366 Plaza POOL20-0022 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
FOGG MICHAEL L 366 PLAZA ATLANTIC BEACH FL 32233-5442
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169973 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
366 PLAZA SWIMMING POOL SWIMMING
POOL RESIDENTIAL REPLACE SPA $17000.00
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 ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
2 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
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.
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.
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.
1 of 2Issued Date: 8/26/2020
PERMIT NUMBER
POOL20-0022
ISSUED: 8/26/2020
EXPIRES: 2/22/2021
SWIMMING POOL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $140.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $70.00
PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.10
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $415.25
3 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
4 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
Must call 24 hours ahead to notify the Public Works Department (247-5834) and the Police Department (247-5859) of road closure.
2 of 2Issued Date: 8/26/2020
PERMIT NUMBER
POOL20-0022
ISSUED: 8/26/2020
EXPIRES: 2/22/2021
SWIMMING POOL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $415.25
POOL20-0022 Address: 366 PLAZA APN: 169973 0000 $415.25
BUILDING $140.00
BUILDING PERMIT 455-0000-322-1000 0 $140.00
BUILDING PLAN REVIEW $70.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $70.00
PUBLIC WORKS PLAN REVIEW $100.00
PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00
STATE SURCHARGES $5.25
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.10
ZONING PLAN REVIEW $100.00
ZONING REVIEW SINGLE AND TWO FAMILY
USES 001-0000-329-1003 0 $100.00
TOTAL FEES PAID BY RECEIPT: R12988 $415.25
Printed: Wednesday, August 26, 2020 3:56 PM
Date Paid: Wednesday, August 26, 2020
Paid By: FOGG MICHAEL L
Pay Method: CREDIT CARD 356520883
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12988
1111!! ·~ TRAKiT
POOL20-0022
Updated 10/9/18
**ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
• Class of Work: □New □Addition □Alteration □Repair □Move □Demo □Pool □Window/Door
• Use of existing/proposed structure(s): □Commercial □Residential
• If an existing structure, is a fire sprinkler system installed?: □Yes □No
• Will trees be removed in association with ro osed ro·ect? □Yes must submit se arate Tree Removal Permit o
Descri~e in detail the type of work to be performed: W £ A~ 1<!1)/,:::;,....c f·.,u 5 o £4. ,-O .£_ /---..Spa_
t,u,+t ~ /✓.a~~R.. Spr-, ZJ.,,U A.,u J..s+i·N eo_~c.~-fz . 1_,,4-+10
Florida Product Approval # __________________ for multiple products use product approval form
Property Owner Information
Name ,· ~ ~ Cr
City ~:i:::z=t.d.~~~s.;...:....-.,t::::;;:.s...;~::::.:;~,-----+
E-Mail _---1:...:....!...:..:::::;__::;___L...!.-=.~~-=--s;;:..,.~1-.'...:=.:~...::..J.'._!..~---=--=~..!.-----------------
Owner or ,
Contractor Information /1-o ):J,l-e. r/ OM ~
Name of Company O t,;J ).J LR:._. Qualifying Agent OW Pe-I€
Address < -_5z4:)1(.. 'z ./t-S , ARB v' Z City ________ State ___ Zip _____ _
Office Phone ___ l' ___ t_< _____ ~~ ___ Job Site Contact Number _______________ _
State Certification/Registration# ________ E-Mail _____________________ _
Architect Name & Phone# _________________________________ _
Engineer's Name & Phone# ____ ...,_~----------------------------
Workers Compensation Insurer ~ OR Exempt □ 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 regulating
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 wit h all
applicable laws regulating construction and zoning.
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 YOPfrNOTICE F COMMENCEMENT.
LU ;,._ f '---J,.-,1'-1-/4)1(,~ 6 w » ze
7 (Signature of Contractor)
Signed and sworn to (or affirmed) before me this __ day of
----~---__,by __________ _
(Signature of Notary)
,.-fA~;~\ DACO~~ PARRISH ,/.Ji/:., Comrrussion # HH 024083
[ ] l)rsonally Known OR tJ~jf Expires July 27, 2024 [ ] Per nally Known OR
[Jrf>roduced Identification 't '7'I ·-~2f.f.:?.··· Bonded TlvuTroyFain Insurance soohaM'dH ced Identifi cation
Type of Identification: --il-'--L-_l-/=.~==============~~~~--r,,"""9'11dentification: _____________ _
:;sWV r.1
t),
' ~ r--';,> r, g
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Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
L~J Revision to Issued Permit OR I J Corrections to Comments
Project Address: ;\ '3' c .~ P/AzA
**Alb INfORMATJON
HIGHLIGHT~D IN
GRAY IS .REQUIRED.
PERMIT n: ,FPD/zo -t?PZ.2-
Contractor/Contact Name: klc/e:2!~/ Fc>Gc:;... . . . . .
Contact Phone: qo'f-Z-~~ ..S--S'o/3 . Email: V¼.~~~-;;)j,,.//so1-< /.Ii,~
Description of Proposed Revision / Corrections:
Q s-~t4-?1~ -Att~ jv_d-:k~ s ~a..:t \ . _. .
·------~~ _____ affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional squ r" · bmittal?
LJNo E] Yes (additional s.f. to be added: 0 )
• Wi~posed revision/corrections add additional increase in building value to original submittal?
~;· ~, Gl*Yes (additional increase in building value: $ • /:._(\ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/ A~L_· _L___,,~"'-----L_,_....:..=:,;.._~----~~;i_""'~-------
~L.o LD N-r:.._\L_
(Office Use Only)
~pproved D Denied D Not Applicable to Department Permit Fee Due$. _____ _
Revision/Plan Review Comments -----------------------------
Department Review Required:
Building
Planning & :Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17/18
N
Cones
Maintenance of Traffic (MOT) Plan / Michael Fogg, 366 Plaza
This is being submitted with our Building Permit,
for the installation of a replacement Spa at our residence.
Due to our narrow lot, this will require a crane for placement and
a temporary (approx. 3 hour) partial road closure.
We are using the existing wiring, on an existing concrete slab.
We anticipate that this will occur in late October or November, 2020.
All parties will receive the required notification.
Cc: Lientenant David Cameron, ABPD / Scott Williams, Public Works Director / Dan Arlington, Bldg, Dept.
Signage
‘Road Closed
Local Traffic Only’
Sineage
‘Detour’
and
‘Sidewalk
Closed’
Flagman
Present
POOL20-0022
........
1V
::0
0.
__ _J
Area Effect~
366 Pl!aza Rd
POOL20-0022 366 Plaza
Existing Concrete Slab Swim Spa -
Self contained unit
with NO External
equipment to place
17 ‘
7.5 ‘
9 ‘
POOL20-0022