1837 Sea Oats Dr pool 2015 City of Atlantic Beach
Building and Zoning
800 Seminole Road
Atlantic Beach, Florida 32233
Telephone(904)247-5826
Fax(904)247-5845
http://www.coab.us
February 13, 2015
1837 Sea Oats Drive Zoning Review Comments
1. Setbacks: Please revise plans to show the distances between pool and property lines.
DerekW. Reeves
Zoning Technician
/j, City of Atlantic Beach
Derek W. Reeves
Zoning Technician
r it T
800 Seminole Road Phone: (904)270-1605
Atlantic Beach, FL 32233 Fax: (904)247-5845
Web:www.coab.us dreeves@coab.us
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SWIMMING POOL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-POOL-310
Job Type: SWIMMING POOL/SPA
Description: new inground pool
Estimated Value: $25,000-00
Issue Date: 2/24/2015
Expiration Date: 8/23/2015
PROPERTY ADDRESS:
Address: 1837 SEA OATS DR
RE Number: 172020-0546
PROPERTY OWNER:
Name: LYON, JONATHAN R
Address: 1837 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: ALOHA SWIMMING POOL COMPANY
Address: 1804 SEA OATS DR
Phone: 904-545-7922
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
POOL- Wellpoint (if used) must discharge into vegetated area 10' minimum from street or
drainage feature (swale, structure or lagoon). A separate pool permit is required.
Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control
Inspection prior to start of construction.
Roll off container company must be on City approved list and container cannot be placed on
City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shapelle's and
Waste Pro.)
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call 247-
5834.
Remain out of easement at south property line to avoid damage to existing buried
sewer lines.
IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.�I A., k -
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLAN CHECK FEES $87.50
BUILDING PERMIT FEE $175.00
STATE DCA SURCHARGE $2.63
STATE DBPR SURCHARGE $2.63
Total Payments: $267.76
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMITAPPLICATION
CITY OFATLANTic BEACH
IWIP 10
800 Seminole Road, Atlantic Beach, FL 32233 - 10
FILL
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 2�3 7 �z z Permit Number: lae�n
Legal Description 9- 01 r Parcel # 5:�/,., a,.,
Floor Area of Sq.Ft. �o, 67 Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition :::7�window/door
COOT!�
Use of existing/proposed structure(s) (circle one): Commercial (IR�es�idenia
4.
s
If an existing structure,is a fire sprinkler system installed? (Circle one): es N 4o
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
Prope!n Owner Information:
Name: Zle" 7_4014A^ —Address: -7
City fie-e� — StaterZip 7777 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 4.4, Qualifying Agent:
Address: 3 City e�f OL4-171e d e,, State
Office Phone 74 Z Z Job Site/Contact Number
f7_1 7q 7 z Fax
State Certification/Registration C;aC I<4 Ld-7 _74'
Architect Name& Phone# A-1--f
Engineer's Name& Phone# 1z-'0--f
Fee Simple Title Holder Name and Address 7--t-m#40irl - X&A If) 7 f,,, c�,- �j
Bonding Company Name and Address (A ok I */ $;�e 5(1;4 1-44 ��JLA.IM4C_e
Mortgage Lender Name and Address- 410,4 e I r
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certi#that no work or installation has commenced prior to the
issuance of a permit and that all work will be per(ormed to meet the standards of all laws regulatz 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 suspendeylor abandonedfor a period ofsix�6)months at a time
a#er work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Poo s, Furnaces, rollers,
Heaters, Tanks andAir Con&tioners,eta
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby 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
work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local law regulating construction or the p&formance of construction. .......
