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41 6th Stt POOL20-0040 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP: MARGOL RODNEY S 2029 N 3RD ST JACKSONVILLE BEACH FL 32250 COMPANY:ADDRESS:CITY:STATE:ZIP: POOLS BY JOHN CLARKSON, INC.600 ST JOHNS BLUFF RD JACKSONVILLE FL 32225 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170112 0000 BROOMES R/P LOTS 1,2 BK15 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 41 6TH ST SWIMMING POOL SWIMMING POOL RESIDENTIAL SWIMMING POOL $35187.00 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 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. 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: 1/20/2021 PERMIT NUMBER POOL20-0040 ISSUED: 1/20/2021 EXPIRES: 7/19/2021 SWIMMING POOL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00 BUILDING PERMIT 455-0000-322-1000 0 $230.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $115.00 PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.93 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.95 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $604.88 2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 3 PUBLIC WORKS POOL WELLPOINT INFORMATIONAL Notes: Pool Wellpoint (if used) must discharge into vegetated area 10 foot 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. Approved list can be obtained at the Building Department at City Hall. Roll off 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. 6 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 7 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking and debris must be removed from job site by Contractor. 8 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 2 of 2Issued Date: 1/20/2021 PERMIT NUMBER POOL20-0040 ISSUED: 1/20/2021 EXPIRES: 7/19/2021 SWIMMING POOL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $604.88 POOL20-0040 Address: 41 6TH ST APN: 170112 0000 $604.88 BLDG SUBSEQUENT PLAN REVIEW FEES $50.00 BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00 BUILDING $230.00 BUILDING PERMIT 455-0000-322-1000 0 $230.00 BUILDING PLAN REVIEW $115.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $115.00 PUBLIC WORKS PLAN REVIEW $100.00 PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00 STATE SURCHARGES $9.88 STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.93 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.95 ZONING PLAN REVIEW $100.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL FEES PAID BY RECEIPT: R14649 $604.88 Printed: Wednesday, January 20, 2021 3:51 PM Date Paid: Wednesday, January 20, 2021 Paid By: POOLS BY JOHN CLARKSON, INC. Pay Method: CREDIT CARD 415508732 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R14649 ~+; CENTRALSQUARE POOL20-0040 revision City of Atlantic Beach . Building Permit Application Updalt>d l1/6/l7 ~~~ 600 ~eminolr Ro.id, Atlan1i, 81.>.ich, fl 32.233 Phonr: 1904) 247-58U, Fax: (904) 247-5645 < JobAddreu: ~·•· .. 4_·· •~J _..&c..-'b __ St~-· __ 3_2.23 __ 0 _______ Permit Number: ________ _ J~,:~r.:r~~:,~!:=~!:~~~~,·"'~:!:~:!; :;::., •.\··~:: .~;;~=·=~ -- • :~l. :x-~-·····~• ::~~·t2 ..... 1(SS: .~ •. L. ··.r ~·-. t::.2 r=::: .•• -.~-•--,·; .. : .. ~--·•.·•',~.~.-.·•-~.:.·,_·_~ ... ~_:a.r:,._: ... _,:.9•_:_~, .1~--~_:.=~--.:~ .. :~_-;_:_.,··,• .... !~•!r_,:.~_.,;_;_.~_;_:r_:_:.~.:.~-~:;r(~! ::t:~~:~;~~l~:~;:~~:~-~¥:F~:'::::~.~~~.~:#::~;; .. :~~---:~r:: :~:;~~-i~-:~-~:~~ .. -~:~-=~; i• ~: ;; -~----~-.• -;:~;:~~L~¢~~::;~¢:'~~~~:~:;~;.~;~~1: -~-~::.~,: :~'.. -~-:~~;~~'.: :~~'.~:. :'.~i~•~-~-~r.::;: -~-*:~'.~'.~/f°;_ :J.~:~~-.0'1 .. ::}~J-_ :~~~~ ~g;E: lY_~;Ji. ~;:~:~:;.:~r~:;:~';:~~~~~~.?~:;~~;-.~~<~~~:~: ~ .. i~-•:~;~~'.:t!n.-~,: .~~--... ~~L ·&a:•··. ID tA~ t::.:···~~ lt4! n:· A==~ii:ir:1 ~-'.·•: ~+ -~JH-ii:1-V _lco, .. ~·· Revision Request/Correction to Comments City of Atlantic Beach Building Department **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED . 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #:Pw t 20-CXJl-f o D Revision to Issued Permit OR [321 Corrections to Comments Date: /-7-2 J Project Address: ':f 1 {p ~ ~t · Contractor/Contact Name: t?col:> ~ Z'12ha ~ Contact Phone: qol,\-ZI:>-4~ Email : d@1 e>f-kj C -Co"" Description of Proposed Revision/ Corrections: Cvcn\ BfJA1p Me11 f . MO/eel • Will proposed revision/corrections add additional square footage to original submittal? @ No ;:_j Yes (additional s.f. to be added: ____________ ) •~ill prop?,sed revision~c_orre~ions ad~ addi_ti~nal increase in building value to original submittal? !,iJNo LJ•ves (add1t1onal increase in build mg value:$ ________ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: _____________________ _ (Office Use Only) D Approved 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 9' 21 ' 4' 9 "12' 1' Sc a l e : 1 / 2 0 " = 1 f t TOTAL IMPERVIOUS AREA 3 ,235 SQ/FT 31% ELEVATION OF POOL COPING (16.1) ELEVATION OF POOL COPING (16.1) EXISTING 5' TALL BRICK WALL ALONG PROPERTY LINE P/E LOCATION POOL20-0040MAP SHOWING BOUNDARY SURVEY OF LOT 1, THE SOUTH 1/2 LOT 3, AND THE SOUTH 50 FEET OF A 15 FOOT PRIVATE ROAD LYING EAST OF LOT 3, ALL IN BLOCK 31, STOCKTON BROOME'S REPLA T OF LOTS 1 AND 2 OF BLOCK 31, ATLANTIC BEACH, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 6 PAGE 43 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. GARAGE 6 CONG 21 A c·s 2 TOTAL IMPERVIOUS AREA 3,061 POST POOL IMPERVIOUS CALACULA nONS LOT SIZE 10537 sn/FT nnu.--w v 10,; c;:r,,17 HOUSE 1991 SQ,1 ~T GARAGE 629 SQ/ T CONG 218 SQ/ ~ A/C'S 28 SQ/ ~ POOL EQUIPMENT PAD 10 SQ/ FT POOL WITH COPING 164 SQ/ ~ ... y Wi <'· 8.82' ~ ' ~~ ~). "I\)."' ... ?., TWO STORY WOOD #41 F.F. = 18. 87' ~~ ~ NOTE: SEE W.0.#01-1522 "c" DRAWING DATED 1-18-06 FOR DEP & C.C.C.L SURVEY COMPLETED BY THIS FIRM. REVISE IMPERVIOUS AREA: 12-04-2020. IMPERVIOUS AREA CAL.: W.O. 2020-693, ON MAP, 11-05-2020. RECERTIFY WITH TOPO FOR POOL: W.O. 2020-574, FB 1224-22, 9-15-2020. RECERTIFY W.O. 07-2499, ON MAP, 10-23-07 REVISED: FOR RECERTIFY DEP SURVEY, W.0.#2007-97, ON MAP, 01-17-07 REVISED: FOR DEP SURVEY WO 06-109 FB . 1056 PG. 60-61 1-13-05 GER TIFIED FOR: ELIZABETH MARGOL. THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD INSURANCE RA TE MAP 409 FOR THE CITY OF DUVAL COUNTY, FLORIDA, DA TED 11-02-2018 . AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CERTIFICATION OF SAME. TRI-STATE LAND SURVEYORS, INC. 5875 MINING TERRACE #209, JACKSONVILLE, FLORIDA 32257 (904) 880-2535 ■ CONG. MON e IRON COR. (SET WITH CAP / LB 4921) -X-FENCE 0 IRON COR. (FOUND) ®CROSSCUT 8 .R.L BUILDING RESTRICnON LINE ESM'T EASEMENT R/W RIGHT-OF-WAY COV. COVERED AREA f CENTERLINE A/C AIR CONDtnONING PAD (R) RADIAL DISTANCE j:-:-.-:-:-:-] CONCRETE F.B. 1056 PG. 60-61 BEARINGS BASED ON RIW LINE AS SHOWN. THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP. NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. THIS SURVEY BASED UPON DESCRIPTION AS FURNISHED, AND WITHOUT BENEFIT OF A TITLE BINDER/ABSTRACT OF TITLE AND/OR DEED RESEARCH. SCALE: __ 1'-"-==2=--0' __ FIELD WORK DA TE:_~1-~1=3_-=06~ SIGNA TUR£ DA TE: 1-18-06 LARRY G. EDDY, P.L.S. No. 4144 GLENN M. BROADSTREET, P.S.M. NO. 5814 cBR REGISTERED SURVEYOR AND MAPPER, STA TE OF FLORIDA (LB #4921) CDF --"Qi..=l c,.;,15,,,..22......_ __ ORDER N 0. -----'0 ..... 1'---...... 1 ..... 5__.22_ 9' 2 1 ' 4' 9 "12' 5' Sc a l e : 1 / 2 0 " = 1 f t TOTAL IMPERVIOUS AREA 3 ,235 SQ/FT 31% ELEVATION OF POOL COPING (16.1) ELEVATION OF POOL COPING (16.1) EXISTING 5' TALL BRICK WALL ALONG PROPERTY LINE P/E LOCATION MAP SHOWING BOUNDARY SURVEY OF LOT 1, THE SOUTH 1/2 LOT 3, AND THE SOUTH 50 FEET OF A 15 FOOT PRIVATE ROAD LYING EAST OF LOT 3, ALL IN BLOCK 31, STOCKTON BROOME'S REPLAT OF LOTS 1 AND 2 OF BLOCK 31, A TLANnc BEACH, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 6 PAGE 43 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. GARAGE 6 CONG 21 A c·s 2 TOTAL IMPERVIOUS AREA J,061 POST POOL IMPERVIOUS CALACULA 110NS LOT SIZE 10537 so 'FT 10,; c:n/ 'FT HOUSE 1991 SO/ ~T GARAGE 629 so/ CONG 218 SO/ A/C'S 28 so/• POOL Er>I IIPMENT PAD 10 SO/ POOL WITH COPING 164 SQ/ EO y Wi . 