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341 8TH ST 2015 POOL s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J Y r 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-546 Job Type: SWIMMING POOL/SPA Description: POOL SPA DECK Estimated Value: $40,000.00 Issue Date: 3/25/2015 Expiration Date: 9/21/2015 PROPERTY ADDRESS: Address: 341 8TH ST RE Number: 169965-0000 PROPERTY OWNER: Name: BROWN, TAWANA LEA Address: 341 8TH ST GENERAL CONTRACTOR INFORMATION: Name: ISLAND POOLS,LLC Address: 1546 LINKSIDE DR QA RONALD D GRAY IV Phone: - - PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site during construction. 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. FEES: BUILDING PERMIT FEE $250.00 STATE DCA SURCHARGE $3.75 PLAN CHECK FEES $125.00 STATE DBPR SURCHARGE $3.75 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J _ r} ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ��.sl J131�r' Total Payments: $382.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ri:a City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 V Phone(904) 247-5826 " Fax(904)247-5845 'l"p;ti�Y E-mail: building-dept@coab.us Date routed: // / Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 34 , 9711 sr D ent review required Ye No Applicant: - ning &Zonin administrator Project: ublic Work ist mi ie ublic 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: roved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑De ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road,Atlantic Office(904) 247-5826 F ) MAR (. J3 Permit umber: JobAddress: By — Parcel # Legal Description Floor Area of Sq.Ft. Sq.Ft Proposed Work heated/cooled non-heated/cooled_,.._ Valuation of Work$ P Class of Work(circle one): Addition Alteration Repair Demolition pool/spa window/door NeI Use of existing/propposed structure(s) (circle one):, Commercial Residenh If an existing structure,is a fire sprinkler system installed`!(Circle on Y o N/A Florida Product Approval# For multiple products use prouct approv orm Describe in detail the type of work to be performed: Prnnerty Owner Information: Name: Addressi '6 S r Statel�LZiP 2Z3:Phone 33 C-1 5-C/ 1 City & E-Mail or Fax#(Optional) Contractor Information:_ � (� �c�Y ualifying Agent: Company Name:�. cn� S QV'"`` City State C�Zip Address: co "k "k Job Site/Contact Number 33 Fax# Office Phone . State Certification/Registration# G L Architect Name&Phone# Engineer's Name &Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address rk wilt be erformed to meet the standards of all w suslati nded his or aureritod ons (� e � ,g�plication is hereby made to obtain poerThis permit mit to do the work and installations as indcertify ticated. I certno work or installation has commence prior to the issuance of a permit and that all Wells, roots, para emits must be secured for Electrical Work,Plumbing, �, becomes null and vocal if work isnot commenced wi hie ser(6)months,or if constrnction o gam,Iie�ers,Tan�lrs an�Air C n srs��d that se to PQ WARNING TO OWNER: YOUR PAYING 1�'VV OR M ROVEMENTS COMMENCEMENT MAY RESULT IN YOUR P G YOUR NOTICE I TO YO UR PROPERTY. IF YOU INTEND TO OBTAIN OLIN ING, CONSULT WITH YOUR LENDER OR AN ATTOBEFOREEY COMMENCEMENT. I herb certify th a permit does not presume to give authority to violate or cancel the y that I have read and exam' he eci ied herein n riot t he same to be true and correct.fiAll provisions of laws and ordinances governing �i»�sfoffanv other fedemi complied or local law regulating construction or the pe�ormance of construe on. FILE COPY D:kd rooloux Impervious calculations for 341 8th Street Current lot size 13000 sft Total impervious area House 1750 sft sft Driveway and decking 2750 sft Total 4500 sft 34% Proposed new impervious due to spa coping only 30 Total new proposed impervious 4530 sft 34 sft Completed by RD Gray Island Pools LLC 904-334-5421 ti moi. 