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1675 Selva Marina Dr 2014 POOL CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000313 Date 5/12/14 Property Address . . . . . . 1675 SELVA MARINA DR Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 25000 ---------------------------------------------------------------------------- Application desc new inground pool ---------------------------------------------------------------------------- Owner Contractor LINDLEY TOLBERT DESIGN INC SCOTTS POOL SERVICE INC 465 BEACH AVE 10549 BURRIS DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 641-5999 ---------------------------------------------------------------------------- Permit . . . . . . SWIMMING POOL Additional desc . . Permit Fee . . . . 175 . 00 Plan Check Fee 87 . 50 Issue Date . . . . Valuation . . . . 25000 Expiration Date . . 11/08/14 ---------------------------------------------------------------------------- Special Notes and Comments POOL - Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale, structure or lagoon) . 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 DEV REVIEW-SINGLE & 2-FAM 50 . 00 ENG REV RESIDENTIAL BLD 25 . 00 STATE DBPR SURCHARGE 2 . 63 PRRWT-B-A-PPR0'VED ONL�IN A-CEORDANeL-WtT-H-,tLf�- Ti' -OF-ttTLAN-le-BEA(,'H-ORDINANeES-ArN0 T-HIE-Ft6RIBAr------- BUILDIN( DEbummary Charged Paid Credited Due �J If s1 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number . . . . . 14-00000313 Date 5/12/14 ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 175 . 00 175 . 00 . 00 . 00 Plan Check Total 87 . 50 87 . 50 . 00 . 00 Other Fee Total 80 . 26 80 . 26 . 00 . 00 Grand Total 342 . 76 342 . 76 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4'TTA) ; M k FILE COPY c ovE r` S)4 EE T 5CO 7-7-s Poo ��xovle�c /,oc , ,Foe : L WOLE "I -'©L13 E/ T 75- 551-v,+ MA k i A/ + lqP?l-! e �9710N o 60A)rO4,444 NGc Si-��vD�,eD R �t 10 I , 6 ' G ow 7 Ige- r n FILE COPY D� Q II L qj t ^ � l � M � z a � w M P FILE COPY -rylo 14 114 tiU POOL �T Af roti I �l o 05 To �ooL Iq Allo s c2G�ti II ENS X65' v� SCOTT'S FOUL SEAwCE i 10549 BURRIS OR. JAX FLA. 32225 904-i415999 FILE COPY Y ,. 3— 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"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 •For2"plumbing using two outer ports= 268GPM(Floor)& 192GPM(Wall) a -For 2"plumbing using center port only= i • - '- , _-=Y -' 184GPM(Floor)& 176GPM(Wall) Part Numbers: 25506-320-000 32"Channel Drain w/Sump, White ,� 1 25506-321-000 32"Channel Drain w/Sump, Gray t 25506-324-000 32"Channel Drain w/Sump,Black 25506-327-000 32"Channel Drain w/Sump,Dark Gray7�_ 25506-329-000 32"Channel Drain w/Sump, Tan25506-320-100 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 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. Toll Free:800.733.9060 or visit us online at www.c-m-p.com Contact us for details about our complete line of pool,spa&whirlpool bath componentshl 02111 zv Cartridge *1:115 Clean & Clear Filter K i Clamp ring for • quick access to cartridges - _A­ Single-piece fiberglass • polypropylene for strength ' and corrosion 1 Easy ac cesS P/2"drain A plumbing for • l' 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" 1 15.5" 1 150 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. Maximu Mow rate. Carefree. . .b design y FILE COPY Like all Pentair Water Pool and Spa'cartridge filters,the f 2"plumbing for maximum flow, - - Clean&Clear°filter features an easily-cleaned cartridge o Single piece base and body desigT'I7?C'T8f axlmum 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 Available from: doesn't get any easier • 1%2"drain and washout for quick and convenient •1 maintenance and winterization. ��'';�:.•. . s Innovative lock-ring requires only half of a revolution for a safe,leak-proof seal. '.� -;•� ` _ � , +IA Pentair Pool Products' Because reliability matters most www.pentairpool.com Phone:800-83 1-7133 pumps!filters/heaters i heat pumps/automation i lighting/cleaners/sanitizers/water features/maintenance products 3/11 Part#PI-121 NSF, @201 1 Pentair Water Pool and Spa.Inc.All rights reserved. SuperF16" High Performance ' ump -- When Outfitting your new pool . looking :superior . Hayward"'Super Pump� . drops 1right into . installation .- motor . Superior hydraulic design and thick-walled body parts deliver SUper-clUiet operation. 