8.82' ~~ .,:~ ~"I;).~ TWO STORY WOOD #41 F.F.=18.87' ~~ ~~ ~ NOTE: SEE W.0 .#01-1522 "C DRAWING DATED 1-18-06 FOR DEP & C.C.C.L SURVEY COMPLETED BY THIS FIRM. REVISE IMPERVIOUS AREA : 12-04-2020. IMPERVIOUS AREA CAL.: W.O. 2020-693, ON MAP, 11-05-2020. RECERnFY WITH TOPO FOR POOL : W.O. 2020-574, FB 1224-22, 9-15-2020. RECERnFY W.O. 07-2499, ON MAP, 10-23-07 REVISED: FOR RECERnFY DEP SURVEY, W.0.#2007-97, ON MAP, 01-17-07 REVISED: FOR DEP SURVEY WO 06-109 FB. 1056 PG. 60-61 1-13-05 GER TIFIED FOR: ELIZABETH MARGOL. THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD INSURANCE RA TE MAP 409 FOR THE CITY OF DUVAL COUNTY, FLORIDA, DA TED 11-02-2018 . AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CERTIFICATION OF SAME. TRI-STATE LAND SURVEYORS, INC. 5875 MINING TERRACE #209, JACKSONVILLE, FLORIDA 32257 (904) 880-2535 LEGEND ■ CONG. MON e IRON COR. (SET WITH CAP / LB 4921) -X-FENCE 0 IRON COR. (FOUND) ®CROSSCUT B.R.L. BUILDING RESTRICT10N LINE ESM'T EASEMENT R/W RIGHT-OF-WAY COV. COVERED AREA f CENTERLINE A/C AIR CONDIT10NING PAD (R) RADIAL DISTANCE 1:-:-:-.-.-.-J CONCRETE F.B. 1056 PG. 60-61 BEARINGS BASED ON _---'-'R.,._/...._w __ LINE AS SHOWN. THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP. NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. THIS SURVEY BASED UPON DESCRIPTION AS FURNISHED, AND WITHOUT BENEFIT OF A TITLE BINDER/ABSTRACT OF TITLE AND/OR DEED RESEARCH. SCALE: __ 1'--"-==2-=---0· __ FIELD WORK DA TE:_~1-_1~3_-~06~ SIGNATURE DATE: 1-18-06 LARRY G. EDDY, P.L.S. No. 4144 GLENN M. BROADSTREET, P.S.M. NO. 5814 cBR REGISTERED SURVEYOR AND MAPPER, STA TE OF FLORIDA (LB #4921) CDF --><0=1 =15,,..22....__ __ ORDER N 0. _____,0 ....... 1.___-_,_1"""'"5 ..... 22,_ roe ft)ds by Phn Clarkxm City of Atlantic Beach 800 Seminole Rd. Atlantic Beach, FL 32233 Pre aredbpy la)erli/14 Signature: Phone: 904-2234050 Date: 9-2 0 Applicable codes: 2017 Edition Florida Building Code 2014 NEC Current JB LDC ( V-IY Page i: Survey Page 2: Pool Plan Page 3: Steel Page 4: APSP Page S: MDX Page 6: SDX Page 7:Hydraulics Page 8: Type of Pump Page 9: Type of Filter Page 10; Type of Heater (if any) Page I I : Alarms State Certified License:CPC License # 009595 & 1457425, CPC CBC Contact: Lawrence Rahim 904-923-1305 Home Owner Information: Name: Adress: POOL20-0040 2017 (> l:d111 n 1-lond 8u1IJ1ng Code p C 1 UN Pap 2 Pool Plan Pqc3. tecl Paac4:APSP Paac5: MDX Paao6:SD Paao7:H)dnulia ... : Type of Pump Paae 9: Typo ofl'lher um.-nt JB L I>C Pap 10; Type ofllelta (if my) .. 11:Alllmt Phont 904 223 -4050 D,1lt 12-~-2 U CPC Liccme# 009595 & 1457425, ~pC 14~YJI,., C & l2iP3S4f1 , City of Atlantic Beach Swimming Pool Permit Checklist Permit Application Proof of Property Ownership Recorded Notice of Commencement Boundary Survey Tree Removal Application Plans and Specifications Engineered Pool Steel Drawings Contractors Information a DEP Permit Variance Approval Letter Permit Application: I. In "description " box, indicate type of work being performed (i.e. "swimming pool", "above ground pool, etc.") 2. Application must be signed and notarized by the pool contractor and property owner. Proof of Property Ownership: If the current owner is officially listed as owner with the Property Appraiser, only a photo I.D. is required. if the current owner is not listed, a copy of the Recorded Warranty Deed must be provided. Contractor information: Building contractors must provide a current copy of the following: Florida State Contractors license General Liability insurance Workman's Compensation Duval County or Atlantic Beach Business Tax Receipt (Occupational License) '*The hiring of a contractor is not required if the property owner is building the swimming pool for his own use and, submits an Owner-Builder affidavit when applying for the pool permit. Recorded Notice of Commencement: If value of proposed work (value = replacement cost) exceeds $2,500, a recorded N.O.C. (Notice of Commencement) must be submitted with application. The County Clerk has a satellite office located at 1543 Atlantic Blvd. in Neptune Beach. City of Atlantic Beach Swimming Pool Permit Checklist D Permit Application D Proof of Property Ownership D Recorded Notice of Commencement D Boundary Survey □ Tree Removal Application D Pla ns and S pecifications D Engineered Pool Steel Drawings 0 Contractors Information 0 DEP Permit n V a rian ce Approv al I etter Permit Application: 1. In "description " box, indicate type of work being performed (i.e. "swimmi ng pool", "above ground pool , e t c.") 2. Application must be signed a nd nota rized by the poo• contractor and property owner. Proof of Property Ownership: If the current owner is officially listed as owner with the Property Appraiser, only a photo 1.0. is required. If the current owner is not list ed, a copy of the Recorded Warranty Deed must be provided. Contractor Information: Building contractors must provide a current cop y of the following: -Florida State Contractors license -General liability Insurance -Workman's Compensation -Duval County or AUantlc Beach B u siness Tax Receipt (Occupational Licen se) --The hiring of a contractor is not required if the property owner is bu il ding the swimming pool for his own use and, submits a n Owner-Builde r affidavit whe n applying for the pool permit. • rePI,cement coat) exceeds $2,500, a recorded at be submitted with application. The at 1643 AttanUc Blvd. ln Neptune BElach . Job Address:9) Legal Descri tion Building Permit Application City of Atlantic Beach 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904) 247-5845 32233 Permit Number: Updated 12/8/17 ccValuation of Work (Replacement Cost) $Heated/Cooled SF Non. Heated/Cooled • Class of Work (Circle one)@Addition Alteration Repair Move Demo Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial esidentia If an existing structure, isa 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 of No Tree Removal Describe in detail the type of work to be performed: [V Z003F Pa) 495/8at. Florida Product Approval #for multiple products use product approval form Pro ert Owner Information Nam Address: City State 904- Zl- E-Mail Owner A" nt. c.' letter Contjactor Iniocmaüon Name of Compan b Address Office Phone State Certification/Registration g Architect Name & Phone it Engineer's Name & Phone # Workers Compensation Qualifying Agent: City state g Zip.3Zes- Job Site/Con act Number q.-)Q 90' E-Mail C • ('tuft 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 FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature of Owner t) (including contra or) ign d and sworn to (or affirmed) before me this day of by (Signature cf Notary) (Signature of Contractor) ned and sworn to (or affirm b fore his20by ,(Sip.naturer ay of DEBORAH WERLINGI ) Persona!iy Known OR *Produced Identificati MY EXPIRES: COMMISSION Novenbet17,2023 no 356196 Type of Identification: DEBORAH WERUNG ersonalty Known OR UYCOMMlSSlON#GG3$196) Produced Identificaticr EXPIRES: 17.2023 Type of identification: POOL20-0040 Building Perm it Application City of Atlantic Beach 800 Seminole Road, At lantic Beach, FL 32233 Phone (904) 247 58 26 Fax. (904) 247 -5 8-45 Updated JJ/8/17 Job Address 4} &7 ~ 3t:, · 32.233 Permrt Number ---------- Leg a cc c r ~ ~, ~ ~ ~ lt, -2. g -29E , 21 l>rto!".'ie> f!./p l-r/4 I, S)s,/oi 3; St1rlE11 J 70 112 -W:O Valuation of Work (Replacement Cost)$ ______ Heated/Cooled SF ____ Non• Heated/Cooled. ____ _ • Class o f Work (Circle one):@ Add ition Alteration Repair Move Demo @ W indow/Door • Use of exlstrng/proposed structure(s) (Circle one): Commercial (fu!sidentia_D • If an existi ng structure, ls a flre sp rinkler sys t em Installed? (C i rcle one): Ye s No N/A • Sub mi t a Tree Removal Permi t Application i f any t rees are to be removed or Affidavit o f No Tree Removal Describe In d e tail the type of work to be performed· IC\qROA t'O" 2.oo5i= Pall "''19~1{3aJ...