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1322 Ocean Blvd 2013 Pool t °r w CITY OF ATLANTIC BEAgw 11' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003818 Date 12/20/13 Property Address . . . . . . 1322 OCEAN BLVD Application type description SWIMMING POOL/SPA Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------ Application desc new pool ---------------------------------------------- Owner Contractor - ------------------------ ----------------------- LINDLEY TOLBERT DESIGN SCOTTS POOL SERVICE INC 465 BEACH AVE 10549 BURRIS DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 --------------------------------------------- Permit . . . . . . SWIMMING POOL Additional desc . . Permit Fee . . . . 175 . 00 Plan Check Fee 87 . 50 Issue Date . . . . Valuation . . . . 25000 Expiration Date . . 6/18/14 --------------------------------------------- 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 right-of-way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management . ) 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 ----------------------------------- Other Fees . STATE DCA SURCHARGE 2 . 63 ENG REV PRE APP > 3 HRS 25 . 00 STATE DBPR SURCHARGE 2 . 63 PERS 'F IS-APPROVED 6P A'PL-ANTIC-BiEttCW 6RDil'tANCEg-ANi)-T E-PLC)RII)A------- BUILDINV@%Kbummary Charged Paid Credited Due CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �oil Page 2 Application Number . . . . . 13-00003818 ---------- Date 12/20/13 ----------------- ---------- ---------- Permit Fee Total 175 . 00 175 . 00 . 00 . 00 Plan Check Total 87 . 50 87 . 50 . 00 . 00 Other Fee Total 30 . 26 30 . 26 . 00 . 00 Grand Total 292 . 76 292 . 76 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 01 BUILDING PERMIT APPLICATIONLFD L20 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: J3,?o2 OeCrI/U BL VO Permit Number: /3 — Legal Description t.07- B4X,1r ,n� M?JNe,r9LParcel# oorrA� Sq.Ft. Sq.Ft Valuation of Work$ 25,04p 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# p ppf ILE COPY For multiple ro ucts use roduct a rova form B -4a+AE�taleCi:aua-ill �.oe .AJ.e..,a:e.. cr Describe in detail the type of work to be performed: Property Owner Information: Name: /i/DLj5- f Dt- Address: 4b5 �8�7� City r441v71G Statej-LZip ;Z E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: / L g �nqo QualifyV gent: ��,Ejt/.y/C— /PDLL,,lop, Address: g is City ;S State Zip329,25 Office Phone Rbc 41 Job Site/Contact Number SI G3b73 Fax# State Certification/Registration# C_ G©j S' f 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. 1 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 a period 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 here b certify that I h e rea a examined thi a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 certify will be c plie with th s ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other eder 1,stat o 1 1 e ction or the performance of construction. Signature of Ow er �I,�� Signature of Contractor Print Name tl......"'`�1 Print Name t /,U.......1.L` . ........... L......... ... Before Ing Before me this /0 Ttf—Day of FG A 20 0 this 10 Twy y of E 20/3 Notary Public N S=AFMM �aNe1 MyWCOISSONHEM611My i r 1� ised 01.26.10 EXPIRES:Deembe27,261 �` EXPIRES:Nele27,214u BaeTMuNotayPuihMewThu Notary PUW Wdea r O k: NOTICE OF COMMENCEMENT IN DUPLICATE (PREPARE ) Permlt No. J 3 6 Tax Folio No. State of !^l� County of L To whom It may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. p '='I v I Leg all description of property being improved:1--6i : D�c� /�.�iN 11,4441 /L 1 �DDK /0 P�4 � 1r I�(/ L— C6V,07 X Address of property being improved: L'7,2 v2 Z QC_E�4y 16 L 1J,c/ General description of improvements: /U tT�©avo Owner I.V-02- % T o Llt?CK4 1 L/ Address q6F 'y L fir/ Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name -- Address Contractor Address !