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421 Sargo Rd 2014 Pool CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 Application Number . . . . 14-00001171 Date 8/13/14 Property Address . . . . . . 421 SARGO RD Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 28000 ---------------------------------------------- Application desc NEW POOL --------------------------------------------- Owner Contractor - ------------------------ ----------------------- Eichner, Calvin L PALACE POOLS INC 421 Sargo Rd 11655 CENTRAL PARKWAY #313 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 221-1159 ---------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . HABITAT ELECTRICAL CONTRACTORS . 00 Permit Fee . . . . 95 . 00 Plan Check Fee . Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/09/15 -------------------------------------------- Special Notes and Comments If on-site storage is required, a post construction topographic survey documenting proper construction will be required. 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. 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 Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 8q4 . 00p011 . 00 . n00 PERMIT I�E�® II"f�IN ACCORDANCE WI ttrAcL(OCITY OF ATLARTIC%EACH ORDINANEAPAND THE FLORIO 0 BUILDING CODES. r i r-A A 2Eto i Pte) pp r.,4,-7 o � W, Ib ?3 rJ�� " r;, Comp. By: RLC r Date: 10/21/2014 Public Works DepartmentF_'vl 5 r On City of Atlantic Beach Permit No: 14-1171 Address: 421 Sargo Rd Required Storage Volume Criteria: Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations requires that the difference between the pre-and postdevelopment volume of stormwawter runoff be stored on site. Volume of Runoff is defined as follows: V=CARM 2 Where: V=Volume of Runoff C=Coefficient of Runoff A=Area of lot in square feet R=25-yr/24-hr rainfall depth (9.3-inches for Atlantic Beach) Predevelopment Runoff Volume• Lot Area(A) = 7,500 ft' Runoff Coefficient Area Lot Area Description (ft) (ft) Wtd"C" Impervious 2,700 7,500 1.00 0.36 Pervious 4,800 7,500 0.20 0.13 Runoff Coefficient(C)= 0.49 Runoff Volume V= 0.49 x 7,500 x 9.3 1 12 V= 2,837 ft3 Postdevelopment Runoff Volume: Lot Area(A) = 7,500 ft Runoff Coefficient Area Lot Area Description ft2 ft2 "C" Wtd"C" Impervious ,5 7,500 1A0 0.47 %ISA= 47.5% Pervious 3,938 7,500 0.20 0.11 Runoff Coefficient(C)= 0.58 Runoff Volume V= 0.58 x 7,500 x 9.3 ! 12 V= 3,371 ft3 Required Storage Volume DV= Postdevelopment Runoff Volume-Predevelopment Runoff Volume DV= 3,371 - 2,837 DV= 534 ft3 Retention-Revised deck 421 Sargo-onsite Retention w-grnd.xisx 10/2112014 MAP SHOWING BOUNDARY SURVEY OF LOT 10. BLOCK 17, REPLAT OF PART OF ROYAL PALMS UNIT TWO— A. AS RECORDED IN PLAT BOOK 31, PAGES 16 THROUGH 16-0, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CALVIN EICHNERT&I DOROTHY EICHNER SWBC MORTGAGE CORPORATION POINTE TILE, LLC OLD REPUBLIC NATIONAL D TIRA TLEINSURANCE COMPANY LOT 16 LOT 15 BLOCK 17 BLOCK 17 _ — , — _ _S 07'16'02` E _$0.65_(PLAT) DR q XAIN UTLM S S 07'40'59" E 80.68' (MEASURED — — — k(✓ I` RISER — — — 'y, r — — — — — & I Y� 0.2 4vn JTI a.v�'D�z Y- _ 1- + Loo' In Fb>Z 0A STZ� fcn J �+, j Er P-vvoel- $To2.4'4'z QD W 9.5 i 21.4. s.3' En EL i / QI- 111 p.�. PAOO vi v rn r N rn LOT 9 BLOCK 17 LOT 11 a / BLOCK 17 w Luh ONE STORY C FRAME / m� POSTED #421 L/ 3 in o.r i•)� , a Go 25'BUILDING In co 04 REATRICTPN LNE L� M 00 °f _ n Z z 3. 14.3' 'i COVERED n 21.8' CV 0 ENTRY- � • (/1 � Q 3 N ' ..• N Qb: i a. .