'r ' QTS `'•�1t ��"a FL •- ' `.' � 7017 L;3^ NO ;30 OFFICIAL RECORD') FILE COPY U4 IT_CLAIMDEED W Made this ��'day of April, 1994, by THOMAS L. BROWN, JR. Y Fu a/k/a THOMAS L. BROWN, a single man, party of the first part, and Z THOMAS L. BROWN, JR., a single man and TAWANA LEA BROWN, a single , woman, as joint tenants with right of survivorship, whose mailing 0: address is 341 8th Street, Atlantic Beach, Florida 32233 and whose C7 social security numbers are and - - F0- respectively, parties of second part. Q WITNESSETH: That the said party of the first part, for and win consideration of the sum of Ten and no/100 Dollars ($10.00), in hand paid by the said parties of the second part, the receipt X whereof is hereby acknowledged, has remised, released and quit-claimed, and by these presents' does remise, release and quit-claim unto the said parties of the seccnd part, and their heirs, successors and assigns forever, the following described land, situate, lying and being in the County of Duval, State of Florida, to wit: Lot 20, the East 1/2 of Lot 22 and the West 1/2 of Lot O� 18, Block 10, ATLANTIC BEACH according to plat thereof recorded in Plat Book 5, page 69, of the current public records of Duval County, Florida. Parcel f: 17169965-0000 Title to property neither examined nor approved. 1 TO HAVE AND TO HOLD the same, together with all and singular the appurtenances thereunto belonging or in anywise. appertaining, and all the estate, right, title, interest, lien, ''�'' equity and claim whatsoever of the said party of the first party, either in law or equity, to the only proper use, benefit and behoof;�_arc3. of the said parties of the second part, their heirs, successors and._1 x6 rD assigns forever. ycr Q IN WITNESS WHEREOF, the said party of the first part has-o'; OJ hereunto set his hand and seal the day and year first above;�� written. Signed, sealed and delivered in the presence of: ` C ,� Sign: �1�1/l:'•.z:-L •�j.t,h• (SEAQto Print: }stn L.An d Thomas L. Brown, Jr. Sign: i : ) , Print: I Low SCIY� 11.5.,OLDl SJ._.._--��'� �. x STATE OF FLORIDA - -�3 - Da:alc�.�Ir dt COUNTY OF DUVAL N.,.rr tv.C_k.c' /vL�t f cl.rk ��/� The foregoing instrument was acknowledged before me this L1l.-day of April, 1994, by Thomas L. Brown, Jr., who is personally known to me or who presented a drivers license as identification. AZ_\ No ry Public Prepared by: (Seal) F1icv;Z' BUSCHMAN, AHERN E PZIiSO.NS ATTOR`IEYS AT L4:•; 2215 SOUTH T:'IRO SiR--i...SUIT,E 101 POST UF.-l:E BOY °0;"1G JACKSONVILLE B_'A,H,FLLAIDA 3­40 OL0.3 _ C City of Atlantic Beach A PPLICATION NUMBER ti Building Department ` 800 Seminole Road (To be by the Building Department.) f' Atlantic Beach, Florida 32233-5445 �y� Phone(904)247-5826 • Fax(904)247-5845 TW.- E-mail: building-dept@coab.us Date routed: 1511111.6 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: j �t D It2lent review required Yes No Applicant: �- Q �Q D / Planning &Zonin e dministrator Project: L �G ublic Work is fi i ie ublic 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: XApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: .z TREE ADMIN. Second Review: ❑Approved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 It o roolo lu Cover page 3418th Street Atlantic Beach FL 32233 Occupancy class R-3 FBC 2010 NEC 2010 1.Impervious calculations 2-Building Permit Application 3.Proof of ownership 4.Notice of Commencement(to be filed) S.Site survey 6.Site management plan 7.TDH worksheet 8.Drain and entrapment prevention 9.Pool steel drawings 10.a-g equipment cut sheets 4 Pooloux Impervious calculations for 341 8`" Street Current lot size 13000 sft Total impervious area House 1750 sft sft Driveway and decking 2750 sft Total 4500 sft 34% Proposed new impervious due to spa coping only 30 Total new proposed impervious 4530 sft 34 sft Completed by RD Gray Island Pools LLC 904-334-5421 J Pro° VS 3050 High Performance Pump r Dimensions and Performance CNS F). .. -- LISTED csa Cernaea Listed kS�r ,.T - 120 - . 35 !00 3450 rpm 80 4 ' r 25 @ 3110 rpm °•20 `d a0 X2350 rpt° 40 �xIS6O rpm 20 @ p 750 rpm 20 40 60 80 i00 120 140 164 x US.Gallons per miDute 5 10 15 20 25 30 35 Cubic Meters per hour .. -.. 26.406"- -.