- Flor ida Product Approva l # _________________ for multiple products use product approval fo rm n -_rt:~r.T.'~~::::-::::;~d""-'------:::::.--Address . =L/-=} _$~'2_-t, __ &=-·----,-------- ~..:;.=~:..,,...:..;"'----"=::;.,..c.-,;,'---'-----state _J::_.(_ Zip 32235 Phone ~'231.:.iiSfP-L - ( ire· J,c· I •rr o /r; nql1ttlrf-1:q1.1rtd1 ___ _ cont, actor In Name of ~ Qualrfyrnr Accnt ,~ C \a,Jcsi.:n Address~i...o.~l!A"~~,c.-,~~"-'.!Jd.J~-ll..l~'--:.x..--Crtv .~u l ~ State .C( Zip,W?S" Of fice Phone Job Site/C?act Number 9)4 -8.d3 ·3'J9v St at e Ce rti fica t i on/Registrat ion II E-Mail (,)eJ;»i ~~ C. (b/\ A rc hi t ect Nam e & Phone# _______________________________ _ Engineer's Name & Phone# _______________________________ _ Workers Compen~tlon __________ -:---~------------------- Enmpt /Insurer/ Luse Emplovus / bplntlon Date Application l s hereby made to obtain a perm i t to do the w o r k and Installations as Indicated. I certi fy that no work or Installation his commenced prior to the Issuance of a permi t and t h at all w ork will be performed to meet the st andards of all the laws regulatlong construction In this j urisdi ction. I understand that a separat e p ermit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDm ON ERS, et c. NOTICE: In addition to the requirements of this permit, there may be addltlonal restrictions applicable to thi s property t hat m ay b e found In t he public r ecords of this county, and there may be additional permits required from other 1overnmental ent it les such as w ater management dis tricts, st ate agencies, or federal 11endes. OWNER'S AFFIDAVIT: I certify that all the fore1oln1 Information i s accurate and that all w ork w ill be done In compliance w ith all applicable laws rqulatln1 construction and zonln1. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM ENC EM EN T MAY RESULT IN YOUR PAYING lWICE FOR IMPROVEMENTS TO YOUR PROP ERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT ORNEY BE FORE RECORDING YOUR NOTICE OF COMMENCEMENT. J. (S l&nat ure of Cont r;ictor) )UltflOlMlllv Known OR 1,roduud ldentlflcltlo of lclentlflatlon: TREE REMOVAL PERMIT APPLICATION City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 INSTRUCTIONS 1. Complete and sign this application. 2. Attach required exhibits as listed on application checklist. 3. Contact the Community Development Department if you have questions. 4. Submit the completed application and all required exhibits, along with application fees to the Permits Desk at Atlantic Beach City Hall. SITE INFORMATION ADDRESS q J SUBDIVISION BLOCK* APPLICANT INFORMATION NAME ADDRESS 91 (D 36 CITY FOR INTERNAL OFFICE VSE ONI Y PERMIT # C) Legacy Tree s 25.00 C) Single- Two-Family Residential $25.00 C) Multi-family Residential $250.00 C) Commercial / Industrial $250.00 C) Institutional/ Other Non-Residential $250.00 170)) 2-000 LOT g STATE E!— CODE PHONE - 65101 CELL*X OWNER C) LEGAL AUTHORIZED AGENT TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST PLEASE ATTACH THE FOLLOWING EXHIBITS: •Additional information may be required. depending upon circumstances unique to individual applications EXHIBIT A (Option 1) - PROOF OF OWNERSHIP: copy of Warranty Deed that verifies record of owner (Clerk of Courts) EXHIBIT A (Option 2) - LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner EXHIBIT B - TREE INVENTORY and TREE PROTECTION PLAN EXHIBIT C - TREE MITIGATION WORKSHEET NO ReesEXHIBIT D - TREE MITIGATION PLAN by SITE PREPARATION CHECKLIST PLEASE PREPARE YOUR SITE AS FOLLOWS: Mark all trees identified for removal with RED or ORANGE nagging. paint or tape Mark all trees identified for preservation with BLUE or GREEN flagging, pain or tape Mark property corners with stakes or paint Barricade all trees to be preserved on the property at the dripline 1 HEREBY CERTIFY THAT INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23 (PROTECTION OF TREES AND NAIVRAL VEGETATION) t CCOCS AND ORDINA CES or THE CITY or- BF-ACE'. SIGNA 'RE OF APPLICANT 02 TREE REMOVAL APPLICATION03.OY2018 POOL20-0040 P: 11 I ■• ILL • ._ ___ TREE REMOVAL PERMIT APPLICATION City of Atlantic Beach r Community Development Department -.,..;;;...;, 800 Seminole Road Atlantic Beach, FL 32233 I FOR INTERNAL OFFICE USE ONl y ~IT#-------(P) 904 -247-5800 INSTRUCTION S 1 Complete and sign this applica t ion 2 Attach required exhibits as listed on appllcallon checklist 0 LegacyTrte O Single / Two family Rcs,dent,al O Mulu-Fam,ly Resid nt,al S 2S.OO S12S.OO S2SO .OO 3 Contact t he Community Development Department If you have quernons 4 Submit t he completed appllcatlon and all required exhibit s, along wl1h application fees t o t he Permits Desk at Atl anti c Beach City Hall D Commercial/ Industrial S250 .00 O lnst1tut1onal / Other Non-Resident la I S250 00 SITE INFORMATION ADDRESS '-/) (p~ & REt /70112.-0COO SUBDIVISION BLOCK# / 5 LOT• I l. -----------------------_ _._ _____ _ APPLICANT INFORMATION NAME fh~ r<'a~\ ADDRESS -y I ~ ~ 5t,. LI, f; L&!J:sb <tXJo \. (loA c1n Ai1Mf1c._ 'Be~ STAH Fl 21r com 3ZZ 35 PHONE. t C.ELL ,i ~OWNER 0 l EGAL AUTHORIZED AGENT TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST PLEASE ATTACH THE FO LLOWING EXHIBITS: •Additional Information may be required, depending upon circumstances unique to lndlvldual applications 0 EXHIBIT A (Option 1) -PROOF OF OWNERSHIP: Copy of Warranty Deed tha t verifies record of owner (Clerk of Courts) □ D D □ EXHIBIT A (Option 2) -LETTER OF AUTHORIZATION: Pl ease complete If the applicant Is not t he owner EXHIBIT B -TREE INVENTORY and TREE PROTECTION PLAN NO i\(ees be{~ \'E?roveo' b'1 ?CV6 by ~Y)f\ Clt.t EXHIBIT C -TREE MmGATION WORKSHEET EXHIBIT D -TREE MITIGATION PLAN SITE PREPARATION CHECKLIST PLEASE PREPARE YOUR SITE AS FOLLOWS: 0 Mark all trees identified for removal with RED or ORANGE nagging, paint or tape D Mark all trees Identified for preservation with BLUE or GREEN nagging, pain or tape D Mark property comers with stakes or paint D Barricade all ttees to be preserved on the property at the drlpllne I HEREBY CERTIFY THAT All INFORMATION PROVIDED IN THIS APPLICATION IS CORnlCT. I AG REC 10 COMPl Y WITH ALL PROVISIONS OF CHAPTERll C,ROTECTIONOFTREE5ANDNA1VRAL VEGETATION) I\ND A! L OTIU-P r.fTL 'l" l ( m· . 'l ORDINA CES OF THE CITY Of ATLANTIC IEAOi, EXHIBIT A: LETTER OF AUTHORIZATION City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 OWNER INFORMATION NAME ADDRESS 4) STATE AGENT INFORMATION NAME ADDRESS CITY STATE FOR INTERNAL OFFICE USE ONLY PERMIT # PHONE* 904- 03)-SYol CELL PHONE CELL 71P CODE is hereby authorized to act on behalf of the owner(s) of those lands described in the attached application and as described in the attached deed or other such proof of ownership as may be required in applying to the City of Atlantic Beach, Florida, for an application related to a Tree and Vegetation Removal Permit 1 HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT: Signature of Property Owner(s) or Authorized Agent SIG TURE OF OWNER OR LEG REPRESENTATIVE PRI T OR TYPE NAME SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE Signed and sworn before me on this Identification verified: 00th Sworn:Yes No DEBORAH h'ERUNG MY COWSSIONSGG356196 EXPtRES:Nowrbet17.2023 02 County of. _ Notary Signature My Commission expires • ■ ■ • • EX JUOJ T A: LETTER OF AUTHOR I ZATION City of Atla nt ic Boach ,, Community Development Department 800 Semlnolc Road Atlant lc Bea ch, FL 32233 (P) 904-24 7-5800 FOR INTERNAL OFF/CE USE OHL Y PERMIT# _____ _ OWNER INFORMATION NAM E E:li 2at:.elh ~( ADDRESS 4) tp'l1! 8-o CITY A-l l@+,c.. $ €a6' AGE NT INFOR MATION PHONE II 904-C,3) ----- CE LL 11 STATE ...:..F_(:;___ ZIPCODE .$223:, NAME PHONE# ---------------------------------- AD D RES 5 CELL# ---------------------------------- CITY STATE 71P<ODE 1s her e by dut ho rized to act o n behalf of the owner(s) of those lands described in the attached application and as described In the attached deed or other such proof of ownership as may be requ ired in a pplying to the City of Atl antic Beach, Florida, for an applica tion related to a Tree and Vegetation Removal Permi t I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT: Signat ure of Property Owner(s) or Authorized Agent SIGNATURE OF APPLICANT PRINT OR TYP E NAME DATE Signed and swom before me on this E\ I~ '!10-a2' , ~ by St ate of Fl.0"1cb. Coun ty of .