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436 Beach Ave 2013 POOL �s CITY OF ATLANTIC BEACH -y J 800 SEMINOLE ROAD NI ATLANTIC BEACH, FL 32233 ` INSPECTION PHONE LINE 247-5814 Application Number . . 13-00003372 Date 12/09/13 Property Address 436 BEACH AVE Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 35000 -------------------------------------------------- Application desc NEW POOL --------------------------------------------------- Owner Contractor - ------------------------ ----------------------- POLISTINA, TERRY LEE SCOTT' S POOL SERVICE, INC 12101 2ND DR NW 10549 BURRIS DR CORAL SPRINGS FL 33071 JACKSONVILLE FL 32225 ---------------------------------------------------- Permit . . . . . . SWIMMING POOL Additional desc . Permit Fee 225 . 00 Plan Check Fee 112 . 50 Issue Date . . . Valuation 35000 Expiration Date . . 6/07/14 -------------------------------------------------- Special Notes and Comments POOL - Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale, structure or lagoon) . Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 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 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 DCA SURCHARGE 3 . 38 DEV REVIEW-SINGLE & 2-FAM 50 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITIFWAfiRYTIP]AFAAP&DfNAAC> VD THE FLOIA& 00 BUILDING CODES. s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 J . INSPECTION PHONE LINE 247-5814 �J131�i� Page 2 Application Number . . . . . 13-00003372 Date 12/09/13 --------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DBPR SURCHARGE 3 . 38 ------------------------------------------------------------- -------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --------- Permit Fee Total 225 . 00 225 . 00 . 00 . 00 Plan Check Total 112 . 50 112 . 50 . 00 . 00 Other Fee Total 81 . 76 81 . 76 . 00 . 00 Grand Total 419 . 26 419 . 26 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: !q,3 Permit Number: 13—3 3 12— Legal Description 9-62karcel# Floor Area o q. t. Sq.Ft Valuation of Work 000 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition ool/sp 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 form Describe in detail the type of work to be performed: -�� Property 0,v ner Information: I Name:`_ . j= 142re,� P ( � Address: ��j 1Zgj, Ag City2W StateF-LZip 33 �/Phone .2 7/yL5 E-Mail or Fax#(OptionaT Ci& -Q-Tg / i--7�l �'� S� U �f e ri Contractor Information:�}�. Company Name: SCO{ 1.ii PC)0j S�j b TOL Qualifying Agent: Address: City State Zip Office Phone Jo umber Fax# State Certification/Registration# x '' Architect Name& Phone# I KEVILEWED FOR CODE COMPLIANCEf Engineer's Name& Phone# CITY OF All-ANTIC REACH Fee Simple Title Holder Name and Address SEE PERMITS FOR Bonding Company Name and Address REQUIREMENTS AND CONDITIONS. .i4L;d3. a N9� Mortgage Lender Name and Address REVIEWED BY: 19141 ATE: Aj Application is hereby made to obtain a permit to doF 9 !la[ion has commenced prior to the ' issuance of a permit and that all work wit!be performed to meet the standards of a/1 laws regula[ing construction m I �s�urisdictlon. This permit becomes null and void if work is not commenced within s!x(6)months, or if construction or work is suspended or abandoned for a period of six(6)mon[hs at arty time after work is commenced. /understand that separate permits must be secured for Electrical Work, Plumbing,Sigrts, Wells, Poo/s, 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 here b certify that 1 have read and examined this a . ation and know the same to be true and correct. Al!provisions of laws and ordinances governing this ape olYwork will be complied whether s led he in or rqt. The granting of a permit does not presume to give authority to violate or cancel the provisions Af'any otherfedi ,slat , or local aw reg la[i g construction or the performance of construction. Signature of Owner Signature of Contractor pct Tint Name -;S , �s�, Print Name E .. .......... ......................................................................................... JoH , .......................... ...o. .., r, D.............................. Sworn to and subscribed before me Sworn to and subscribed before me his Day of Sr 20 3 this � Day of O 201-7 _-WILLIAM i PORE_ L 4otary Public Notary Public,State of Florida Notary Pub is OLD My Comm,Expires Oct.19,2015 SCOTT S$oNEE �� 'iLBo:ndd4Th1;*N=otary aS3tpN a�o2u10 Commission No.EE 128745 ,. PSmher27,201 �,��.