328 5th 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 NE)Cr DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 16-POOL-2443
3ob Type: SWIMMING POOUSPA
Desc:ription: SWIMMING POOL
Estimated Value: $42,000.00
Issue Date: 11/17/2016
Expiration Date: 5/16/2017
PROPERTY ADDRESS:
Address: 328 5TH ST
RE Number: 169834-0000
PROPERTY OWNER:
Name: Paulk, Joseph
Address: 9839 Hecksher DR
GENERALCONT ACTOR INFORMATION:
Name: THE BATTS COMPANY
,CPC037046
Address: 1602 NORTH THIRD ST QA JAMEST BATTS, III
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
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.
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). A separate Pool Permit is required.
Roll off container company must be on City approved list and container cannot be placed on City Right-
of-Way. (Approved:Advanced Disposal,Realco Recycling, Republic Services,Shapell's,Sunshine
Recycling and Waste Pro).
Full right-of-way restoration,including sod, is required.
All runoff must remain on-site. Cannot raise lot elevation.
Public Works lot calculations are 49.1%. Pervious Pavers must be used on all walkways,decks,and
driveways.
PERMIT IS APPRO�D ONLY IN ACCO"ANCE WITH ALL CITY OF ATLANTIC INEACH ORDINANCES AND THE FLORMA
oult:mIffl e0DE
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
FEES:
PLAN CHECK FEES $130.00
BUILDING PERMIT FEE $260.00
STATE DBPR SURCHARGE $3.90
STATE DCA SURCHARGE $3.90
BD PLAN REV. 2ND $50.00
SUBMITTAL
Total Payments: $447.80
PERAUT IS APPROVED ONLY IN ACCORDANCE WIM ALL I= OF A�ANTIC BEA" ORDINANCES AND ME FLORIDA
BUILDING CODES.
5 City of Atlantic Beach APPLICATION NUMBER
Building Department Cro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 3
4) Phone(904)247-5826 Fax(904)247-5845
-mail: building
77, E -dept@coalb.us Date routed:
City web-site: hftp://W�.�ab.us
APPLICATION REVIEW AND TRACKING FORM
_ek —
Property Address: -DeparLMent review require Ye No
ti:luildina J
Applicant: <-7temning &Zoning--3
Project: i&AL 8A. L 2�a,, 000 L_
Public Safety
Services
Review fee $ Dept Signature
Other Agency Review or Permit Required 'low=IBY Date
Of Permit
Florida Dept.of Environmental Protection
R-o-nda Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
D�vislon of Alcoholic Beverages and Tobacco
Other-
APPLICATION STATUS
Reviewing Department First Review: aKp�prlved. ElDenied.
(Circle,�ne..)
_tN )
PLANNING &ZONING Reviewed by: Date:
TREEADMIN. Second Review: ElApproved as revised. E]D,nieW.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: DApproved as revised. DDenied.
Comments:
Reviewed by: —Date:
Revised ONIV09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 1L-2cx.>L- 24
Phone(904)247-5826 Fax(904)247-5845 Date routed: LQ
60 �
E mail: building-dept@coab.us
City web-site: hftp:/1www.coab.us
APPLICATION REVIEW AND TRACKING FORM
114
Property Address: 3 z S DeR; ant review required —y—es7—No-]
Applicant: I H6- R>P`l'T_/_S Q9fAPa Q_ Ing &Zoning
Project: P0_C, L_ Public WoFkr--_,
-Lublic Utl!!Se��
Public Safety
Fire Services
Review fee $
Other Agency Review or Permit Required Review or Rec'e"" Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corp.of Erigmeers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: BApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by Date:
TREEADMIN. Second Review: E]Approved as revised. E]Denled.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. ElDenied.
Comments:
Reviewed by: Date:—
Revised 05114/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233,5,;45 ,�CEFI 00
Phone(904)247-5826 Fax(904))247-5B45
E-mail: building-dept@mab.us Nov a routed: (�:7
Cityweb-site: hftp:/A��coalbus R 12, ME
By.