{-- 3 Pwool ZZi E A 1075 9 �'1 r y ea `tient parts Intell•Fla°VS 3050 & 1nte11iF1oVS+SVRs � _ High Performance Pump �)�31tF21YF'oatPro�tucts" ' "Featured Highlights M • Slashes energy costs up to 30°t°or mor ECD Easy ram and operate •�• a ��. � = � Select Y to program • Offers ultra-quiet operation ...just 7— ;s Pentair water ' decibels or half a human whisper za>1T 1Yc7 - L+F • Operates at the minimum speed requil = for unmatched longevity • Compatible with other pool systems, including EasyTouch',IntelliTouchl,anc " SunTouch'" IntelliFlo VS 3050 High Performance Pump Patents Pending intelliFlaIVS 3050 allows the programming of four various speeds ranging from 400 to 34SO RPMs to accomplish different tasks at lowest energy usage. 3 :E Ordering Information s Full Load kW HP SF SFHP Port Size(NPT) Cartor Product Description Certifications Voltage Amps Suct.&Disch. (Lbs INTELLIFLOVSi t 011013 IntelliFlo VS 3050 UL,CSA,NSF 2.30 16 3.2 3 1.15 3.45 2" 47 011017 IntelliFlo VS+SVRS UL,NSF 230 16 3.2 3 1.15 3.45 2" 47 ACCESSORIES 8 N 520641 IntelliComm 4 350122 5o'Communication Cable' 'Included in package with pump. S Aft r � I 3t r R 1. :E at , Repair parts-see pace f70 PLfvt SERIES - Sta.Rite's modular media filtration is the perfect match f for 1111 small in-ground and above-ground pool markets. Advances s in media technology and balanced flow design provide dirt-loading t capabilities tip to 15 times greater than sand fillers of equivalent size. 1 Virtually maintenance-free operation For today's pool owner Now 11 available in 300 sq. fit CERTIFICATIONS - The filter shall be tested and certified by a , nalionally recognized testing laboratory la conform to NSF Std. 50. '� rt 4E wi v Typical Installation— In-ground the smaller System-2 fillet;enabling Large Drain Plug—Filter includes pools and art-ground hot tubs maintenance-free operalicin for 2"NPT Drain ports,which are Qualily Construction- Durable pools of all sizes provided with reducer bushing an two piece tank housing constructed Low Maintenance- Complete 1.112"drain plug of rugged ABS thermoplastic to media coverage combined with Modular Fitter Tanks-Allows ensure a long-lasting tank life shallow pleats means greaser dirt for quick change of filter medias Easy Access— Post-Lok'locking holding capabilities,resulting in without changing the tank i ring provides safe,fast access to longer filter cycles and less rlpaning Sleek Looks—Contemporary lank internals A Perfect Fit— The small diameter style and matte black finish looks Patented Design— The polented, footprint makes the System?filler allrartive to any pool setting innovative balanced flow design a perfect fit for new and retrofit Iirst introduced with the Syslem:3 installations.The interchangeble Mod Media filter is now available in ports provide mulliple plumbing options. ) Filler Oplimal, Flow Rated" TURNOVER RATE(GALLONS) Tank Approx. calalog Area Performance GPM (FLOW RATE x 60 r HOURS) Port Ship.Weight Number q. —.. ...__ .._.._ is ft.) -at this GPM per sq,ft. _Al 6 Mrs- AI 8 Hrs. At 10 Hrs. Size fibs.) PLM ith) 100 50-7S 38 100 111-36,000 18 48,00(0 :.r 60.000 2" 91 )'CHI'S SU 94 47- 125 17-15,000 22 60(00 28 7-5,000 ?" 42 Sb 150 20-54,000 2!- 72,00( )4 90.000 2" 43 PLMt75 175 50120 b6- 150 24-54,000 3t 72,000 sir) 90,000 2" 44 PLM:qU ?00 SO- 120 75- 1S0 27-5,1,000 36 72,0(0 115 (J0,000 2- 145 1`1M10L) ;100 rill 120 113- 150 91 -54.000 5_4 12,000 6H (1({100 P. 53 'Oper.14,m al t1n1 GPM will 13,uvid-the longest filler cycles combined will)the hpKl and Qreulr�l rt„i initlt,nM ra1,,,r,Iy Lar fe,tiller area will provide longer l,Re, y,11 1 helwe en Cleanings ")tale"ori NSr,r•rouui„en-ind Dow rale for rommerc,al ar 375 GPM per square fool No b,ua,w.yeh valve,ertuui•tt. NOTE:L�pe;ating l,nnr•: rel.runum rnitlutua)operating pressure of.0 PSf PontAlm(battler)ap,Ill,,,liratt; in.uurlr,n,c.Pr•u,lrng weter temperalure fullirnalldtw) 1041(40-C) MITI-- Approx.Ship. ialag Weight umber Description11 �Elfl2 01005 100 Sq,Ft,Replacement Module for PLM100 11.5 A02-01255 125 Sq.Ft.Replacement Module for PLM125 12 5 150 Sq.Ft.Replacement Module for PLM150 2-01505 7Q02.01505 175 Sq,Ft,Replacement 13 Module for PLM 175 7.402.0175 S 200 Sq.FL 13 Replacement Module for PLM200 4 X402.02005 300 Sq.Ft.Replacement Module for PLM 300 1 B oz. 8-820P 2"x 1-112"Pipe Reducer Bushing 1 X01-0130S Spring Check Valve outline dimensions is 56 �. PLM300 M100, QjM125, M150, ' t-M175, s3 M200 l 37.64 V7 2 Nyr Wift 225 l 2"APT TAPi I _� ISM All dimensions shown in inches. t r - ---- - — PLM100,PLM125, .