775 Plaza 2014 Pool CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000243 Date 3/06/14
Property Address . . . . . . 77S PLAZA
Application type description SWIMMING POOL/SPA
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2116S
----------------------------------------------------------------------------
Application desc
NEW POOL
-----------------------------------------------------
Owner Contractor
------------------------
------------------------
CRAWFORD GEORGE W SURFSIDE POOLS
775 PLAZA 313 BEACH BLVD. FL 32250
ATLANTIC BEACH FL 322333907 JACKSONVILLE BEACH
(904) 246-2666
----------------------------------------------------------------------------
Permit . . . . . . SWIMMING POOL
Additional desc . - 80 . 00
Permit Fee . . . . 160 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 21165
Expiration Date . . 9/02/14 ---------------
-------------------------------------------------------------
Special Notes and Comments
POOL - Wellpoint (if used) must discharge into vegetated
area 101 minimum from street or drainage feature (swale,
structure or lagoon) as shown on plans .
Full right-of-way restoration, including sod, is required.
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.
Cannot park or block the pedestrian path. Path must be
kept clean at all times .
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 .40
ENG REV PRE APP > 3 HRS 25 . 00
STATE DBPR SURCHARGE 2 .40
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
PERMIT IS 7ippRDVEWONLYINACCORDANCL-WfTfl-ALIC rITY-CFF-A'TEANTTC-gEACfl-OTtl3iNN9CLS-AND Tfl17FI7(ik71ER--
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r lij,
Page 2
Application Number . . . . 14-00000243 Date 3/06/14
Permit Fee Total 160 . 00 160 . 00 . 00 . 00
Plan Check Total 80 . 00 80 . 00 . 00 . 00
Other Fee Total 29 . 80 29 . 80 . 00 . 00
Grand Total 269 . 80 269 . 80 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'Not
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH q
FIL E COPY 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
q3
q3
Job Address: -1-7 1�5 PLA-ZA Permit Num
-7 1119)
-P- AL tr I Parcel #
Legal Description _&Q-60 3-S-2FiS
Floor Area o q.
Valuation of Work$i4Ba5__Proposed Work heated/cooled_ non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition window/door
.�esid::
Commercial Ces;identia
Use of existing/proposed structure(�) (circle one): s DNo
If an existing structure,is a fire sprinkler system installed? (Circle one): es
Florida Product Approval#
For multiple products use product approval rorm
Describe in detail the type of work to be perfonned:
Property 0 vner Information: C'�SC�P_1b Address: LA77-A
Name: r_ !'0' T��StateF
City AULA rr LZip,A.-j.-IMLPhone SIS
E-Mail or Fax# (optional)
Contractor In iwination:
Qualifying A t. ............ A3,11s.11
Company Name: -(;AJ!R F Z.
city����_State
Address: ,
_!1' Fax#C04-Q,4 9-
Office Phone qD4 2916-2wam Job Site/Contact Number
State Ceitification/Registration#
Architect Name&Phone#
Engineer's Name &Phone
Fee Simple Title Holder Name and Addres
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 beperformed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
ir if construction or work is suspended or abandonedfor aWeriod of sixA)months at any time after
at
f work is not commenced within six(6)months, c us,Poois, urnaces,Boilers,He ers,
and void i t be securedfor Electrical Work,Plumbing,Signs,
work is commenced I understand that separate permits mus
Tanks andAir 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
?d this application and know the same to be true and correct. All provisions of laws and ordinances governing this
I here certify that I have r nd examini ority to violate or cancel the
type .�Vwork will be com led ith whether s
fZifz'ed herein or not. The granting of a permit does not presume to give auth
ormance of construction.
provisi ons of any other tate, or loca regulating construction or the peif
Signature of 0 Signature of Contractor
Print Name .. .. ... .. .. .
..:5 ...... .........................................-—-------------------------------------------
0. ....... ........ ....
Print Name ............... ............
............
Sworn to and su b se r b ed before me W%'3 Sworn to and subscribed before me 201"-�
-iis Day of A�;e
tl
this C5 Day of )E
-y &RfR�GRAVEN70RI
I A
Notai
Notary blic A.... My COMMISSION#EE 09018.6
#EE On
MY 3 Vise 1.26.10
EXPIRES:MaY I....UnderwrMrs
7b
Bonded Thru Notary Pub
Doc # 2014036963, OR 13K 16693 Page 748, Number Pages: 1, Recorded 02/19/2014
Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
Z
F kLE "w"0 n I � NOTICE OF COMAIENCEMINT
q3TaxFolioNo.
