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159 Ocean Blvd 2014 Pool CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J X ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SWIMMING POOL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ]OB INFORMATION: Job ID: 14-POOL-204 Job Type: SWIMMING POOL/SPA Description: inground pool Estimated Value: $20,000.00 Issue Date: 12/1/2014 Expiration Date: 5/30/2015 PROPERTY ADDRESS: Address: 159 OCEAN BLVD RE Number: 170209-0000 PROPERTY OWNER: Name: HUDSON, Address: 159 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: ISLAND POOLS,LLC Address: 1546 LINKSIDE DR QA RONALD D GRAY IV Phone: - - PERMIT INFORMATION: 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. G. B. COLLINS ENGINEERING, P.A. CONSULTING ENGINEERS D /� NOV 141014 FILE COPYey November 3, 2014 City of Atlantic Beach Building Department Re: Long Residence 159 Ocean Blvd. Atlantic Beach, FL 32233 To whom it may concern: This letter is a follow up to the engineering provided by Island Pools LLC in regards to the above mentioned project. The engineering provided was standard engineering for residential pool construction. It meets all local, state and NEC codes. Island Pools LLC has provided All required building department information necessary to construct the pool. Additionally, Island Pools LLC has provided angle of repose calculations showing that the zone of influence underneath the building foundation is not effected due to the pool construction. The negative number indicated on the calculation sheet shows how far down the pool shell would have to be before it would be effecting the structure. We hope this letter clarifies any concerns in regard to this project and allowing a permit to be issued. If you have any questions, please contact me. Sincerely _ �+ S ' uel A. Liberatore, P.E. Vice President Certificate of Authorization# 27934 1268 Rogers Street Clearwater, Florida 33756 Tel: (727) 442-8443 Fax: (727) 442-6988 gb_collins@verizon.net G. B. COLLINS ENGINEERING, P.A. CONSULTING ENGINEERS FILE k v q �J _ A LANAI OR HOUSE I = FOOTER v ANGLE OF REPOSE POOL STEEL 6" OCEW , 6" MIN . WALL ON ANY STRAIGHT WALL BELOW s G" DOWN TO TANGENT POINT ,., e L, N VERTICAL WALL AND RADIUS �► TANGENT POINT C = A + B — . 33 E = D — . 5D — C + . 42 IF "E" IS A NEGATIVE NUMBER , NO ADDITIONAL STEEL IS NEEDED, NO 6" WALL R - Z o t + c) . q z. 0 E _ 0 ,35 � Certificate of Authorization#27934 Rkhard M. TOR1MON, P.E.• o 1268 Rogers Street 1� P.E. Rp�� t 59 Clearwater,Florida 33756 Clearwater FL 33756 Tel: (727)442-8443 Fax: (727)442-6988 727-44 -8443 gb_collins@verizon.net G.B. Collins Engineering, PA. 9-Za-�q BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE C 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 '` ° Job Address: 159 Ocean Blvd Permit Number: /I/— PO a L -q�0 Z- Legal Description L4 B31 SD A ATLANTIC BCH Parcel # Floor Area of Sq.Ft. Sq'Ft Valuation of Work$ 20000 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/proposed 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: In ground pool Property Owner Information: Name: Curtis Long Address: 159 Ocean Blvd City AB State FL—Zip 32233 Phone 3345421 E-Mail or Fax#(Optional) Contractor Information: Company Name:Island 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 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will 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 of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs, Wells,Pools,Furnaces,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 hereby certify that I have read and examined this implication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether sped ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of SLscbeore Signature of Contract PrintName Print Name �......... . ... ........................................................... Sworn t and Sworn to and subs�bey b—efore me this Da20 thisof l�t '� 20. Notary Pu is Notary ' "•� KAY KEEL SMITH ;�' 's KAY KEEL SMITH = ;.: :.