• Public Urkenmters A,(,n v / !f /g- -S NOTICE OF COMMENCEMENT State of Tax Folio No. r i i r nnny7s 1� I ILL 11' County of Ta)yct-A To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated ip this NOTICE OF COMMENCEMENT Legal Description of property being improved: Address of property being improved: :7 oe 4AQA(- 64!Pclk General description of improvements: Own<�Ca—" 4---7?,1P5e4- ?b(i5 Address: GimJ I Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: "stor", &L- Address: ;90RW- 1.6 il-AX 32- Telephone No.: Yo'I FaxNo: %21/ 6q1Fy1-,9 Surety(if any) Address: Amount of Bond$ 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: Telephone No: 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: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNE Signed: Before me this /day of in the County of Duval,State Doc#2013230953,OR BK 16518 Page 2188, Of Florida,has personally appeared Notary Public at Large,State of Florida,CqT Number Pages:1n 1. Recorded 0910612013 at 11:38 AM, My commission expires: // WIM L.PUPE�oor q Ronnie Fussell CLERK CIRCUIT COURT DUVAL —ons _.�a kJotary Pub1ic,State of Florida COUNTYProduced Identification: RECORDING$10-00 MY CuMM.Expires Oct.19,2M 9,2M Commission No.EE 128745 Tak ;j°®Z-/ 57'1A114- - 143 IWE , 5-�pes P 15� 3 DEE rlG � 4/,D SGS/ 46Pl/G POOLAA V E — /�RS SPA DPA 1 N ro nt VN � � d 0 • r� ,r L �l " 1 tAYOM t \q • -----T Lk e . Z o 'ate. m � _ a t' -lop rr �W n � 44 46. ol LIC o N �a o f -rY,°�G ,<'w /Mm i A)U /goo L �O/V rl AJ T �o N,0 ,5c2 L05v�e � SCOTT'S POOL SEA WICE 10549 BUAAIS DR. JAX FLA. 32225 CP0015231 904�415999 ` i\\1� -Open Area=38.79in2 _ -IAPMO Listed Flow Rates: 1) 25506-320-010 Sump Body -For 2.5"plumbing using two outer ports= 2) 25520-050-020 2"NPTPlug 308GPM(Floor)&212GPM(Wall) 3) 25506-320-030 Debris Guard -For 2.5" plumbing using center port only= 4) 25506-320-020 32"Cover 200GPM(Floor)& 168GPM(Wall) 5) 61008-042-022 Screw Tor t"plumbing using two outer ports= 268GPM(Floor)& 192GPM(Wall) r , y- Tor2"plumbing using center port only= -- 184GPM(Floor)& 176GPM(Wall) Part Numbers: 25506-320-000 32"Channel Drain w/Sump, White -� t 25506-321-000 32"Channel Drain w/Sump,Gray i 25506-324-000 32"Channel Drain w/Sump, Black 25506-327-000 32"Channel Drain w/Sump,Dark Gray 25506-329-000 32"Channel Drain w/Sump, Tan 25506-320-100 32"Channel Drain w/Frame, White t 25506-321-100 32"Channel Drain w/Frame, Gray 25506-324-100 32"Channel Drain w/Frame,Black 25506-327-100 32"Channel Drain w/Frame,Dark Gray 25506-329-100 32//Channel Drain w/Frame, Tan 1) 25506-320-110 Frame 2) 25506-320-120 Frame Support 3) 25506-320-020 32"Cover 4) 61008-042-022 Screw Custom ;Molded Products, Inc. • I' Toll Free:800.733.9060 or visit us online at www.c-m-P.com s Contact us for details about our complete tine of pool,spa&whirlpool bath components!! ovn:v � f lookingSuperFIC� Hi,h Perf.rmance Pump When cluffitting your new pool or • Hayward'Super Pump(, . drops right into place with ease to minimize installation time and expense. ce, motor Superior hydraulic design and thick-walled super-qUietoperation. J The strong, silent type The SuperFlo°high performance pump meets all the criteria Performance Curves for a superior pool,spa or water feature pump. It's super Ilo 3450 RPM energy-efficient,super quiet and super easy to maintain. Plus, 35 5 2 HP Hi Speed it's designed with innovative materials that will stand up to the ' pe 30 100 I HP High Speed 1/4 HP most demanding installations and conditions. Whether you're , 'A HP High speed choosing your first pump or replacing older technology, o s zs 80 X- 20 Super-Flo is definitely a super choice. 1 —060 • Self-priming for quick,easy start-up. °F Is 40 • 115-volt or 230-volt models available. to-j- LowS � 20 • Performance and pressure tested to ensure superior quality. s 0 • UUCUUNSF certified. 20 ao 60 80 100 120 140 160 U.S.Gallons per minute • One-year limited warranty. See warranty for details. 5 t0 15 20 25 30 35 Cubic Meters per hour Available from: Pentair _. Pool Products` Because reliability matters most www.pentairpool.com Phone:800-831-7133 pumps!filters i heaters!heat pumps!automation/lighting%cleaners r sanitizers/water features!maintenance products 8%09 Part#PI-232 (NSF, !l� ©2009 Pentair Water Pool and Spa.Inc.All rights reserved. c «e ynr 111111111115_�"I _V_ Clean ♦ Clear' Cartridge Filter Clamp ring for safe and quickaccess to cartridges 1 Single-piece fiberglass reinforced polypropylene and corrosion resistance Easy access I V2"drain 2"plumbing for maximum flow s Model Filter Vertical Filter Flow Rate GPM Turnover Capacity-Res.