APPLICATION REVIEW AN—D—rRAGAG FORM
Property Address: 3ZE D2Raftent review require —Ve—s——No
I 2"Wo�L__
Applicant: bir= tLSIP"—, Pnam��"<_Z�Lrning&Zoning.:>
-7ree-Adm—_jnRsTmTo_r
Project: iAAr,_A1i_( k2G Poo 4— '2`ub_lc`Wo��
Public Utilifiii�ir�
Public Safety
Fire Services
Revie�w fee Dept Signature
Other Agency Review or Pernrit Required "re.Wt=pty Date
of Pe
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
Mher
APPLICATION STATUS
Reviewing Department First Review; JApproved. ElDenied.
(Circle one.) Comments: J& o*dd 4aq4
BUILDING
PLANNING &ZONING Reviewed by:
TREEADMJN. SecondReview; ElApproved as revised. E]D 101.
emed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DAppmved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised OVIN09
City of Atlantic Beach
Building Department
800 Seminole Road 7z
Atlantic Beach, Florida 32233-5445 CEIvi
Phone(904)247-5826 Fax(904)24t5
119, E-mail: building-dept@wab.us NOV
Cityweb-site: hftp://w".wab.us 01 2016
APPLICATION REVIINWAM TRACKING FORM
Property Address: 3ZE) D2gartirgent review required Yes No
Applicant: ning &Zo ing--_-,>
ministrator
Project: ao I AM-AA ( A 2C, 00 C_ Public
Public Utilffia�>
P blic Safety
Fire Services
Review fee $ Dept Signature �M
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of-fransportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Chvision of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 2AP—mved. [-]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by:?N�76V' Date:
TREE ADMIN. Second Review: []Approved as revised. DDenied.
Comments:
�tOR
'4�USL�IC LITI'Erl�IES
PUBLIC SAFE'FY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Y OF ATLANTIC BEACH
ECE VE 800 Seminole Road
Atlantic Beach,Florida 32233
0 Telephone(904)247-5800
E I
MY - 7 2016 FAX(904)247-5845
RE SION REQUEST SH T OR OFFICE COPY
CORRFE:CTI
Date: It 1-7 tie. Received by: Resubmitted:
Permit�N�bev 2 44�
Original Plains 6�uw. H I v�c �'(� ProjectNarne: FAQU�
Pmjcct Address: 92il '-T" S:T� A��Dc
Contractor: (�s -r. i3ATr� Contact Name: Vi— W-Cqz�v
ContactPhone : Contacte-mail: 6P t1w1s"Itt' met
Revision I Plan Check/Permit Fee(a)Due: S 50-05
Description of PrODosed Revision to Ei"Permit:
2-) GC� So�,I� 4<cQocxr
Additional Increase in Building Value: $_ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I @imia.LKI- 14111�v affinn that the above revision
is inclusive ofthe proposed changes.
444� — I I /,///.
Signature ofConaractor/Agent(coivmwinisst sip ifimco�insi,lisiitim) Date
ofr.U.Wy
NistiffiA by:_
Plan Review Comments:
npent review
�ul Yes 'No
ksn�g
Planning&Zoning ans Examiner
Tree Administrator
Public Works 6
Public Utilities
Public Safety Date
Fire Services
BUILDING PERMIT APPLi OFFICE COPY
CATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 - Fax:(904)247-5845 Poc)L- Z443
Job Address: ?;I-S 5-r� sr- N�NAv%' -ac�14 Permit Number:
Legal Description L.rS I t I :K 3�cj, C. RE#
Valuation of Work(Replacement Cost) $
_±2 Hcated/Cooled SF_NOR-Iffested/Coaled
• Class of Work(Circle one): New Addition Alteration Repair Move Deme, (_EwDl Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial 4Esjdm�t,
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes _J;� N/A
• Submit a Tree Removal Permit Applimnon if my toces are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Nanie:�5470e5A�,-,.�(� PX�"� Addr�s: c?0-TI, —,9,4c
City _A� State Rk Zip ��(61rhone Q31 -45 L I
E-Mail
OwnerorAgent (ffAgmt,P0waofAamzamA9=cs1soa
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA I Y
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 NOT0E OF COMMENCEMENT.