� I / Phone No.'Wp"/X41 s2 a!a Fax No. Surety(If any) — Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a specified): different date Is. , THIS SPACE FOR RECORDER'S USE ONLY I � f Signed:. ISR DATE � JILh.Beforemethis ayo County of Duval,State of Florida,has personally appeared herein by himself/herself and affirms that all statements and declarations herein are true and accurate Doc#2013313977,OR 6K 16624 Page 2106, ,,:�N'ty" SCOTT ARNOID Number Pages:1 ''"' '-- MY COMMISSION k EE 021210 Recorded 12/10/2013 at 01:48 PM, EXPIRES:December 27,2014 Ronnie Fussell CLERK CIRCUIT COURT DUVAL 2�_, _ '•',,` DondedThmNoixyllcUaderwrlhrs COUNTY Notary Public at Large, ate of RECORDING$10.00 Pe commission expires Personally Known or Produced Identification Copy C® v �� S ��T 4 OA4 r L i7W Al C F-P- pE S i U/�✓ R�f X610 C p,U t a/z M 4A& 9-rgIW 4122 2 �aAj 5'�o r DSO a aoc ZZ p0 f O ) �mn\i O 1 m 1 -q m I � �ml O-0O AIn o io'o N0U Z v O +m go m o O IIVM 00 OS z 31380NOO rn CIO n\ >N O co >�: v O O • �A A L4 �g 4� N N m n � D c cn C) m m Z (/) -u D 7r— CD 00 D 0 o rr W o ON z O tV IV N M ;:u (T y CA �n y O QO C m -� c DZ < m 0 r- M m r m O 1 --< c 0 1 o < O O —� O o �7 _vm v D s"z D m nco w A DSI :. �.� -at,••i t0 O a co 4 cn g 313-113.1103 $00*09 rnZ N — --- --R�— zu ( 0131J ,ti6.6b ) za C. 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" r 7 ZO A I P�i•Q b w V I< : SURVEY: _ ►� __...fZ�br.. __ Z4-J' l{ Q w I COMPANY NMIE - IIII� STRUCTURAL: COMPANY NAME /ro n N W If FOUND 1/2'IRON oz PIPE,CAP ILLEGIBLE Z o A �1 � AU A JRVEY OF s ca 2DED IN PLAT BOOK 10, PAGE N OF DUVAL COUNTY, FLORIDA. rn o m �I ow BRICK D Z f W W DRIVE 70 LINE by - 90' 11'58 0.2 O m rn _. WATIRM j p F �I � e ; D R ^ D ZO + D � r i o < lig " D 0 c ct rn CD m rn — o WATER FLOW ' O O I Ir—� 91['UM iW PERYi1MG ►pq� ; 89' 49.45" 1322I, T12 OCEAN BLVD_ V AT-ANTIC BEACH,FL i T I SHERRER/FERRIN RESIDENCE EE I PLIBUC ROAD O 1G 20 _40 �_9CALE I"=1D --' SITE PLAN' ORIGINAL IMPERVIOUS CALCULATIONS /ZS AREA SCHEDULE — - —_-uw--_—_I ' A- �� - - -- /Z 11.072 Tw A. NL h S� rz• I"► I I� Con c. 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O a p Ci PAYM 11 � ., p L•.9' - $ ( 110.01' FIELD ) o.r 90' 10' 4' M)FAi THE PROPERTY SHOWN HEREON APPEARS TO LIE NOTES 125.00' "r IN FLOOD ZONE -X" (AREA OUTSIDE THE 0.2% 1. THIS IS A BOUNDARY SURVEY. "I ANNUAL CHANCE FLOODPLAIN) AS WELL AS CAN 2. NO BUILDING RESTRICTION LINES PER PLAT. B 3. NORTH PROTRACTED FROM PLAT. BE DETERMINED FROM THE FLOOD INSURANCE 4. INTERIOR ANGLES SHOWN AS PER FIELD SURVEY. 13th S1 i RATE MAP No. 12031CO409H, REVISED JUNE 3, 40' RIGHT OF WAY PAVE 2013 FOR OJVAI COUNTY, FLORIDA. g / `I:! xr:gm•e. .<r.a.,na.,;.. .:a ore Ae�.>CnAl.+gnt=. .•<<... I a<t a^P90,nn :aoYWnl a t`tuK!2 t:In•e r ong.•n1>I e I nmp-..J!Nn d a me ctAdn n +eh:t:r n n+tl o e;dnen+n.tnc ac.tlyn,rr tineu!A!+n>cs cru•t _.- 1J I � � � is ♦ �. ,. a .y IL to • j it's 0 ,�i z IDS vp -46 ! t N sv` Vii' 'Q '4- ,�; '• -• 4 �d � ,� a {� • Q�� !4 � 3 sv eL v� )/� TL)ON D Q"-/Z POOL 7s Sjommc- - VIF r 7 6 PC 1,0M i ti 6- /goo L cON tl ©l�S N,0 o �ck��� div� L6S SCOTT'S POOL.SEHwCE 10549 SURRIS DR. JAX FIA. 32225 CP0015231 •04�415� 7c-r-oi..r �1 1 r .. .... .... .. T ;�i i\ e j 1 t.i -Open Area=38.79in' •IAPMO Listed Flow Rates: 1)25506-320-010 sump Body -For 2.5"plumbing using two outer ports= 2)25520-050-020 2"NPT Plug 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) k1A Ira A To 2"plumbing using center port only 184GPM(Floor)& 176GPM(Wall) 13 - Part Numbers: s � 25506-320-000 32"Channel Drain w/Sump, White ! 25506-321-000 32"Channel Drain w/Sump,Gray 1 25506-324-000 32"Channel Drain w/Sump,Black ,� t 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 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 ' r 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) 61008-042-012 Screw Custom Molded Products, Inc. �• Toll Free:800.733.9060 or visit us online at www.c-m-p-corn rso 9ooi n„ Contact us for details about our complete line of pool,spa&whirlpool bath components!! OL 11 zv Clean ♦ Clear' Cartridge Clamp ring for safe and . access a to cartridges Single-piece fiberglass reinforced 4 polypropylene and corrosion resistance Easy access I Y2"drain plumbing for • . Model Filter Vertical Filter Flow Rate GPM Turnover Capacity-Res.(Gallons) Number Area Sq.Ft. Clearance* Diameter Res.