713 SAILFISH DR - ABOVE GROUND POOL i-S r\j`l�.
�" ' '' ` � CITY OF ATLANTIC BEACH
'"""' f 800 SEMINOLE ROAD
`J = ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
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SWIMMING POOL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-POOL-1787
Job Type: SWIMMING POOL/SPA
Description: UBOVE GROUND POOL
Estimated Value: $200.00
Issue Date: 8/16/2016
Expiration Date: 2/12/2017
PROPERTY ADDRESS:
Address: 713 SAILFISH DR
RE Number: 171230-0000
PROPERTY OWNER:
Name: SOERGEL, D MATTHEW
Address: 336 9TH ST
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $59.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID:
BUILDING CODES.
s as.An,-- City of Atlantic Beach APPLICATION NUMBER
111 s.I Building Department (To be assigned by the Building Department.)
K\,..........
A 800 Seminole Road. ,�_(� I �� �
-6,1 -r Atlantic Beach, Florda 32233-5445 c L l
Phone(904)247-5826 • Fax(904)247-5845 /c /I
�; )'r E-mail: building-dept@coab.us Date routed: ``l`
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
2 S13cic r� 1 2 S � _Department review required Yes No
��, �
Building '
Applicant: 0(,v 1 > arming&Zoning
PooTree Administrator
Project: gp1(�� �ODI3 L Public Works
Public Utilities
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: ❑Approved. ['Denied.
(Circle one.) Comments:
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. ODenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
MRP SHOWING BOUNDARY SURVEY OF
LOT /Z BLOCK 6 AS SHOWN ON MAP OF pi
'R4YAG Pa r uN/r ONE E COPY
AS RECORDED IN PLAT BOOK 30 PAGES/o0-(SOA OF THE PUBLIC RECORDS OF OUVAL COUNTY, FLORIDA
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NOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON .f14,/ LINE AS SHOWN
THE PROPERTY SHOWN HEREON APPEARS TO LIE 017HIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD
INSURANCE RATE MAP OO)/ FOR A7IANT/G 864C,411, FLORIDA, DATED 4-l7-8.9
TRI—STATE LAND SURVEYORS, INC.
8411 BA MEADOWS WAY SUITE /2, JACKSONVILLE, FLORIDA 32256 (904) 731-7235
ucENw
I HEREBY COMFY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY
•0°•6 ro• RESPONSIBILE SUPERVISION AND D/REC17ON, THAT THERE ARE NO
•*CM°OC ENCROACHMEN7S EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN
!rr W •CM f 4140 HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY
"` PawTHE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SECTION ,
o"°•cot Immo/ 472.027 FL,DIDDA STATUTES
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01 RAUL°rra"ar DATE: 7'/S'94
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B. 33 9 PG GB ORDER NO.24'.11/7
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j�;{ 1 CITY OF ATLANTIC BEACH FILE
1l ��►WNER / BUILDER Copy
AFFIDAVIT
'I.))%
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY `CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
1/5-6 &K CZ Rd- "'c`>- I- (9. ,-/S-
ADDRESS
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PRINT NAME
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SIGNATUe. DATE c 3 lf
(c)
Before me this day of J 2(1.(a the county of
Duval,State of Florida,has personally ap ea herin by himself/herself and affirms that
all statements and declarations are true an urate. , r
Notary Public at Large,State of 1.-------1 r ,County of i>U Y a..`
❑Personal) Known C�'�
❑Produced dentification- w J A. -C Cr, Z
I/
;:i "'•• TONI GINDLESPERGER
�i ,a ,.s MY COMMISSION#FF 924951
NotarySignature: c-_ .. :d
9IrikA :���:o EXPIRES:October 6,2019
%;j �tti' '• Bonded Thru Notary Public Undenrtiters
F:BLDG/Owner-BudderAffadavit;REVISED:4/16/2009 - -
,6 - 'S CITY OF ATLANTIC BEACH
'' j 800 SEMINOLE ROAD
.: = ATLANTIC BEACH, FL 32233
(904) 247-5800
—t 01119>'
BUILDING DEPARTMENT REVIEW COMMENTS
Date: 9.10..2016
Permit#: 16-POOL-1787 Applicant: Richard V. Nacca
Site Address: 713 Sailfish Dr., AB Site Address: _ 713 Sailfish Dr,AB
Review: 1 Phone: 904-891-2345
RE#: Email: ricknacca(a 2mail.com
Homeowner: renter
Correction Comments:.