• 171.15'(PLA•) V (MEASURER) N 07'20'32" 1M 80.67' (MEASURED) N 07'16'02' W $0.65' (PLAT) CORNIER SARGO ROAD (60'RIGHT OF WAY) 1 n, vl LEGEND: STAMP p PSMosi PC POINT OF CURVATURE . FOUND 1/2'IRON PIPE PT POINT OF TANGENCY NO IDENTIFlCATON PRC POINT OF REVERSE (UNIESS OTHERMISE N01E0) CURVATURE ■-4'x4•CONCRETE YONUNENT PCC +G POINT OF COMPOUND A/C AiR CONDfOEB1ER CURVATURE O CONCRETE MAP SHOWING BOUNDARY SURVEY OF LOT 10. BLOCK 17, REPLAT OF PART OF ROYAL PALMS UNIT TWO- A, AS RECORDED IN PLAT BOOK 31, PAGES 16 TIiROUGH 16-D, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. IED CALVIN EICHNER& DOROOTHY EICHNER SWBC MORTGAGE CORPORATION PONTE VEDRA TITLE. LLC OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY LOT 16 onsrT� (ZUn/GFF' BLOCK 17 LOT 15 BLOCK 17 F,.,+ �O-tet W EAsoaw FOR _S 07`16'02" E DR.w4GE s UPU11E3 S 07'40'59' E SO.BE• (MEASURED) RLSEE _ � J/�� , _• / I I I i Io' y w d t (J Q � 9.Y/ 71.9. 1�3'I Q 1- PwATVT10® 14 O� 1 �cm —2'- LOT 'LOT 9 �' P.4 BLOCK 17 I ( LOT 11 BLOCK 17 W Lj * ONE STORY I n FRAME m PCSTED #421 n+r 1• � tD . ao � D'e11aE1NG r ( Il)N ap fV nn 2 p 14-T H z D`tio� ' �•• tC 1 CI Y) U 1-W N 07'20'32' w 80.87 (MEA RED) �. N 0718'02' w BO.65' (PIA *044T OF WAY To rss- SARGO ROAD P�s�.s.-rormp rlFt>�tL (4v R04T OF WAY) C-z>^ - (j W AV v us t-rs STAP.4" W�.L..pdIr1T U1 'K NO RrntoFF 40u/ta1AAW .�soz /Y LEGEND; i Q 41YIPFII mow K pow a,6AYVATvK • E�IMD 1/Y Md1 FY[ POINT d•TANQDXY (un��lim1�P a'awlPRC a RGWT OP r&'Ar- 4RVAWEP N.4•r-CONCREE NONUNENT PCC _ 7xAIYAi R[��— A/C . Aet W1RPaFlf FENCE O." CoNCEt1E Ray Thompson REVISIONS SURVEYING, Inc_ DATE DESCJCP IN Going the DISTANCE for Yo 1825 Uni—syBoLLR Ed West POINTE V�pR„ , ,ITLE, L.L_C JaCk—Vike,Rorda 32.117 (Phony)9D4-448-5126 (Fax) 904.44&5178 JOB N 24 T OATS OF FIELD SURVEY: 5-9-2014 SCALE: 1" s 20' NOTES: CERTIFICATE 1:EEANMGS ARE EASED ON THE PLAT�EEFAMo or--S_dZ4Y3S_y'___ 1 KaeT CERTEY THAT TN 1�1AEE,, ALONG THE SW—ERY EOUMIWY LINE m 9.gkECT PAR¢L ANO MEM THE M—a 1 S7AId E FOR71/EYmMLL[%TpeOA 7' Br CFGPMIC PL.pTTE1C dLY YNC CAPTDNED IANOS LE WT IN il_OOD ZONE BOARD OF MOIE45g1 K•1[4R wPP CMAPTEL M0l7.E,FLAEM Y AS$NO'All ON THE NA TONAL FLOOD IN A E MAP. ADMMISAATK ANT lO SECTq y�A, DATED- A1NF S.2015 CWMUNITY Nlri9pT 120077 PANEL 3. 7}N$$URrE'!RFILECT�ALL EA+EMWT5 k RIGHT OF WAY AS PER RECORDED PUT @/OR tl'4E COMMITMENT a$PPJEU UNLEM OTHM-SE STATED.NO O'71KR 1171E YEAP/WT1011 MAS E[171 F2MCAEKp BY TNe UNOFR4ICNED. AYSIgfyF MOM 4: Tws WRbv IS NOT VALID YATWOCT AN AUTHD=ATED ETFCTRG4C CGNA7l1R[ RE4"STERED SUR AND AUTrE:NRCATED REC7RONIO SFA:. D M 8148 STATE OF FLORIDA UC 7469 LAND SURVEYS 0 CONSTRUC'nON SURVEYS 0 SUBDIVISIONS City of Atlantic Beach APPLICATION NUMBER Building Department 9 P(To be assigned b the Building Department.) L •) ) 800 Seminole Road .�L_ // Atlantic Beach, Florida 32233-5445 .r Phone(904)247-5826 Fax(904)247-5845 E-mail: buildin de t coab.us - g- p�° Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �CII ;Fire ent review re uired Yes No Applicant: �11 t P41.0 j &Zo inistrator Project: fety ces Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. [Denied. J (Circle one.) Comments: � BUILDING 1 PLANNING &ZONING Reviewed by:__141Date: TREE ADMIN. Second Review: Approved as revised. RDenied. PUBLIC WORKS Comments: C—, PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: 7` Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 /� Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: yaI SAA q Rn ad PERMIT# '•�1 VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters ❑Commercial(Main) Service ❑0-100 amps ❑101-150amps C'151-200amps [-1—amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main) Service [10-100 amps ❑101-150amps