eL.-t-c5co- (4 Z)U- (�41�
Signature of Contractor-
Signature of Owner
IV
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City of Atlantic Beach
Building and Zoning
800 Seminole Road
Atlantic Beach, Florida 32233
Telephone(904)247-5826
Fax(904)247-5845
oil http://www.coab.us
February 13, 2015
1837 Sea Oats Drive Zoning Review Comments
1. Setbacks: Please revise plans to show the distances between pool and property lines.
DerekW. Reeves
Zoning Technician
City of Atlantic Beach
Derek W. Reeves
Zoning Technician
800 Seminole Road Phone: (904)270-1605
Atlantic Beach, FL 32233 Fax: (904)247-5845
Web:www.coab.us dreeves@coab.us
MA-- SHOWING SURVEY v..-F
L LOT 23�, BLOCK 1, SELVA MARINA UNIT NO. 9 , AS RECORDED IN PLAT BOOK 36 , -PAGE
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The Association of
Poo/& Spa Professionals"
ANSVAPSPACC 15 ENERGY EFFICIENCY COMPLIANCE INFORMATION FOR RESIDENTIAL SWIMMING POOLS
PROJECT NAME: CONTRACTOR NAME
AND ADDRESS AND ADDRESS:
rW-N E R: CONTRACTOR PHONE: DATE:
This information sheet was prepared by the APSP-1S Residential Swimming PZ�Spa Energy Efficiency Standard Writing Committee of the Association of Pool and Spa
Professionals(APSP). It is not part of the American National Standard ANSI/APSP/I CC-15 2011 but is included for information only.Contractors should acquire and comply
with the ANSI/APSP/ICC-15 2011 standard which can be purchased at www.apsp.org.
1. §5.2.1:Calculated pool volume 1. 12,000 gallons
a. Gallons: 12,000 ;or (gollftA3) = 11,951
b-Calculated Gallons: 385 (surface area)X 4-2 (average depth)X 7.48
2.§5.2.1:Calculated maximum filtration flow rate 2. 36 gpm
(Pool volume+360 or 36gpm whichever is larger)
3.§5.2.2:Auxiliary Pool Load: -ayes, R No? 3 0
(Enter the highest"auxiliary pool load"to be powered by the swimming poolfiltration pump.Do not add auxiliary gpm
pool loadflow rates together,only the highest is used.)
4. Calculated maximum flow rate 4. 36 gpm
(item 2 or item 3,whichever is larger.)
5.§5.5.1:Pipe sizing: 5a. 1.5 inches
a.Minimum Suction pipe diameter
(Enter the smallest pipe sizefrom Table I with a 6fospow capacity the same or more than item 4.)
b.Minimum suction branch pipe diameter 36 (gpm). 5b. 1.5 inches
(Calculate:ttem 4. 36 (gpm)-.'Branch Pipes 1 (quantity)=branch flow rate_
Enter the smallest pipe sizefrom Table 1 with a 6fps flow capacity the some or more than the calculated
suction branch flow rate.)
c.Minimum return pipe diameter 5c. 1.5 inches
(Enter the smallest pipe sizefirom Table I with a 8fps flow capacity the same or more than item 4.)
d.Minimum return branch pipe diameter 36 (gpm). 5d. 1.5 inches
(Calculate:item 4. 36 (gpm)-,Branch Pipes 1 (quantity)=branch flow rate_
Enter the smallest pipe sizefrom Table I with a 8jpsflow capacity the same or more than the calculated
return branch flow rote.)
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
Filterfactors:Cortridge=0.3 75, Sond=15,Diotomaceous Earth=2
7. §5.4.2:Backwash valve: MYes, ONO 7. 2.0 inches -
(When using a backwash valve,enter result of item Sc or 2 inches whichever is larger)
Table I Pipe Size: 1.5" 2- 3.5" 4" 51, 6"
I -
Nominal GPM @ 6 fps 38 63 1 90 1 138 1 itst, I zju 1 '114 1 '20 1
Nominal GPM@ F�-)�51 84 1 119 1 184 --
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.
§5.3.2.2:PoolsI7,001 gallons or more,select pump*from the database with a Curve-C gpm Pow equal to item 2 or less.*Multi-
speed pumps must have one speed listed that satisfies this requirement.
a.Pump model 8a. HAYWARD IVIAXFLO VS _
b.Pump flow 8b. 45 gpm -
(§53.2.1,5.3.2.2:Applicable Curve A or C gpm flow listed in database) 1
4/4/12 ANSI/APSP/ICC-1S Standard Writing Committee Form I 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, FV7
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 7V
servicing.
Pool systems 53.4 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 77
built-up connections,or dedicated pipe to and from the pool.
5.6 Directional inlets for mixing pool water.
r7
4/4/12 ANSI/APSP/ICC-15 standard writing committee Form 2 of 2
101HAYWARlY ISC1750 Rev C
INSTALLATION,OPERATION&PARTS
Owner's Manual
HAYWARD STAR-CLEARTM PLUS CARTRIDGE FILTERS
Models C751 C7512 C900 C9002(S) C1200 C12002(S) C1502 C17502(S) C2002
EFFECTIVE FILTRATION DESIGN FLOW RATE DESIGN FLOW RATE
MODEL AREA RESIDENTIAL PUBLIC
FT2 m2 GPM LPM GPM LPM
C751 75 7.0 75 284 28 106
C900 8.4 90 341 34 129
C1200 120 11.1 120 45445 170
C7512 75 7.0 75 284 - 28 106
C9002(S) 8.4 341 34 129
C12002(S) 120 11.1 120 454 45 170
C1502 150 13.9 120 45456 212
C17502 175 16.3 120 454 66 250
12 0 -+ 765 284
200 18.6 120 454
C2002
MAXIMUM WORIUNG PRESSURE FOR ALL MODELS 50 PSI(3.45 BAR)
ATTENTION INSTALLER: THIS MANUAL CONTAINS IMPORTANT
INFORMATION ON THE OPERATION, AND SAFE USE OF THIS EQUIPMENT.