** Com. 8 hrs. 10 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 CC 150 150 76" 15.5" 150 56 1 72,000 90,000 I 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 0 2"plumbing for maximum flow. Clean&Clean'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 • One-year limited warranty. See warranty for details. clamp ring--just loosen the ring and remove the top half for easy cartridge access and rinsing. Filter maintenance doesn't get any easierAvailable from: • 1%i"drain and washout for quick and convenient maintenance and winterization. E� • Innovative lock-ring requires only half of a revolution for a safe,leak-proof seal. PentairPool Products Because reliability matters most www.pentairpool.com Phone:800-831-7133 pumps/filters/heaters/heat pumps/automation/lighting/cleaners/sanitizers/water features/maintenance products 3/IIPart#PI-121 NSF ©2011PentairWaterPool and Spa,IrcAllrights reserved. c SuperFIO' • Performance When ci itting your new pool . looking Hayward'Super PumV, . drops motorright into place with ease to minimize installation time and expense. rvice life. >- hydraulic g designSuperioi operation.thick-walled body parts deliver 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 3450 RPM energy-efficient,super quiet and super easy to maintain. Plus, 35 110 2 HP P High Speed it's designed with innovative materials that will stand up to the — I'A HP High Speed 30 100 1 HP High Speed most demanding installations and conditions. Whether you're �� ='/.HP Hip So ed High Speed 25 80 choosing your first pump or replacing older technology, SuperFlo is definitely a super choice. X s 20 '6 bo • Self-priming for quick,easy start-up. Is 40 • 10 I IS volt or 230-volt models available. iso RRPPMMd • Performance and pressure tested to ensure superior quality. —7�_-�__s z° o • UUCUUNSF certified. 20 40 ao 80 100 120 140 160 U.S.Gallons per minute • One-year limited warranty. See warranty for details. s to Is 20 25 30 35 Cubic Meters per hour Available from: 1t0 c�111'Pool Products® Because reliability matters most www.pentairpool.com Phone:800-831-7133 pumps/filters/heaters/heat pumps/automation/lighting/cleaners/sanitizers/water features/maintenance products 8/09 Part#P 1-232 NSF c UO ©2009 Pentair Water Pool and Spa Inc.All rights reserved. it RECEIVED City of Atlantic Beach DEC 1 1 2013 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road BY: Atlantic Beach, Florida 32233-5445 - - Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 2 City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /.3.Z Z �� Q�� g�,/aC Department review required Yes No uild Applicant: s DO lanning &Zonin / ree Adminis rator Project: elis o is 11 u is 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 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: 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 BUILDING PERMIT APPLICATION Q U U CITY OF ATLANTIC BEACH DEC 10 013 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 By Job Address: _/3a;2 OGr ,Q.�V BLyO Permit Number: Legal Description ZOT 9 A�� �Ej /1?,¢y,��gt4 Parcel# Floor Area o q.Ft. q.. ,t Valuation of Work$ 2 7 ODD 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 ProductApproval# For multiple products use product approva orm Describe in detail the type of work to be performed: A490&,00 d— Property Owner Information: Name: 15, ( !3L Address: 4bS ��f¢/� �/fE City �rzm/;Mll G Stated-LZip3 g3 Phone 23 `7/ qZj E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: PDLL.A*610__ Address: 6 t_5 City State-�=Zip,72,92 Office Phone 10W Job Site/Contact Number State Fax# State Certification/Registration# L' G©I�'2 / 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 aperiod 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 here b certify that I h e rea a examined thi a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be c plie with thw s ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other eder 1,stat o 196pl e uction or the performance of construction. Signature of Owner Signature of Contractor GC�tJ L/� Print Name Print NameeL ............... ... ................................... LSD�yu.........1._ ...........�a....................................................................... Before mxe Before Me this Day of EL 20 /3 this 10 P/ y of E 20/3 Votary Public N •;;�s�."' SCOTT ARNOW ,�� "ty� SCOTTARNOLD n . MY COMMISSION M EE 62161 ;.. MY COMMISSION N EE 121fi11I� ; ,K; EXPIRES:Dwernber27,261+R ised 01.26.10 AW*4^hru Notary P*ic UMMwribrs f," yY z ���` Af��P Bonded PuWiclhNenaiters .3 r City of Atlantic Beach APPLICATION NUMBER is Building Department DEC 1 1 2013 (To be assigned by the Building Department.) 