Ll151-200amps ❑ amps # of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE []_amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-I00amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Swimming Pool ❑ Sign El 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 ❑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 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. I_ `— Phone Number�D�{"��3 997 Property Owners Name �S•�1&R Electrical Company f 616 Ica( ffice Phone 3 6 3"21.1&4 Fax Co.Address: K C/)R• W• City--jd.,GKSo' V1/1W State!'Zip.i_�� License Holder(Print): • GrY7 `e-P, State Certification/Registration# —goo/ 77 Notarized Signature of License Holder p Notary Publicts c S1aofr e thisday o 20Shirley L Graham My commwa on FF 0661F4gna re of Notary Public vvExpfts o2l141201 8 IFISpThe Association of Pool&Spa Professionals® ANSI/APSPACC 15 ENERGY EFFICIENCY COMPLIANCE INFORMATION FOR RESIDENTIAL SWIMMING POOLS PROJECT NAME: ElChner CONTRACTOR NAME Palace Pools Inc. ANO ADDRESS AND ADDRESS: 421 Sargo Rd 2265 St Johns Bluff Rd S Atlantic Beach, Fla. Jax, Fla, 32246 OWNER: CONTRACTOR PHONE: 904 99$-1811 DATE:7/21/2014 Calvin S Beth Eichner This information sheet was prepared by the APSP-15 Residential SwimmingreQolSnn r daring Committee of the Association of Pool and Spa Professionals(APSP). It is not part of the American National Standard ANS/ tintofnlation only.Contractors should acquire and comply with the ANSI/APSP/ICC-15 2011 standard which can be purchased at wm4.a@sp 1. §5.2.1:Calculated pool volume r1LE COPY 1. 11,759 gallons a. Gallons: ;or - b.Calculated Gallons: 393 (surface area)X 4.0 (average depth)X 7.48 (gat/f A374k-1-t t;759 2.§5.2.1:Calculated maximum filtration flow rate 2. gpm - (Pool volume_360 or 36gpm whichever is larger) 3.§5.2.2:Auxiliary Pool Load: flYes, M"' No? (Enter the highest`auxiliary pool load"to be powered by the swimming pool filtration pump.Do not add auxiliary 3• gpm - pool load flow rates together,only the highest is used.) 4. Calculated maximum flow rate " 4' 36 gpm - (Item 2 or item 3,whichever is larger.) iiirll S.§5.5.1:Pipe sizing: a.Minimum suction pipe diameter Sa. 1.5 inches - (Enter the smallest pipe size from Table 1 with a 6 fps flow capacity the same or more than item 4.) b.Minimum suction branch pipe diameter 5b. 1.5 inches - (Calculate:Item 4. 36 (gpm)_Branch Pipes 1 (quantity)=branch flow rate 36 (gpm). Enter the smallest pipe size from Table 1 with a 6 fps flow capacity the same or more than the calculated suction branch flow rate.) c.Minimum return pipe diameter Sc. 1.5 inches - (Enter the smallest pipe size from Table 1 with a 8 fps flow capacity the some or more than item 4.) d.Minimum return branch pipe diameter 5d. 1.5 inches - (Calculate:Item 4. 36 (gpm)-Branch Pipes 1 (quantity)=branch flow rate 36 (gpm). Enter the smallest pipe size from Table 1 with a 8 fps flow capacity the same or more than the calculated return branch flow rate.) 6.§5.4.1:Filter type and size: 6a. Cartridge a.Filter type:(Cartridge,DE,Sand) - b.Minimum filter area 6b. 96.0 sq.ft. - (Calculate:item 4. 36 (gpm):filter factor 0.375 ) Filter factors:Cartnd e=0.375, Sand=15,Diatomaceous Earth=2 7. §5.4.2:Backwash valve: Yes, El No? 7. 2.0 inches - (When using a backwash valve,enter result of item Sc or 2 inches whichever is larger) Table 1 pipe gie: 1.5" 2- 2.S' 1 3' 1 3.6'1 Nominal GPM @ B fps 38 63 90 1 138 1 185 1 236 1 374 1 540 Nominal GPM @ 8 fps 51 84 119 1 164 1 247 1 317 1 499 1 720 8.Pump selection: §5.3.2.1:Pools 17,000 gallons or less,select pump'from the database with a Curve-A gpm flow equal to item 2 or less. §5.3.1.1:Pools 17,001 gallons or more,select pump•from the database with a Curve-C gpm flow equal to item 2 or less.