~-1aJ ldtntlflatlon vtrlfltd:_Qj{ _____________________ _ ~~- Notary Signature ~ My Commlulon explrei J l.:,J ]-'> EXHIBIT B: TREE INVENTORY and PROTECTION PLAN City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 FOR INTERNAL OFFICE VSE ONLY PERMIT # TREE INVENTORY-Please sketch an inventory in the area below or attach a site plan showing all existing trees on the property below that are 3• diameter at breast height (dbh) and greater. Please complete the following: e Note the location of all trees to be removed with an "X"Note the location of all trees to be preserved with e Number all trees and list on EXHIBIT C: Tree Worksheet Show all existing and/or proposed buildings TREE PROTECTION PLAN- (If you are doing construction on the site)-Please sketch and identify in the area below or on a copy of a certified tree survey the location of the protective barricades to be installed prior to construction. Section 23-32(c) requires protective barricades to be installed around every tree or group of trees to be preserved. PREPARED BY:SCALE: 1 SQUARE = 02 TREE REMOVAL • EXHIBIT 8: Inventory and Protection Plan 03.0120'8 EXHIBIT B: T R EE INVENTORY a nd P R OTECTIO N P L AN City of Atl antic Beach n Co mmuni ty Develo pment Depa rtmen t ~_.., 800 Sem i nole Road Atl antic Beach, FL 32233 FOR INTERNAL OFFICE USE ONLY (P) 904 -247-5800 PER MIT# _____ _ TREE INVENTORY-P leilse ske t ch iln Inventory In the area below or ilttach a site plan showing all exi st ing trees on the property below that are 3• d iameter ill breilst height (dbh) ilnd great er. Pleilse complete the rollowl ng • No t e t he l oca t ion of all t rees t o be removed with an ·x· • Note the loca tion o r all trees t o be preserved with ·t J" • Number all t rees and 11s t on EXHIBIT C· Tree Worksheet • Show all existing and/or proposed bu1ld1ngs TREE PROTECTION PLAN-(If you ore doing construction on the s/te)-P lease ske tch and Ident ify In the area bel ow or on a copy of a certified tree survey the loca tlon o f the protective ba rricad es t o be Inst alled p rior t o const ruction. Section 23-32(c) requi res protecti ve b a rr ica d es t o be In st alled aro und ev ery tree or group o r trees t o be p reserved . -------i--+--1---1 ---t--1--.---- EXHIBIT C: TREE MITIGATION WORKSHEET City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 FOR INTERNAL OFFICE USE ONLY (P) 904-247-5800 PERMIT # List the species and diameter at breast height (dbh) of all trees identified on EXHIBIT B ID DBH SPECIES removing preserving replacing COMMENTS (for use by City staff) 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 02 REMOVAL • C: Mitigcrion Worksheet 03.012018 EXHIBIT C: TREE MITIGATION WORKSHEET City of Atlantic Beach Community Developme nt Department 800 Seminole Road Atl a ntfc Beach, Fl 32233 (P) 904 ·24 7·5800 FOR INTERNA L OFFICE USE ONLY PERMIT# _____ _ list t he species and diameter at breast height (dbh) of all trees id entified on EXHIBIT B ID DBH SPECIES "I l"= removing preserving replacing COMMENTS (for us e by City Staff) 2 3 4 5 6 i 8 9 10 11 12 13 14 15 16 17 18 19 20 EXHIBIT D: TREE MITIGATION PLANCity of Atlantic Beach Community Development Department800 Seminole Road Atlantic Beach, FL 32233(P) 904-247-5800 FOR INTERNAL OFFICE USE ONLY PERMIT Please identify the location species and size (caliper inches) of ALL trees to be planted for mitigation credit in the area below aseparate site plan. Please include existing and/or proposed buildings and any street names for reference points. PREPARED BY:SCALE: SQUARE = 02 • EXHIS17 D: 7tee Mitigation Pian EXHIBIT 0: TREE MITIGATIO PLA 1 City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904·247-5800 FOR INTERNAL OFFICE VSE ONtY PERMrT # _____ _ Please identify the location, species and size (caliper inches) of All 11ees to~ planted for m1t 19at1on credit in the area ~low or on a separate s ite plan Pie.isl' Include existing and/or proposed buildings and any slleet names for rtference points I I I I \ I \ I I_\_ 7 \ I I \ 7 SCALE: 1 SQUARE s CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489. FLORIDA STATUTES. PART 1 •CONSTRUCTIONCONTRACTING- REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7). FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSEDCONTRACTORS, YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THATLAW. THE EXEMPTION ALLOWS YOU. AS THE OWNER OF YOUR PROPERTY'. TO Acr ASYOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE.SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - ORTWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD ORIMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUN-PINGMUSINE±QRXOVB-VSEAND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASEIF YOU SEIL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEARAITER THE CONSTRUCTION IS COMPLETE, LAW WILL PRESUME THAT YOU BUILTIT FOR SALE OR LEASFh WHICH IS IN VIOLATION OF THIS EXEMPTION. YQV MAY NOT BE DONE ACCORDING TO THE BUILDING CODES AND ZONING YOUR CONSTRUCMON REGULATIONS. MUST IT ISYOUR RESPONSIBII,'DI' TO MAKE SURE THAT J'EOPt.1i n. iNJURY SINCE OWNERS FOR TO WORKERS THEY HIRE.THE EUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BEPURCHASED. Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSOOBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEYEMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY;c NNCIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN 'OCCUPATIONAL IS NOT. ADEQUATE. THE OWNER SHOULD PHYSICALLYSEE THE COUNTY •CERTIFICATE OF COMPETENCY' OR THE FLORIDA •CONTRACTORSCERTIFICATE- TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THEBUILDING DEPARTMENT (247-5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURESTATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF ANOWNER-BUILDER PERMIT. 32833ADDRESS PHONE NUMBER PRINT E st DATE Before me thb day of he county otDuval. State of Florida. has personally appeared herin by himself I herself and affirrns thatan statements end dedatabons ere true and accurate. Notary Public at Large. State of qqaQ DEBORAH WERLING Produced -MYCOMMiSSlON#GG3S6196 Boc,dedmuNot...r€ Notary Signature: REVISED IT\' OJ• A TLA 1 TI DEA 11 <!B \VNER / BUILDER AFFIDAVIT I FLORI DA STATUTES ; CH APT ER 489, rLORIOA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/ BUILDER TO ACKNOWLEDGE THE LAW DISCLOSURE STA TEMl:Nl fOR 1'.CTION ~!1 9 I 03(7), f LORIDA ST A nm.:s STATr LA\\' RCQUIRl·S ONSTRUCTION 10 Ill l)QNI BY l lCfNSH) ONffiACTORS YOU IIA\11:. APr'Lll:.D l'OR A l'LRMII UNDlR AN LXl:.Ml'llON 10111A1 LA w Tl If EXEMPTION All.OWS YOU, AS Tl IE OWNfR or YOUR PRO Pl Rn'. TO AC1 A S YOUR OWN CONTRACTOR 1:.Vl:.N TIIOUGII YOU DO NOT IIAVl:. A LICl'.NSF YOU MUSJ SUPER\IISE THE CONSTRUCTION YQURSEL[, YOU MA y nun.n OR IMPROVF A ONT O H TWO FAMILY RES IDENCE OR A FARM OUTI3UI LOING YOU MAY ALSO UUIU) OR IMPROVF A COMM ERCIAL BUILDING AT A COST OF S25,000 00 OR LESS TI 1J! nun DI MUST Bl; toRYOUR US!· AND OCCUPA NCY IT MAY NOT Uli UUILl !'OR SAU~ OR Ll:AS I • I F YOU SFI I OR Ll:.ASC A BUILl)lNG YOU IIAVI• BUILT YOURSELI WITIIIN ONl. YEAR Al7"ER THE. CONSTRUCTION IS CO MPLl:.Tt, Tllb LAW WILL l'RESUMl:. THAT YOU DUlL T IT l'OR SALi• OR LEASE, WIIICII I S IN VIOLATION OF 1111S E.'<EMl'TION YOU MAY NOI HIRE AN UNUCENSPQ PERSON AS YOLJR CONTRACIQ.R. YOUR CONSTRUCTION MUST llE DONE ACCORDING TO Till· llUILDING CODES ANO ZONING RI GUI.Al ION S IT IS YOUR RLSPO:-JSIOll lfY TO MAKI SllHI TIIA1 l'I or1 I I i..tl'I OYI n 1n· Y<l\ II \ I J )( I ' I (' .I: j r II I ~ r ·1 \ r ' ) ' 1 \ <,I Jl"'A;-;ll~ '' ll~JUk'I' LIi AIL1T\', SINCE .Q_WNl;8~ MAY fj; 1._!A61£;. fOR lrwfilf,S 10 WOhKERS THC'\' HIRE, HiE BUILDING OCPAR1MENT SUGGESiS WORKERS COMPENSAilON INSURANCE BE PURCHASED Ill. IRS WITHHOLDING; OWNERS HI RING WORKERS BECOME EMPLOYERS ANO SHOULD ALSO OBSERVE IR S WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENAL TY; UNUCENSE P CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CJRC UMSTANCES, OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA SiATUTE NO . 