0 J The strong, silent type ' The Su erFlo°high performance um meets all the criteria Performance fJLE c for a superior pool,spa or water feature pump. It's super 3450 RPM energy-efficient,super quiet and super easy to maintain. Plus, as 110- —21A HP Hlgh speed —2 HP High Speed it's designed with innovative materials that will stand up to the30 loo — I''HP High speed — 1 HP High Speed most demanding installations and conditions. Whether you're — '25 'A HP Hi speed HIP High Speed choosing your first pump or replacing older technology, o 80 SuperFlo is definitely a super choice. T16 20- < 60 • Self-priming for quick,easy start-up. °F Is LL 40 • I I S-volt or 230-volt models available. to = IoW speed I iso RPM 20 • Performance and pressure tested to ensure superior quality. s _ 0 • UUCUUNSF certified. 20 40 60 90 100 120 140 160 U.S.Gallons per minute • One-year limited warranty. See warranty for details. s 10 Is 20 25 30 35 Cubic Meters per hour Available from: - - Pentair Poo!Products® _< Because reliability matters most www.pentairpool.com -. Phone:800-831-7133 pumps/filters/heaters/heat pumps i automation! lighting?cleaners i sanitizers i water features maintenance products 8/09 Part#P 1-232 NSF @ c1S) ©2009 Pentair Water Pool and Spa Inc.All rights reserved. FILE CO k L. 'w Easy to install or retrofit in even the tightest space - models from 175M to 400M BTUs - all measure 211 L 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 Available in natural gas and propane models. J Pool Capacity in Gallt� Pool Suw face 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 3S 12,173 13.912 17,390 20,868 2.7.824 296 338 423 507 67S 40 10,651 12,173 15,216 18,260 24,346 259 295 369 443 591 Miniitp�fnr 3O'FTemperat n-(, Rise (Heater Input in 1000 RTI)/HR) 21.0 31.0 40.0 50.0 61.0 71.0 81.0 9 i.0 102.0 =00 18.0 27.0 35.0 44.0 53.0 62.0 71.0 80.0 89.0 5= _' 0OHD 15.8 23.5 30.8 38.5 46.5 54.3 62.0 70.0 77.8 X00 I�.5 20.0 26.5 33.0 10.0 46.5 53.0 60.0 66.5 100-1400HD 9.0 13.0 1 18.0 1 22.0 1 27.0 31.0 1 35.0 -10.0 14.0) dam• -- - � FILE COPY ' Y J + `- A •• tic to - y' OWL Yk .. C A ip f-a 49 r #j ♦ ah NP- City of Atlantic Beach RECEIVED APPLICATION NUMBER JS ts1 Building Department (To be assigned by the Building Department.) 800 Seminole Road MARU 7 2014 �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)24 7-5845 it E-mail: building-dept@coab.us $Y: Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: AL,�� f(/a, ment review required Yes No / B " Applicant: 5 CO rs _PcO L tannin &Zoni Tree ministrator Project: �Q O L., ublic Wor Public Safety Fire Services Review fee�$a� ��• I��- :. 3� Dep ��19 .t � �` M:� 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: ? �� TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑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 s 20%=���7City of Atlantic Beach R ,('��IVE� APPLICATION NUMBER `J id Building Department (To be assigned by the Building Department.) 800 Seminole Road MAR 0 7 !/-� ,( Atlantic Beach, Florida 32233-5445 2��4 7' U�f " Phone(904)247-5826 • Fax(904) 7-5845 ga E-mail: building-dept@coab.us j Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: j ,�r ,(l(�, r'7Z - ment review required Yes No Applicant: c5 CO r� ,T d0 L 2Lng &Zoni Tree ministrator Project: �Q Q L., ublic Wor Public 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:_ 6P Date: : T *RE . Second Review: A roved as revised.❑ pp ❑Denied. Comments: PUBLIC SAFE Y Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 !)U11,U1INk. /" t',tc(vil l Y�1'1 /\ 1 1k)IN CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, 1:1, 32233 01 lice (904) 247-5826 Fax (904) 247-5845 Job Address: 105 Permit Number: Legal l)cscription , arcel # Propose Area o d. 't, �� .t Valuation.of Work x.25 p�V I ropused Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Meme I)enlolitioi pool/s rl •ndow/door Use of existing/proposed structure(s) (circle one): Commercial �Ss i If,'" existing structure, is a fire sprinkler system installed? (Circle one /A Fbrida Product Approval # For multiple products use product approval orm Describe in detail the type ot'work to be perl'ormed: Property Owner Information: Name:�I fl t� Address: City HM St tg Zip PLij e - E-Mail or Fas #(Optional) Contractor Information: �+��r�.r Company Nalne:15 r,$ Id ��/2Ur '" j,(,� Qualifying Agent: 04,E Uw/ L- CC/QiQD Address:_if P Cty StateOffice Phone - `-ZI SoTT -�foD3c?73 Fax# State Certification/Registration # ���01S�te&/C �a_ctNu�rnber' Architect Name& Phone# Engineer's Name& Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address :Ipplicalion is hereby nuldc hr uhlairr cr permit to c%Ilse work and inslu!lalions us inc/iecdcd. /ecrli/i'Ihul rlo tirurk iu inslul/inion bus caunrencec/prior to the is;stunte'c'rl/[l peYllll!rllld/flat.all 11'OI'k u'ilI he performed ro n+rcl the Blandinds c f cr!l luu's regulitin�cuas/rucliurr in dris shisdic•liolt '1 tris permit becomes the urrd void f work is no!c onulrenc'.d within sir(G)nu)rdhs, ur if c unsh uc tiun ur murk is secs/)elnlecl ur aburrdrined Ja a peru)d aj s%e(G)utonlhs al am'lime alter uurk is cunurtenccc! l umlerslund IhnJ scE)crrete permits rtes!he srcaredJbr G/eclriea/ Wirrk, /'/nrnbing,Signs, IVe/ls, Pools, Furnaces, /toilers, Netters, Trucks ruu/Air Co witiouen,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. 