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327 5th St 2014 Pool Ni� CIS\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SWIMMING POOL MI 1=QA1 RIC 4 PM FOR NE= n-AxTN6bPE=T0N- -147-52-14 JOB INFORMATION: Job ID: 14-POOL-61 Job Type: SWIMMING POOL/SPA Description: INGROUND POOL Estimated Value: $20,000.00 Issue Date: 10/2/2014 Expiration Date: 3/31/2015 PROPERTY ADDRESS: Address: 327 5TH ST RE Number: 169860-0100 PROPERTY OWNER: Name: BUCKLAND, JAMIE Address: 327 5TH ST GENERAL CONTRACTOR INFORMATION: Name: ISLAND POOLS,LLC Address: Phone: - - PERMIT INFORMATION: PUBLIC WORKS: FEES: PLAN CHECK FEES $75.00 BUILDING PERMIT FEE $150.00 STATE DCA SURCHARGE $2.25 STATE DBPR SURCHARGE $2.25 Total Payments: $229.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 1JU COPY Office (904) 247-5826 Fax (904) 247-5845 Job Address: 3275 1h Street Permit Number: Ugal Description 5-69 16-2S-29E .172 ATLANTIC BEACH Parcel # 169860-0100 SEP 2 2 2014 Floor Area of Sq.Ft. 13y S Ft Valuation of Work$ 20000 _Proposed Work heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of exi�ting/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 P�oduct Approval# For multiple products use product app—r-o—va-Mo—rin Describe in detail the type of work to be performed: In ground pool Property Owner Information: Name: Jamie Buckland Address: 327 5 1h Street City AB State FL—Zip 32233 —Phone 3345421 E-Mail or Fax#(Optional Contractor Information: Company Name:lsland Pools LLC Qualifying Agent: Ronald Gray Address:1546 Linkside Dr —City Ad Bch State FL Zip 32233 Office Phone 334-5421 Job Site/Contact Number—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 A ica n he eb de bat a e he work a d n a a to indi gd, ert y that no work or installation has commenced prior to the f do i ting construction in this jurisdiction. This permit becomes null b doned r eriod of six�6)months at any time after rmit to t to m n i st t ns c s c p be e ed e he tan ards a a e a is Y d tha a 0 t rnk w PP nc' , r to ss a 0 a permi a t m u Ora an 0 Plum - g S,f vlllsPools, urnaces,Boilers,Heakrs, void w in 0 s w ) t S,or k u ended (6 n h f c 'st ct or r it s p and 1 ork -s not e ed h I co nc 0 r' on s c I u 'r t t P r t rmits must ,s cur f ,k e ed nd tandwha se a a pe b e ed or E c ca Wo k b n n T' kss r Co i� S, s an a A, n n 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 I have read and examined this licat0n and know the same to be true and correct. Allprovisions 9f laws and ordinances governing this work will be coTplied with whether ecifeg herein or not. The granting of a permit does not presume to give authority to violate or cancR the provisions of any otherfederal,state,or local%aw regulating construction or the pefformance of construction. Signature of Owner Signature of Contract Print Name 64-� 3 1R.6 i t t.A.L..V( ................................................. ............ ... . . .............( Print Name Sworpio a d subscribed fore me S ,is �w th Dav of "IV 0� 20 th Notary P Notar KAYKEELSMITH COMMMIon#FF 040768 KA Y KEEL SMITH COMMission#FF 04OAg Expites Novemw io.2017 ExPires Novprnb vis 01.26.10 PF-30,2017 TREE & VEGETATION AFFIDAVIT _J ii- City of Atlantic Beach Department of community Development ILE COPY '!L X 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 15461-inkside Dr Atl Bch FL 32233 PHONE 334-S421 CELL EMAIL CONTRACTOR CERTIFICATION NUMBER CPC 1457429 ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION 11-SITE INFORMATION STREET ADDRESS OF PROPERTY 327 Sth Street AtI Bch FL 32233 lfan address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION S-69-16-2S 29E.172 Atlantic Beach LOT 12 BLOCK 0 SUBDIVISION REAL ESTATE NUMBER 169860-0100 LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL x COMMERCIAL OTHER(SPECIFY) I 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 andlor/have participated in a pre-application meeting with the Administrator of those regulations. Subsequently, /affirm that no regulated trees and no regulated vegetation will be damaged, destroyed andlor removed from the above-described or adjace �j unction with this project. SIGNATURE OF OWNER Signed and sworn before me on this Li day of y State of County of