Contractor Information:
Name of Company: -1-14- 3�3 c.. 11ifyingAgmt: -T�� -r- G:
Address: I Gs� 14. 2"_�. Qu
_________city _M� S atc(Zi�, _�5-
OfEcePhone Job Site/Contact Number 7Mt4 , I�F�—I
State Cerfifica—tion/Registration# c9� o�7�4� —E-Mail
Architect Name&Phone#
Engineer's Name&Phone# � c4w,�&a�T6 ?-�F —�T i-i�3
Worker's Compensation
Application is hereby made to obtain a Ittod th k and 11affammuteficated. letalify that.wockorl.t.11atio.has commenced
0 ewo '
51.1 to the issuance afain,nut and r tallnook ill epre meet the samdard9 al'all laws regulating construction in thisjurisdiction.
his,aeranitbecomestimlla aidi is not men sur
g ,.tied or abandoned
4Wd oumths or ifevostruction or work is sesr
gg(p,months at any three. rk is e. mam th at sep a re re p erm in to us t b c se cu mdfo r� ledrica I Work,into mkma,
ells, oo1sFurmrccsBo*e ters, san didaars,et.
Signatme,ofProperty Owner: Signature ofContractor: lv"�
Before
this May of Before me this ufiD
Notary Publi JANN GARNER
mn#FF19W,
EXPI mM Mach 24,419
I h ereby cc re ijfyv th a t ad and exa me to be true a rect. Allp I ww...
ordinances governi� 0
hg this type g work 'ed herein or not. Yhe granlitilp
presume to give out crity to via age or cancel thapro isions ofany otherfe cral,state, or local law regulating construction or the
performance ofconstruction.
Rev.3/14/16
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
(904)247-5800
OFFICE COPY
BUILDING DEPARTMENT REVIEW COMMENTS
Date: 11.02.2016
[t6OOL-2443 Applicant: The Batts Co.
32;P5.
=,ll—C, 13285- St.,AB Site Address: 1602 N.3rd St.,Jab Beach,FL
Review: Phone: 246-2455,2N-9414(Jim Batts)
RE#: Email: battscompany(a),gmaiLcom
Homeowner: Joseph& Sabrina Paulk
Correction Comments: These comments are from 1 of 4 Departments that are
reviewing this application.
tpfication is ifisapproved for the followmig issues:
1. Submit 2 copies of a legal survey. Survey needs to show the surveyors license and
. natu
4 re.
Mike Jones
Building hispector/Plan Reviewer
City Of Atlantic Beach
800 Seminole Road
Atlantic Beach, Fl, 32233-5445
Oic (904) 247-5844
Fax (904) 247-5845
er�V-11401 11 -2-16 /?n
TREE & VEGETATION AFFIDAVIT
I
0 Of Atlantic B� COPY
't M ent of Comm "
In &Z'nIng Dna'
0 le Road At
City of Atlantic Beach OFFICE COPY
"no
4 _5 00 904
Department of Community Development
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) P'-'LLegal Authorized Agent-
NAMEOFAPPLICANT Z3 P'-es -r.
NAME OF COMPANY 7�
ADDRESS OF COMPANY I �07 "�I'
PHONE 2_q(._Z_.4SS CELL 219— 0,.qI4 EMAIL
— anj a
CONTRACTOR CERTIFICATION NUMBER C VC -?—.4
ATUBCH BUSINESS TAX RECEIPT NUMBER
SECTION I]-SITE INFORMATION
STREET ADDRESS OF PROPERTY S.�s
lfmaddmshmwtbwnOssignedtothisProPero4wntaatheaauildingDe�"mtat(�)247-5U6w��tanaddre,
LEGAL DESCRIPTION
LOT it 1 (3 BLOCK 'i3...L c. SUBDIVISION
REAL ESTATE NUMBER LOT OR PARCEL SIZE: SO Fr AC
RESIDENTIAL t�� COMMERCIAL OTHER(SPECIFY)
I affirm that I have reviewed the provisions Of Chapter 23, "Protection of
Tmes and Native Vegetation"of the Municipal Code of
Ordinances for the City of Atlantic Beach,FL andlor I have participated in G Pre�palicotlon meeting with the Administrator of those
regulations. Subsequently,I affirm that no regulated tt�s and no regulated vegetation will be damaged,destroyed andlor removed
from the above-described oradjacentproperties in conjunction with thisprojW.