7
State ofFlorida,County ofDuvaI
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice ofCommencement.
1. Description ofproperty(legal description ofproperty and address ifavailable):
in- C-n _:;�(A -2.S n4 a c JDAm PA W,�,0 c4�-r t - '77r;PLAZA
2. General Description of improvements:
W Cn1knQkAV) _'�J1VV\V\AlRCi
3. Owner Infor-mation: -.j
a)Nam e an d Ad d ress: Qe 0 rr-If!_C_ra ij)�o rd- -7 7_6 PL�A-XA - A-T�-N,4T lc�E)CA<-Ark,�-L:3 2_2,3-a
b)Interest in property: -_,�nC4,)k,
c)Name and address ofsimple.titleholder(ifother than owner):
4. Co f r ftaor AMrmation:
a)Name and Address: SURFSIDE POOLS, 313 BEACH BLVD., JACKSONVILLE BEACH, FL 32250
b)Phone Number:_ 904-246-2666
5. Surety Information:
a)Name and Address:
b)Phone Num�er:
c)Amount ofBond:
6. Lender Information:
a)Name and Address:
b)Phone Number:
7. Person within the State ofFlorida designated by owner upon whom-notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers ofDesignated Person-
8. In addition to himself/herself,Owner designates of to receive
a copy of the Lienor's Notice as provided in Section.713.13(1)(b),Florida Statutes.
a)Name and Address:
b)Phone Number ofperson or entity designated-by owner;
9 Expiration date ofNotice ofCommencement(The expiration date is one(1)year from the date ofRecording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMEN-TS UNDER CHAPTER 713,PART
1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF CO�4MENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE CONINMNCING WORK OR RECORDING
YO �NOTICE OF COMMENCEMENT.
i a r or Owner's Authorized Officer/Director/Partner/Manager Signatory' rinted Name&Title/Office
The foregoing instrument was acknowledged before me this t\ dayof 20_L-7),by
Gcomi: CfQX0k,)(,& . C-.QA-.p - fo r
(Name of PerMn) (Authority Type,Te.Officer/Attomey) (Name ofParty Instrument was xe
Gy"A GGRAVEINIOR NOTARY 0- LIC, STATE OF FLORIDA
ss.=
N.,EO_1.6
s_Y"_J�
ommIssioN I EE 0901B6
Print Name: c�j r'AA\ a
_(PIFtES'-Y 3 2o'5
MYC
IF
EX
B�WW Tb.Notxy
0 personaHy Known
gldentification/Type: T:L
Verification pursuant.to Section 92.525,Florida Statutes.Under penalties ofperjury,�Ivlre that I have read the
foregoing and that the facts stated in it are true to the best of my knowled
�Signat f�=lPcrson�Sigpning Above
Revised 10/1/2009
F NLE 40py
CRAWFORD RESIDENCE
775 PLAZA
ATLANTIC BEACH9 FL 32233
INDEX:
(5) COPIES OF SURVEY
201�
1. NOTICE OF COMMENCEMENT -
2. BUILDING PERMIT APPLICATION
3. IMPERVIOUS DATA
4. COPY OF WARRANTY DEED
2 SETS:
5. SITE SURVEY -LATEST BEFORE SWIMMING POOL
6. PUBLIC WORKS EXCEL SHEET FOR STORAGE
7. SITE SURVEY WITH SURFSIDE MARK-UPS
W/PUBLIC WORKS CALCULATION SHEET FOR STORAGE,
STORAGE LOCATION,DRAINAGE DIRECTIONS,LOT
CALCULATIONS,STORAGE FOR RUN-OFF,EASMENTS,
EQUIPMENT LOCATIONS,DUMPSTER&PORT-A-TOILET
REQUIRMENTS,TRAFFIC CONTROL PLAN,SILT FENCE
LOCATION,ETC
8. PERMIT DRAWING - WITH DETAILS ON EQUIPMENT
WITH BUILDING CODE & ELECTRICIAL CODE
9. POOL WALL SECTION
10. ENERGY EFFICIENCY COMPLIANCE INFORMATION
SIMPLIFIED TOTAL DYNAMIC HEAD CALCULATION
AND CUTS SHEETS FOR POOL EQUIPMENT
CONTACTINFO:
CYNTHIA BRADSHAW
SURFSIDE POOLS
313 BEACH BLVD
JACKSONVILLE BEACH9 FL 32250
904-246-2666 X133
Cynthiagsurfsidepools.net
fit PUN
p1977 3ad 2010
A�N
I a I
IMPERVIOUS TABLE FOR
CRAWFORD RESIDENCE
775 PLAZA
