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2039 Selva Madera 2014 Pool CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �S3fiEl�� Application Number . . . . . 14-00000528 Date 4/23/14 Property Address . . . . . . 2039 SELVA MADERA CT Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 40000 ---------------------------------------------------------------------------- Application desc pool ----------------------------------------------------- Owner Contractor - ------------------------ ----------------------- ALLEN, SUSAN M ISLAND POOLS, LLC 2039 SELVA MADERA CT. 1546 LINKSIDE DR ATLANTIC BEACH FL 322334531 ATLANTIC BEACH FL 32233 (904) 334-5421 ---------------------------------------------------------------------------- Permit . . . . . . SWIMMING POOL Additional desc . Permit Fee 250 . 00 Plan Check Fee 125 . 00 Issue Date . . . . Valuation . . . . 40000 Expiration Date . . 10/20/14 -------------------------------------------------- Special Notes and Comments If on-site storage is required, a post construction topographic survey documenting proper construction will be 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. Proposed on-site storage area is oversized and may be reduced to 6" average depth, at owner' s option. 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 . 75 ENG REV PRE APP > 3 HRS 25 . 00 STATE DBPR SURCHARGE 3 . 75 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---------- ---------- ---------- n PERMIT ISPA PAM ' D �S� 1'90AF#4RDANCE WWWA-L.QCITY OF A�AgIQPIPgEACH ORDINANCES�AND THE FLORIDA 0 BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ,J7 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number 14-00000528 Date 4/23/14 Plan Check Total 125 . 00 125 . 00 . 00 . 00 Other Fee Total 32 . 50 32 . 50 . 00 . 00 Grand Total 407 . 50 407 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 169506-1644 State of FL County of Duval 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. Legal description of property being improved:40-37 09-2S-29E SELVA NORTE UNIT TWO �U3 Address of property being improvedetva Madera Ct Atl Bch FL 32233 General description of improvements: Swimming POOI owner Susan Allen Address 3027 Selva Madera Ct Atl Bch FL32233 Owner's interest in site of the improvement 100% Fee Simple Titleholder(if other than owner) Name Address Contractor Ronald Gray Address 1546 Linkside Dr Atl Bch FL 32233 Phone No.904-334-5421 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 different date is specified): \ THIS SPACE FOR RECORDER'S USE ONLY OWNER ( �\1 Sign DATE B e this ay of In the Coun a e a eared OR BK 16758 Page 396, herein by Doc#2014089171, himself herself and affirms t at II to ements and declarations herein Number Pages:1 are true and accurate Recorded 04,,23/2014 at 11:52 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Notary Public Large.State - �fCAY K My commission a fres: Personally Knov:v or Produced Identific on � - „,`.°�`�,, Banded Thru Troy Fain 1-- -- -- - BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH ' FILE COPY , '., 800 Seminole Road,Atlantic Beach, FL 2233 Office (904) \247-5826 Fax (904 247-5845 Job Address: qylelva Madeira Ct Permit Number: _ 410 �0 40-37 09 -2S-29E Legal Description_ SELVA NORTE UNIT TWO Parcel# 169506-1644 Floor Area of Sq.Ft. Sq.Ft Valuation of Work S. 40000.00 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/pro osed 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: New inground pool Property Owner Information: �� Name: Susan Allen Address�99;�elva Madeira Ct City Ad Bch State FL_Zip 32233 Phone 904-334-5421 E-Mail or Fax#(Optional) Contractor Information: Company Name: Island Pools Qualifying Agent: Ronald Gray Address: 1546 Linkside Dr City Atl Bch State FL Zip 32233 Office Phone 940-334-542 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'Perini 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 ofsix months at any time after work is commenced I understand that separate per, must be secured for Electrica Work, Plumbing,Signs, Wells, Pools, urnaces, 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 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type ojlwork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other fe ral,state, or local law regulating construction or the performance of construction. Signature of Own Signature of Contrac Print Name Print Name ......... ......................................._.................................................... _. ... _ -................