(Gallons) Number Area Sq.Ft. Clearance* Diameter Res.** Com. 8 hrs. I 0 hrs. 12 hrs. CC 50 50 30" 15.5" 50 19 24,000 30,000 36,000 CC 75 75 39" 15.5" 75 28 36,000 45,000 54,000 CC 100 100 61" 15.5" 100 38 48,000 60,000 72,000 r CC 150 150 76" 15.5" 150 1 56 1 72,000 90,000 108 000 CC 200 200 76" 15.5" 150 75 72,000 90,000 108,000 *Required clearance to remove filter elements. **Maximum flow rate. Carefree. . .by design Like all Pentair Water Pool and Spa®cartridge filters,the • 2"plumbing for maximum flow. Clean&Clear°filter features an easily-cleaned cartridge • Single piece base and body designed for maximum for the ultimate in carefree pool filtration.The fiberglass- durability. reinforced tank halves are secured with an innovative clamp ring—just loosen the ring and remove the top half • One-year limited warranty. See warranty for details. for easy cartridge access and rinsing. Filter maintenance doesn't get any easierAvailable from: • I%z"drain and washout for quick and convenient maintenance and winterization. -. :- .' .• • Innovative lock-ring requires only half of a revolution �.' �`.: < for a safe,leak-proof seal. �•� -; ;� :': '��;. Pentair Pool Products' Because reliability matters most° - www.pentairpool.com Phone:800-831-7133 pumps!filters/heaters/heat pumps!automation/lighting/cleaners isanitizers/water features/maintenance products 3/11 Part a PI- 21 NSF, ©201 1 Pentair Water Pool and Spa,Inc.All rights reserved. IcIM '41 ��� - SAY _ •�� wti'+ J -- - Easy to install or retrofit in even the tightest space - models from 175M to 400M BTUs - all measure 211 x 21"W x 28"H Rotating digital display means more installation options and easier access to view operating information 1 Rustproof, tough composite exterior for long life r Available in natural gas and propane models. k Pool Sizinri NeSize mpe,r-ature Mod,d MedelI Model Change! 115 200 jfr"� ci C �,'�a�. 1 60f250HD 24 Hrs. Pool Capacity in Ga s Pool Surface Area in Sq.Ft.at 5.5' Depth 5 85,210 97,383 121,729 146,075 194,766 2,069 2,364 2,955 3,546 4,727 10 42,605 48,691 60,864 73,037 97,383 1,034 1,182 1,478 1,773 2,364 15 28,403 32,461 40,576 48,692 64,922 690 788 985 1,182 1,576 20 21,303 24,346 30,433 36,519 48,691 517 591 739 887 1,182 25 17,042 19,477 24,346 29,216 38,953 414 473 591 710 945 30 14,201 16,230 20,288 24,345 32,461 345 394 493 591 788 35 12,173 13,912 17,390 20,868 27,824 296 338 423 507 675 40 1 10,651 12,173 15,216 18,260 24,346 259 295 369 443 59i Spa Sizing �paYcrlutlte (Gallr:n;) 200 100 1 X00 500 600 T ?00 800 4Q0 1.000 Minutes for 30°FTemperature Rise(Heater Input in 1000 BTU/HR) 175 21.0 31.0 50.0 61.0 71.0E62.O70.0 0 102.0 200 18.0 27.0 35.0 44.0 53.0 62.00 89.0 250/25OHD 15.8 23.5 30.i" 38.5 46.5 54.3 77.8 300 135 20.x: 26.5 33.0 40.0 46.50 66.5 =}00/40OHD 9.0 5 18.0 22.0 27.0 31.00 1 44.0 d;te:ThP cnii l i.based 1n a ua<ed on Leat required to mise temperature.n minus s. ear limited warrant; See r`A/ater Pool.:nd Sp:.repre ,t i", +w Cct,uls. 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 ( _ E-mail: building-dept@coab.us Date routed: l.l� City web-site: http://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: L+ 3U ( 1 Uepartment review required Yes No PooApplicant: in &Zo PCO� Tree Administrator Project: ublic Works Public Utilities Pu is afety 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 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: QApproved. 06enied. (Circle one.) Comments:foot 61n,�- �Z ^PP'Dtcd BUILDING Ma Jn `yori�� P NNING &ZONING Reviewed by:a4�� � Date: 0 TREE ADMIN. Second Review: oved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: .t Date: o�D� FIRE SERVICES Third Review: FlApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 ­5L_1VJ - City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) � _7_ly•-•.