1710 Beach Ave POOL19-0006 SWIMMING POOL PERMIT PERMIT NUMBER
POOL19-0006
A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/15/2020
�ra+vr ATLANTIC BEACH. FL 32233
EXPIRES: 7/13/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1710 BEACH AVE SWIMMING POOL SWIMMING SWIMMING POOL $44000.00
POOL RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169592 0000 OCEAN GROVE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
CROWN POOLS INC 3002 Philips Hwy JACKSONVILLE FL 32207
OWNER: ADDRESS: CITY: STATE: ZIP:
GRIFFITH CHRISTOPHER 1710 BEACH AVE ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247-
5814)to request an Erosion and Sediment Control Inspection prior to start of construction.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
Issued Date: 1/15/2020 1 of 2
, 01 'x" SWIMMING POOL PERMIT PERMIT NUMBER
5s ti.:-",:A POOL19-0006 1
fir, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/15/2020 I
\---:„.,'119* ATLANTIC BEACH, FL 32233 EXPIRES: 7/13/2020
3 PUBLIC WORKS POOL WELLPOINT INFORMATIONAL
Notes:
Pool Wellpoint(if used)must discharge into vegetated area 10 feet minimum from street or drainage feature(swale,structure or lagoon).
4 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers,)Dog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $59.00
BUILDING PERMIT 455-0000-322-1000 0 $280.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $140.00
PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $6.30
STATE DCA SURCHARGE 455-0000-208-0600 0 $4.20
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00
TOTAL:$639.50
Issued Date: 1/15/2020 2 of 2
L'` Building Permit Application Updated 12/8/17
iiiCity of Atlantic Beach
>„t,}7/ 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: I(IIfD Ck 11V/-ePU 7 a a 33 Permit Number: �(�� oL 1 q ' COOL()
Legal Description RE#
Valuation of Work(Replacement Cost)$ 1-1- 14,obe Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residentia
• 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 o No Tree Removal
Describe in detail the type of work to be performed:
�61 i12c�c SW rnl>ti► la O•
Florida Product Approval# for multiple products use product approval form
Property Owner Informationrr a�j S�•
Name: ,,//��,G, �n-S� ►Ui(. 1 Address: /
City ` 1Qn�iL�C0.�Y� State ' Zip ,3`o�Q-b Phone qU- 'WC • q.,J`J
E-Mail GI bYQC1-014-1 ,@ry ;41•cc m
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information _
Name of Company: 'C Iki 11 'MIS aealt_I ,--141( Qualifying Agent: Brack Ct 1 C-f--1 C`-
Address ,91Y9 p . ij)S tic WC(,ic City 3Cc_X S ate Zip 3a9+ r7
Office Phone '1;1--1 Q''?0 ° 300 Job Site/Contact'Number�� 3Y 9LR( • zlq �Gq 3
State Certification/Registration# CPC. )LI S(sq 1'1 E-Mail pt-tkc'?C f 1.=0)11,QCCl S i(IC.ceY—
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation FCC I 3•)( • a Oge
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 the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FO' IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANC G, CONSULT/ ITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING Y% NOTIC'•F ' rI MMENCEMENT. `
(Signature of Ow 'Agent) 41111PalPise�•• •
(includin7 °n actor) if
Signed and s r to(or affir )b�effore me is11111-clay of igned and sworn to(or affirmed) beforewe this ►`t`day of
)atue
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[ ]Produced Identific- i ;oois,q,; Bonded ThruTroy Falnlas rsiee100.385.1019 , [ ]Produced Identification •.,ow;,o,, Bonded Thu Troy Fain Insurance 800.3851019
Type of Identification:_ __. Type of Identification: ~mow
Josette Rethmel
From: Griffith, Chris <Chris_Griffith@csx.com>
Sent: Wednesday, January 15, 2020 10:15 AM
To: Josette Rethmel
Subject: Transfer Pool permit from Surfside to Crown pools.
To whom it may concern,
We (Jennifer and Chris Griffith) have decided to go with Crown pools to build the new pool at 1710 Beach Avenue,
Atlantic Beach Florida 32233. Please transfer the pool permit from Surfside pools to Crown pools.
If you have any questions, please call me at (904) 610-7355.
Thank-you,
Chris Griffith
Sr. Project Manager I, Certified ScrumMaster
CSX Technology- Enterprise Services & Reliability
550 Water Street, 7th floor, Jacksonville, FL 32202
(904) 633-5166
•• ••