_....._..................................._......_....._.__..... Sworn to and subs ibed before me Sworn o and subs e before me this Day off - this 1� Day o 20 KEE r `?2 mission#FF 040758 H Notary blic -q,gsb; Bonded ThmTroy Fain Insurance 8U0-385.7013 Notary Pu 1 xpiresNovemhar3n �n, Doc # 2010200798, OR BK 15349 Page 1824 , Number Pages: 2, Recorded 08/27/2010 at 09: 50 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 DEED DOC ST $3290 .00 rW✓ `:..P°t'A .y.aty, nb.k�X-+,•-1 Prepared by Dennis L.Pratt Dennis L.Pratt Title Services,Inc. 12276 San lose Blvd,Suite 429 a F Jacksonville,Florida 32223 File Number 10-16984 Return to: Susan M.Allen 2039 Selva Madera Court,Atlantic Beach,Florida 32233 General Warranty Deed THIS INDENTURE,made this August 16,2010 A.D.By Matthew P.LeBlanc and Catherine A-LeBlanc,husband and wife,whose address is:419 Hunters Point Drive,Indian Trail,NC 28079,hereinafter called the grantor,to Susan M.Allen,whose post office address is: 2039 Selva Madera Court,Atlantic Beach,Florida 32233,hereinafter called the grantee: (Whenever used herein the term"grantor"and"grantee"include all the panics to this instrument and the heirs,legal representatives and assigns of individuals,and the successors and assigns ofcorporations) 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 77,Servs Norte'Unit Two,according to plat thereof as recorded in Plat Book 40,pages 37 At 37A of the current public records of Duval County,Florida. Parcel ID Number 169506-1644 Together-wRth all 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 31,2009. i DEED Indmdual Warranty Deed-Lcgal on Face closers'Choice I i +Asa!w—cwy* ..,:...".w-.:r:�a....-»......ww.....,.r—..n+r„*..r.ww....�wy.. :.. ,-:+ca"•aM'i:.'..�.,...+t+r+.,w�,....u+. .___.-_;,,,..u."..,»t.,,,�,.._..r....«..w..:aKwxW,.:.it..r..,.....-....,'„en... ..,;..-..;in... OR BK 15349 PAGE 1825 ��.yra`+pw•ufV>,�`G h.^n*-aA v11+.f�,.� rte; > a.iar.:p wu Prepared by: Dennis L.Pratt Dennis L.Pratt Title Services,Inc. COPY 12276 San Jose Blvd.,Suite 429 Jacksonville,Florida 32223 File Number: 10-16984 Return to: Susan M.Allen 2039 Selva Madera Court,Atlantic Beach,Florida 32233 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 preiA r (Seal) el LeBla �ijip Hunter nt Drive,Indian Trail,NC 2807 Witness Printed Name �� (Seal) A.G-Rlaac Signature (� Address. 419 Hunters Point Drive,Indian Trail,NC 28079 Witness Printed NameSc 10 State of NOIr j'1n C , O l l tna County of uhi,v r-, Thee egoin nstrument was acknowledged before me this day of August,2010,by Matthew P.LeBlanc and Catherine A. LeB d and wife,who is/are personally known to me or who has eproduced as identification. ..<, —� Nciiary Public W, Print Nue: or My Commission E:pirea: ",ldk �� si•�� j. y w� DEED Individual Warranty Deed-[.eget on Face Closers'Choice .r,w�.»w.a+-�.,.,.sn»...:.±»...>.�.yaW.i�+wa.w—srM+a+rw,++_�. .. ,:•.ti+rw:r:....,ws�.....,..W..u,+r,...-...•www*+�..,.,�...,+.id?a. OW r TREE & VEGETATION AFFIDAVITS `°' - k City of Atlantic Beach FILE COPY ' f Department of Community Development Ll w Planning&Zoning Division ,, 800 Seminole Road Atlantic Beach, FL 32233 (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION F Owner(s) F— Legal Authorized Agent* NAME OF APPLICANT Ronald Gray NAME OF COMPANY Island Pools LLC ADDRESS OF COMPANY 1546 Linkside Dr Atl Bch FL 32233 PHONE (904)334-5421 CELL EMAIL CONTRACTOR CERTIFICATION NUMBER CPC 1457429 ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY�3Q2.�*elva Madera Ct If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION 40-37 09-2S-29E Selva Norte Unit 2 LOT BLOCK SUBDIVISION REAL ESTATE NUMBER 169506-1644 LOT OR PARCEL SIZE: 13400 SQ FT AC RESIDENTIAL X COMMERCIAL OTHER(SPECIFY) 1 affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from4theBove-described or adjacent properties in conjunction with this project. OF OWNER SIGNATURE OF OWNER Signed and sworn before me on this C'I day of State of }' L- ---�� County of V4-1 Identification verified: Oath sworn: p, Yes r No Notary Signature KAY KEEL SMITH REV-1VA-v10.12 My Commission expires: .. Commission#FF WMA xpires November 30,2017 •�;p n;S 0onded Thru Troy Fain Insurance 00h 7;i$9 FILE Qo Poole Impervious calculations fors = Selva Madeira Ct Current lot size 13400 