Identification verified: Oath sworn: No Notary Sir%ture KAY KEEL SMITH Commission#FF 040768 My Commission expires: REV-TVA-v 10.72 Z% -is Expires November 30,2017 ImId TWIT,F-in il � Doc # 2011073702, OR BK 15560 Page 241, Number Pages: 1, Recorded 04/01/2011 at 12:03 Pm, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 DEED DOC ST $2450.00 FILE COPY Prepared by and return to: Bryan C.Goode 111,P.A. 320 Ist Street North Suite 613 Jacksonville Beach,FL 32250 904-247-1755 Tumber: 11-0214 (Space Abovenis Line For Recording Data] Warranty Deed This Warranty Deed made this 31st day of March, 2011 between Jackson M.Allen and Grace Elizabeth Allen, husband and wife whose post office address is 321 5th Street,Atlantic Beach,FL 32233,grantor,and Jamie Buckland and Debbie H.Buckland,husband and wife whose post office address is 4855 Apache Avenue,Jacksonville,FL 32210, grantee: (Whenever used herein the tems"grantor"and"grantee"include all the parties to this inmrnerit and the heirs,legal representatives,and assigns of individuals,and the successors and assigns ofcorporations,trusts and trustees) Witnesseth,that said grantor,for and in consideration of the sum ofTEN AND NO/100 DOLLARS($10.00)and other good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof is hereby acknowledged, has granted,bargained,and sold to the said grantee,and grantee's heirs and assigns forever,the following described land, situate,lying and being in Duval County,Florida to-wit: Lot 12,Block 7, PLAT NO. I SUBDIVISION "A" ATLANTIC BEACH,according to the map or plat thereof as recorded in Plat Book 5,Page 69,Public Records of Duval County,Florida Parcel Identification Number:PART OF 169859-0000 Together mth all the tenements,bereditaments and appurtenances thereto belonging or in anym.se 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 31,2010. In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. Signed,sealed d delivered in our presence: (Seal) a am . rne: Bryan C.Goode,III ackson M. Ilen &Vill Witness Name: Carlene S.Chaires Grace Elizabeth 110. State ofFlorida County of Duval The foregoing instrument was acknowledged before me this 31st day of March, 2011 by Jackson M. Allen and Grace Elizabeth Allen,who L]are personally known or[Xj have produced a drivcr�'�sh"c as identification. [Notary Seal] 1.�3, �ublic,State ofFlorida My Commission Expires: July 23,2011 BRyhN C DE,I I Printed Name: Bryan C.Goode,Ill N MyCOMIASSI NDD6 I EXPIRES: 23 20 1 v DoubleTimee City of Atlantic Beach Building Department APPLICATION NUMBER (To be assigned by the Building 800 Seminole Road Department.) Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904) 247-5845 mil E-mail: building-dept@coab.us Date routed: 123 Cityweb-site: http://Www.coab.us [L_,u� APPLICATION REVIEW AND TRACKING FORM Property Address: 2- -7 _2�71w ST De artment review required Yes No 'Idl Applicant: 7"m Ls nning &Zoni Tree Administrator Project: --7pd 6 ublic Wor Ii tiRie Public Safety Fire Services Review fee $ Dept Sig nature Review or Rece5i)t Other Agency Review or Permit Required Florida Dept. of Environmental Protection of Permit Verified By Date Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beveraqes and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: MA'pproved. IlDenied (Circle one.) Comments: B U=LD I N G�l PLANNING &ZONING Reviewed by.- 17 TREE ADMIN. Date:_ 7—aL Second Review: []Approved as revised. OlDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ElDenied. Comments: Reviewed by:__-.--- Date: Revised 05114/09 7 City of Atlantic Beach n�' APPLICATION NUMBER Building Department 800 Seminole Road jo be assigned bythe Building Department) Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904) 247-5845 E-mail: building-dept@coab.us Date ro�u�ted: 23 Cityweb-site: http://www.coab.us __I APPLICATION REVIEW AND TRACKMG FORM ,5-7W S7- Property Address: 52- -7 De artm'nent review required Yes No Idi Applicant: -Poe 7—; nninn R Tree Administrator Project: ublic Wor lic fli.ltie Public Safety Fire Seivices Review fee $ Dept Sig nature _ Other Agency Review or Permit Required Review or Rece�p"� Florida Dept.of Environmental Protection of Permit Verified By Date Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and TZacco Other Fii Fs APPLICATION STATUS Reviewing Department First Review: Approved. OlDeniecl ew. A Comments- (Circle one.) Comments: -L-e^c 4e BUILDING PLANNING &ZONING Reviewed by: Date7 ,' -�123 TREE ADMIN. Second Review- DApproved as revised. OlDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by.