18.1 20,3 SimAlifled Tota[Dynamic Head CSTDH) 1 2-3 4.6 5.8 9.1 11.4 13.6 15.9 18.1 20.4 22.7 Complete STDH Worksheet-Fill in all 2 4.6 S.9 6.1 11.4 13.7 15-9' 18.2 20.4 22.7 25.0 zoom • l blanks 3 6.9 9.2 11.5 13.7 16.0 16.2 20.5 22.8 25.0 27.3 4 9.2 11.5, 13.8 16.0. 18.3• 20.5 22.8 25-1 27.3 29.6 O Total Dynamic Head(TDH) 6 11.5 13.8 18.1 1833 20.6 22.8 25.1 27.4 29.6 31.9 Complete Program or other talcs.Fill a p in required blanks on worksheet 8 6 13.9 115-1, 18.4 20.8 22.9 25.2 27.4 29.7 31.9 34.2 �/ + 7 16.2 -18.4. 20.7 23.0 25.2 27.5 29.7' 32.0 34.3 36.5 attached gkulations. 8 18.5 20,7 23.0 25.3 27.5 29.8 32.0 34.4 36.6 38.8 9 20.8 23.1 25.3 2736 29.8 32.1 34.3 36.6 38.9 41.1 :y 10 23.1 25.4 27.8 29.9 32.1 34.4 36.7 36.9 41.2 43.4 i 11 25.4 27.7 29.9 32.2 34.5 38.7 39.D 41.2 43.5 45.8 12 27.7 30.0 32.2 34.5 36-8 39.0 41.3 43.5 45.8 . 48.1 13 30.0 32.3 34.5 36-8 39.1 41.3 43.6 45.9 48.t 50.4 Notes' 14 32.3 34.6 36.9 39.1 41.4 43.6 45.9 48.2 50.4 52.7 1. If a variable speed pump Is used,use the 15 34.6 36-9 39.2 41.4 43.7 45-9 48.2 .50.5 52.7 55.0 16 37.0 39-2 41.5 43.7 46.0 48.3 50.5 52.8 55.0 57.3 maximum purnp.flow in calculations. 17 139.3'141.5 43.8 46.1 48.3 50.6 52.8 55.1 57.4 59.6 2. For side wall drains,use appropriate side 18 41.6 43.8 46.1 48.4 50.6 52.9 55.1 57.4 59.7 61.9 wall drain flaw as published by the 19 43.9 48-2 48.4 50.7 52.9 55.2 57.4 59.7 62.0 64.2 20 46.2 48.5 50.7 53.0 55.2 57.5 59.8 62.0 64.3 56.5 manufacturer. 21 48.5 50.8 53.0 55,3. 57.8: 59.8. 62.1 64.3 66.6 58.9 3. Insert the manufacturers name and 22 50.8 53-1 663 57.6 59.9 62-1 64.4 66.6 68-9 71.2 approved maximum flow. 23 53.1 55.4 "57.7 59.9 62.2 '64.4 66.7 69.0 71.2 73.5 24 55-4 57:7 60.0 82.5 64.5 86.7 69.0. 71.3, .73.5 75.8 4. Sae installation instructions for number of 25 57,9 60,0 62.3 64.5 66.8 69.1 71.3 73.6 75.8 78.0 ports to be used. 26160.1 62.3 64.6 66.8 69.1 71.4 73.8 75.9 78.1 80.4 5. In-floor suction outlet cover/grate must 27 82_4 64.6 66.9' 69.2 71.4 73.7 75.9 78.2 90.5 827 28 64.7 66.9 69.2 71.5 73.7 76.0 78.2 80.5 82.8 85.0 conform to most recent edition of 29 67.0 69.3 171.5 73.8 76.0 178.3 80.5 t82,8 85.1 87.3 ASMFJANSI At 12.12.8 and he embossed 30 69.3 71.6 73.8 76.1 78.3 80.6 82.9 87.4 89.6 with that edition approval. 31 11.6 73.9 76.1 78.4 80.7 82-9 85.2 89.7 92.06. Pump&Filter make,model and location can 32 73.9 78.2 78-4 80.7 83.1 65.2 87.5 92.0 94.3 33 76.2 78.5 807 83.0 85.3 87.5 89.8 94.3 96.6 not change without submitting fevised plan6 34 78.5 80.8 83.1 85-387.6 89.8 92.1 . 96.6 98.9 and TDH worksheet. 1 35 1 80.9 83.1 85.4 187.6 189.9 92.2 1 94-4 96.7 98.9 1012 Flaw and Fnc8o11 boss 0-rFoot Swimming Poo SWifICRtion for: Schedule 40 PVC P'E2 Velocity-Feet Per Second Pipe Sthe B floe lots Size 1' 16 gpm 025 21 gpm 0.66' 26 9Pm 0.04' 1.5' 37 g pm 0.18' 50 9prnPD.262 qpm 0.48'2' 62gpm 0.15 82gpm1b3wn.. 0.4p'-: Job�Address:2.5' Ba9pm 0.08' 1179pm 146gpm 0.2 ,•.93• 138913'^ 0XV 1819pm227gprn :,023',. '7114 234 gpm 006' 313 qpm392 gpm 0.15 Remit:#.6' 594 gpm 0.04' '112gpri tq1 ' SAMU�' EL LIBERATORE, PE 55740 1268 ROGERS ST CLEARWAY-a44L3 756 7 l i, �l DH�yy ILE CBM, ;P, i0 Le OD i x m m m ,A N 4 6 C. h 3 N m fT �n r o 4 � D_ m T Nw W P 3c c y N r Inw - P/1 AA ,,. AP SHOWING SURVEY OF UC*8 AN � L K 14, PLAT No. 1 SUBDIVISION "A" ATLANTIC BEACH AS RECORDED 'S; A%44�69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. �P la J/-- 5f C �! N .�. M ►N4rtr 11Q LOT 25 LOT 27 1�GAP -''�-1111 ( 99.821 FIELD )FENCE y '� LQ�, TO LINE 4'C LINK FFNCE03 , O.J 1 10 ) O� 5 FOUND 1/2"IRON 0.4' 6.WOW FENCE U• PIPE. NO GM90'06'55"( 50.00' ) �, 90 6.1 32.o' / STEM WALL u FOUNDATION TOP OF BLOCK-Il.xQ- J2.0' V 6.1' y�Q1 O Q 10 20 40 SCALE: 1" = 20' 8 MGI,�L C I PORCH AREA 1 OF BLOCK TOP 57.4' J5.0'I � aoJ LOT 26 LOT 2B LOT 30 I 2.0' o LOT 32 C' BLOCK O 0 J ISTEMWALL c m gTION o t0 1 Top OF BLOCKVO K -11.7rrI FENCE.