--1PLM150,PLM175, -- y ' PLM200,PLM300 10 20 40 60 80 100120140160 1`LOW RATE IN GALLONS PER MINUTE i , . Waterway Technical Bulletin:VGB2008 a VGB - �fl�8 640-231 x Y 8"Anti-Entrapment Main Drain Cover and Frame Waterway main drain covers are compliant with the Virginia Graeme-Baker Pool and Spa Safety Act(ASMEfANSI Al 12.19.8-2007)and are UL Certified. X49 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. it The Waterway 640-231 x V series covers and frames are available in: 1 White J Bone 8 Black Gray ■ Dark Gray ® Beige 0 Dark Blue saw Model No. Description Size Total Open Area Floor Flow Rate wall Flow Rate Flow Rate GPM Square inches GPM GPM @'1.5 ft/sec 640-231x V Anti-Vortex a,, 31.83 100�w:2.27 ftisec 64 1.73 ft/sec 55 x , r,8.650 part#a Lif-Wr �- 7.624 — 819-oow #85tamlessSteelScrew-32x'fe ( 642-21 Sy V 8'Anti-Yortex Drain Cover 7.000 642-214x 9 Antr Vortex Drain Frame _ q � t 815-moss a® 00 �,4 ® 642.215xv # m� Aw 0 NO '010 .. w t 0 0$ � .300 MOo 0 0 64e-1-14x 000 �� � �4dRoryel�0. .470 975 .800 Se svrrs Genviae Q2009 Waterway Plastics•2200 Sturgis Road,Oxnard,CA 93030•Ph 805-981.0262•waterway@waterwayplastics.com•www.waterwayplastics.com 807-0081.0309 SCS 30 1 Pu-e TOOCu$isaa l A IVY) 1 E� apisai PIEPL � � L X55 s � IS H .!:RQ.cgl9�o�C2 ��r: Sp z rvx g. r v7 I O z� �S{zcy �;u Yr"WryC�t' m m 3 m y^ c: x C $ < � rz r Qg zm & ° sx � C �nz ..rcv`. <''� � R 3 eg� C fo X�� •�2��q$���30e'1 g,.`3y.3 > x �< �� ��yL'z�nK��Z�i `' 3����29�� �rz<�•?cag���c���.c4°��`L'x��< `N��� cg'��` �a� _ > ?v3fea hoz it 9 J g `z o GQe4'' - a ak o<zg < - vi r. b5 B �z 1 $ t < E c § 8_33 47 SI b cue i a e� f Y 4 GT ✓= � git TREE & VEGETATION AFFIDAVIT �' • , City of Atlantic Beach Department of Community Development ~r Planning &Zoning Division 800 Seminole Road Atlantic Beach, FL 32233 (P) 904 247-5800 (F) 904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION r Owner(s) [7 Legal Authorized Agent* NAME OF APPLICANT r NAME OF COMPANY ADDRESS OF COMPANY I L PHONE 3 3­1 -S ct, l CELL EMAIL CONTRACTOR CERTIFICATION NUMBER C�L ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION L, STREET ADDRESS OF PROPERTYIf on address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION . (�: .�S-�1(l C -J I C� I1`C IAC w c IN LOT ��,,��,,�� BLOCK SUBDIVISION UV REAL ESTATE NUMBER) J�S- )b LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) l affirm that 1 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 from the above-described or adjacent properties in conjunction with this project. SIGNATURE OF OWNER SIGNATURE OF OWNER Signed and sworn before me on this day ofby State of [ —= County of 1 Identification verified: Oath sworn:r--NXQs No Notary Sigroure Yr KAY KEEL SMITH M Commission expires: REV-NA v10.12 y p :•: ;�__ Commission#FF 040768 � P xpires ovem er 0,2017 -'�w rvw•`O Bonded Thio Troy Fats Insuma 800385-7019 NOTICE OF COMMENCEMENT State of Tax Folio No. County of V To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMWNCEM ENT. (� Legal Description of property being improved:5j Le ADc' h c l�faC Address of property being improved: 3 �� S� ��� 1�C L �' -22 General description of improvements: &A Owner: Address: 3�j I �' S� 13 r F&322.33 Owner's interest in site of the improvement: ! C- Fee Simple Titleholder(if other than owner): Name: Contractor: o Address: 1 ' 7 19, k FL- 3 2 Z Telephone No.: 3 Lf r�L Fax No: Surety(if any) Address: Amount of Bond S 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 whom 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: Before me this day of in the County of Duval,State Of Florida,has personally a ar�� Notary Public at Large,State of Flori County of Duval. My commission expires: Personally Known: or Produced Identification: KAY KEEL SMITH +ti rte' Commission#FF 040768 ? € Expires November 30,2017 /jf;, Bonded Thu Troy Fain Incuroroe 900.185-7019 I City of Atlantic Beach MAR FEae LICAT a, Building Department $ '�?p1 ION NUMBER `i 800 Seminole Road 5 ned by thea Building Department.) Atlantic Beach, Florida 32233-5445 QeL - ,�y�Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us : .5111 11.6 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 9T11 �� nt review required Yes No /Applicant: �- (� 00 / ZoninistratorProject: L �if ketys 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. [-]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING 5 �� Reviewed by: / —Date: 3 /C TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. LIC0 S C mments: PUBLIC UTILITIES J-//1 37- PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach MAR APPLICATION NUMBER ,s "> 201 Building Department 5 „s (To be assigned by the Building Department.) 