'hereby vertifi'that/have rea(/on(l ewin necl this,Cy)1)lrCcl1/011 cine/knoll''serene to be 11•1le altrl e•orrec•I. A/!1u orisiuns u//runs and( Winauc'es governing Iters IrO !?l work aril/be c•onrplird rvillr///tNte! s cifre(l u'rein ur x�, he weanling of�o per•nlil does not.presrane to give cnnhuriiv to yiolwe or c•ince/the u urisiuns rJ cnly other Ji cic l ul,sic , d'r I we l!n r•e i i• , olistriclion or the per Ibinionc•e(y*c0nstr•ncvion. ;wnature of Owner, . - —__-- Signature e of C'onU"actor� Tint Name U�s qN��1�.? -— ---- . .( .. . ..... Pant Name . ... ... .... vvo n nd s ribe re meSwo n sus rib 1 c me — 20 thisC otaiy 1 bliC. _ Notary ublic-State of Florida Nota P Ile 2. e of fl " a- --- • r ;• «oP My Comm.ExpiresJan 26,2015 's2 cr My Comm.Expires Jan 26,2015 4 '•�'FoFF��P Commission#EE 59080 %%%oFFyq;:�' Gommisstn City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) f £ 800 Seminole Road Atlantic Beach, Florida 32233-5445 ad1 Phone(904)247-5826 • Fax(904)247-5845 -"�j M, E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1-6 ,� ,��,(/(�,, � /'7l ment review required Yes No Applicant: C=5CO rs 'Pe-o L < Z[anning&Zoni Tree ministrator Project: ublic Wor Public Safety Fire Services 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: APPLICATJOIq STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by' Date: TREE ADMIN. Second Review: A roved as revis d. ❑ pp ❑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 City of Atlantic Beach APPLICATION NUMBER Js �� Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 7 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: Ila 7�r� (,�, Qt/7L� _Department review required Yes _B inn Applicant: =yep rs 7>oO L tannin &Zoni Tree ministrator Project: 0 a 5ubIic Wor Public 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: 96-p--roved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: / Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑D ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 Ill 1IA;IIN%w 1 r.Klvll I /%I'I'I,II.;\ I It ; ""� `�� "'~• � �i� C HN OF ATLAN'T'IC BEACH 800 Seminole Road, Atlantic Beach. FI. 322333 :. FILE COPY Office (904) 247-5826 Fax (904) 247-5815 Joh Address: U - Permit Number:. N-0,313 Legal I)escription&' (!!' �' 'arcel # oor Area o4*tIt- , y. -t Valuation of Work $?.5 q7U Proposed Work heated/cooled non-heated/cooled Class of Work(circle one)-. New Addition Alteration Repair Move Denwlitiof �ndow/door Use of existing/proposed structure(s) (circle one): Commercial Residenti• If an existing structure, is a fire sprinkler system installed? (Circle one : es No /A FForida Product Approval # For multiple products use product approvalform Describe in detail the type ot'work to be perfin-med: Proncrrrty Owner Information: Name:U Address: City St t Zip PI — l:-Mail or Fax # (Optional) Contractor Information: Company Name:I Gillr ..St✓/eUl f.1,�• Qualifying A gent: ,(J 4// /OLC�� Address: IJOS" ,BI/AO-4 - . __ City — State fJ��7_ip Oflice Phone Job Site/Contact Number SZo r7- -8U3M3 Fax State Certification/Registration# 4161_1_;1 3/ Architect Name& Phone # Engineer's Name& Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address .indication is herehv etude to obtain a pernii to do the work and installations as indicated. I cerliti,that no work or installation has conanenceil prhUr to the issuance( permit and Thur all work will be oenfrnied to meet the standards of all laws regulating construction in this jurisdiction. Tllis pernnil becontec null (lilt/void f work is not commenced within si.v(6)months, or ifconsh•uction at-work is sus/)ended or abandon d lar a periotl of sk,(6)months tit anv lime utter work is commenced, l understand that sepurale permits nmnst be secured jor Electrical Rork, Plumbing,Stens, Wells, Polak, Furnaces, Boilers, Heaierc, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby cerliji'that l have read and