2233 Barefoot TraceCity of Atlantic Beach
S, Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
'_4 r jjjll E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
?WL -1 9-- 062y
Date routed: te /I -(//gf
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2233 -Bare4dt 1 (cy_e,
f
Applicant: ?C)o
?cx)i�pt.� 0 "Project: L-...
Department review required Yes o
Buildin
anning & Zon
rep Administrator
CE=r1C_VV0E:r&_'>
u lic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required
Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
❑Denied.
Florida Dept. of Transportation
(Circle one.)
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
PLANNING & ZONING
APPLICATION STATUS
Reviewing Department
First Review:
Approved.
❑Denied.
❑Not applicable
(Circle one.)
Comments:
�Dl
PLANNING & ZONING
Reviewed by:
Yet
/ / �
Date: 61,904)4
TREE ADMIN.
Second Review:
[]Approved as revised.
❑Deni
❑Not applicable
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
Date:
FIRE SERVICES
Third Review:
❑Approved as revised.
❑Denied.
❑Not applicable
Comments:
Reviewed by:
Date:
Revised 05/19/2017
S
t t
PY BUILDING PERMIT APPLICATIONOFFICE CO
.
CITY OF ATLANTIC BEACH
JUN 1 9 2018
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
,lob Address: 2 2 3 Ta1zp f7i.Ce 3 Permit Number:.. � 2
Legal Description �i2' 13 37 - 2S - 29 F n s (fi142 P cel #
oor Area o q, t.t —
Valuation of Work $ 2 Proposed Work heated/cooled non-heated/cooled
lass of Work (circle one): New Addition Alteration Repair Move Demoliti n pooUsp window/door
se of existing/proposed structure(s) (circle one): Commercial Residential
an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A
orida Product Approval #
[)r multiple products use product approval form
ame:
in detail the type of work to be performed: 1_OR,CI(Ild 3 A i ,A4,M j nQ W21
or Fax # (Optional
yN
. /,I
tate Certification/Registration #�
xchitect Name & Phone #
ngineer's Name & Phone #
-e Simple Title Holder Name and A
onding Company Name and Addre;
lortgage Lender Name and Address
E
Qualifyi g Agent: n
'City t/t State —, . Z' S
Job Site/ Contact Number Fax #
r sYic[1C
!ication is hereby made to obtain a pennit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
ince 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
void if work is not commenced within six (6) months, or if constnection or work is suspended or abandoned far a_ period of siX J6) months at arty tune after
is commenced. 1 understand that separate pennits inust be secured or Electrical Fork, Plumbing, Sigrts, Wells, Pools, ur►:aces, Boilers, Heaters,
4 and Air Conditioners, etc.
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.
5v cer•tift that I have read and examined this a plication and know the same to be true and correAProsgoilve'
ws and ordinances g Jerzing this
F work" will be complied with whether sppecijied herein or not. T{ze grarztirag of a permit doeuthor' to 'olate r cancel t{ze
cons of any otherfedernl, state, or local laztiv regulating corzstncetiorz or the perfonrtatace of constiture of Owner cam( /f _Ct �/ "' %a i �1 �^-
Saature of CName
� Q......►!"1r�.................................Print Name�r
d subsed before me
H WERLING :a, DEB01
# FF 936882 Commis
+:
My
W—k
's ion Expires�,c My �,,
November 17, 2019 ' ;;;,;; NovcY
subscri.babefore me
19
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
IN PECTIOI�T r 1vE LINE'::':'247-5814
SWIMMING POOL - SWIMMING POOL RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO:
Description:
Estimated Value:
Issue Date:
Expiration Date:
POOL18-0024
Swimming Pool
42750
7/10/2018
1/6/2019
PROPERTY ADDRESS:
Address: 2233 BAREFOOT TRACE
RE Number: 169463 0638
PROPERTY OWNER:
Name:
Address:
MARGOLIN CHRISTOPHER
2233 BAREFOOT TRCE
ATLANTIC BEACH, FL 32233-4565
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: POOLS BY JOHN CLARKSON, INC.
Address: 600 ST JOHNS BLUFF RD QA JOHN S CLARKSON
JACKSONVILLE, FL 32225
Phone:
PERMIT INFORMATION:
Please see attached conditions of a
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of $7,500.
Permit Conditions
Enter Permit Number POOL18-0024
A 4 of 1 0 Oil Find I Next
Permit Number: POOL18-0024
Applied: 6/19/2018
Issued: 7/10/2018
Status: ISSUED
Parent Permit:
Parent Project:
Details:
Permit Conditions
City of Atlantic Beach
Description: Swimming Pool
Approved: 6/28/2018 Site Address: 2233 BAREFOOT TRACE
Finaled: City, State Zip Code: Atlantic Beach, FI 32233
Applicant: <NONE>
Owner: MARGOLIN CHRISTOPHER
Contractor: <NONE>
Page 1 of 2
View Report
http : //atlanticbeach. trakit.netltrakitIDocumentV iewer. aspx?&report=/DocumentslPERMIT... 7/10/2018
LIST OF CONDITIONS
SEQ
NO
ADDED DATE
REQUIRED
DATE
SATISFY
DATE
TYPE
7
STATUS
DEPARTMENT
CONTACT
REMARKS
1 6/26/2018
EROSION CONTROL INSTALLATION INFORMATIONAL
PUBLIC WORKS
Scott Williams
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (247-5814)
to request an Erosion and Sediment Control Inspection prior to start of construction.
2 1 6/26/2018
ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS
Scott Williams
Notes:
All runoff must remain on-site during construction.
3 1 6/26/2018
POOL WELLPOINT INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Pool Welipoint (if used) must discharge into vegetated area 10 minimum from street or drainage feature (swale, structure or lagoon). A separate Pool
Permit is required.
4
6/26/2018
ROLL OFF CONTAINER
INFORMATIONAL
PUBLIC WORKS
Scott Williams
Notes:
Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Shapell's, Inc., Republic Services, Donovan Dumpsters).
Container cannot be placed on City right-of-way.
5
6/26/2018
RIGHT OF WAY RESTORATION
INFORMATIONAL
PUBLIC WORKS
Scott Williams
Notes:
http : //atlanticbeach. trakit.netltrakitIDocumentV iewer. aspx?&report=/DocumentslPERMIT... 7/10/2018
Permit Conditions
Full right-of-way restoration, including sod, is required.
Page 2 of 2
6 I 6/26/2018 I I I RUNOFF I INFORMATIONAL
PUBLIC WORKS I Scott Williams
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
Printed: Tuesday, 10 July, 2018
loft
0
http://atlanticbeach.trakit.netltrakitIDocumentV iewer.aspx?&report=lDocumentsIPERMIT... 7/10/2018
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