455-228(1 ). AN ·occ u p AT)ONAL L )C ENSE" IS NOT ADEQUATE, THE OWNER SHOULD PHYSICALLY SEE T HE COUNTY "CERTIFICATE OF COMPETENCY-OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICEN SED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT (247-5826) IF IN DOUBT. V . ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE T HAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. '.32233 PHONE NUMBER J TREE & VEGETATION AFFIDAVIT City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 FOR INTERNAL OFFICE USE 0M r PERMIT # SITE INFORMATION ADDRESS q I (DEB SUBDIVISION ) 0002- APPLICANT INFORMATION MO bl BOYE)vec/ s-)ha BLOCK ) S LOT ) Z NAME ADDRESS (-11 Y 36 bch C] RESIDENTIAL C) COMMERCIAL OTHER PHONE 32233 909. STATE 3233 Icec f con OWNER [Z] LEGAL AUTHORIZED AGENT€sb@aos. I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", ofthe Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulatedtrees and no regulated vegetation will be damaged, destroyed and/or removed from the above-describedproperty and/or adjacent properties including right-of-way. 1 HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT: Signature of Property Owner(s) or Authorized Agent IG ATUREOF APPLI SIGNATURE OF APPLICANT (2) Signed and sworn before me on this Identification verified: Oath Sworn: Yes No PRINT OR TYPE NAME DATE PRINT OR TYPE NAME DATE day of 70u by State of County of DEBORAH WERLING MYCOMMISSION*GG356196 Bonded Ttru Publk Notary Signature My Commission expires 11-17- 04 VEGETATION AfftOAV11 03.Oi20i8 POOL20-0040 mEE & VEGETATI ON AFFIOA vrr City of Atlantic Beach Community Develo pment De partment 800 Seminole Ro ad AtJ a ntic Beach, FL 32233 (P) 904·24 7-5800 FOR INTERNAL OFFICE USE ONl Y PERMIT# ______ _ SI TE INFORMAT ION ADDRESS LI I (R~ 32233 SUBD IVISION BLOCK 15 LOT )1 C. D RESID(NTIAL D COMMERCIAL D OTHER AP PLIC AN T INFO RMATION ADDRfSS L/ I tt,b ~-l, 32'2-.1.3 ((11 t q()l{ t,b3J -52:J?Pt un AtbA+tc. 'bO\ SlAll P( ZIP (OD[ 3~ fMAII _lc_ed~/:>(l). a.ol . ~ !xi OWl~E.H IJ l EGAl AUTHORl7EO AufNl \ I affirm that I have reviewed t h e p rovisions of Chapter 23, •Protection of Tr ees and Nat ive Ve g etatio n•, of t he Municipal Code of Ordinances for the City of Atlanti c Beach Florid a and/or I have participate d in a p re- application meeting with the Administrator of those regulations. Subseque ntly, I affi rm t hat no regulated t rees and no re gulated vegetation will be damage d, d e stroye d and/or re move d fro m the a b ove-described property and/or adjacent propertie s including right-of-way. I HEREBY CERTIFY THAT ALL INfORMATlON PROVIDED IS CORRECT: Signature of Property Owner(s) or Au t horized Agent SIGNATURE OF APPLICANT (2) PRINT OR n'PE NAM E Signed and sworn before me on this crH> day of J)OC'ev\b6r b(\~hl!P-flo\ '7o2D by DATE Stateof _....__l-'------ County of J:>tAvaJ2 Identification verifled:--l£r,1{,.:_ ____________ ~----- ~ ~ ~ oath Sworn: O Yes NotAry Signature . B I l I I CAPSP The Association ofPoo/ Spa Professionals • ANSVAPSP,ICC tsa ENERGY EFFICIENCY COMPLIANCE INFORMATION FOR RESIDENTIAL SWIMMING POOLS PROJECT NAME:CONTRACTOR NAMEANO AOOAtSS h arkANO AOORESS: zOWNER:CONTRACTOR PHONE. sheet prepared the APSP• Residential Swtmrrung Pool •rd Standard Cornrnittee o' the Association of Pool andProfessionals IAPSPY not part c' the Amerk•n National Standard ANSI/APSP,OCC• i5a but is included fo• information only. Contractors should acquirewith the ANSI/APSP/iCC.ISa standard whkh can be purchased at 1. 95.2.i: Calculated pool volume a. Ganons: b. Colcu"oted Gonons:(surface Oteo) X (ovetoge depth) X 7.48 (got/ft A3) • 2.95.2.1: Calculated filtration flow rate (Pool volume 360 or 36gprn whichever is lorget) 3. 55.5.i: Pipe sizing: a. Minimum suction pipe diameter the smoaest Site from With 0 6 fps flow cøpoctty the same or more than item 2.) b. Minimum suction branch pipe diameter (Cokv&te: 'tem Z.Iøpm) Bronch Pipes (quantity) • bronch flow rote (gem/Enter sma&st sue from roble with 6 fps pow copo€ity the some or mote thon the cokuloted suct•n rote.) c. Minimum return pipe diameter 3c.2 (Enter pipe from with a 8 fps flow copocity some or mote thon item 2.) d. Minimum return branch pipe diameter 3d.(Calculate: Item 2.(pm) Pipes (quantity) • bronch flow rote tøøm).Ente' the smo&st pipe site from roble with 0 8 fps now copocity the some Of more than the calculatedreturn brooch rote.' 4.55.4.1: Filter type and size: a. Filter type: (Cartridge, DE, Sand) b. Minimum filter area (Cakvhte.• item 2.(gpmJ filterfactor (gpm/N2)) Filter factors: Cartridge-O.37S. Sm$25. Diatomaceous Eartha2 5. 95.4.2: Backwash valve:Yes, No? (When using a bockwosh valve. enter resvit of item 3c or 2 inches whichever is hoer) Table 1 38 83 90 130 les 238 374 540 24 4 6. Single-speed pump selection (when used): SS.I.i. S.3.I: For single-speed pumps with a total horsepower 0.99 or less, find enter a compliant pump from the Pool Pump Database. pump a. Pump model selection b. Total horsepower 7. Multi-speed pump selection (when used): 95.321: Pools 17.000 gallons ot jess. sekct pump • the database with a Curve-A gpmßow equal to item 2 or jess. 55.3-2.2: Pools 17.001 galbns or select pump • from the database with a Curve-C gpmßow equal to item 2 or less. •Multi-speed must have one speed fisted that satisfies this requ&ement. a. Pump model b. Pump flow (45.3.21. 5.3-2.2: Appkoble A or C gpm in Étabøe) 10/21/14 ANSt/APSP/lCC- IS Standard Cornrnittee Form 6b. 7a. 7b• gallons eprn inches inches inches inches sq. ft. inches or eprn ion POOL20-0040APSP The Assocl,w on o f Pool & Spa Pro f essionals• ANSVAPSPIICC 15a ENERGY EFFICIENCY COMPLIANCE INFOR,.,ATlON FOR AE SIOENTIALSWIMMINO POOLS PIIOI CCT ,lAMt ANOAOOIIUS Thti lnlorm~IIQ'\ 1►nt '"'" J)'ei,ared ltf the .v-s, 1~ lletldefl'hll s ... 1mm,rc '"' I tnd \94 ("4'1IY ( lt>( .. IICY Stand11d w,1un1 Commllltt of Ill« Auoc~,.on of Pool Ind Sp,i Ptofeu n.a , (,t,YJ It II no1 .,.,, of lhe AtNtk4n N•l'9rwl \llnJ.trd A~',1/Al'SP/ICC IS• ?011 but n lntluded ro, lnro,m,ilon only Con1rat1on thould 1cqwe and ,o,,,p1y ,..,lh l he ANSI/A,-,P/tCC 15.t 2011 111nda1d wt.ich c.tn be P111Ch 4ted ,t .,._ jptp or1 1 §S.2.1 ~lcul.ated pool volume • Gt1lloni or b Co fculotrd Go/lorw (surf««' Of('O) X (ovf(oa«' d«'pthJ x 7 48 faot//r"J) 2 t 5 .2 1 C.lcubted flltr.atlon flow r.ite (Pool '-'Olu m «' JU, Of J&,Jpm whichC'vC'r Is lorr,C'r) 3 . ts.5.1. Pipe sbln1. a Minimum suction pipe diame ter ,,,.,,, t~r IMOf'r1r p,pe '"" from Tab~ J wi rh o 6 /pt /low copoc ,ry rhlt some o, ~ 1/lon ll•m 1 J b . Minim um suction branch pipe diameter (Cok11lot1t lltl"l 1 __ (gpmJ • tkonch '•IH•--(q11om1ryJ • bronchjlo ,,,,,o,1r _(gpmJ l ntrr 1». smo It p,;,1r w, /lorn fob/It J ..,,,ho, /pt /lo w Cflf)<l(l tt 1h1r ,umr o, mo11t t hon I/le colcul owJ sucton t>roncti /1<,w ,o,,, I c . Minimum return pipe diameter /fr,f,r the unoilrn P,/H ,,,,, /rorn Toblr l w,rh o • fps /10-N copocIry rhc-some a,'""'• thon I1rm 1 J d . Minimum return branch pipe diameter (Cokulotlt lltm 1 __ (gpm) + lllonc/1 '•fHf __ (qllOnt/fyJ • btonch jlow IOflt _(gpm} fnrr, the smo~n P'IH 111r /tom Tobk J ..,,,,. a • /p, /Jo-N copoc11y thlt ,ome or morr thon thlt colcvlo1,d rrrum b,onchfl<,w rorr J 4 . §5.4.1 : Fitter type and size : a. FIiter type: (Cartndg~, DE, Sand) b. Minimum fitter area (Co.'cvlott: itrm 1 __ (gpml + /illrr foctor ___ (gpnl//t"1/J Ftltrr /fKtors: Cortrldgr.-0 315. SondaJS, Oootomoaovs Cortha1 s. §5.4.2: Backwuh valve: __ Yes, _No7 ~n using o boclrwosh volvr. rnrr, ,n.,it of ittm le« 1 Inches ~ IS lor,rrJ 6. SJncle-speed pump selection (when used): ,s.u . S.3 1: For s11,c1t IIPNd pumps wldl a latal honepowel 0.99 or 1w. find Md....., a complanl pump fnlm lhe Pool Pump DlltabDe. pump .. Pump model selection b. Total bone,.._. 