ATLANTIC BEACH9 FL 32233
EXISTING IMPERVIOUS AREA:
LOT: 7,760 sf
HOUSE: 969 sf
DRIVEWAY: 1,272 sf
PATIO: 252 sf
TOTAL 2,493 sf
NEW IMPERVIOUS AREA:
HOUSE: 969 sf
DRIVEWAY: 1,272 sf
PATIO: 252 sf
TOTAL 2,493 sf
NEW PAVER DECK: 1,050 sf
TOTAL 3,543 sf
TOTAL IMPERVIOUS % 46
INCREASE IMPERVIOUS BY I vO5O sf
A106 PAGE 278
Prep?red by..-
Elite Title&Escrow Services
Elite Title&Escrow Services
8761 Perimeter Park Blvd.Suite 100
Jacksonvflle,Horida 32216
File Number- 07-06-0269-SS
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written.
Signed, sealed and delivered in our presence:
—(Sea])
Mel Keifer
Witness Prin,.L/...A��-j Im K L A c12 f-2i Address:
_(Seal)
J h Keifer
Witness Printed Name cas: -------
3i
7&
State of Z,/
County 0
The foreg2oing!iris enEtwas acknowledged bef�rc m thi eday of July,2007,by Mel Keifer and Judith Keifer,his wife,who is/are
personafly known to me or who has przuced as identificati
Notaryyublid
MYRA JONNE MORRISSEY Print MP.--Zi2i
Notary Public-Notary Seal
STATE OF NUSSOURI My Commission Expires:
Tiubey County
Q5465333
My Commission Expgree No—b-19,2009
DEED Individual Warranty Deed-Lepi on Face
Closers'Choice
-J7241929, OR BK 14106 Page 277, Number Pages: 2, Filed & Recorded
z007 at 02:26 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
.50 DEED DOC ST $1326.50
P�eiiA-ed by:
Elite Titlr'&Escrow Services
Elite Title&Escrow Services
8761 Perimeter Park Blvd. Suite 100
Jacksonville,Florida 32216 It Ll Py.P
File Number: 07-06-0269-SS
General Warranty Deed
Madethis ]OthdayofJuly,2007A,D.By Mel Keifer and Judith Keifer,his wife,whose address is:3700 S. Westport Avenue,#1706,
Sioux Falls, SD 57106 hereinafter called the grantor,to George W.Crawford a married man,whose post office address is: 775 Plaza,
Atlantic Beach,FL 32233,hereinafter called the grantee:
(Whenever used herein the term"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)
Witnesseth,that the grantor,for and in consideration of the sum of Ten Dollars, ($10.00)and other valuable considerations,
receipt whereof is hereby acknowledged, hereby grants,bargains, sells,aliens,remises,releases,conveys and confirms unto the grantee,
all that certain land situate in Duval County,Florida,viz:
Lot 28,Block 1,ROYAL PALMS,UNIT 1,according to the plat thereof as recorded in Plat Book 30,pages 60 and 60A of
the Public Records of Duval County,Florida.
Parcel ID Number: 171118 0000
Together with ail the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining
To Have and to Hold, the same in fee simple forever.
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 taxes accruing
subsequent to December 3 1,2006.
DEED Individual Warranty Deed-Legal on Face
Closers'Choice
MAP OF BOUNDARY SURVEY POO p khl
HL
rDEESCPIPTION.'
LOT 2B IN BLOCK I OF " ROYAL PALMS UNIT ONE " ACCORDING TO THE PLAT
THEREOF AS RECORDED IN PLAT BOOK 30 PAGES 50 & 60A OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
0.1 MINIMUM 4 FT HIGH FENCE
W/SELF CLOSING SELF LATCHING
-HIGH PER
DEVICE AT 54
LOT 8 CODE
BLOCK I LOT 7 .5: NORTH LOT 6
F.1.P. 112' BLOCK 1 .2 SOUTH BLOCK I
NO ID �3' NEST
NO DUMPSTER REQUIRED 5' EAST
N 04 50- W (,V) I
NO TREES REMOVED - — — 4NCE TIES
NO PORT-A-POTY T w
1.0. ------
NORTH
REQUIRED .3' SOUTH 40
.51 WEST ui
FENCE TIES 20 F.1.P. 112'
FULL RIGHT OF WAY 9: a.
w NO IV
U, w s.