800 Seminole Road I / Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 'Lr 1119% E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �Z 6j4De artment review required Yes No uild' Applicant: 5 aG fanning &Zonin ree Adminis rator Project: GO is o is i i u is 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 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: Date:--I TREE ADMIN. Second Review: []Approved as revised. ❑ pp ❑Denied. *B1I Comments: PReviewed by.- Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the 8 Hding Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 dQ Q Phone (904)247-5826 • Fax(904) 247-5845 E-mail: building-dept@coab.us Date routed: Z City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �Z CLQ 8�j/� Department review required Yes No uild Applicant: s eO lanning &Zonin // ree Adminis rator Project: 4o C� is o is i i 7T7 is 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 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLIC4MN STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING ING &ZONIN Reviewed by: Date: J C)/_S 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 BUILDING PERMIT APPLICATIONFEC UCITY OF ATLANTIC BEACH 013800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 130209 &_"64A) &VP Permit Number: Legal Description ZO]' 1 AbTA- s�e Mdy,Q,g1_ 4y Parcel# Floor Area o q.Ft. q. 't Valuation of Work$ 25 ODD 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 ProductApproval# For multiple products use product approvaFform Describe in detail the type of work to be performed: /A/gozlum /�OL Propertv Owner Information: Name: /VDLt—` f C>L Address: ids �>��¢ � City ! N7 L &Y StateFL-Zip 3g3 Phone_034-71 qZ5 E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: ! �'tlQO Qualifyin Agent: . fil/.�J/ /PDLL. Address: g o city •lam State��. Zip3292S Office Phone Rbq Iql_ Job Site/Contact Number !46367 Fax# State Certification/Registration GD I r2 3 1 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 fora period 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 herebycertify that I h2, e.xaedthi a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of ork will be c s zed herein or not. The granting of a permit does not presume to gave authority to violate or cancel the provisions of any other1 euction or the performance of construction.Signature of Ow eI Signature of ContractorPrint Name .. ICr"'`�4 Print Name �Q V l ! ................................... oL.L..�...�./J................................ Before nxe Before e this Day of 09L 20 /3 this 10'Pyf y of E 20/3 &_ Votary Public N ss,t SCOTT ARNOLD SGOTT ARNOLD ?x: r MY COMMISSION N EE 621`10 cy ,= MY COMMISSION I EE U1616ised 01.26.10 c EXPIRES:Mcember 27,2614 ° EXPIRES:December 27,2014?, ' �` Sondem Thru Netwy Public UnWwdmm j Bonded Thru Notary Public Underwriters . .................. ... ... NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of 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 fol!owing Information is stated In this NOTICE OF COMMENCEMENT. ,,� v (/ Legal ascription of property being imp roved:�7' Z ��-``-'K =,a .. 114.44&A G�r Ji}i l3ooK I0 P,46-6 11 I7U� L Cau�u7 Y Address of property being improved: 1-3 2 Z DG E�Ati L1A) General description of improvements: I Al 6-A oavo owner W&E% Address Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor ^s Address ) q 1 Phone No. Fax Surety of any) — Address Amount of bond IS Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the tlenors Nctice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified); CR THIS SPACE FOR RECORDER'S USE ONLY _ , f Signed: DATE�L h t 1 Before me this ay o r tha County of Duval,State of Florida,hes personally appeared herein by himself/herself and affirms that all statements and declarations herein are trip and accurate „,,, SCOTT ARN1EE021filO Doc#201331397-11,OR SK 16624 Page 2"106, �;` 4 MY COMMISSION k NumberPages: 1 ': EXPIRES:Oecemb014 Recorded 12110/2013 at 01:48 PM, /° •. d Bonded Thtu Notary� rw item Ronnie Fussell