800 Seminole Road 8y; Atlantic Beach, Florida 32233-5445_``'' J Phone(904)247-5826 - Fax(904)247-5845 �•��r.1 i1��~ E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 34, U �+ �:—A nt review required Yes No Applicant: - (� 10 doninistrator Project: L �C ys 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: APP CATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING fZ Reviewed by: Date: 3 TREE ADMIN. Second Review: ❑Approved as revised. EfEldnied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 Mar 31 1510:09a P 1 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE! Permit No. Tax Folio No. State of FL County of Duval To whom it may concern: The undersigned hereby Informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florlda Statutes,the following Information is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: 1 Address of property being improved: 341 8th street Atlantic Beach FL 32233 General description of improvements: Swimming Pool O�kner Tav"a,Brawn Address 341 8th street Atlantic Beach FL 32233 Owners interest in site of the improvement 10011/0 Fee Simple Titleholder(if other than owner) Name Address Contractor Ronald Gray Island Pool LLC Address 1546 Linkside or Ad Bch FL 32233 Phone No. 94-334-5421 Fax No. Surety('t any) Amount of bond$ Address Phone No. Fax No. Name and address of any Gerson making a loan for the construction of the improvemen;s- Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself.designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor 5 Notice as provided in Section 713.06(2)(b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Q Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a o o d fferent date is specified): "-� OWNER F-LL - THIS SPACE FOR RECORDER'S USE ONLY _ l,�- c DATE ,o o � Signed: In the W m Z j BeTore meth day o` LU C t •i a rsanally appear �G E (D herein by QY E _ Y Com:U-j S poo#20'150'14$1 OR 3K 17 11 3 Page 225$' are true and ycunatefrms that all statements and dectarauw5 Herein Number Paces:1 Recordec()3;31-20115 at`0:49 A.M, Ronnie Fussell CLERK CIRCLIT COiJRT DU\!AL /� At COUNTY C- •;N'sr RECORDING$10-00 Notary Punic at Large.State CT County or Rty commission expires. �r CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ]OB INFORMATION: Job ID: 15-ELEC-925 Job Type: ELECTRIC ONLY Description: pool Estimated Value: Issue Date: 4/21/2015 Expiration Date: 10/18/2015 PROPERTY ADDRESS: Address: 341 8TH ST RE Number: 169965-0000 PROPERTY OWNER: Name: BROWN, TAWANA LEA Address: 341 8TH ST 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: $99.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904`) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 13 � ( 7 �h J �_ PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole ❑Residential(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service 110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters []Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 31-l 00amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-l 00amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty r Transformers KVA []Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRSIMISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG ❑Other: 0Q� 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. c, U Name � 'L- Phone Number 2 d Property Owners Na P �Y Electrical Company l °` U -41- Office Phone _�a Fax Co.Address: 4910 S' � ` � � � I� c� � � `, � City J �v f� State J—� zip .? C License Holder(Print): Z2, 6 y,,,YC 1/C',- Z �' State Certification/Registration Notarized Signature of License Holder ,^ Before me this day of 20 Signature of Notary Public