*Multi- speed pumps must have one speed listed that satisfies this requirement. WFDS-26(Law SPEED)1.511P - a.Pump model b.Pump flow 8b. 35 gpm - (§5.3.2.1,5.3.2.2:Applicable Curve A or C gpm flow listed in database) 4/4/12 ANSI/APSP/ICC-15 Standard Writing Committee Form 1 of 2 ANSI/APSP/ICC 15 ENERGY EFFICIENCY COMPLIANCE INFORMATION FOR RESIDENTIAL SWIMMING POOLS Component Section Requirements Check 4.4.1.1 Heater has no pilot light 4.4.1.2 Readily accessible on-off switch mounted outside of the heater Heaters 4.3.1.3 No electric resistance heating unless for inground spa with tight fitting cover with R-6 insulation, or for pool with 60%of documented pool heating from on-site solar or recovered energy. 4.3.2 Heater efficiency:gas/oil fired heater efficiency at least 78%,heat pump COP at least 4.0 5.1.1 Pool filter pump listed in database 5.3.1 Pool filter pump with total horsepower 1.0 or more is multi-speed Multi-speed pump controller programmed to default to the filtration flow rate when no auxiliary 5.3.3 pool loads are operating within 24 hours and programmed with temporary override capability for servicing. Pool systems 5.3.4 Single-speed pump controller capable of operating pump during off-peak electric demand. 5.5.2 Pipe before pump has at least 4 diameters of straight pipe. System installed with solar,or setup for the future addition of solar heating equipment by ❑ 5.5.3 installing 18 inches of horizontal or vertical pipe after the filter and before a heater,or built-in or built-up connections,or dedicated pipe to and from the pool. 5.5.6 Directional inlets for mixing pool water. 4/4/12 ANSI/APSP/ICC-15 Standard Writing Committee Form 2 of 2 Cover Sheet FILE G 7/21/2014 Building Permit Application for Pool at 421 Sargo Rd, Atl.Bch. Fla. Single Family Dwelling, FBC 2010, NEC 2008, Atl. Bch LDC 1. Site Plan 2. Pool Steel Schedule 3. Pool Decking 4. Pool Barrier Requirement 5. Pool Equipment 6. Additional Details Bonding/Grounding Impervious Surfaces FILE Cs MISCELLAENOUS CONSTRUCTION MATTEZ THE CONSTRUCTION OF YOUR SWIMMING POOL IN SOME CASES MAY VOID YOUR TERMITE BOND. IN ORDER TO AVOID THIS WE RECOMMEND THAT YOU HAVE YOUR CURRENT TERMITE BONDING COMPANY REVIEW THE PLANS FOR THE SWM041NG POOL AND ADVISE YOU OF THE PROPER STEPS NEEDED TO PREVENT ANY BREACH OF PROTECTION. IN SOME COUNTIES IT IS REQUIRED THAT THE AREA OF THE POOL DECK BE TREATED PRIOR TO THE INSTALLATION OF THE DECK. BE ADVISED THAT THIS IS AN ADDITIONAL EXPENSE THAT IS NOT THE RESPONSIBILITY OF PALACE POOLS. WE HAVE RECEIVED A COPY OF CHAPTER 515 RESIDENTIAL SWIMMING POOL SAFETY ACT AS REQUIRED BY THE STATE OF FLORIDA. WE FURTHER AGREE THAT COMPLIANCE IS OUR RESPONSIBILITY AND AGREE THAT PALACE POOLS CAN NOT BE HELD RESPONSIBLE FOR FENCING OR ALARMING ISSUES REGARDING TO CODE COMPLIANCE. • r ' HOME OWNER-8I PALACE POOLV k7 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned b the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 :. Phone(904)247-5826 • Fax(904)247-5845 yIL E-mail: building-dept@coab.us Date routed: lie+ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2-1 �C t review required Ye No Applicant: �A d T Q d j .SJ-4 "in, .Zo Tree Aammistrator Project: Public 0-foty Fire Se+ -,es 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: HApproved. []Den' . (Circle one.) Comments: EEDI) PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie, Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department To be assigned b 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 mate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �C Department review required Yes No in Applicant: ree Administrator Project: /Y ti KJ Q� Wor ti,l;+,le Public S: sty Fire Sery:;es Rev ewfee $ Dep Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified i3y 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. ❑Denie (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 City of Atlantic Beach ?