RESTORATION BY OWNER
I Lu
6 -1 1
�o to
IF REQUIRED
NO TRESS TO BE 0
U. FOR WELL
REMOVED IN POOL AREA —4sl ILU POINT IF
Sl
S
FE CE
--- 3-9. U NEEDED
EXISTING IMPERVIOUS ARE ALARMS ON uj
A. PARKING 0 ib
LOT: 7,760 sf WINDOWS
HOUSE: 969 sf LOT 27 DRIVEWAY AND DOORS/;t
DRIVEWAY: 1,272 sf BLOCK I ANDIN
PATIO: 252 sf FRONTARE PER CODE GATE LOT 29
TOTAL 24ft3 af 39.r' BLOCK I
NEW IMPERVIOUS AREA.
HOUSE: 969 sf
DRIVEWAY: 1,272 sf COVERED
PATIO: 252 sf PAVER 0"Y
TOTAL 2,493 sf F.1.P. 112
NEW PAVER DECIQ 1,0SO sf NO 10
TOTAL 3,543 28.82 (Cl
_vl�_ — — N.N. S I R C. 5/6'
TOTAL IMPERVIOUS%46 '_z-"--. ��' 7251
INCREASE IMPERVIOUS By 1,050 sf
X slo
Na5v
EN4(X
k N 65 ?5,
...........
........ ............*.*.'.I................ ........
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r
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PS =...........:...................
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. .................
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.......................... . ...................
.6
-'LAZA 60 .............
........... ........
:.......................
... ............. .......
................
F.1.P 112'
N6 10
NE CORNER OF
ROYAL PALMS RO. 9
PLAZA
CERTIFIED TO AND FOR THE
SURVEY NOTES: EXCLUSIVE BENEFIT OF:
11 BEARINGS ARE BASED ON THE PLATS WEST LINE Or LOT 28 ELITE TITLE AND ESCROW SERVICES
BEING N 04* 39' 58- E CHICAGO TITLE INSURANCE COMPANY
IN BLOCK 1 GEORGE CRAWFORD
12 UNDERGROUND UTILITIES. FOUNDATIONS OR OTHER EPA MORTGAGE
IMPROVEMENTS WERE NOT LOCATED By THIS SURVEY- ADDRESS: 775 PLAZA
0
L 03 ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY ATLANTIC BEACH. FLOPIOA
cl FIRM MAP PANEL NO. 120075 0001 0, EFFECTIVE 04-17-89,
THE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE 'X'.
cli
14 THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT.
TITLE SEARCH, TITLE OPINION OR TITLE INSURANCE. SCALE: 1 " 30 '
0 15 DIMENSIONS ARE SHOWN IN FEET AND DECIMALS THEREOF
0
AND ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE.
05 ALL EASEMENTS ARE PER PLAT UNLESS SHOWN OTHERWISE.
0
0 Ile
07 THERE MAY BE ADDITITONAL RESTRICTIONS THAT APPLY WHICH MAY NOT
BE SHOWN ON THIS SURVEY WHICH MAY BE FOUND IN PUBLIC RECORDS OF
U) SAID COUNTY.
M
0 IDUALS SHOWN ON 0C'CfDE 0. VAN KLEECK
NOTICE OF LIABILITY: THIS SURVEY IS CERTIFIED To THOSE INOTv PARTY IS FLORIDA REGISTERED SURVEYOR AND MAPPER NO. 2545
THE FACE THEREOF. ANY OTHER USE, BENEFIT OR RELIANCE BY ANY OTHER ANTHONY P. O'NEIL
SURVEYOR IS RESPONSIBLE ONLY TO THOSE NO.5664
.93 STRICTLY PROHIBITED AND RESTRICTED. FLORIDA REGISTERED SURVEYOR AND MAPPER
0 OTHER LIABILITY AND HEREBY RESTRICTS THE
CERTIFIED AND HEREBY DISCLAIMS ANY SURVEY. WITHOUT EXPRESS NOT VALID WITHOUT THE SIGNATURE & THE ORIGINAL RAISED
RIGHTS OF ANY OTHER INDIVIDUAL OR FIRM TO USE THIS SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
WRITTEN CONSENT OF THE SURVEYOR.