THIS MANUAL IS INTENDED FOR THE END USER OF THIS PRODUCT
Hayward Pool Products
620 Division Street,Elizabeth, NJ 07207
Phone: (908)351.5400
www.haywardnet.com
0 HAYWARU
4.3. Pipe Sizing Chart
MAXIMUM RECOMMENDED SYSTEM FLOW RATE BY PIPE SIZE
Pipe Size maximum Flow Rate Minimum Straight Pipe
in. [mm] GPM [LPM1 Length"L" in.[mm]
1'/2" 1501 45 11701 71/2" 11901
2" [631 80 [3001 10" [2541
2'/1." 1751 110 14151 12 1/2" 13171
1 3" 1901 __F__16o [600l 15" 1381]
*Note: It is recommended that a minimum length of straight piping(shown as"L" in above diagram),equivalent to
5 pipe size diameters,be used between the pump suction inlet and any plumbing fittings(elbows,valves,etc.).
When instalting the Max-Fto VS,care should be taken to ensure proper pipe and equipment sizing to handle the
maximum flow required.It is recommended to set the maximum speed in order to not exceed the maximum flow
rate.See note at end of section 6.6.
AWARNING—Hazardous Pressure. Pumps,filters,and other equipment/ components of a swimming pool
filtration system operate under pressure. Incorrectly installed and/or improperly tested filtration equipment and/or
components may fail resulting in severe personal injury or death.
4-4- Plumbing
i. Use Teflon tape to seat threaded connections on molded plastic components. All plastic fittings must be new or
thoroughly cleaned before use. NOTE- Do NOT use Plumber's Pipe Dope as it may cause cracking of the plastic
components. When applying Teflon tape to plastic threads,wrap the entire threaded portion of the mate fitting
with one to two layers of tape. Wind the tape clockwise as you face the open end of the fitting, beginning at the
end of the fitting. The pump suction and outlet ports have molded-in thread stops. Do NOT attempt to force
hose connector fitting past this stop. It is only necessary to tighten fittings enough to prevent leakage. -Fighten
fitting by hand and then use a too[to engage fitting an additional 1 1/2 turns. Use care when using Teflon tape as
friction is reduced considerably; do NOT over-tighten fitting or you may cause damage. If leaks occur, remove
connector,clean off old Teflon tape,re-wrap with one to two additional layers of Teflon tape,and re-install
connector.
2. Fittings(elbows,tees,valves,etc.) restrict flow. For better efficiency, use the fewest possible fittings. Avoid
fittings that could cause an air trap. Pool and spa fittings MUST conform to the International Association of
Plumbing and Mechanical Officials(IAPMO) standards.
4-5. Electrical
AWARNING -All electrical wiring MUST conform to local codes,regulations,and the National Electric Code
(NEC).
AWARNING—Ground and bond pump before connecting to electrical power supply. Failure to ground and
bond pump can cause serious or fatal electrical shock hazard. Do NOT ground to a gas supply line. To avoid
dangerous or fatal electrical shock,turn OFF power to pump before working on electrical connections. Fire Hazard-
match supply voltage to pump nameplate voltage. Insure that the electrical supply available agrees with the pump's
voltage, phase,and cycle,and that the wire size is adequate for the amps rating and distance from the power
source. Use copper conductors only.
USE ONLY HAYWARD GENUINE REPLACEMENT PARTS
Page 9 Of 24 Max-Fto VS Pump IS230OVSP Rev C
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INSTALLATIONAND INSTRUCTIONS INSTRUC NESDE
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Hayward Pool Products
Worldwide Locations
GM THESE IN;WC'i7ag'T0;��F;6;WE-V79rI1iT -irl
H.""'d C-ponstv,Haadq.—
Hayward Pool Products,Inc.
620 D—Stnrat
Ektabeth.UJ 072D7.USA
Tel 908 1 54DO
Fax 908 351 5675
Hayward Pool Products,Inc, 4ZOL PR7D;1&S,INC.