CLERK CIRCUIT COURT DUV:AL Note' Public at Large,State of COUNTY My commission expires: or RECORDING$10.00 Personally Known� Produced Identification i i jAeV /Ale e ?' Cp,U�d/2 M4/,4G 4' 9-rA V 1QD 2 y!o B , G �2 IF) /0 5'�or r s?i�avf� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assig29 -the Building Department.) ` 800 Seminole Road Atf-6s, Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845On SA E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �Z (J� �� 8�t/� Department review required Yes o uild* Applicant: 5 OO tanning &Zonin ree Adminis rator Project: Oo �-. is o is i i u is Safety 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: BUILDING PLANNING &ZONING Reviewed by: Date:/2'/x'/3 TREE ADMIN. Second Review: ❑Approved as revised. ❑ nied. 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 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 r i3 . Application Number 13-00003818 Date 1/14/14 Property Address . . . . . . 1322 OCEAN BLVD Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------- -- -------------------------------------------------- Application desc new pool ------------------------------- Owner Contractor _ _ ------------------------ LSCOTTS POOL SERVICE INC INDLEY TOLBERT DESIGN 465 BEACH AVE 10549 BURRIS DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 ------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc Sub Contractor BEACHES ELECTRIC SERVICES INC. , 00 Permit Fee 95 . 00 Plan Check Fee . Valuation Issue Date 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 right-of-way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle' s and Waste Management. ) 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 NATIONAI ELECTRIC CODE REQUIRED INSPECTIONS : *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) SWIMMING POOL SAFETY INSPECTION REQUIRED ---- 2 . 00 Other Fees _ STATE ELEC DCA SURCHARGE STATE ELEC DBPR SURCHARGE 2 . 00 p'I, ,,'rTS'APPROVE IT ORLYINV ACCORDANCE-WrM-A1,L7 n'l-(F -P Paid C BEACH�edlted AND THE FDueAD ------- BUILDIN¢�E%ummary Charged i rLyrj CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �JJ3 Page 2 13-00003818 ---------- Date 1/14/14 Application Number ______ 95 . 00 95 . 00 . 00 . 00 Permit Fee Total 00 00 . 00 Plan Check Total . 00 . 00 4 . 00 4 . 00 . 00 Other Fee Total 00 . 00 Grand Total 99 . 00 99 . 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) 247-5826 Fax(904) 247-5845 �— v J PERMIT# )3 3q� 3 VOLTS PHASE JOB ADDRESS' � 3 � �C�G` � JEA INFORMATION REQUIRED ON ALL PERMITS _— AMPS VAL UE OF WORK$ NEW SERVICE ❑ Overhead Underground ❑T Underground up Pole ❑Residential(Main) Service ❑ amps #of Meters 00-100 amps ❑101-150amps ❑151-200amps ❑Commercial(Main) Service ❑151-200amps ❑ amps OCT Service amps ❑0-100 amps [I101-150amps Conductor Type Size ❑Multi-Family(Main)Service ❑151-200amps ❑ amps #of Unit Meters ❑0-100 amps ❑101-150amps ❑Temporary Pole ❑ amps SERVICE UPGRADE Fl—amps ❑ CT Service amps NEW FEEDER(ADD❑ITSIONSS,ACCESSORY O STRUps CTURES,ETC.)[]_____amps Service amps ❑100 amp ELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC. ADDITIONS,REMOD 31-31101-101 Outlets/Switches: 0-3 Oamps 101-200amps Appliances: 0-30amps 31-31 0-60amps 61-100amps A/C Circuits: # circuits @ kw Heat Circuits: Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Transformers KVA ❑Motors hp ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK Qty volts/amps REpAIRS/MISCELLANEOUS ❑OH to UG ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change ( Other: 0 wL pt'� th t I hav Permit becomes void if work does not commence within a six month period or work laws and ordinances governing or six o 11 be complied with ahce of e read this application and know the same to true and correct. All provisions o specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the pe Orman construction. n Phone Number Property Owners Name 17oSC SJc– Office Phone (4pZA "3(?Z Fax Electrical Company LACity State f—(–Zip 3-2"a y 3 � � Co.Address: e egistration# License Holder(Print): t W � Notarized Signature o License older 20 JENNIFERWALKER Before me this day of MY OMISSION Y FF 011x80 nl 24.20 EXPIRES:A P�grUnderNrken Signature of Notary Public '+ P11 ..s aonded Ihru Notary