� rn O I TO LINE D o ,N I� 16.0' O 57.5 I PORCH I D AREA yyy I 16.0 189' 7.6' Im e`q' J S4p5. FOUND J` IRO �• 50.00 PIPE,NO GAP 0.00 10 :00, CONCRETE �g1N0 1/Y IRON ( 100.12' FIELD ) PIPE.NO CAP EDGE OF PA`AMENT MAGNAIL NCH MARK: T City of Atlan t1 9.47 Planning andTZ6%i apartment �^ l NOTES t proval verfial e wi a4hic�itol d "� g' le 1. THIS IS A BOUNDARY SURVEY. p 2. INTERIOR ANGLES AS PER FIELD SURVEY. M OF gj0divM6h and other local land 3. NORTH PROTRACTED FROM PLAT. deV1, pment regulations, but does n 4. NO BUILDING RESTRICTION LINES PER PLAT. approval for the issuance of p 5. BENCH MARK USED IS A NAIL IN A WOOD PP permit m l POWER POLE NEAR THE SOUTHWEST CORNER with Florida Building Code and all other ap le OF LOT 30. ELEVATION = 11.05 N.G.V.D. 1929 local, State and Federal permitting' ire must be verified by signature of the City of Atl ntic THE PROPERTY SHOWN HEREON APPEARS Beach Building Official prior to the issuance of a TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE Building Permit. THE 500 YEAR FLOOD PLAIN) AS WELL AS CAN BE DETERMINED FROM THE FLOOD Approved By:_ INSURANCE RATE MAP COMMUNITY PANEL No. 120075 0001 D, REVISED APRIL 17, Date: 1989 FOR THE CITY OF ATLANTIC BEACH, DUVAL COUNTY, FLORIDA. - i "NOT VALID WITHOUT THE SIGNATURE AND FOUNDATION SURVEY - MARCH 25, 2013 DONN W. BOATWRIGHT, P.S.M. THE ORIGINAL RAISED SEAL OF A FLORIDA TOPOGRAPHY AND TREES ADDED - FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295 LICENSED SURVEYOR AND MAPPER." DECEMBER 10, 2012 FLORIDA LIC. SURVEYING do MAPPING BUSINESS No. LB 3672 D .- swc BOATWRIGHT LAND SURVEYORS, INC. DA DRAWNRAWN BY: AUGUST 6, 2012 FILE: 2013-0212 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1 2012-0618; 12-0975 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 Z 9 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: � ..� �� nt review required Ye No c \\ Bui 'n Applicant: ��GE� L �O' /S tanning &Zoning reeminis rator Project: ublic Works is tilities rffFRtaTe_ty Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: [Approved. ❑Denied. (Circle one.) Comments: (�BUILDIN PLANNING &ZONING Reviewed by: = Date 7''7c) TREE ADMIN. 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 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road s� Atlantic Beach, Florida 32233-5445 v Phone(904)247-5826 • Fax(904)247-5845r� Z 9 E-mail: building-dept@coab.us Date routed: / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2��y/�� M&Zoninv�g t reiew required Yes No Planning Applicant: IC511'r-7) O /s // ree minis rator Project: L ublic Works is tilities a ety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B 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: OApproved. ❑Denied. (Circle one.) Comments: BUILDING ANNING &ZQRING) Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 �R ElVED City of Atlantic BeachJUL 3 0 2013 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) <° 800 Seminole RoadJz ' V s� Atlantic Beach, Florida 32233-5445 - Phone(904)247-5826 . Fax(904)247-5845 Z / Jft1�? E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �"� nt review required Yes No Altn�ning Applicant: � GE� U � s Zoning ree Aaministrator Project: Iublic Works is tilities a ety Fire Services Review fee $ Dept Signature (Z2 Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: Approved. [-]Denied. (Circle one.) Comments: BUILDING �/ J PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. [—]Denied. C WO Comments: L UTILITIE PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 RECEIVED 'rS"�'yri City of Atlantic Beach JUL 3 0 2013 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 9Y: - r) Atlantic Beach, Florida 32233-5445 - -- v �� r/ Phone(904)247-5826 • Fax(904)247-5845 Date routed: / Z 9 JiJ>? E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address J7_ nt review required Yes No c Bui n Applicant: �o��GE� D /s tanning &Zoning ree minis rator _- �, ublic Works Project: is tilities a ety Fire Services Review fee $ J Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B 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: ❑Approved. [Denied. (Circle one.) Comments: BUILDING kJ,S y llei�$ i X57 y.y� s�'� erg PLANNING &ZONING .