2875 P—.Buis-rd
Po-CA 9 768,USA
Tel 9109 594 11 LIMITED WARRANTY
600
F..909 598 69M
N.y-,d PoW Products Canada,Inc.
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Tei 905 829 28K —jWj;jZTjON!�rU;F-kC;p'RI"TRE DE LA PMaME OU ou SPA APRItS LINSTALLATION
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H ywaard Pool
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2875 Ponnons So""I'd
P.mons CA91768 USA
T,1 909 594 00'2 HAYWARD
Fax 909 0327
FOR FURTHER INFORMATION ORCONMJMERTECHNICAL SUPPORT,
"---&W�S_Z_p;6pIETAj0O oE LA PISC4NA 0 JACUZZ3 DESPUtS DE LA INSTALACION
PLEASE CALL$MJ72-2100 OR VISIT OUR WEB SITE AT�haymrdnatcorn ENTREGAR ESTAS INSTRUCCI
P(XIR OBTENIR DE PLUS AMPLES RENSEIGNEMENTS OU DU SOUTIEN TECHNIQUE
VEUILLEZ A PPELER AU(966)n2.21 00 OU VISITER L E SITE WEB:nay—rdnetcom
PARA MAYOR JNFORMACI6N 0 SOPDRTE TCCHNICO, 092153A
LLA ME AL 11416-n2-21 00(r E.UU.)0 VISIT E N UESTRO SITIO WEB,h,yardnetcurn
IMPORTANT SAFETY INSTRUCTIONS PRODUCT ILLUSTRATIONS ILLUSTRATIONS DU PRODUIT ILUSTRACIONES DEL PRODUCTO
INSTRUCTIONS DE SECURITE IMPORTANTES
INSTRUCCIONES IMPORTANTES DE SEGURIDAD
1,&WARNI–NG RISK OF ELECTRIC SHOCK
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APPLICATION NUMBER
City of Atlantic Beach C EIQ assigned by the Building Department.)
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445 FEB 11 A5 /.i - i - 31e)
Phone(C)04)247-5826 - Fax(904)247-5845
Dat routed: A.
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 437Sf 4, 60-5 7�)r Department review required Yes No
C;9��—
A icant: Plan-nena & Zo-n7r%
ppi /�" 7 ree-Admillitstl%lo-r
Project: POO/- -ITu-b I i c W—or k_�p
47Mic Utilitieg)
Public Safety
Fire Services
Review fee ;-S- _ Dept Signature jt!f�
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: P!IA—pproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date-
TREEADMIN. Second Review: DApproved as revised. ElDenied.
LIC)V�s
Comments:
C TIES
U I
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach
Ar . /)-, , RECEIVElff APPLICATION NUMBER
Building Department 1201 (To be a��s�signed by the Building Department)
800 Seminole Road 7FEB 12015
Atlantic Beach, Florida 32233-5445 31e)
Phone(904) 247-5826 - Fax(904)247 roul
E-mail- building-dept@coab.us J FDaterouted:
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /YJ 7 '*4— Department review required Yes No .
Applicant: In 1 Planning &Tont�
or
Project: (;i5_u_blicWork__tP
<-Tru-blic Utili ies
"'7
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: E]Approved. [��Deniecl.
(Circle one.) Comments:
.5a_1j;7
BUILDING
PLANNING&ZONING z Reviewed by: Date-
TREE ADMIN. Second Review: [�Approvecl a ised. E]Denied.
PUBLIC WORKS Comments: sl;
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 31e
Phone(904) 247-5826 Fax(904)247-5845 Date routed: 0
E-mail, building-dept@coab.us
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 437 Suo,&7-:5 Department review required Yes No
Applicant:
�7 ?4, nI Z=n�&fo_n-D�
Project: L - u I ic�L�rk
':::��"u lic 0111111tiu�p
F
Public Sa ety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: []Approved. XDenied.
(Circle one.) Comments: 5,-t A44,�14)
BUILDING
PLANNING&ZONING Reviewed by Date:..,yl
TREE ADMIN. Second Review: ZApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: 2ZWJS
FIRE SERVICES Third Review: E]Approved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUELDING PERmiTAPPLICATION � T 9 T � T
CITY OFATLANTic BEACH 10
800 Seminole Road, Atlantic Beach, FL 32233,
Office (904)247-5826 Fax (904) 247-5845_ , 0
Job Address: / F3 7 5—eo, C>m-6 �T Z 3 1 Permit Number:
Legal Description 9- Z t67 Parcel# 5:�k- ,-&,-,,- awv
Floor Area of Sq.Ft. t& 67 Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled_
Class of Work(circle one): New Addition Alteration Repair Move, Demolition Coo�sy��) Window/door
Use of existing/proposed structure(s)(circle one): Commercial Reside��jni�
If an existing structure,is a fire sprinkler system installed? (Circle one) _Yes No QN::/:D
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: Wi 0"r A 4; x
PropejU Owner Information:
Name: /_y � /� I Address-- 7
7- 77;; State/- -Phone 7- -7 1
city ,4 _n,(Zip__I?