0
7 FEN FENCE OHE -OVERHEAD ELECTRIC
$0 CONCRETE MONUMENT c.M. CONCRETE MOMLNENT SEC- SECTION CLA CLEAR C.L F.-CHAIN L INK FENCE
L F.C.M. - FOUND TWP- TOWNSHIP W.F'-WOOD FENCE
F I P.C. - FOUND IRON ROD AND CAP P T. POINT OF rANGENCY FNO F UND
p C. POINT OF CURVATURE RGE_ RANGE 0 C.B. -CHORD BEARING
FOUND IRON ROD EASEMENT P.z. - POINT OF INTERSECTION (P) PLAT W.M.- WATER METER
F'r P FOUND IRON PIPE u.E. UTZTLITY W.P.- WOOD POLE
DRAINAGE EASEWNT AIC - AIR CONDITIONING UNIT EL ELEVATION
L S.1:R:C. SET IRON POD AND CAP 0.E. NTS - MOT TO SCALE CONC. CONCRETE
> F.N&D FOUND NAIL AND DISK C & G CURB & GUTTER (PR) - PROPOSED ESMT EASEMENT P &M- PLAT G MEASURED
L A COP CORNER MIH- MANHOLE
W fM) FIELD MEASUREMENT RIK RIGHT OF N Y (E) - EXISTING
(C) CALCULATED MEASUREMENT CIL CENTERLINE PROJECT
u INFORMATION
FIRST COAST LAND ORD P NO: f;
FIELD SURVEY OAT E
PLOT PLAN DRAWN BY: APO
BOUNDARY 06-12-07
SURVEYING, INC.
z REVIEWED BY: TNP
w FORMBOARO 1660-8 LANE AVENUE SOUTH, JACKSONVILLE, FL. 2210
-i FOUNDATION PHONE (904) 779-2062 FAX (904) 779-778
U- CERTIFICATE NO. LB 7251
..t City of Atlantic Beach APPLICATION NUMBER
Building Department (To beassigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5845
t
E-mail: building-dept@coab.us EFDate routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7 76' -404 zA, D ul ent review required Ye-s No
Applicant: anninq on
Z ing
Tree Adrn_in-i9V1at�
Project: ic Wor
tilitie
Public Safety
Ic S
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Verified By
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
____�ie��Ap�p
Reviewing Department First Review: roved�. RDenied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING
Reviewed by:--,/-7,7,1 Date:_2 2
TREE ADMIN. Second Review: []Approved as revised. []D d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
City of Atlantic Beach
0 , RRCEI APPLICATION NUMBER
ul ding Department ;y u N�g P
be rtment.)
assigned by the Building Dep�atment]
800 Seminole Road
Atlantic Beach, Florida 32233-5445 FEB 19 2014
Phone(904)247-5826 - Fax(904) 24 -5845 3-
E-mail: building-dept@coab.us
Utty web-site: http://www.coab.us ZBY: )ate routed: C-A
APPLICATION REVIEW AND TRAC[ '. NG FORM
Property Address: 7 76' /247- 1, De -W—S No
�.t review required
Ui
Applicant: o la nin &Zoning
De
ui
review r�equi
am r�ed
n
T T
ree Admirni
Project: fff C.-5 7?0 0 Z ic Works
tilitiez
Public Safety
4FireServi,
Review fee $ Dept-Signature
Other Agency Review or Permit Required Review or eceip, Date
Florida Dept. of Environmental Protection of Permit Verified
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: DApproved. WIDenied
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Re�viewecl by: Date:-2,4/by
as vi�
TREE ADMIN. i�tr p� s -]Denied.
Second Review: Approved as revised. [ODenied
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. ODenied.
Comments:
Reviewed by: Date:
Revised 05/14109
City of Atlantic Beach
APPLICATION NUMBER
NUM
Building Department y p
be assigned;by the Bu�ilding Department.)