SIGNATURE OF�OWNER
NUMAI URE OF OWNER
Signed and sworn before me on thIsol day of by State of
Countyof
Identification verified:
Oath sworn: Yes [7 No
Notary ure IANNEA
Coft r ilak 19PS7
m! Expla M=h 24,21) 9
RE11-TVA-00.12 My Co s onp res: wjh24.12B�0�
4 -J?C�f 1217
s "ac-- _Z11 VVAO
91rj(
All-a Jid N Zf
/I X /I
y /-z
N- k2
Comp. By: SRW
Date: 6113/2016
Public Works Department
City of Atlantic Beach
Permithlo I&SIFIR-1213
Address 328 Sth Street
Reguired Storgae volurn
Crili
Section 24-66 Of the City of Atlantic Beach's Zoning,Subdihamon,and Land Development Regulations
requires that the cifference between the pre,and postdemlopment w1urne of stomn�ter runoff be
MOMd On see. Volume of Runoff is defined as folinns:
V=CAR/12
Where: V=Volume of Runoff
C=Coefficient of Runoff
A=Area of lot in squant fast
R=25-yr/2�hr rainfall depth(9.3-inches for Atlantic Beach)
Predewtopment Runoff Volume:
Lot Area(A) = 15,000 it'
Runoff Coefficient
Am Lot Ants
Description ve) (it) C. Md'C'
Impervious 7,350 15.000 1.00 0.49
Peious 7,650 15,000 0.20 0.10
Runoff Coefficlont JC)- 0.59
Runoff Volume
V= 0.59 x 15,000 x 9.3 1 12
V= 6,882 ft,
Postcurvelopment Runoff Volume:
Lot Area(A) = 15,000 W
Runoff Coefficient
Area Lot Am
4o C. ill
Mn Pf3 q6 ---To-oo.49 %ISA 49 1
Pe,ious 7.634 15,000 0.20 0.10
Runaff Coefficient(C)- 0.59
Runoff Volume
V= 0,59 x 15.000 x 9.3 1 12
v- 6.1192 ft,
Required Storage Volume
DV= Posdevelopment Runoff Volume-Predevelopment Runoff Volume
DV= 6.892 6.882
DV= 10 Ill,
14NYTERWAMRR�M W1=01f
COMP. By: SRW
Date: 6113/2016
Public Works Department
City of Atlantic Beach
permit NO: 16-SFR-1 213
Address. 328 Sth Street
Provided Storage
Elewdlon Area Storage
(ft) (te) (ft')
0 BOTTOM
0 TOB
Ele,ndlon Area Storage
— (ft) (fe) (ft�)
0 BOTTOM
0 TOB
EI.Wdlon Area Storage
— 09 (te) (ft.3
0 BOTTOM
0 TOB
Inground Stora9,wA*d*pf
A=Area= (10
d=depth to ESHWT= 6�5
pf=pore faaor= 0.3
Inground Storage= 0.0 ft� Within the 400 SIF innit
NO water Retention required
Required Treatment Volume- 0 ft�
Supplied Treatment Volume- 0 ft3
Reefto� MASTER WATER RETENTON 611M."
32" Channel Drains
VGB-2009 Compliant
CMP 25506-32X
C095TTOM MOLDED PRODUCCTS
")ris anydigit 0-9 to denote color
Read and keep these instructions for future reference. Always plumb and install all suction fittings according to all building codes that
apply in your area.
WARNING:When using two or mote suction fittings on a common suction line,suctions must be separated by a minimum of 3 ft or they
must be located on two different planes(Le,one on floor and one on the wal 1).
WARNING:DO NOT locate suction outlets on seating areas or on backrests for such seating areas.