7. MultkpNd pump .... ctlon (when usedl: 15-3,2.1: Poolsl7.000,.._o,_, __,,,....,,.._ ,... ...,._,Zorlas. ts.Ul:~17.00J ..... o,~--,...-diN!itliilliliitiilillHI .,,.,,..._lo,la,. _.,.,.,.,.d,....._,_. _ __,...._ .. ~ 1. l,9 S~ 1.-llons 2 3& 1pm 3a. j .,( Inches lb. J .,< Inches 3c. ~ Inches 3d. ~ Inches 4a. CAL-Tf>otq£ 4b. 'j V sq. h . 5 .• lnches 6a.--1ibL__ 6b.Jlj!A_ ~ or lof2 ANSI/APSP/ICC 15 ENERGY EFFICIENCY COMPLIANCE INFORMATION FOR RESIDENTIAL SWIMMING POOLS nt Heaters Pool systems 4.4.1.1 4.3.1.3 4.3.2 s.l.l 5.3.1 5.3.3 5.3.4 5.5.2 5.5.3 5.6 uirements Heater has no pilot light Readily accessible on-off switch mounted outside of the heater No electric resistance heating unless for inground spa with tight fitting cover with R-6 insulation, or for pool with 60% of documented pool heating from on-site solar or recovered energy. Heater efficiency: gas/oil fired heater efficiency at least 78%, heat pump COP at least 4.0 Pool filter pump listed in database Pool filter pump with total horsepower 1.0 or more is multi-speed Multi-speed pump controller programmed to default to the filtration flow rate when no auxiliary pool loads are operating within 24 hours and programmed with temporary override capability for servicing. Single-speed pump controller capable of operating pump during off-peak electric demand. Pipe before pump has at least 4 diameters of straight pipe. System installed with solar, or setup for the future addition of solar heating equipment by installing 18 inches of horizontal or vertical pipe after the filter and before a heater, or built-in or built-up connections, or dedicated pipe to and from the pool. Directional inlets for mixing pool water. ANSVAPSPDCC- Standard Writing Committee Form 20f2 ANSI/APSP/ICC 15 ENERGY EFFICIENCY COMPLIANCE INFORMATION FOR RESIDENTIAL SWIMMING POOLS C~nt s«tlon "-lrements Ched 4 4.1.l Heater has no pllot llght ✓ 4 41.2 Readily accessible on-off switch mounted outsi de of the heater ✓ Heaters No electric resistance heating unless for l nground spa with t i ght fitti ng cover w ith R·6 Insulation, 4.3.1.3 or for pool with 60% of document ed pool heating from on-site solar or recovered energy v 4 .3.2 Heater efficiency. gas/oil fired heater efficiency at least 78", heat pump COP at least 4.0 v 5.1.l Pool filter pump listed In database y 53.1 Pool filter pump wlth tota l horsepower 1.0 or more ls multi-speed v' Multi-speed pump controller programmed to default to the filtration flow rate when no auxiliary S.3.3 pool loads are operating w i thin 24 hours and programmed w,th temporary override capability for v servicing. Pool systems 5.3.4 Single-speed pump controller capable of operating pump during off-peak electric demand. >'/4 S.S.2 Pipe before pump has at least 4 di ameters of straight pipe v System Installed w i th solar, or setup for the future addition of solar heati ng equi pment by #.1/R 5.5.3 lnstalllng 18 Inches of horizontal or vertical pi pe after the filter and before a heater, or bullt•ln or built-up connect.Ions, or dedicated pipe to and from the pool. S.6 Olrectlonal Inlets for m ixing pool water ✓ 2 of 2 POOL20-0040 CERTIFICATE OF CONFORMITY MDX R3 ANTI-ENTRAPMENT DEBRIS DRAIN Submerged Suction Outlet For use on Floor Includes (1) SOX as 2nd point of suction MDX R3 is a listed suction outlet (certified by IAPMO) designed to Accept large debris and provide anti-entrapment protection. Proper installation requires the installation of the secondary drain - SOX (also listed by IAPMO). COMPLIANT WITH: • Virginia Graeme Baker Pool and Spa Safety Act • ASME A112.19.8-2007 • ANSI/APSP -7 • IAPMO Listed FLOW RATING FLOOR MDXR3 132 GPM Velocity@ l32GPM= 1.294 fps I LIFE -05 YEARS MDX R3 & SDX PLACE OF MANUFACTURE: NAME OF THIRD PARTY LABORATORY: TEST RECORD DOCUMENTATION: Paramount Pool & Spa Systems 295 E. Corporate Place Chandler, AZ 85225 USA ( 480) 893-7607 IAPMO R&T LAB IAPMOR&T 5001 E. Philadelphia Street Ontario, CA 9176 I (909) 4 72-4104 NOTE: MDX R3 and SOX must be installed in accordance with Paramount's written instruction manual, and in conformity with applicable Federal, State, Local and Swimming Pool Industry building and safety codes. :a, F:.iaram<)tJr1t HIGH FLOW SAFETY DR,\IN H!Gff FLOW SAFETY DRAIN CERTIFICATE OF CONFORMITY SOX HIGH FLOW SAFETY DRAIN Submerged Suction Outlet For Single or Multiple Drain Use For Use on Wall and Floor No Sump Required The SOX High Flow Safety Drain is a 1 O" diameter frame and grate or bulkhead style drain fitting. It includes a back plate and cover that is affixed to a frame, a bulkhead or an existing drain sump. SOX Retro replaces most existing drain covers up to 1 O" in diameter. COMPLIANT WITH: • Virginia Graeme Baker Pool and Spa Safety Act • ASME A112.19.8-2007 • ANSI/APSP - 7 • IAPMO Listed r-----~·----------·-----------. -------------·------ rLow RATING f'LOOR WALL One SDX or SDX Retro 200 GPM 192 GPM Square Inches of opening= 43.20 l sq. inches Velocity@ 200 GPM ,, l .485 fps LIFE -05 YEARS Pl.ACF OF ~l,\1'UFACTlfRE: ;',;i\).IE or TIIIRIJ PAK[ y LABOIZATORY: JEST IO'COIW llOC!J\IIXL.\llU:--:: Paral11l)Ullt Pul1l & Spa Systems 295 E. Corpontc Place Chandl-2r, AZ 85225 US,\ (480) 893-7607 IAPMO R&T LAB l,\P:\:fO R&"I 500 l F. PhiL1,k:lphi,1 Str.:ct Onurio, ( ':\ 9 ! 7(1 I (909) 472~,fl(lt NOTE: Suction Safety Standards require that drain grates used to cover sumps must have the suc- tion pipe cut at least ·1 .5 times the pipe diameter behind the drain cover. There is no sump require- ment for SOX because ti1e patented design provides uniform suction regardless of p'1pe location. However, if the pipe is too close to the back of the cover, it rnay restrict water flow to the pump, po- tentially reducing hydraulic efficiency, but this does not pose a suction safety hazard. This Product ir,ust be i,1stallecl i,1 accordance •Nith all applicabl,3 Feder2.I. Ste.te and Local Codes. HYDRAULICS DESIGN FCJR PARAMOUNT IN-FLOOR SYSTEMS. Paramount makes systems that operate and 40 to 45 gpm and 60 to 65 gpm and the gpm of the system will be listed on the drawing from Paramount. If Paramount main drains are used: MDX2 is GVB approved and rated at a maximum flow of 90 gpm at less than 1.5 ft. per second, and is less than I ft. of head loss at that flow rate. SDX is GVB approved and rated at a maximum flow of 200 gpm on the floor and 192 gprn on the wall at less than 1.5 ft. per second and is 3 ft of bead loss at that flow rate. When used as the second safety drain to our MDX2 at 90 gpm it is rated at less than I ft. of bead loss. The Paramount water valve has around IO ft. of head loss at 65 gpm. (NOT COUNTING ANY PIPE OR FITTINGS). NOTE; ON POOLS WITH 9 OR 12 PORT SYSTEMS THE HEAD LOSS THRU THOSE VALVES WOULD BE 20 FT. OF HD. NOT COUNTING PIPE AND FITTINGS. The nozzle loss of each circuit on the water valve (NOT COUNTING ANY PIPE OR FITTINGS) is 25 feet of bead. EACH CIRCUIT (NOT INCLUDING PIPE AND FITTI.J'-TGS WILL BE AROUND 35 FEET OF HEAD LOSS EVEN IF THE SYSTEM rs 40 GPM OR 65 GPM BECAUSE OF THE LOSS IN THE WATER VALVE AND THE PRESSURE AT THE NOZZLE NEEDING TO BE IO PSI FOR MAXlJ.VIUM CLEANING DISTANCE . ON A SINGLE PUMP SYSTE1vl YOU MUST ADD IN THE POOL EQUIPMENT LOSS, ALL PIPE AND FITTING LOSS AND AN EXTRA 15 FEET OF HEAD LOSS ALLOWING FOR THE PROPER FLOW AT THE NOZZLES WHEN THE Fll:J'ER lS DIRTY. On a booster pump cleaning system YOU WILL NOT HA VE TO ADD THE 15 FT. OF HD. FOR A DIRTY FILTER AND NO EQUIPMENT HD LOSS WILL BE ADDED. J u:;t tile pipe and fittings must be added. Technical Specifications r --11%" - Bolt Holes, Center to Center Part No. Description · } HP JEP1 .5 JEP2.0 ePump Variable Speed Pump ePump Variable Speed Pump ePump Specifications . ' ' ' '• Model No. HP Voltage JEP1.5 0.25-2.2 208-230VAC JEP2.0 0.25-2,7 208-230VAC 1.5 HP 2.0HP Full Rated Pumps Watts 2,100W 2,300 W ePump'M Variable Speed Pumps I------16W' Front Edge of Union to Center of Boft Holes 