- Date: FIRE SERVICES Third Review: DApproved as revised. E]Denied. Comments: Reviewed by--.-,-- Date: wised 05114/09 City of Atlantic Beach APPLICATION NUMBER F Building 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 !-)ate routed: Cityweb-sjte� http�//www.coab.us SEP 2 4 2014 L APPLICATION REVIEW AND TRAC, PNG FORM 67771 Property Address: De arti-nent re iew required Applicant: 'Idi nnin- Tree Administrator Project. ublic Work lic Utiii i Public San� ty Fire Servr_�..;s Review fee $ Dept Signature Re iew Re Other Agency Review or Permit Required of P v rmit or r1l Date of Permit Verif"ied L, 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: Datte:__J TREE ADMIN. Second Review: ElApproved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ODenied- Comments: Reviewed by: Date: wised 05/14/09 X,o AJ%6�- City of Atlantic Seach APPLICATION NUMBER Building Department �To be assigned bythe Building Department,) :W 800 Seminole Road Atlantic Beach, Florida 3223 3-54-45 V 171�j.) Phone (904)247-5826 - Fax(904) �[4!58A,,- E-mail: building-dept@coab.us 2420-14 Date route d: Citywpb-site� http://www.coab.us APPUCZA T9 00H REVOEW/V A, MD-17ZA C,,,JNG FOOPPROW Property Address: =5 2- -7 S7 De arb'nentreview required Yes No 7),0 e nning'&Zoni Applicant: -Idi I ree Administrator Project: lic Utii i Public Safety Fire Seivices Review fee $ Dept Signature _ Review or Reco�p, Other Agency Review or Permit Required of,Permit Verified 8y 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 Department First Revie ��o�De n i e�:-1. 1��Appro�ved, (Circle one.) C,Ornmel-lts: BUIL tDING 14e, PLANNING &ZONING Reviewed by: TREE ADMIN. Date: Second Review: DApproved as revised.—4 PUBLIC WORKS CoInments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by.- Date: FIRE SERVICES Third Review: []Approved as revised. [IDenied. Comments: Reviewed by- Date:____ sed 05/14/09 40TICE OF COMMENCEMENT (PREPARE N DLJPLICATr) Permlt No. Tax Folio No. 169860-0100 State of FL County of Duval To whom It may concern: The undersigned hereby informs you that Improvements will be MadO to certain real Property.and in accordance with Section 713 of the Florida atatutes,the following information is stated In this NOTICE OF COMMENCEMENT. Legal description of prope � tt�ing improved! 5-69 1 6-25-29E.172 ATLANTIC BEACH Address of property being irr,,.;rovad. -327 5th Street Atl Bch FL 32233 General description of impi-r-,-ements: Swimming Pool Owner Jamie Buckland Address 327 5th StreF--1 At[Bch FL 32233 Owner's interest in site of t; -,*mprovament 100% Fee gimple Titleholdcr(It o, ax than owner) Name Address Contractor Ronald Gray Island Pool LLC Address 1546 I-Inkaide Dr All Bch FL 32233 Phone No. 94-334-5421 Fax No, �Surety(if any) Addre,Rs Arnount of bond Phone No. Pax No, Name and address of any pers-on making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person wfthin the St-te of Florida,other than himself,designated by owner upon whom notices or other documents may ba%erved: Name Address Phone No, Fax No. In addition to himself,owner designates the Tollowing person to reccfvO a GOPY of the I-jenors Notice as provided in Section 71106(2)(t),Florida Statutes.(Fill in at Crwners option). Name Address Phone No. Fax No. 2xpiration date of Notice of Commiricement(the expiration date is one(1)year ftom the date of recording unless a different date is i;pecified)-,__._- -THIS$PACE-FOR RECORVFj�;F� OWNER r at� by Doc 4 2014213319,OR SK 16918 Fage 803, hImseT herself am aMyrns thal all stalorywnts anis declaraWris heroin Number Pages:1 are true and accurate Recorded 09/22/2014 at 10-4rD AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL KAY KEEL smiTH COUNTY Commission#FF OC768 RECORDING$10-00 EXD'TeA tJnvsbmbw 30,201? Notary PUbli t Large.Stato or County of my commission expires: 9-.ftd ThN Troy Flip ho.�. Perwnally or fl.vducad Ident cZtlon