The maximum flow rating for this suction fitting with the center port plugged and outer ports open Is 308 GPM(Floor)and 212 GPM
(Wall)when using 2.5"plumbing and 268 GPM(Floor)and 192 GPM(Wall)when using 2'plumbing. The maximum flow rating for
this suction fitting with the outer ports plugged and the center port open is 200 GPM(Floor)and 168 GPM(Wall)when using 2.5"
plumbing and 184 GPM(Floor)and 176 GPM(Wall)when using 2"plumbing. This suction fitting is designed for installation on side wall
or floor of hot tubs or pools. DO NOT adapt suction fitting to any pipe size smaller than ASTM 2"SCH 40 PVC Suction fitting and fasteners
should be observed for damage or tampering before each use. Missing,broken,or cracked suction fittings shall be replaced before use.
Loose suction fittings shall be reattached or replaced before use. Mount suction fittings on the walls,in the foot wells of hot tubs or pools.
Do not mount directly under seats. Follow all winterizing instructions and recommendations of your pool and spa professional. Open area
of the suction cover is 38.79 ln�.
Tools Needed: Head I.o.
Phillips Head Screwdriver (Pa.10�)
40
INSTALLATION INSTRUCTIONS
I Install sump provided or construct sump per
ASME At 12.19.8-2007 Figure 2(see below) 20
2. If mounting frame is provided,secure it in concrete
or plaster.
3. Use mounting screws to secure cover to frame or sump. 0
so 20 320
Fl.(GPM)
---- –----------
A Replacement Parts
25506-32X-000 25506-32X-100
cover 25506-32X-020 cover 255D&32X-020
Sump 25506-320-010 Prune 2SS06-320-110 rn�oiarjyu�
Plug 25520-05o020 Sc. 61008-042-022 �—ddegradn��
71' . So. 61008-042�022 �rd.rrae.
optional Debris Guard optional Framesupport
.r 25506�320-030 2SS20-05�120
NOrrE-.In the event that one suction outlet is completely blocked,the remaining suction outlets)serving that system MUST have a flow
rating capable of the full flow of the pumps)for the specific suction system.
NOTE:Increasing size of the pump may increase flow rate of suction beyond rated Safety limits causing entrapment or death.
CAUTION:Hair or body parts blocking the spa or pool suctions may become trapped and held against the suction fitting. Entrapment
against the suction fittings can result in drowning or other severe injury. Never sit on or lean up against suction fittings.Never exceed
the maximum allowable flow rate stated on the suction fitting. The suction fitting and fasteners should be inspected for damage or
tampering before each use of the facility. Missing,broken,Or cracked suction fittings shall be replaced before using this facility. Loose
suction fittings shall be reattached or replaced before use of this facility. W1.
WARNING:To reduce the risk of drowning from hair and body entrapment,install suction fittings with a marked flow rate in gallons per
minute that exceeds the flow rate of your system by at least 25%. Always use multiple suction outlets. If the fitting/cover breaks,is
damaged,or is missing,shut the system down immediately. Do not use the system until damaged parts have been replaced.
WARNING:Keep hair and clothing a minimum of 12 inches from all suction fittings and drains at all times.persons with long hair should
secure hair to a minimal length or wear swimming cap. Children should never be left unattended at any time in a swimming pool,spa,
or bathtub. Be sum the temperature of the water never exceeds the manufacturers recommendations.
CUSTOM MOLDED PRODUCTS, INC. 0 140 CELTIC BLVD. 0 TYRONE, GA 30290
CARTRIDGI FILTIR
C[amp ring F2-quick a--ces- to ca-Miges -Ni
Single-piec-fin-i-gass rein'ir-ed p3ir�croipyare rank
C
,or strengm a.11 comrssiorr
2 plumbing ficr max mim fow
Easy access 1 dra n
Model Number Fitter Area Vertical Fitter Feve Rate GPM Turnover Capacity Golons)
Sq.Ft. Clearance' Diameter Res, Comm, 8 fund. 10 hirs. 12 his.
cc 50 50 30 55 50 19 24.U11 .000 36,ODO
CC 75 75 75 28 3 6 000 4U5.000 54 000
cc 100 100 61 5 5 �00 38 4 60,000 72,000
cc 150 150 76 �55 50 56 7z.uu. 90,000 i 108 DOO
cc 200 200 76" 15 5' 150 75 72,000 90,000 1 108,000
Re,.,r,d tican,rom to remove f i It or i Maximum ftvN rare
CAREFREE BY DESIGN
Like all Pentair cartridge filters the Clean&Clear filter features - Ph drain and washout for quick and convenient maintenance
an easity-cleaned cartridge for the ultimate in carefree poet filtration. and winterization.