34¼"--.. - Replacement Motor Guide Pump Model A.O. Smith/Century JEP2.0 M48A40D58 JEP1.5 M48A42D58 C Pipe Size Carton Weight Overall Length 2½-3" 71.5 lbs. 34¼" 2½~3" 71.5 lbs. 34¼" When installing the pump, leave a minimum of 2 ft. of clearance above the pump for removal of strainer basket. Recommended Minimum Wire Size For ePump Series Pumps• . ,f ' ;,; Distance from Sub~panel 0-50 Feet 50-100 Feet 100-150 Feet 150-200 Feet Branch Fuse AMPS Voltage Voltage Voltage Voltage Class: CC, G, H, J, K, RK, or T Model --- 230 VAC 208-230 VAC 208-230 VAC 208-230VAC 208-230 VAC JEP2.0 20A 12 10 8 6 JEP1 .5 20A 12 10 8 6 * Assumes three (3) copper conductors in a buried conduit and 3% maximum voltage loss in branch circuit. All National Electrical Code (NEC) and local codes must be followed. Table shows minimum wire size and branch fuse recommendations for typical installation per NEC. www.ZodiacPoolSystems.com JEP Performance Curves 120 110 -0 100 N ::c -90 0 -80 Q) Q) u. 70 ~ "O ca 60 Q) ::c 50 .!:? E 40 ca t: 30 >, Cl iii 20 JEP-2-.0 HP -1500 RPM ~ 10 JEP•2.0 HP JEP-1.5 HP 600 RPM JEP-1.5 HP 1500 RPM 600 RPM o~~~='...._--='.S::::.:.::=~------------__J 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 240 250 Flow GPM ~11 Zodiac Pool Systems, Inc. SA6219 0611 'IAC® is a reaistered trademark of Zodiac International. S.A.S.U .. used under license. ~Jwgx:r' -by ZODIAC·' CS100 CS150 CS200 CS250 CS Cartridge Filter CS Cartridge Filter CS Cartridge Filter CS Cartridge Filter CS Filter Head Loss Curves Design Head Loss 6 (ft head) 4 2 0 30 60 • Ill 90 CS150 Flow Rate (gpm) CS200 CS250 cs,oo www.ZodiacPoolSystems.com ©2011 Zodiac Pool Systems, Inc. SA6259 0611 100 Sq. Ft. 150 Sq. Ft. 200 Sq. Ft. 250 Sq. Ft. 3 Design Pressure 2 Drop (psi) 120 Technical Specifications CS Series Filters ~14'/4 3N Specifications and Dimensions, CS Serles Filters Model No. CS100 CS150 CS200 CS250 Filter Area 100ft' 150 ft 2 200!!' 2fi01t2 ---- Design Flow Rate 1 gpmltt' .85 gpm/ft' .625 gpm/ft' .5 gpmlft' Maximum Flow 100 gpm 125 gpm 125 gpm 125 gpm Six (6) Hour 36,000 45,000 gal-45,000 45,000 gal- Capacity gallons Ions gallons tons Eight (8) Hour 48,000 60,000 gal-60,000 60,000 gal- Capacity gallons Ions gallons Jons Normal Start Up 6-15psi 6·15psi 6-15 psi 6·15 psi Pressure Max. Working so psi 50 psi 50 psi so psi Pressure Cartridges 1 1 1 1 Required Shipping Weight 28 lbs. 28 lbs. 34 lbs. 36 lbs. Height ('A') 32%" 32%" 42½" 421/:2'' ZODIAG1' is a reqistered trademark of Zodiac International, S.A.S.U .. used under license. 1/15/2018 Poolguard Alarms -pool alarm, door alarm, gate alann, pool safety, child safety HOME I corn ACT us I BUY POOLGIJAAD 1 PRODUCT MANllA.L2, ! \fl./ARRANTY REGISTRATIOtl oolguar Read Before You Buy Poolguard Alarms: • Pool Alarm Model PGRM-2 • Pool Alarm Model PGRM-SB • Gate Alarm Door Alarms -NEW • Door Alarm -DAPT-2 \Sounds in 7 seconds) • Door Alarm -DAPT-WT (Sounds immediately) Other Information: • Contact Us • Buy Poolguard • Product Manuals • News From Poolguard • Warranty Registration • Model PGRM-2 Installation Video • Model PGRMMSB tnstallation Video http://WNw.poolguard.com/inground.asp INGROUND POOL ALARM -MODEL PGRM-2 (tlS~"NSF Certified to ASTM F 2208-08" '-~.-' e:;J.;J As Well As the states of CA, CT, FL, and TN • Detects Intruders • Sits on Deck • Battery Powered • Low Battery Indicator • New Sensing Technology • Easy to Use • Completely Portable • Automatic Reset • Affordable Price • Important Safety Feature • In House Remote Receiver • Horns are 85 dB at 10 feet POOLGUARD/PBM INDUSTRIES, INC. has been manufacturing pool alarms, door alarms, and gate alarms since 1982. All Poe/guard products are proudly Made in the USA. Poolguard Pool Alarms were tested and "Top Rated" by Good Housekeeping Magazine. Poolguard Pool Alarms have oeen Tested and Certified by NSF International to the ASTM Standard Safety Specification for Residential Pool Alarms, ASTM F 2208-08. POOLGUARD IN GROUND POOL ALARM NSF CERTIFIED TO ASTM F 2208--08 NEW Weatherproof Design NEW Sensing Technology NEW Microprocessor Technology 3 Year Warranty 1/2 Sw一ョヨ一F00一2コEffciencyCOョで=いコInfo「ヨ2U0 コ NOTE:TheseRのq罫8ョ当y0ににYびるfi詳aまコPuョp 9 甘要.第 一 習ー -ー と之、APS?、一C0152011 ョ! 0ー F-owC0ミ第コ物Pod事朝ー、ョる・当~ミ耳、b・don4る辞謇コpuョ27Yes強岩.!,一を50cui8t&の-ia受をげF一。w手すw・を・d)-ーーー.9当コ一ョ,ョ・暑-をコ・一新文を・新・06甘ーーーを.コ0′イ)ミコsuction・ の06守3ーーー.イ. 要一コ一ョ0ヨーョ-d・ユを物一08甘-ーー.ーイ.ロロ。PuョpCOコ0一・ ~ョuョロ AP望 「 FIfr000npuョpプ8の妄ーdー“新「き・をFを0コョp5ーー「コ`Orをも・&工「od・一Gasエ・第ま・(まPをht)工ア第C.0.P.ANSI5ANSI7一.まーーをマ急h第 3製、、を一24マ.0ョp=atceWork2 4 島第ー ー4物新0強製は国製当ま財一第 2 40ーーの8 プ - 0 9 第、ー マ瑩Cタ強 年第14 0ー ヨ 象まー 工の コさョFlow R ・ ′Ok・ま年要・毅 製をす ー -2第やOW → ミミ 工8- ~swimming Pool Energy EfflcJancy CornpDance lnro r m a t l o n HOTf: These Requirements Apply ONLY to the Filtration P u m p A~/APSP/ICC.15 2D11 flow C~culaUon• Pool waw volume ____ • 380 • __ gpm -11\11 la tho calc:ulat.d llow,... Nate: for pools under 13,0CX> gJ1lt CM calculated flow rate or 38 wm INfllcheYIII Is gn a t a r c t h e Is 0-NII an ALocllaly load on lhe h'atlon pump? v~ __ No __ If ac, "mat Is the calculllted auxflary now ra ta __ gpm Flow Rare (loW speed) __ gprn @ ___ rpm. r,11nlmum auction side pipe alz.e @ 8 fps __ In Minimum auction • br&ndl pi p e d u @ 8 I p : , _ _ I n . Minimum r•wm aide pipe •lza@ 8 fpe __ In. Ulnlmum r-e • brand! pipe s i z e @ 8 t p , _ _ n . A ~ P S H E E T ~ Flllr Sltll: fkfecln(tfU~ □ c.tfdgl(O.m) □ 0 Abr Eb: ,...,. / fl-f.,i • ,s. ......... . , Pump Control• ~ -s1andard lime clodc load -t:cntrd model for low speed default wflhai 24 hr. _ _ _ _ _ _ _ _ _ _____ {No Pilot Ugh!) D!1!9arr.Dd]Pt I. D6ilra hll pod II~ h lllt 2. ~ ...... , .. S. FM111au ....... -.1111 ANSI 5 & ANSI 7 ComplJana Worfc S I I N t .u ~•(' _,._,_Ill _2=-_ ...... ,_,ll ~Ua...i:1._..•• '°' ... l .. a,,._ _ _. •(f , a ) 9 l 1 P 1 7 . . , . . . . _ q _ _ -~_..i'.,i .. ~1 1 1 1 1 - • • I i . . . . . _ 3 1 ... , . . . . . , . ' I f ' ' P u m p S e l e c t J o n e s L i s t e d o n C U 1 V e f 3 ) C 1 f C ( c i r d • o n e ) M l l l d m u r . 1 F l o w R a t e _ _ l l t ' l ' . ' I D D 2 ~ M l : l r ! N I I I I Q 3 ; : : ; ; ~ = = = - - = - - - - , l l d c r l O I . O I G Q 1 I d w n l d n l h o l \ 3 ~ , g p n - . b I 1 ~ - . , _ : = = ~ I . . _ _ _ _ _ _ _ . j . . u , □ p m T _ . H e a d I n F e e t . . , C h a r 1 ' - i . M l l u 7 ° " V I I - ~ ~ P s f a l l _ _ , . . . . _ • I • I • • • . . • • • . . u u u - · . . . , - t i . . . . . . . - - . . . . . . r l t r - - - · - " . . - - • - . . L - 9 1 . . . ~ ~ . . • • u r - , . - - V ; . . . . . . . - - - . . . . . . . . r : . . 1 o ; , , ' " ~ - ~ i . ~ . . ~ ~ - - - I , . ~ ~ ~ . . - ~ - . . - - . . ► . . I , . . ~ . . . . - ~ . . . . - - ~ ► • ► . . . . ~ i i " . . ~ . . ~ . . . . - - . . . . ~ ► - ► i o " • • ~ . . . . . . . - - " " ~ • ► ~ . . . . . . I \ • ~ " l o . . . . - ~ p . . . . . . . . . . ~ . . ~ . . . . ~ - - . . - . . . . r . . . . p ► r . . . I , , ~ L I • . . . . ~ : , _ I . a . i ' ' ► ~ . . ~ - ~ t i ~ ~ . . . ; . : - . . : • . . I , . . . . ; . , . - - - - - - ~ - . . - - - - - r , - - ~ . , . - " . : ! : _ _ _ • • ~ f f l l f f ~ • f l l l i l l l . . . . . _ . . . . . . . . , . . " ' U ' - I . t , . . . . ~ . . . . ; . p " " . . ► ~ ~ . . ~ ~ □ ~ - ( I l l l t ~ , . . . . . . . . . . f l . . . . . l l l r i l O I I . . . . . . . . . . . . . . . . . . . . - . . . ~ - . . . . M ~ · - ~ p . . p - ► ~ . . . . • i . . p . . ~ . . . . . . . . . . . ~ . . - ~ - . . . . . " ' . . . . ► . . . ~ . . . . " ' . . - ► " ' l o • l o - - : . . . . - ~ . . ~ - . . . . I I , ~ . . . . - ► . . . . . . - , , r - H r : , . , , , . . D . , , . . . . . . . . . , . . . , . - . . . . . - - ~ . . . . . . • I , , . . . . . - - - : . . . . . ~ . . ~ . . . " ' I , , . . " ' ! ~ . . . - . . ' " i o - " ' , - l o , . - i - " ► ► " - o w n e r - - ' ; . ~ . . I , - " . . . . . . . " ' - : . . ~ ' " t o ; I , p . . p " ' - . . . . ~ • p ~ ~ " p . . . . . . - ~ - ~ ~ " ~ ~ I , . . . ; . . . . . . . • - : . . . . ► . . ► • " . . ~ . . p ' " . . . . - " " . . ' " . . . ; , . . l