sft Current impervious House 2300 sft AC pads and driveway 706 sft Total 3006 sft 22% Proposed installation of paver decking 750 sft 5% Total new impervious 3756 sft 28% Completed by RD Gray Island Pools LLC 904-334-5421 F 'MIN ...."palwo k FILE COPY s 04nd PootSux Cover page .36ff Selva Madeira Ct Atlantic Beach FL 32233 Occupancy class R-3 FBC 2010 NEC 2010 1.Impervious calculations 2.Building Permit Application 3.13roof of ownership 4.Notice of Commencement(to be filed) S.Site survey 6.Site management plan 7.Site plan 8.TDH worksheet 9.Drain and entrapment prevention 10.Pool steel drawings 11.a-g equipment cut sheets 12.Tree removal application 13. Door and window alarm specifications Doc # 2010200798, OR EK 15349 Page 1824, Number Pages: 2, Recorded 08/27/2010 at 09:50 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 DEED DOC ST $3290. 00 FILE COPY 5 Prepared by: Dennis L.Pratt Dennis L.Pratt Title Services,Inc. 12276 San Jose Blvd.,Suite 429 Jacksonville,Florida 32223 File Number: 10-16984 Return to: Susan M.Allen 2039 Selva Madera Court,Atlantic Beach,Florida 32233 General Warranty Deed THIS INDENTURE,made this August 16,2010 A.D.By Matthew P.LeBlanc and Catherine A.LeBlanc,husband and wife,whose address is:419 Hunters Point Drive,Indian Trail,NC 28079,hereinafter called the grantor,to Susan M.Allen,whose post office address is: 2039 Selva Madera Court,Atlantic Beach,Florida 32233,hereinafter called the grantee: (Whenever used herein the term"grantor"and"grantee"include all the parties to this instntment 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 stun 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 77,Selva Norte'Unit Two,according to plat thereof as recorded in Plat Book 40,pages 37&37A of the current public records of Duval County,Florida. Parcel ID Number:169506-1644 Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. 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 lawfiil 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 31,2009. DEED Individual Warranty Deed-Legal on Face Closers'Choice + •• ..,.,yaw, :.,_..,�_-`- wusw*.pasta..'--yn.a:;x�r:ans.--�.....�> sa�aa:,+w+r-:�.». .�K+w.e.�+s.;,,-. --.e✓--:�*,:,,,:,�w�:�w+,-.—.+..ltn.:..:..vn:vw OR BK 15349 PAGE 1825 FILE COPY ", Prepared by. fi o,•+c..�.�.� .. . ay.r�a Dennis L.Pratt L. Dennis Pratt Title Services,Inc. 12276 San Jose Blvd.,Suite 429 Jacksonville,Florida 32223 File Number: 10-16984 Return to: Susan M.Allen 2039 Selva Madera Court,Atlantic Beach,Florida 32233 In Witness Whereof, the said grantor has signed and sealed these presents the day and year fust above written. Signed,sealed and delivered in our presence: i � 7�z�>�/ Xc (Seal) (thew P.LeBla gn ure `� aaresa', 419 Hunter mt Drive,Indian Trail,NC 28079 Witness Printed Name �i (Seal) signature nog A.LeBlanc .1 Address 419 Hunters Point Drive,Indian Trail,NC 28079 m Witness Printed Nae G4k—,i V,'--Stateof NOr A-h C,ro h+nit County of Uni o n The" egoin 'nstrument was acknowledged before me this day of August,2010,by Matthew P.LeBlanc and Catherine A. IABI hriG( d and wife,who is/are personally known to me or who has produced as identification. aN u �$, 'o¢- Maury Public ul;. -_ f. Print Name. l.G_�ii'1P..t't1V� SSI My Commission Expires: �Q f- j_ DEED Individual Warranty Deed-Legal on Face Closers'Choice C�t1Fr' .�.eir:.�aB:wit,+ga•3>.4�e�:�FwN.+iia;wi+M.v+!i!N�vN*+s+t�stiiyA.':WYuf%�°?a'rv+�f�M .-}+�!+gayr:�rv+c+'�+rs�•ririWk.l+r-i<'%:AX+�+�-++>%�'-E'+r+t"t�*+ri++�A�aa•`-«...,«;.a�r.,c..w.rt :�..;rpFn:r—•.:i!.M1i+�1n+«s�e+aysja�6C: City of Atlantic Beach Building Department APPLICATION NUMBER (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 / L 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 FORM Property Address:adgj cri`V/' AAeo-1 ;Services t review required- Yes o )��tn at �oo�s } Applicant: onin / strator Project: /'� gra Al-n �d ` eview fee Dept Signature Other Agency Review or Permit Required Review or R of Permit Ver �{ Florida Dept. of Environmental Protection Florida Dept. of Transportation VV St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: P<Pproved. []D (Circle one.) Comments: UILDING PLANNING ONING _ Reviewed by:4?ZDate: TREE ADMIN. Second Review: QApproved as revised. ❑De d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: ised 05/14/09 City Of Atlantic Beach Building Department APPLICATION NUMBER 1 (To be assigned by Seminole Road the Buildin Department.) / _ Z Atlantic ntic 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 FORM Property Address:C adgl Vir, AAe4. De ax ent review required !L/7 �DD`� q d Yes No B . Applicant: Planning &Zoning p Tree Administrator Project: rd l�'�'1.d / 4 0 P is or s c U is afety Fire Services ;Review fee $ - - - -Dept Signature - --- _ _. . .