Application is disapproved for the following issues:
1. Submit plot plan survey showing setbacks from pool to property lines. 2 Copies.
2. Submit all technical information about pool. Depth, electrical pump motors, UL listing,
GFCI protection. 2 copies.
3. If fenced in, the outside of fence must not be climbable,48 inches minimum height. Gates
shall swing out away from pool, shall be self latching, latches shall be at a 54 inch
minimum height above grade. If a child proof barrier is not used to around the pool to
prevent children access, then alarms shall be on openings at the house that give access to
the pool, or other means of protection(floating device).
Mike Jones
Building Inspector/Plan Reviewer
City Of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233-5445
Ofc (904) 247-5844
Fax (904) 247-5845
1
1
•
1 �, FILE COPY
s`' BUILDING PERMIT APPLICATION
� S\
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
').:401119- Office: (904)247-5826 • Fax: (904)247-5845 p
Job Address: .
Sati-'
,).4)j
Permit Number:
Legal Description RE#
ac
Valuation of Work(Replacement Cost)$ c900Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool 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
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
oV6, �otOlA)140 Poo (—
F l ori d a
Florida Product Approval#_ for multiple products use product approval form
Property Owner Informatio
Name: RIcl R0
Qr� Y- �1Ce-05� Address: �.5�
City - g State Ft Zip 3)-433 Phone yoy_ R•9/. a 3 t r
E-Mail (–!CK 11 C1CCci P, `°►M[Ia' . C.,e r✓l
Owner or Agent (If Agent,Power of Attorney()Agency Letter Required)
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.
Contractor Information: /1174
Name of Company: Qua • •sing Agent:
Address: 'ity State Zip
Office Phone Job Site 'ontact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name & Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
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,Boiler ea s, Tanks and Air Conditioners,etc.
Signature of Property Owns ,, -,.cure o
ER
Befo e ''
,., •„= MY COMMISSION t FF
this a of I� Y i .:
Y ... Z. �. ; `mgIES:October!i,2�
/ •••,;0„.• Bonded Thruidofar7rPub6cl�nde
Notary Public: _IN
�� iill i& Notary Public:
1
I hereby certifi,that I have read and examined this application and know the same to be tru nd correct. All provisions of laws and
ordinances governing this type ofwork will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violte or cancel the provisions of any other federal, state, or local law regulating construction or the
performance of construction.
Rev. 3/14/16
CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
r 1 ATLANTIC BEACH, FL 32233
pJ
(904) 247-5800
FILE COIN
BUILDING DEPARTMENT REVIEW COMMENTS
Date: 9.10..2016
Permit#: 16-POOL-1787 Applicant: Richard V. Nacca
Site Address: 713 Sailfish Dr.,AB. Site Address: 713 Sailfish Dr,AB
Review: 1 Phone: 904-891-2345
RE#: Email: ricknacca(a gmail.com
Homeowner: renter
Correction Comments:.
Application is disapproved for the following issues:
1. Submit plot plan survey showing setbacks from pool to property lines. 2 Copies.
2. Submit all technical information about pool. Depth, electrical pump motors, UL listing,
GFCI protection. 2 copies.
3. If fenced in, the outside of fence must not be climbable, 48 inches minimum height. Gates
shall swing out away from pool, shall be self latching, latches shall be at a 54 inch
minimum height above grade. If a child proof barrier is not used to around the pool to
prevent children access, then alarms shall be on openings at the house that give access to
the pool, or other means of protection(floating device).
Mike Jones
Building Inspector/Plan Reviewer
City Of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233-5445
Ofc (904) 247-5844
Fax (904) 247-5845
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NOTICE
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OF
w ADDITIONS or CORRECTIONS
0"i�r DO NOT REMOVE
� PARTM��
JOB ADDRESS
DATE
THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be made
before the job will be accepted.
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n$55.00 REINSPECT FEE '`NO CHARGE
• Its is unlawful for any Carpenter, Contractor, Builer or other
persons, to cover to cause to be covered, any part of the
work with flooring, lath, earth or other material, until the
proper inspector has had ample time to approve the
installation. —
After additions or corrections have 1 BLDG
been made contact the Building Dept. ELEC
at 247-5814 for an inspection. Office MECH
hours are Monday through Friday PLMG
8:00 a.m.to 5:00 p.m.