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396 11th St pool permit 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 JOBINFORMATION: Job ID: 16-POOL-1985 Job Type: SWIMMING POOUSPA Description: SPA Estimated Value: $7,000.00 Issue Date: 9/19/2016 Expiration Date: 3/18/2017 PROPERTY ADDRESS: Address: 396 11TH ST RE Number: None GENERALCONT ACTOR INFORMATION: Name: ATLANTIC COAST SPAS LLC ,CPC14S7OS4 Address: 2006 S ST JOHNS BLUFF RD KENNETH WOOD Phone: 904-887-2789 PERMIT INFORMATION: FEES: PLAN CHECK FEES $42.50 BUILDING PERMIT FEE $85.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $131.50 PERMIT IS APPROVED ONLY U4 ACCORDANCE WITH ALL CITY OF ATLANTIC REAM ODDINANCES AND ME FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department) 800 Seminole Road Atlantic Beach, Florida 32233-5445 1985 Phone(904)247-5826 Fax(904)247-5845 Date routed: E-mail: building-dept@ooeb.us - 9 Cityweb-site hnpft�coalb.us I APPLICATION REVIEW AND TRACKING FORM Property Address: 39160 .1�s a" mentrevieWreqUired Y No ell�dm, _ :P11a Z.mn Applicant: P-TLaQ-no 1, BY& .tr Tr 1� a mm, Project: S) PA Public Works Public_Ublhti� Public Safety Fire Services Review fee $ §Jg 0A tu,nk Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection _Elonda Dept.of Transportation St.Johns RverWater Management District Army Corps of Engineers Division of Hotels and Restaurants Division of AaAh.11.-B..r.ges and Tobacoo Other: APPLICATION STATUS Reviewing Department First Review: OApproved. E]Denied. (Circle one.) Comments: PLANNING&ZONING Reviewed by: Date: 7-1146 TREEADMIN. Second Review: ElApproved as revised. E]DeAld. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:- FIRESERVICES Third Review: [-]Approved as revised. DDenied. Comments: Reviewed by: Date:- R.�I.ed 07127110 0 City of Atlantic Beach--- APPLICATION NUMBEV- -_ Building Department (To be assigned by the Building Department 800 Seminole Road I Ice,—Pcx�'L_— Atlantic Beach, Florida 32233-5445 Phone(904)247-6826 Fax(904)247-5845 . E-mail: building-dept@cciabi Date routed: City web-site. httd:1/wwwodald us _914L� APPLICATION REVIEW AND TRACKING FORM Property Address: 39160 T De reviewrequired Yes No -Buig!r _TL4A:�_rJ () pop, Applicant: Planning&Zonin i has Adin—inistrator Project: pf\ 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;RiverWater Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: AApproved. [:]Denied. (Circle one.) Comments: BUILDING 0' PLANNING&ZONING Reviewedby:.,giii Lff��Date. TREEADMIN. Second Review: E-lApproved as revised. E]Denied PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRE SERMCES Third Review: [_1APProved as revised. ElDenied. Comments; Reviewed by: Date: Revii 071VII0 OFFiCE COPY --RU1MWGPEMTA"UCAn0W� Crry OF ATLANTic BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 - Fax: (904)247-5845 62-POCIL - 19 Job Address: b WA 'ST Permit Nurnbff: Legal Description —RE# boa24 -oozc) Valuation of Work(Replacement Cost)$-2—000Heated/Cooled SF Non-Hented/Cooled— . Class of Work(Circle one): New Addition Alteration Repair Move Demo (tw�p Window/Door . Use of existing/proposed structure(s)(Circle one): Commercial <�� . If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 01 w) . Submit aTree Removal Permit Application if my trees areto be removed orAffidavit of NoTree Removal Describe in detail the type of work to be performed: �5� (hor +t4b) qarv�ol -s"nk Florida Product Approval# —fm multiplc rumluc�use product approval foon Property Owner Information N CjZc��Naft State�t�LZp ail 11 nerorAgent (if4m,y.�af!"tstmt= 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 NOTOE OF COMMENCEMENT. Contractor Information: Name of Company: Aitcanwa Caasr !ptt.% Qualifying Agent: Address: Z4506 Sr. Mnlln�, Mkutty-i City State Zip FL 3Z2T6 OfficePhone, (b -;t--02-7 -Job Site/Contact Number 1307Z77 YR State Certification/Registration# OC- ILAS70514 E-Mail Architect Name&Phone# Engineer's Name&Phone# Worker's Compensation Exampt "Isurer me rap oyms nation ate Application is hembe made to obtain.Nrntit to do the mork and installations na indicated I mrafy ths,no nsa*or installation has comanamd War to the issuance f a permit and that all"ok uill be pa d to meet the standards of all lanes regulating construction in thisjurialiction, is person becomes null and voul if wrk is not counnesm-Tow—ithis sis(V months, or if construction or uork is Trsded or aboadonedpr a ,;Zd ,411,months at any time afler wrk is womeaved. Imaderstan tharseparmepermirsormetbesecuouffor lectrical Work,Pham ing, ools,Furnaces,Boilers,ffmien,Tanks and Air Conditioners,ert, Pi.-,,tko Frcxnco 9V fill#, Signature of Property Owner: I %j % Sigairture of Contractor: AA Before eforc me this �Day a thisTIADayof -- - - - - - - - - - Notary Public Color. 4rary Pub STACICOLOGERO joamy 01,2inot Z C' FF . . Paw S 01 Flulda rue and =7035947 1 hereby certify that 1) to be ir egct 'em n or 'i r 40'. c gr r I i ed he Y�:. N"15.2011 s:rc o", cou, , a, 11, non ,local law or urve read and ervmin4 iction an J,same re, ordinances governing this type a it will� i t 1 0 not e presume to give authority to vior.e"orr cance fe coal, aco local lau,r, to a'nic �. .11#11" performance ofconstruction.. OF Rev. 3/t4/16 .410,1111 Ito'