�72n14 APPLICATION NUMBER Building Department JUL ) (To be assigned b the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) -5845do E-mail: building-dept@coab.us Date routed: !'✓ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: YZI ',ed Department review required Yes No in Applicant: T � � Tree Administrator Project: ff dd 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: APPLICATION STATUS Reviewing Department First Review: ❑Approved. Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: Approved as revised. EaDpnied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: 7�.�� Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department x.EcTv a assigned b the Building Department.) 800 Seminole Road r // Atlantic Beach, Florida 32233-5445 JUL23 2�J Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Dae routed: /& City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRAC' ING FORM Property Address: Y2- C( De arr�tient review required Yes No / . ins. Applicant: P—Ak is , zo Tree AG:-,inistrator Project: /1/ �i dd l.. wor Public Sa e Fire Services Review fee $ DeptSignature Other Agency Review or Permit Required Review or Recei, c Date of Permit Verified _t 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: VApproved. [-]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: _ Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denies. C VVORK Comments: I UTI IT E PUBLIC SA ETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑DeniF Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 Application Number 14-00001171 Date 8/07/14 � 421 SARGO RD Property Address . . . . . . Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 28000 ------------------------------- Application desc NEW POOL ------------------------------ Owner Contractor -------------- ---------------- _____ ---------- Eichner, Calvin L PALACE POOLS INC 11655 CENTRAL PARKWAY #313 421 Sargo and l ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225(904) 221-1159 -- ------------------------------------------------------------------------- Permit . . . . . . SWIMMING POOL Additional desc . Plan Check Fee 80 . 00 Permit Fee . . . . 190 . 00 28000 Issue Date Valuation Expiration Date 2/03/15 ------------------------------ Special Notes and Comments If on-site storage is required, a post construction topographic survey documenting proper construction will be required. POOL - Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale, structure or lagoon) . Full FBUILDINGrestoration, CODE, 2008ncluingNATIONA1sELECTRICod, is required. 2010 FLORIDA ODE REQUIRED INSPECTIONS: *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) SWIMMING POOL SAFETY INSPECTION REQUIRED ----------------------- _____ -------------------------------- --- 2 . 85 Other Fees . . STATE DCA SURCHARGE 2 85 STATE DBPR SURCHARGE Fee summary Charged Paid--- -------Credited _ _ _ . 00------- Permit Fee Total 190 . 00 190 . 00 00 • 00 . 00 Plan Check Total 80 . 00 80 . 00 . 00 5 . 70 5 . 70 . 00 Other Fee Total 00 . 00 Grand Total 275 . 