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
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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
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1075
9 �'1
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`tient parts
Intell•Fla°VS 3050 & 1nte11iF1oVS+SVRs
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_ 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
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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
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All dimensions shown in inches. t
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----
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-- 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
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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