The fithergass-ineinforced tank halves am secured with a clamp - Lock-ring requires only half of a revolution for a beak-proof seat.
ring—just Loosen the ring and remove the top half for easy cartridge - 2'plumbing for maximum flow.
access and rinsing.Fitter maintenance doesn t get any easier. - Single-piece base and body designed for maximum durability.
- One-year Limited warranty.See warranty for details.
AVAILABLE FROM:
`0 PENTAIR
1620 HAWKINS AVE.SANFORD,NC 27330 800.831.7133 WWW.PENTAIRPOOL.COM
At Inc anduo,oviontaxaccompares
8-—ansiodal—dridiii,mondace,rir arvi and derades,Pennor radervainhe right to choose con—oradons venhour anor i ovencornai
pumps-filters-heaters- heat pumps-automation- lighting -cleaners-samitizera-waterfeadures- maintenance products
61131'armlitiol 121C2013iverovitictorfirSystions An rights reserved
Permit NO, /15 —,iPod— NOTICE OF COMMENCENIENT,
'elt15
State Of Florida, County of Duval OFFICE COPY Tax Folio No.
ME UNDERSIGNED hereby give notice that the improvement will be made to certain real Property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of prope_ dress if available):
'�" �� "3 2
,:d
ta� 9" ST-" -Tr�
2. General Description of�Pro mr.,
..le
S� C
3. Owner Information:
a)Name and Address: �s—o k- s&Tg.,b, ?,,,, 3 iggg V 0
b)Interest in property:
c)Name and address of lm—ple—ttle—hol—der—(if—oth—er—Ihano�—er)-- ---�
Contractor Information:
a)NameandAddress: _CL (Vit. vo�x
b)Phone Number:
5. Surety Information: D..#201623857ORBK177� PgelO5.
a)Name and Address: 4 & Number Pages:1
Recorded 1011812016 at 08:39 AM.
b)Phone Number; �Of-- T'-15y R.N.Fussell CLERK CIRCUIT COURT DUVAL
C)Amount of COUNTY
6, Lender Information: RECORDING$10.00
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713,13 (1)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person;
8. In addition to himself/herself,Owner designates4HTK NDSM of W7= ;bfMk receive a
copy of the Lienor's Notice as provided in Section 713-13 (1)(b),Florida Statutes.
a)Name and Address: GmTriblial, s4paillit - I Val&I Art*l"77f- pJA52
b)Phone Number of person or entity designated by owner: M(,-1+1 OD
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of Construction
and final payment to the contractor,but will be one(1)yew from the date of recording Unless a diffluent date is
specified:
WARNING To OWNER� ANY PAYMENTS MADE BY THE OWNER AFTER TBE EXPIRATION OF THE
NOTICE OF CONBIENCEMENT ARE CONSIDERED 11"ROPER PAYNMNTS UNDER CHAPTER 713,PART 1,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
ROPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CONMENCEWNT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE CON]IMENCING WORK OR RECORDING
YOUR NOTICE OF COMNIENCENIENT.
Under penalty of pedury, I declare that I have read the foregoing notice of commencement and that the fiacts stated
therein are true to the best of my kn dge and belief.
0S --
Signature of OvyA2�or Owner's Authorized Officen/Director/Partner/Manager signatory�s Printed Name&Title/Office
The foregoing instrurricartwas acknowledged before me this_1� dayfr be�obe4—:' 20
au)ri e4z'
aS for
(Nabob ot-Ferson) klype or Alate[WAY,i.e.officer(AMIT& U,.am pury 1,,b,,,aent wn Executed for)
I I NNKN`
- - - - - - - - - -
'0017T� DIANA PIKE
/(4zh
Notary Public-State Or firlift NO ARY P LI S.V!k FEZ)
My Comm.EXPI(Al not 2!]!.�2MM
Corliani'law#FF Print Name; 1, ip. .
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0 Identification/Type:
(Affix Notary Sesa Above)
Revised 3/15/12