- - --_-.-- . Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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 DepartmentFirst Review: pproved. ❑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: ised 05/14/09 City of Atlantic Beach �<_ECEIVED APPLICATION NUMBER \rj Building Department APR 4 204 (To be assigned b the Build]n Department.) r 800 Seminole Road Atlantic Beach, Florida 32233-5444 Phone(904)247-5826 • Fax(904)B4Yb8r35 �!j;3�' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:aa39 ��i V� �i�T� �// D ar ent review required Yes No p Y �/ Q B Applicant: �h C3 / OD`� Planning &Zonin Tree Administrator Project: J h /"d lt.'71,d �D O �' P is or u is afety Fire Services Review fee $ n- Dept Sigatur 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. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: (/ Date: IO��J TREE ADMIN., Second Review: ❑Approved as revised. []Denied. W RKS Comments: U I [LIT PUBLIC SAFET Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: +vised 05/14/09 City of Atlantic Beach lassigned ICATIOa \33 Building Department RECEIVED (To b the Bment.)800 Seminole Road Atlantic Beach, Florida 32233-54 APR 0 2014 ! v Phone(904)247-5826 • Fax(90 )247-5845 E-mail: building-dept@coab.us BY: Da City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: aJ91 ��f V/Cr �itQ � %ee ent review required Yes No / Applicant: g/iM � ��` &Zonin Ad' ini tratorProject: re Am 6 0 retyes 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: DApproved. Denied. (Circle one.) Comments: Yf'� BUILDING PLANNING &ZONING Reviewed by: i �,, Date: /Wn TREE ADMIN. Second Review: [Approved as revised. ❑Denied. PUBLIC WORKS Comments: T� PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: l y FIRE SERVICES Third Review: OApproved as revised. ❑Denied. Comments: Reviewed by: Date: ised 05/14/09 'r�i yl'��r fyY � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 � INSPECTION PHONE LINE 247-5814 ��Jj3 �• Application Number . . . . 14-00000528 Date 5/12/14 Property Address . . . . . . 2039 SELVA MADERA CT Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 40000 ----------------------------------------------------------------- Application desc pool ----------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- ALLEN, SUSAN M ISLAND POOLS, LLC 2039 SELVA MADERA CT. 1546 LINKSIDE DR ATLANTIC BEACH FL 322334531 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 . . 11/08/14 ------------------------------------------------------- Special Notes and Comments If on-site storage is required, a post construction topographic survey documenting proper construction will be 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. Proposed on-site storage area is oversized and may be reduced to 6" average depth, at owner' s option. 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 Ae witm Hof f3QtadRDANCE WI7915 A QITY OF ATL91FPTJ0 QEACH ORDINANGFROkND THE FLORID 0 BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 0 flit Page 2 Application Number . . . . . 14-00000528 Date 5/12/14 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 lPh'(904)2447-5826 Fax (904) 247-5845 .TOB ADDRESS: .� �i � � � �/ t V & / f f adev 1 � Ci�` 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 [1101-1 50amps ❑151-200amps El—amps #of Meters ❑Commercial(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps El—amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps LI—amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps 0 C 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 KV A ❑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 DOH to UG ❑Other: 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. //�� 'n Property Owners Name n— �� C t'1 Phone Number Electrical Company l��/� 2 �' cJ �'`� e 1 �� Office Phone Fax �- �•• �- Gk U L) /►-V" Cit State Zip3 z'O b'e Co.Address: 2 P �� y License Holder(Print): 0— t 0 v^• , State Certifica ' egistration#�e's o 0 L6 Notarized Signature of License Holder �— Before me this day of 20 Signature of Notary Public