800 Seminole Road FEB 19 2014
tj Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)2 ftY45
ZFLDa e r��� 0
E-mail: building-dept@coab.us outed: 0�
City web-site: http://www.coab.us f I
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7 7.6' P47- A at review reguired Yes No
u
.Plai n�n i n a
Applicant: 1;;7 �0100 115 __g-,3j7o�i�ng
Tree Ad n-,,;i
Project: .0 "—"�'c W�
Public Sa' c y
LEire::�Sery
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: pproved. DDenied
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:_ C Date:
TREE ADMIN. Second Review: []Approved as revised. []Denied.
Comments:
P ft -
UBLIC UTILITIES
Q —
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 05114/09
i.�I I \J,
City of Atlantic Beach
APPLICATION NUMBER
u ing 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: �9hll
City web-site: http-://www.coab.us or – I
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7 P47- A, D ent review required Yes No
ui
I a n�ni n gn ZZ� n�ln g
Applicant:
Tree Adrn—in–i9tratoT--"
Project: e
Public Safety
Fire Services
Review fee $ Dep t_18�ignat ure
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:
APPLIC,!NTION STATUS
Reviewing Department First Review: [9�Approved. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:/��i!!� Date:
&–Z Z/
TREE ADMIN. 60—
Second Review: FlApproved as revised.t nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000243 Date 3/17/14
Property Address . . . . . . 775 PLAZA
Application type description SWIMMING POOL/SPA
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 21165
----------------------------------------------------------------------------
Application desc
NEW POOL
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
CRAWFORD GEORGE W SURFSIDE POOLS
775 PLAZA 313 BEACH BLVD. FL 32250
ATLANTIC BEACH FL 322333907 JACKSONVILLE BEACH
(904) 246-2666
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - -
Sub Contractor . . DAVID PRUETTES ELECTRICAL SVC.
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/13/14 -----------------------
----------------------------------------------------
Special Notes and Comments t discharge into vegetated
POOL - Wellpoint (if used) mus
area 101 minimum from street or drainage feature (swale,
structure or lagoon) as shown on plans .
Full right-of-way restoration, including sod, is required.
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.
Cannot park or block the pedestrian path. Path must be
kept clean at all times .
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 IS-AppR()VED-C)NJLV-IN-ACCORDANC-E-Wrrn-ATE'CITY-(YF-A-ITX1'7nC BEACTI-ORMANCE'S ANDTFIFIC6,91647
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r it
Page 2
Application Number . . . . . 14-00000243 Date 3/17/14
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
—7-7S- Ph(904) 247-5826 Fax (904)247-5845 PERMIT#
JOB ADDRESS: P Ll'-4241.—
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$�
NEW SERVICE F-1 Overhead F� Underground D Underground up Pole
-_-;Residential(Main)Service L
0 -200amps L'.am s #of Meters
-100 amps ��101-150amps p
', i Commercial(Main)-Service 'L-jCT Service amps
i I I- amps
r- -200amps
i-A-100 amps 101-150amps E 151
Conductor Type Size
i-,Multi-Family(Main)Service
F I am of Unit Meters
F!0-100amps F1101-150amps L!151-200amps _j ps
_1 Temporary Pole :-' amps
CT Service amps
SERVICE UPGRADE
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
am s CT Service amps
L:100amps 111150amps - p
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: —0-30amps —3 1-1 00amps —10 1-200amps
Appliances: 0-30amps 3 1-I 00amps 10 1-200amps
A/C Circuits: —0-60amps 61-I 00amps
Heat Circuits: # circuits @___�w
Number of Lighting Outlets, including Fixtures:
OTHER/LF CTRICAL PROJECTS KVA -1 Motors hp
AwinimingPool �-_' Sign Ci Smoke Detectors_Qty ETransformers—
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK
Qty_voltslamps
REpAIRS/MISCELLANEOUS E21 Safety Inspection Ej Panel Change OH to UG
0 Replace Burnt/Damaged Meter Can
[:,'Other:
y that I have
Permit becomes void if work does not commence within a six month period or work is suspended or a doned for six months. I hereby certif
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. 6-a Ili-0D r-d Phone Number
Property Owners Name J3 A 3'A ne Fax&-b-202-c�
Electrical Comp t N L_ C Office Pho
Ac.--e_ city 0�1�4-
Co.Address: state fi:L zip 32
e ion/Registration#
License Holder(Print): U i
Notarized Signature of License Holder
- 11-1 day 20
Sworn and subscribed before me thi _j
KAREN EWING V.X
Publ
MY COMMISSION#EE1174220 Signature of Notary ic
ExPIRES May 21.2018