e.vamined This aynplicathon and kno_%.!;4ke same to he arae and correct. All provisions of laws and ordinances governing this (qw of work irill be compCiecl with tart s 'Oed herein or he granting of a permit does Plot precunte to gime authority to violate or cancel the provisions of arm other lock W/.sla . dr i x• i f n 1., t( 1onsu•uclion or the lw10rntanc'e of construction. i Signature of Owner _ -- _ - Signature of Contractor _-_- Print Name UPrint Namr . . _ - Sxvo 1 nd s ribe e ne Swo n su s rib e file thi 2014this 1 , — A IA a y a e of FI 'da Nu at-\, 1 blit .,�` i,z Notary ublic-State of Florida Nola I' )Ilc '._My Comm.Expires Jan 26,2015 My Comm.Expires Jan 26,2015 ;,oF 11q?�� komm ss(Tr) E-,,991`0 ,OF F��°.:•'� Commission #EE 59080 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of P!,k County of ,DLI 04 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. Legal description of property being improved: —c2q z4" Address of property being improved: General description of improvements: Owner 7�;(, ► Address Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor .,S'c L SAFw 1 , Address i°V",(,S ,,Q: ,T71XI,, 3.2,? -2S Phone No. q�� -- J� 4 ' S / Fax No, 40Lj Surety(if any) Address Amount of bond $ Phone No. 17 Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. IT 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. ft 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 rA Phone No. ft Fax No. Expiration date of Notice of Commencement(the expiration daWs oneA)year from the date of recording unless a different date is specified): Jfl PA- THIS SPACE FOR RECORDER'S USE ONLY 0 Signed: DATE Before me thi in the County of D va, tate f Florida,h ersonall ap ar herein by himself/ rms Doc b 2014116431,OR BK i"079 i Page i y44, herself and a that all stat are true and accurate �.. Number Pages:1 , MANIA PIMIENTA Recorded 05/27/2014 at 08:10 AM, '_; „°: Notary Public-State of]2015 Ronnie Fussell CLERK CIRCUIT COURT DUVAL -N` : My Comm.Expires Jan 2COUNTY ` '%' �, Commission#EE 59 RECORDING$10.00 " Notary Publfc at Large, tate of County of TXYA My commis ion expires: Personally Known or Produced Identification CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 C it Application Number . . . . . 14-00000313 Date 6/27/14 Property Address . . . . . . 1675 SELVA MARINA DR Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 25000 ---------------------------------------------------------------------------- Application desc new inground pool ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LINDLEY TOLBERT DESIGN INC SCOTTS POOL SERVICE INC 465 BEACH AVE 10549 BURRIS DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 641-5999 ---------------------------------------------------------------------------- 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 . . 12/24/14 ---------------------------------------------------------------------------- Special Notes and Comments POOL - Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale, structure or lagoon) . 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 ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ------------------------------------------------------------------------ PERMIT Ee&PFfflS iD18AtU IN ACCORDAQhaW9MdALL CITY OF R"9 1C BEACI �i94 AND THE FPWDA BUILDING CODES. r� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 1 Page 2 Application Number . . . . . 14-00000313 Date 6/27/14 ----------------- ---------- ---------- ---------- ---------- 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 Ph(904) 247-5826 Fax (904)247-5845 JOB ADDRESS: �p�s ���fcl ( c>>r� r PERMIT# I JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main) Service 110-100 amps ❑101-150amps ❑151-200amps []—amps #of Meters ❑Commercial(Main) Service 110-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT 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 ❑200amps ❑ amps OCT 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 YCIECTRICAL PROJECTS wtmming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can Ll Safety Inspection ❑Panel Change ❑OH 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 1 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. 1 Property Owners Name L �1 -7� �` �f n Phone Number Electrical Company P �'�r �'co -- 5j<V &— Office Phone (-2S- 3 (k�- Fax Co.Address: 2 City '�C S State �R Zip 3 License Holder(Print): --���C, (mac �� St e Certification/Re istration# yytaD (? ?Z 1� Notarized Signature of License Holder Before me this ay of 20 Signature of Notary Public