= Commission#FF ORIMsed 1.26.10 :.: .: Commission#FF 040768 a: Expires November 30,2017 , = Expire November 30,2017 ; � gpp�Try hg fan In .38 Inane 8o05-7019 ''''�''P,(,�,1', Troy Fain Irnure m 800.385-7018 S�Li;,, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road A/— Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 City web-site: http://www.coab.us Date routed: �a APPLICATION REVIEW AND TRACKING FORM Property Address: 5 9 o tiAJAI B UVJ De artlnent review required Yes No l rg-uildin A licant: / Q'-�� �6 !S annin-1 g Zorn PP 11— Project: �� O ubIic\ IT, u °y Fire & - 3S Review fee $ Dept Signature CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Review: VApproved. ❑Deni Comments: l 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. ❑DeniF Comments: Reviewed by: Date: REVISED 09252014 TREE & VEGETATION AFFIDAVIT City of Atlantic Beach Department of Community Development - Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 J'tl9' (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 3345-5421 CELL EMAIL CONTRACTOR CERTIFICATION NUMBER CPC 1457429 ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION 11-SITE INFORMATION STREET ADDRESS OF PROPERTY 159 Ocean Blvd 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 L4 B31 SD A ATLANTIC BCH LOT 4 BLOCK SUBDIVISION REAL ESTATE NUMBER 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 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 fr e-described or adjacent properties in conjunction with thi 'ect. S NATURE OF OWNER E OF OWM Signed and sworn before me on this day of -� dat/by State of �L C County of Identification verified: _ Oath swor es F— No _ Notary Sig ure KAY KEEL SMITH ' Commission#FF 040768 My Commission expires: _�: :a Expires November 30,2017 REV-TVA-v10.72 „ h,• Ba,aea rM M a. nwance Doc # 2007054266, OR BK 13815 Page 846, Number Pages: 2, Filed & Recorded 02/14/2007 at 09:37 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 DEED DOC ST $5250.00 THIS INSTRUMENT PREPARED BY: Bartlett&Deal,P.A.-Main Office Blake F.Deal,III 135 Professional Drive,Suite 101 Ponce Vedra Beach,FL 32082 RECORD AND RETURN TO: Mr.Michael Ashton Hudson 1304 River Oaks Road Jacksonville,Florida 32207 RE PARCEL ID#:170209-0000 WARRANTY DEED THIS WARRANTY DEED made this 31st day of January, 2007 by Steven Y. Lee and Tanya M.Lee,husband and wife,hereinafter referred to as Grantor,whether one or more, and whose address is 872 Sorrento Road, Jacksonville, Florida 32207, to Michael Ashton Hudson and Dawn Kuhlmey Hudson,husband and wife,hereinafter referred to as Grantee, whether one or more, and whose address is 1304 River Oaks Road, Jacksonville, Florida 32207 (Wherever used herein the term"grantor"and"grantee"include all the parties to this instrument and the heirs, legal representatives and assigns of individuals,and the successors and assigns of corporations.) WITNESSETH: THAT Grantor,for and in consideration of the sum of Ten and NO/100 Dollars and other valuable considerations, in hand paid by Grantee, the receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto Grantee the following described land situate,lying and being in the County of Duval,State of Florida to wit: Lot 4, Block 31, PLAT NO. 1, SUBDIVISION "A", ATLANTIC BEACH, according to the plat thereof recorded in Plat Book 5,page 69 of the public records of Duval County,Florida. SUBJECT TO taxes accruing subsequent to December 31,2006. SUBJECT TO covenants, restrictions and easements of record, if any; however, this reference shall not operate to reimpose same. TO HAVE AND TO HOLD the same in fee simple forever. i AND Grantor hereby covenants with Grantee that Grantor is lawfully seized of said land in fee simple;that Grantor has good right and lawful authority to sell and convey said land;that 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. Page 1 of 2 Form software by:Automated Real Estate Services,Inc.