70 275 .70 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .. ... ..., x 7e.. ,_ ria•.,r� BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH ' FILE COPY !, 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 "°`�°�"""' ^'°'�"' °° "` Job Address: Z _ 11 Permit Number: 1 y--1176 Legal Description LOT 10 f?�t1L i'J a 6L P lrYt.° 0a�'� Parcel# 1 I SD U OOC�G� oor ea o q. t. q• t Valuation of Work$ 2`6,V 00 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition poo pa window/door 1/1 Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): o N/A Florida Product Approval# For multiple products use pro uct approval form Describe in detail the type of work to be performed: '4 ) 2 t Property Owner Information: � 32Z 33 Name: city StateSrLZip:3ZZ�`� Phonei lcq � ►�'�?a E-Mail or Fax#(Optional) Contractor Information: Company Name: �C_L F:7 lS G Qualifying Agent: i1( '%J\AL l PP-L U_"-Z q AGS A Address: 27&5 Ste- Joht�s City �AFax# State Zip 3�2`F(� Office Phone r-O\-- 14 1 i Job Site/Contact Number q 0 -2l q-3� v�- ��S 202-2- State State Certification/Registration# '45 21-7 Architect Name&Phone# PJ 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 ainsta llations 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 siz(6)months, or if construction or work is suspended or abandoned for apertod ofsix(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrics!Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Healers, 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. !hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether s eci led herein or not. The granting of a permit does not presume to give authority to violate or cancel the brovisions of any other federal,state,or loc aw regulating construction or the performance of construction. Signature of Owner/( Signature of Contractor _._._. __....._. PrintName _Print Name .. .. �k._.. ..........c....l..t..ti...S...._.. ... > .�l .n`ate.... ........._........... _.._.. Swo to and subscrt ed b ore me Sworn to and subscribed before me his y o 20 this MICHAEL 0.BROKAW MY COMMISSION#EE Q3 Notary Public No ry u ^of °' Bonded)Thru Not Public u a�, 7w ,RPM Notary Public State of Floods Shirley L Graham vS .'iR My Commission FF MAW FILELot Coverage Lot 10 Royal Palms Unit Two 421 Sargo Rd. Total Lot Area = 7496.78 sf Impervious Area = 3568 sf Lot Coverage = 47% NOTICE OF COMMENCEMENT !'a State of Tolio No d ` ' 1jur Y County of qou To Whom It May Concern: ..•..,#ee►fi ' The undersigned hereby informs you that improvements will be made to certain real pro ty, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMM NC �NfTj�I nl5 i 7 Legal Description of property being improved: LX T 10 PoLOC K 1 1 K c)-i tf Address of property being improved: General description of improvements: ii YL i Owner: �2,40,b /l i�0&lGtQ Address: ��'2 1 �F' t,�fn .�A�.� I-�k l6c , i&2 J Z z3 = Owner's interest in site of the improvement: 0 Vf -- --- Fee Simple Titleholder(if other than owner): Name: Contractor: J)R-GAe—, TOo S Address: -2-24o"5 64- J t)yq-'6 Y�JI. - � A-'y- Telephone No.: ��A q Fax No: fo� '0 4�-,�2 Surety(if any) Amount of Bond$ Address: Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon ii1hom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): Doc#2014161991,OR BK 16851 Page 21, iWNER Number Pages:1 I'f Recorded 07,121,12014 at 02:28 PM, igned: _ Date: / Ronnie Fussell CLERK CIRCUIT COURT DUVAL efore me this day o L h Co ty of Duval,State COUNTY f Florida,has personally appe RECORDING$10.00 otary Public at Large Loly commission expire Personally Known: ='r°. `�'- p�g{ie—SHEtef Fier+ 01 Produced Identificatio =•• �:;;F°f:..o?••'� Commission EE 836096