•� 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: LIJ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: L+36 (?)r�kb 1 &I _ Deparlment review required Yes No din _ Applicant: s PooLm &ZoLW � ( } Tree Administrator i Project: l Li" �11- -P blic Works Public Utilities Pubicafety 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 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: QApproved. Denied. (Circle one.) Comments: 805 tM c�J�oJ • �,ss� �ucvE Qce P s BUILDING �1 �o�S c`��S��E�� sa CwIC,S EiOS0)t\_ Cdti��o� lu I PLANNING &ZONING Cz"JvLt QIX) 0LQeS+;on•5 Reviewed by: __ n___ Date: TREE ADMIN. Second Review: &pproved as revised. FIDenied. PUBLIC WORKS Comments: D PUBLIC UTILITIES �• PUBLIC SAFETY Reviewed by: Date: l FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 i lr�,� City of Atlantic Beach ;�-\.,� APPLICATION NUMBER Building Department f�\ (To be assigned by the Building Department.) =.` 800 Seminole Road 1 V Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 _ E-mail: building-dept@coab.us _ �� Date routed: City web-site: http://www.coab_us _ APPLICATION REVIEW AND TRACKING FORD Property Address: L+ < Dv42arlment review required Yes No Applicant: Lam•- Y tea in &zo Tree Administrator Project: �" �—�' ublic Works Public Utilities Pu is afety 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 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: `�`� Dater TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 4CPUBWOFfK Comments: TI TIESAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved 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.) Iti.• 800 Seminole Road 331 Y�r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 ( „ E-mail: building-dept@coab.us LDate routed: �Y City web-site: http://wm.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: L+ 3 .P AVL ment review required Yes 'din Applicant: Poo �s in &Zo 000t , Tree Administrator Project: ublic Works Public Utilities P uF is afety 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 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. V ❑Denied. (Circle one.) Comments: um P1, �i'M a T �,r 0'4 W" Y �]LDING c� o PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: Approved as revised. ❑D dK,ed. 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 j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003372 Date 1/14/14 Property Address . . . . . . 436 BEACH AVE Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 35000 ---------------------------------------------------------------------------- Application desc NEW POOL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POLISTINA, TERRY LEE SCOTT' S POOL SERVICE, INC 12101 2ND DR NW 10549 BURRIS DR CORAL SPRINGS FL 33071 JACKSONVILLE FL 32225 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . BEACHES ELECTRIC SERVICES INC. Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/13/14 ---------------------------------------------------------------------------- Special Notes and Comments POOL - Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale, structure or lagoon) . Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 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 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 �ESL_�E+�C+ DCA SURCHARGE !F 2 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV-6TPA-A At�f tiC t3E tt'iv` D<�VA c L�`1 NIj"1'HE FLORI�A 00 BUILDING CODES. CITY OF ATLANTIC BEACH ilk 800 SEMINOLE ROAD J N r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 { i3 Page 2 Application Number 13-00003372 Date 1/14/14 ---------------------------------------------------------------------------- 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) 247n�-58.�26 Fax (904) 247-5845 ff JOB ADDRESS: 3 �� l'`C�� t�RI",— PERMIT JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential (Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps amps #of Meters ❑Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200amps G amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service 110-100 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 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS El Swimming Pool [I Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change ❑OH to UG AfTither: v i 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 `SoS GL' Phone Number Electrical Company�Q..C�,-�' e'A ''L aD Sty t Office Phone L�� "3( �ZFax C� �l `� �I<eS" �- City 6 C S State R Zip 3 Y 3 Co.Address: � License Holder (Print): a d� w aa. a e erh ica 1 istration# e Holder JENNIFER WAIJER I da of MY COMMISSION r FF 011480 Before me this y 20 a•• a EXPIRES:April 2.4,2017 Bonded Thru Notary Public underwr tern ``'' Signature of Notary Public