-800.330.1295 File:7RO12CA OR BK 13815 PAGE 897 IN WITNESS WHEREOF, Grantor has signed and sealed these presents the day and year first above written. Signed,scale delivered in our presenc RlAVk ITT Steven Y.Lee Witness 1. U Lr iL, III to D i rt I�hbL bt' Tanya M.eee ` W' ess STATE OF Florida COUNTY OF St.Johns The foregoing instrumen ac cnowledged befor this 31 st day of January,2007 by Steven Y. Lee, and T M. Lee, husband and x1fe. He/She/They have produced L S as identification. Natary P an State Aforesaid Blake F. Deal Notary Printed Signal fil • oR1 I 1 — , E�pinr October 29,2010 My commission expires: Page 2 of 2 Forth software by:Automated Real Estate Services,Inc.-800.330.1295 File:7RO12CA i v `v c � E 8 OE- pp p pp t C F-cc 6n E g u o. �3nuaio u j i � jl , I w O ar M V M N = M R L L u co tA Q C p E] O _ � O d � V O (F J u ' a v E m o .o 7 Q U W rn a i N I b0 � I z i i _ I N T UI — N d d O p K � c m m y �, G. B. COLLINS ENGINEERING, P.A. CONSULTING ENGINEERS A LANAI OR HOUSE FOOTER c0 — ANGLE OF REPOSE POOL STEEL 6" OCEW , 6" MIN . WALL ON ANY = STRAIGHT WALL BELOW -T " G" DOWN TO TANGENT POINT N VERTICAL WALL AND RADIUS �l TANGENT POINT � i V 'v C = A + B — . 33 E = D — . 5D — C + . 42 IF "E" IS A NEGATIVE NUMBER , NO ADDITIONAL STEEL IS NEEDED, NO 6" WALL R _ Z, o t = S - Z. 5 - 6� + o . yZ G 35 Certificate of Authorization#27934 Richard iA. Ton1R19H, P.E. ►/ = 7. 0 1268 Rogers Street P E. 61&59Clearwater,Florida 33756 1268 Rogers Street � Clearwater, FL 33756 Tel: (727)442-8443 Fax: (727)442-6988 727-442- 3 gb_collins@verizon.net G.B. Collins Engineering, PA. � s 3€ ^3,fiU21saa LdS zo %Pu-e Iood l j 1ppuapisau P TPPUPIS Fid d'� � �f! ��Y ✓� ?'< J RC <; iY� A85, a � rz3 z© m " s <4sx W..— In 9a d co7Gc "aP z t O RM. R E H3 �o <m $�U �� <1 �<<`<L l€?£cr#3<5s<8'2—FX` �w1»vr»'r.et�va9 , iw H< ,. IN 8E o� mzz Sy g c ' �,<:$�y� -. .e ZiK r7 no ^>I, " szmj" t-atv b�^. <„ Qi u 3 °n - a - F _j. 5 ' .a.. a < <.L iz a < gyp S T @ y .��+ !' r J h hJ� < ga < I ct azo' Oil OF C4 3 �' p c�ea F1 zLF G 1. Waterway VC�`82008 Technical Bulletin: a 640 231 X Y U use L Zoog 8"Anti-Entrapment Main Drain Cover and Frame Waterway main drain covers are compliant with the Virginia Graeme-Baker Pool and Spa Safety Act(ASMEIANSi Al 12,19.8-2007)and are lt!_Certified. They are designed for single or multiple drain use.This drain cover assembly includes frame and stainless steel screws with brass inserts.Packed 25 per case. The Waterway 640-231 x V series covers and frames are available in: J White J Bone 8 Black J Gray ® Dark Gray 8 Beige ■ Dark Blue Model No, Description Size Total Open Area Floor Flow Rate Wall Flow Rate Flow Rate GPM Square Inches GPM GPM g 1.5 fusee 08,650 - a�va txsrr pr;n 7.624 839-00051 #85taintess5teelSaew-32zhe 642-21 Sx Y 8"Anti-Vortex Drain Cover 7.000 � 642-214x 8"Ants-Vorfex Drain Frame i i 3 et9-�osr ®0 NIZI 00 0�20 0 0101 4 00 w 1 0 0 8 .300 Q 0 0 0 0 642-214x 00000 0 mw. ®,,+'� — .470 .975 .800 Be Sore it's &ertvare @2009 Waterway Plastics-2200 Sturgis Road,Oxnard,CA 93030-Ph.805-981.0262-waterway@waterwayplastics.com-www.waterwaypla5tics.c0m 807-0081.4309 pp p. A rox,Ship. I falog Weight lumber Description 11 ufl2 01005 100 Sq.Ft.Replacement Module for PLM100 115 002.01255 125 Sq.Ft.Replacement Module for PLM 125 12 002-01505 150 Sq.Ft.Replacement Module for PLM150 13 7942 01755 175 Sq.Ft,Replacement Module for PLM175 14 7002-02005 200 Sq.Ft.Replacement Module for PLM200 19 002-03005 300 Sq.Ft.Replacement Module for PLM 300 8 oz X78-820P 2"x 1-1(2"Pipe Reducer Bushing 1 00i 01305 Spring Check Valve outline dimenSionS PLM300 ^l 'z- M100, lM100, t ELM125, M150, tM175, 6 111200 i �1 Ega 2712 1 P NPf INtEf 225 L419225 2"NFi �2'NP( I tSM All dimensions shown In inches. , --�-- 1 PLM 100,PLM125, – jPLM150,PLM17S, — PLM200,PLM300 10 20 40 60 80 100120 140 160 FLOW RATE RATE IN GALLONS PER MINUTE r � °I r ., t Kepalr parts—see page 170 -41 »•♦i f Lfvi SERIES - Sia Bite's modular media filfraiion is the perfect match a� for the sinall in-ground and above-ground pool markets. Advances 4 in media technology and balanced flow design provide dirt-loading t capabilities up to 15 times greater than sand fillers of equivalent size. 1� Virtually maintenance-free operation for today's pool owner Now aviilable in 300 sq. fl! CERTIFICATIONS - The filter shall be tested and certified by a K nationally recognized lesfirng laboratory la conform to NSF Std. 50. JJ:l ID t ASE! vI Typical Installation— In-ground the smaller System'2 filter,enabling . Large Drain Plug—filter includes pools and tri-gruLtnd hot tubs maintenance-free operation for 2"NPT Drain ports,which are I} Quality Construction— Durable pools Of all sizes provided with reducer bushing an two piece tank housing constructed Law Maintenance Complete 1-112"drain plug Li of rugged ABS thermoplastic to media coverage combined wish Modular Filter Tanks—Allows ensure a long-lasting tank life shallow pleats means greater dirt for quick change of filter medias Easy Access— l'osi-t.ok`locking holding capabilities,resulting in wllhout changing the tank i ring provides safe,fast access to longer filter cycles and less rlaaning Sleek Looks—Contemporary rank internals A Perfect Fit— The small diameter style and malre black finish looks Patented Design— The patented, footprint makes the Syslem 2 fitter attractive in any pool setting r innovative balanced flow design a perfect fit for new and retrofit first 1111"Oduced with the Syslem:3 installations.The interchangeble Mod Media filler is now available in ports provide multiple plumbing options. t Filter Optimal' Flow Rated" TURNOVER RATE(GALLONSI Tank Approx. Catalog Area Performance GPM (FLOW RATE x 60 r HOURS) Port Ship.Weight Number p q . tsq,ft.) at this GPM per s fl. A!6 Hrs. AI 8 Hrs, A1.10 Hrs. Size (lbs.) PLWt Itttt too 50-75 38_ 100 _ t4 36000 —18 48_000 ;':r 60,000 2" 41 SL) 99 47- 125 17• 45,000 22-60,000 28 75,000 t." 42 PL 150 150 50- lk3 56 150 20-5.1,000 27 72,Uou Ill 90,000 2" 43 PLMli' 5Q1.20— — -66. 150 - 24-54,000 31 72.000 39 90,000 2" 44 PL 200 SO• 120 75 2 - 150 27-54,On0 36 72,000 'i5 90.000 " 45 Pt M:1t10 :1011 _ _50 120_ 113- 150 _ 41 -54,000 _S_9 12,000 68 90,000 2" _ 53 'L-�Nl`Llluli al 111"i,PM will 1-v,d+ file longe-0 filler cycles combined with the bei and qrc.+ir.�t dui try rat r.,.try L.+rq,•+hirer area w,R provide longer title,+y+tett bm-een cleanulq "li-elf 0o NSf,ecomnion,101.1 lhtw.rate for rornmernal ar 375 GPM per square.tool No bai hwa:h votve te,im".4i NOTC:opoialrng lutnf•, +rt,grurutm cn,iUmrat operating pressure of 501'5! Pool/ya(6,11her)a(>rsia.,riont ,tnaranum op,•,.tiuty water temperature (mlernal hllel) 1017(40 C) • 6 , °VS 30SO & 1nte11iF1oVS+SVRS IntelliFlo High Performance Pump fleFl�Pooi Products ieatured Highlights +►� t c • Slashes energy costs up to 30%or mor Ecc y program P • Eas to ro ram and operate _ � �1 �, wr • Offers ultra-quiet operation ...just 7— vx =K _ decibels or half a human whisper t °`�'° • Operates at the minimum speed requil k '6, for unmatched longevity - • Compatible with other pool systems, including EasyTouchl,IntelliTouchl,ant ij IntelliFioVS 3050 High Performance Pump SunTouch" ` Patents Pending IntelliFlo'VS 3050 allows the programming of four various speeds ranging from 400 to 3450 RPMs to accomplish different tasks at lowest energy usage. j Ordering Information Full Load kW HP SF SFHP Port Size(NPT) Cartor Product Description Certifications Voltage Amps Suct.