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: X.4% 3—AL� —Qualifying Agent:
Address: rr,13/ city State —556 Zip
Office Phone 7J 7 Job Site/Contact Number �'V ax#
F
State Certification/Registration# �el'C -7 7
Architect Name&Phone# Avlk
Engineer's Name&Phone# /Z,-4F.-f
Fee Simple Title Holder Name and Address 7-AIR 04 1f77
K 44-MA '-;e
Bonding Company Name and Address A 7rC(.;qH,
Mortgage Lender Name and Address- A-Ae
Application is hereby made to obtain a permit to do the work and installations as indicated I certi#that no work or installation has commencedprior to the
issuance of a permit and that all work will be perfprmed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes
months, or i�con ction or work is suspendedor abandonedfqr a period ofsix months at any time
Wells, Poo s, Furnaces, Boilers,
null and void if work is not commenced within six(6 'st stru
after work is commenced. I understand that separate permits be secured for Electrical Work, Plumbing, Sigm,
Heaters,Tanks andAir ConiUdoners,ete-
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 YOIKi NOTICE OF
COMMENCEMENT.
I here 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
VIwork will be coTplied with whether specifLed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state, or local law regulating construction or the peiformance of construction.
co- q :!>U-45's, -1(b<�> VM--1 )-60
2S,U-2p
Signature of Owner Signature of Contractor-
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
"S1
800 Seminole Road
Atlantic Beach, Florida 32233-5445
J ,l Phone(904) 247-5826 - Fax(904)247-5845
E-mail� building-dept@coab.us Daterouted:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7 047-:5 Department review required Yes
Planning &Zo—n-ln%
Applicant: 02 1�79 -
-Trn-FAtmmTstralor
Project: u b I i c W o-r-k-s
u lic Ufflifi-e-s-)
Public Sa ety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: [9'Approved. E]Denied.
(Circle one.) Comments:
L ING
PL� G&ZONING Reviewed by: Date4p 15—
Oct
TREE ADMIN. Second Review: DApproved as revised. E]Deniedp
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-871
Job Type: ELECTRIC ONLY
Description: elec for pool
Estimated Value:
Issue Date: 4/15/2015
Expiration Date: 10/12/2015
PROPERTY ADDRESS:
Address: 1837 SEA OATS DR
RE Number: 172020-0546
PROPERTY OWNER:
Name: LYON, JONATHAN R
Address: 1837 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY ELECTRICAL SERVICES INC
Address: 6491 Powers AVE STE 1
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION gj
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS:. sco, 004S Z��eo PERMIT #
01 11�_' C_ & ag'(1-
JEA INFORMATION REQUIRED ON ALL PERMITS __�06 AMPS VOLTS PHASE
VAL UE OF wopm s 7-5-0
NEW SERVICE El Overhead F-1 Underground Underground up Pole
LIResidential(Main) Service
E10-100 amps El 10 1-15 Oamps El 151-200amps amps #of Meters
LI Commercial(Main) Service
EO-100 amps El 10 1-1 50amps El 151-200amps amps DCT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
E10-100 amps 0 10 1-15 Oamps El 151-200amps El amps #of Unit Meters
El Temporary Pole 11 amps
SERVICE UPGRADE E______amps El CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E1100amps F1150amps 11200amps 0_amps EICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 10 1-200amps
Appliances: 0-30amps 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
ewimmingPool DSign Ej Smoke Detectors_Qty ETransformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
EJ Replace Bumt/Damaged Meter Can EJ Safety Inspection IJ Panel Change EJ OH to UG
(�Cbther: 0�4'001 ac"ie (' �_/ ) dQMP Q� 2061 1(w,+ 1"W vs�11—kye-_
r I -F
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.
Property Owners Name Phone Number
Electrical Company- 7��'qvj* —Office Phone Fax
Co.Address: City State—Zip
License Holder(Print): &,S c- 6-S — State Certification/Registration# CC/3 o o
Notarized Signature of License Holder El==e_!-
Before me this day of 20
Signature of Notary Public