o l o . . ~ " ' - . . " . . . . . p . ~ . . . I , . . . . - ~ - ► ' l i J I E : i i i ■ i i i i i 1 1 . . . . . . . . . . . . . · - · i i I I ™ · d l m a i J ' I K Company Info Address:600 St. Johns Bluff Rd. N. City:Jacksonville State/Zip:Fl / 32225 Phone #:904.223.4050 Fax #:904.223.0735 E-mail:Info@pbjc.com License #:CPC 009595 & 1457425 & 1459376 & CBC 1263546 Revision Gen. Plan Deck Area:N/A Lanai Area:N/A Pool Perimeter:60' Hydraulics (3) W/Rs Gallons:4,951 gallons Pool Area:200 ft² BENCHMARK TOP OF POOL BEAM-32 1/2" SCALE:1/8"=1' TOP OF TILE-32" Date: TOP OF COPING-30" Date: SET PARALEVEL AUTOFILL BEHIND COPING Date: Date: Date: Notes:- Drainline from Skimmer #1 - Maintain min. 1" step down from all doors RE: RE: RE: - VSSHP165AUT - CS 250 - PLC 700 - WATERLINE HOOK-UP OF AUTOFILL BY TRAWICK - 6614 AP-L PURELINK - PDA-P4 - PX 100W TRANSFORMER - 3 PORT J-BOX - (2) JLU4C 24W 100' LTS RE: RE: MDX W/ SDX 24W24W 16"16"16"- 12" x 24" x 2" PRE-CAST 2" THICK COPING - 10 1/2" MAX. BEAMEXISTING PORCH TO BE REMOVED BY HOMEOWNER EXISTING PORCH TO BE REMOVED BY HOMEOWNER COVERED PORCH NOT INCLUDED ACCESS (DRIVEWAY) - SET SKIMMER BEHIND COPING - SQUARE LID - DRAINLINEFUTURE POLARIS 360 EXISTING DRIVEWAY RESIDENCE GUEST HOUSE J-BOX PURELINK 3'-6" DEEP 4'-6" DEEP SAFETY 2:PGRM-2 Pool Guard Alarm Address:41 6th street, Project Manager:Jonny Zip:32233 Designer Name:Joel Client Name:Margol Residence Builder:Residential Neighborhood:Atlantic Beach Specs Customer Info Safety Notes Spa Area:N/A LST:10 GPMs Job #:2688 HST:20 GPMs Dist to P/E:21' Footer:N/A Spa Perimeter:N/A SAFETY 1:Fence by Owner BENCH NEW LANDING & STEPS BY OTHERS +30" EXISTING STEPS PUMP #1:MDX-R3 & SDX ON SIDE Branch Line:3" Trunk Line:2.5" Return Line:2" Skimmers:1 Jandy Pump:VSFHP165AUT Jandy Filter:CS 250 Heater:N/A Minimum TDH:~48' Maximum Flow:82 GPM's POOL20-0040 : --------------r ---------------: -- l ,--------~ ~--------~ I I ~---------! r-----------____ : _________ ~ I I I I I " , , Pools by John Clarkson an aquatech® builder 22' 4" Company Info Address:600 St. Johns Bluff Rd. N. City:Jacksonville State/Zip:Fl / 32225 Phone #:904.223.4050 Fax #:904.223.0735 E-mail:Info@pbjc.com License #:CPC 009595 & 1457425 & 1459376 & CBC 1263546 Revision Layout Plan Deck Area:N/A Lanai Area:N/A Pool Perimeter:60' Hydraulics Gallons:4,951 gallons Pool Area:200 ft² BENCHMARK TOP OF POOL BEAM-32 1/2" SCALE:1/8"=1' TOP OF TILE-32" Date: TOP OF COPING-30" Date: Date: Date: Date: Notes:- Drainline from Skimmer #1 - Maintain min. 1" step down from all doors RE: RE: RE: - VSSHP165AUT - CS 250 - PLC 700 - WATERLINE HOOK-UP OF AUTOFILL BY TRAWICK - 6614 AP-L PURELINK - PDA-P4 - PX 100W TRANSFORMER - 3 PORT J-BOX - (2) JLU4C 24W 100' LTS RE: RE: COVERED PORCH NOT INCLUDED ACCESS (DRIVEWAY) CENTER POOL ON 17'-0" MEASUREMENT EXISTING STEPS J-BOX PURELINK SAFETY 2:PGRM-2 Pool Guard Alarm Address:41 6th street, Project Manager:Jonny Zip:32233 Designer Name:Joel Client Name:Margol Residence Builder:Residential Neighborhood:Atlantic Beach Specs Customer Info Safety Notes Spa Area:N/A LST:10 GPMs Job #:2688 HST:20 GPMs Dist to P/E:21' Footer:N/A Spa Perimeter:N/A SAFETY 1:Fence by Owner +30" PUMP #1:MDX-R3 & SDX ON SIDE Branch Line:3" Trunk Line:2.5" Return Line:2" Skimmers:1 Jandy Pump:VSFHP165AUT Jandy Filter:CS 250 Heater:N/A Minimum TDH:~48' Maximum Flow:82 GPM's 1 0 ' 10 ' 20' 20' 12 ' 18' 10" 17 ' 4' 9 " 22' 4" - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -.--e_ _-__ -_ -_-,._ L ~--_----,--,c - - - - - - -.-::-:-:-:-:-:-- - - - - - - - - - - - - - - - - - - - L l , , , ' ' , 771 l Pools by John Clarkson an aquatech® builder POOL20-0040 -E { -WA'rEJtut/E DIWA I: DEEP 'rllE DEEP7 ·/ 1•~3 RES . ,. TOPOFD Cl rx,• 1, //~ flfl!J\Jt ARBE/\M . . . . . • I I . . • I . I I I • I • I ' • t .I I I r I f I ~- l;;/I I I I I I J I I I l I I I I I I I I I r ,,.._, J I I I I I ,. I I I I I 1 1 I I I I • ~----' .,. I I I I I I I I I I · I I I I \ .. .. . I If JI I I I I I I I If l . . 1 I .,. 11 I :i ' I I I I I ~ >.!I f. I I I I I I I t ,.;i RE8AniQ11" O.C. "-' I I I I I I EIOTHWA'l'lr COHt', . I I I I 1 1THROIJOHOIIT -"""-I , I I ,I I I 1 Vll'.U..S AND l'L00fl ~ I r I I . I I I I I I ! "~ 1 . I I I I I I I . I I I I : I I, I· I I I ~/ I I _ I f I I ................ .,, ......... :£--·' I I l I I I .1 ,'I:. I 3 IU!BMTO lie l'UCl!D ATl'VERTICAt. , ...,.,_.,,.u,.,..._...,.... J ... .... ' l' ABOVl!A»l>BEI.OWC0Vl!:I. AUIO al't!NOIIIO II' l'JIOVE i'ND 111!1.bW fl.OOR JIRIWt L;'-l"NUl,:t!IJ(I P.s.l. ft" PI-ASTJC com:ru.re Fl..OOR MAIN DltAlll SECTJON OF POOL ELEVATION __ , ________ , Company Info Address:600 St. Johns Bluff Rd. N. City:Jacksonville State/Zip:Fl / 32225 Phone #:904.223.4050 Fax #:904.223.0735 E-mail:Info@pbjc.com License #:CPC 009595 & 1457425 & 1459376 & CBC 1263546 Revision Gen. Plan Deck Area:N/A Lanai Area:N/A Pool Perimeter:60' Hydraulics (3) W/Rs Gallons:4,951 gallons Pool Area:200 ft² BENCHMARK TOP OF POOL BEAM-32 1/2" SCALE:1/8"=1' TOP OF TILE-32" Date:01/05/2021 TOP OF COPING-30" Date: SET PARALEVEL AUTOFILL BEHIND COPING Date: Date: Date: Notes:- Drainline from Skimmer #1 - Maintain min. 1" step down from all doors RE: RE: RE: - VSSHP165AUT - CS 250 - PLC 700 - WATERLINE HOOK-UP OF AUTOFILL BY TRAWICK - 6614 AP-L PURELINK - PDA-P4 - PX 100W TRANSFORMER - 3 PORT J-BOX - (2) JLU4C 24W 100' LTS RE: RE:AWO 1 MDX W/ SDX 24W24W 16"16"16"- 12" x 24" x 2" PRE-CAST 2" THICK COPING - 10 1/2" MAX. BEAM PURELINK EXISTING PORCH TO BE REMOVED BY HOMEOWNER EXISTING PORCH TO BE REMOVED BY HOMEOWNER COVERED PORCH NOT INCLUDED ACCESS (DRIVEWAY) - SET SKIMMER BEHIND COPING - SQUARE LID - DRAINLINEFUTURE POLARIS 360 ALL DECKING BY OTHER ARTIFICIAL TURF BY OTHER EXISTING DRIVEWAY RESIDENCE GUEST HOUSE J-BOX PURELINK 3'-6" DEEP 4'-6" DEEP SAFETY 2:PGRM-2 Pool Guard Alarm Address:41 6th street, Project Manager:Jonny Zip:32233 Designer Name:Joel Client Name:Margol Residence Builder:Residential Neighborhood:Atlantic Beach Specs Customer Info Safety Notes Spa Area:N/A LST:10 GPMs Job #:2688 HST:20 GPMs Dist to P/E:21' Footer:N/A Spa Perimeter:N/A SAFETY 1:Fence by Owner BENCH NEW LANDING & STEPS BY OTHERS +30" EXISTING STEPS PUMP #1:MDX-R3 & SDX ON SIDE Branch Line:3" Trunk Line:2.5" Return Line:2" Skimmers:1 Jandy Pump:VSFHP165AUT Jandy Filter:CS 250 Heater:N/A Minimum TDH:~48' Maximum Flow:82 GPM's 5' ' ' ' ' ----------· ----r ________________ :_. _; ,._____, l ~::::::::~ t----------1 ' ' r---------·-----•---------: ~ ' jj L -=0(tJ Pools by John Clarkson an aquatech• builder 22' 4" Company Info Address:600 St. Johns Bluff Rd. N. City:Jacksonville State/Zip:Fl / 32225 Phone #:904.223.4050 Fax #:904.223.0735 E-mail:Info@pbjc.com License #:CPC 009595 & 1457425 & 1459376 & CBC 1263546 Revision Layout Plan Deck Area:N/A Lanai Area:N/A Pool Perimeter:60' Hydraulics Gallons:4,951 gallons Pool Area:200 ft² BENCHMARK TOP OF POOL BEAM-32 1/2" SCALE:1/8"=1' TOP OF TILE-32" Date:01/05/2021 TOP OF COPING-30" Date: Date: Date: Date: Notes:- Drainline from Skimmer #1 - Maintain min. 1" step down from all doors RE: RE: RE: - VSSHP165AUT - CS 250 - PLC 700 - WATERLINE HOOK-UP OF AUTOFILL BY TRAWICK - 6614 AP-L PURELINK - PDA-P4 - PX 100W TRANSFORMER - 3 PORT J-BOX - (2) JLU4C 24W 100' LTS RE: RE:AWO 1 COVERED PORCH NOT INCLUDED ACCESS (DRIVEWAY) CENTER POOL ON 17'-0" MEASUREMENT EXISTING STEPS J-BOX PURELINK SAFETY 2:PGRM-2 Pool Guard Alarm Address:41 6th street, Project Manager:Jonny Zip:32233 Designer Name:Joel Client Name:Margol Residence Builder:Residential Neighborhood:Atlantic Beach Specs Customer Info Safety Notes Spa Area:N/A LST:10 GPMs Job #:2688 HST:20 GPMs Dist to P/E:21' Footer:N/A Spa Perimeter:N/A SAFETY 1:Fence by Owner +30" PUMP #1:MDX-R3 & SDX ON SIDE Branch Line:3" Trunk Line:2.5" Return Line:2" Skimmers:1 Jandy Pump:VSFHP165AUT Jandy Filter:CS 250 Heater:N/A Minimum TDH:~48' Maximum Flow:82 GPM's 1 0 ' 10 ' 20' 20' 12 ' 18' 10" 17 ' 4' 9 " 22' 4" 5' L_ l cOU:l Pools by John Clarkson an aquatech• builder