&Disch. (Lbs I INTELLIFLOVS 3050 PUMP -ti 011013 IntelliFlo VS 3050 UL,CSA,NSF 230 16 3.2 3 1.15 3.45 2" 47 �q 01 1017 IntelliFlo VS}SVRS UL,NSF 230 b 3.2 3 1.13 3.45 2" 47 ACCESSORIES 8 k 520641 IntelliComm 4 350122 50'Communication Cable' 'Included in package with pump. iY7 f � 1 i [Pr+o° VS 3050 High Performance Pump Dimensions and Performance 00 NSF. ` • LISTED csncerVW Listed 120 too- rpm oo p ��Q` 3450 r m � v e0 @ 3110 rpm $ °T 50 rpk 2040 1560 rpm --- `M s` a�750 rpm , e-ern-• 0 20 40 60 80 100 120 140 160 U.S.Gallons per miDute 5 t0 Is 20 25 30 35 -, Cubic Meters per hour 76.406- _-- _ ORR -- 11.047.- 1075 "ent parts Techko USA - ALARM PROTECTION PRODUCTS - MODEL: S187D Page 1 of I rAt Quality,Service,Integrity,Commitment to Excellence Print Close Window Model: S187D - SAFE POOL One unit per single entry/opening(and/or with its screen by using the second set of sensors). Can not be used for 2 windows next to each other. Magnetic sensor entry alarm "Always on"alarm protection Adult pass-through auto reset button High output 110-115 dB alarm Water/weather resistant housing Magnetic sensor for additional door/screen door Low battery LED display CONTAINER: Addtional pass-through button for delayed entry from either side door or fence 20 FT: 9,600 pcs. 40 FT: 19,680 pcs. Intended for interior or exterior use 40 HQ: 22,896 pcs. � 9V battery operation(not included_ UPC Barcode: 014575 18701 1 Pool Guard Alarm USA Patent No. 5,473,310 and No.6,727,819 ETL Approved under UL 2017 Standards ! www.techkomaid.com I Office Products(888)883-2456 Security Products(949)380-7300 http://techkomaid.com/security/pool/S 187D.htm1 10/11/2014 .�, City of Atlantic Beach APPLICATION NUMBER 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 City web-site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRAC1 S ING FORM Property Address: 16'1 o ti-/-N 6/&J De art,. ant review required Yes No f �6O Cuii Applicant: / Q�� J annnni Project: /�D O L- 45— ublicWorKo .I y Fire Services Review fee $ Dept Signature CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Review: Approved. ❑Deni (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. ❑Deniz-. L C WORKS Comments: LIC UTILI S /v— r IC AFE Reviewed by: Date: FIRE SERVICES -- — Third Review: ❑Approved as revised. ❑DeniF Comments: Reviewed by: Date: REVISED 09252014 City of Atlantic Beach APPLICATION NUMBER Building Department o be assigned by the Building Department.) 800 Seminole Road /� �il!` Za Z/ Y Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 City web-site: http://www.coab.us OCT 14 LuviI )ate routed: �a I_ APPLICATION REVIEW AND CRACKING FORM Property Address: 6'1 Q ti-{-N B I✓off De artr-ent review required Yes No l 6 O nq uildiin Applicant: / ��Q A —S annin Zoni Project: �0 O L ublic Wor u �ty Fire Se, is Review fee $ o� Dept Signature CONTRACTOR EMAIL ADDRESS VA2, iv CONTRACTOR CONTACT # �� - 59.2- APPLICATION STATUS Reviewing Department First Review: []Approved. �Den;tJ (Circle one.) Comments: �/ BUILDING PLANNING &ZONING Reviewed by: Date: lb 1-)hy TREE ADMIN. Second Review: WApproved as revised. ❑Den PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by. Date: FIRE SERVICES --- — -- Third Review: []Approved as revised. ❑Dene Comments: Reviewed by: Date: REVISED 09252014 City of Atlantic Beach APPLICATION NUMBER Building Department o be assigned by the Building Department.) Y S 1 800 Seminole Road /� Atlantic Beach, Florida 32233-5445 V Phone(904)247-5826 • Fax(904)247-5845 �%' City web-site: http://www.coab.us )ate routed: L APPLICATION REVIEW AND TRACKING FORM Property Address: 16"1 D ti-/-N B AtJ De artment review required Yes No eg-J60 /S uildin Applicant: / J/Q'-A- anning&Zoni ; et�ato Project: /�D O L ublic Vv F �tii �ety eg ,s Review fee $ Dept Signature CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Review: XApproved. []Den, (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: __ v Date. !o /t /4/ TREE ADMIN. Second Review: ❑Approved as revised. ❑Den! PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES -- -- Third Review: ❑Approved as revised. ❑Deni(- Comments: Reviewed by: Date: REVISED 09252014 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 159 Ocean Blvd Permit Number: Legal Description L4 B31 SD A ATLANTIC BCH Parcel# r Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 20000 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/proposed 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: In ground pool Property Owner Information: Name: Curtis Long Address: 159 Ocean Blvd City AB State FL—Zip 32233 Phone 3345421 E-Mail or Fax#(Optional) Contractor Information: Company NameAsland 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 4pplicatwn 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 ssuance o 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 znd void i work a not commenced within six(6)months,or if construction or work is suspended or abandoned for a_period of sixp6)months at any time after Nork is commenced. I tenderstand that separate permits must be secured for Electrical 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. 'hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this ype Pwork will be complied with whether specij ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the )rovisions of any other federal,state,or local law regulating construction or the performance of construction: signature of Ow Signature of Contractof_x ?rint Name Print NameD ......................................................... ...... Sworn t and su L&_� Js 'be ore me Sworn o and sub a before me his Day of 20 this Day of� 20 144-.9 Ax lotary Pu is Notary KAY KEEL SMITH KAY KEEL SMITH Commission#FF 040768 :�• :=_ Commission#FF O4Msed 1.26.10 a Expires November 30,2017 a Expires November 30,2017 '' o,P•` '',-,pi fry°..�`' lidded Tlw Troy Fain Imuenee 800.3957019 pr fy. BWXW IWU Tray Fain Imurame 800-385-7019 \� �z\ CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r�JS31c r ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-759 Job Type: ELECTRIC ONLY Description: pool elec Estimated Value: Issue Date: 4/1/2015 Expiration Date: 9/28/2015 PROPERTY ADDRESS: Address: 159 OCEAN BLVD RE Number: 170209-0000 PROPERTY OWNER: Name: HUDSON, Address: 159 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: HAZOURI ELECTRIC, INC. Address: P O BOX 56559 QA ROBERT HAZOURI Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Swimming Pools $40.00 Trade Permit Base Fee $55.00 Total Payments: $99.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 p, Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: �^ ( O C <'C_ )1 8 ' 4/1 `</ PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters Ll Commercial(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters (]Temporary Pole ❑ amps SERVICE UPGRADE LI—amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) i 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 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign []Smoke Detectors_Qty ❑Transformers KVA ❑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 11 OH to UG []Other: p 0 6AA Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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. Property Owners Name C Phone Number 3 3 'V — S-1 zi Electrical Company Z O v �, Office Phone Fax Co. Address: City S A• V State 1�/ Zip License Holder(Print): We 12-- L 2D I/4� Certification/Registration# 0�° 7 7 Notarized Signature of License Ho/der refore me this day S� ft N 20 JENNIFERwAIMR Fo r ?.: .- MY COMMISSION 1 FF 011480 r, € EXPIRES:April 24,2017 ignature of Notary Public F,,o�—0-' Bonded Thru Notary Public Underwriters Ak