` , � y�•�,J Dated l / 1 S Reviewed by: TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: /� PUBLIC UTILITIES � � � ? PUBLIC SAFETY Reviewed by: Date: ��• 4 FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 NOTICE OF COMWNCEMENT Tax Folio No. _170108-0000 State of_FL County of______Duval To Whom It May Concern: The undersigned hereby informs m you that improvements thi Nniade to OTICE OF COnMN1ENCEpropelV1ENT rty, and to accordance with Section 713 of the Florida Statutes,the following information is stated Legal Descriptavn of property being improved._5-6916-2S-29E Atlantic Beach_ Address of property bang improved: 355 11'l Street Atl Bch FL 32233 J General description of improvements:wool Owner:_Chris Lambertson Address:_357 12a`Street Atl Bch FL 32233 Owner's interest in site of the improvement: 1005c Fee Simple Titleholder(if other than owner): Name: Contractor: Ronald Gray Address:_1546 Linkside Dr Ad Bch FL 32233 Fax No: Telephone No.:_904334-5421 Surety(if any) Amount of Bond$ Address: Telephone 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: Telep-hone Na: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: unless a different is Expiration date of Notice of commencement(the expiration date is one(1)year from the date of recording specified): 'IIS SPACE FOR RECORDER'S USE ONLY OWNER hate: Signed day of in the County of Duval,State Before me this of Florida,has personally appeared puval Notary Public at Ltate ofFlorida,C ar �^ My commis z or Per 9 Pro ¢ ,No�p; U'mew l CITY OF ATLANTIC BEACH j s 800 SEMINOLE ROAD .3 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003158 Date 9/23/13 Property Address . . . . . . 355 11TH ST Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . RES SF LRG-LOT DISTRICT Application valuation . . . . 34000 ---------------------------------------------------------------------------- Application desc pool and spa ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CDL AB LLC ISLAND POOLS, LLC 357 12TH 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 . . 3/22/14 ---------------------------------------------------------------------------- Special Notes and Comments Decking per original Building Permit only. 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 ---------------------------------------------------------------------------- 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 l Ph(90`4),(247-5826 Fax (904)247-5845 15- JOB ADDRESS: PERMIT # (� JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole ❑Residential(Main)Service E10-100 amps ❑101-150amps ❑151-200amps a amps #of Meters ❑Commercial(Main) Service 110-100 amps [110 1-I 50amps ❑151-200amps C amps 0 C 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 Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ECT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 31-l 00amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool [] Sign ❑Smoke Detectors_Qty ❑Transformers KVA I Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS El Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change I]OH to UG ❑ ( Other: o`Q \ C-,kj � C -�'— 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. c Property Owners Name 10112�T—✓� ( ® �► Phone Number Electrical Company, G. t0 I \ Office Phone Fax Co.Address: ' � �— City State--6—Zip z 0/' License Holder(Print): AID,o ✓O— / 7 State Certification/Registration# f C 0 0 0 Notarized Signature of License Holder Before me this a of 20-/� Signature of Notary Public