Permit Details

Swimming Pool and Spa Permit

Address	205 SW GOVERNORS GLN LAKE CITY, FL 32024
Parcel #:	03406-206
Acres:	2.51
Owner:	Nickelson Dale, Nickelson Karla
Subdivision:	Rose Creek Plantation Phase 1
Zoning:	A-3
Flood Zone:	X
District:	5

Application #:	54242
Permit #:	000044226
Related Permit:
Submitted:	Monday, April 4, 2022
Issued:	Wednesday, April 20, 2022
Expires:	Wednesday, August 10, 2022
Completed:	Wednesday, August 10, 2022
Status:	Completed
Septic Release?	No

Notes:
SFD PERMIT #41584

Job Details

Is this for residential or commercial use?	Residential
This is the construction of a:	Pool
ADA Compliant	No
Setbacks Front	30'
Setback Side 1	25'
Setback Side 2	25'
Setbacks Rear	25'
Septic# (00-0000) or (X00-000)	22-0247
Building Code Edition	2020 Florida Building Code 7th Edition and 2017 National Electrical Code
Fema map number	12023C0383D

Review Notes

4/4/2022	Point Review - Received-Hard Copy Application
4/4/2022	Point Review - Reviewed
4/6/2022	Plan Review - Reviewed
4/12/2022	Zoning Review - Reviewed
4/12/2022	Final Review - Reviewed
4/13/2022	Final Review - Reviewed
4/13/2022	Final Review - Payment Needed
4/20/2022	Permit Issued Permit #000044226 created and approved.

Contractors

Name/ Business	License	Title	Role
Yadami Mendoza North Florida Pools & Spas Llc	CPC1459321	Cert. Residential Pool	Contractor
Mike L Alban Alban Electric Llc County License & State License & Liability Insurance & Workers Comp Expired.	EC13001888	Electrical Contractor	Subcontractor

Inspections

Inspection	Notes	Performed By	Date
Passed: Swimming Pool - Pool Steel and Ground		Matt Forsyth	4/28/2022
Passed: Engineering - Setbacks		Matt Forsyth	4/28/2022
Passed: Electrical - Pool/Deck Bonding		Matt Forsyth	5/19/2022
Passed: Swimming Pool - Pool Safety and Final		Matt Forsyth	8/10/2022

Documents

File Name	Date	File Size
Subcontractor Form 20220623 162743.pdf	2023.12.23	33.82kB
Owner And Contractor Signature Page 20220421 030747.pdf	2023.12.23	401.73kB
Original Permit 20220420.pdf	2023.12.23	42.81kB
Win_20220810_15_07_14_pro 2022-08-10 15.17.31.303.jpg	2023.12.23	107.77kB
Recorded Notice Of Commencement 20220421 030846.pdf	2023.12.23	336.98kB
Property Appraiser Parcel Details Printed Page 20220421 030847.pdf	2023.12.23	385.90kB
Subcontractor Form 20220421 030748.pdf	2023.12.23	339.25kB
Application Information Page 20220421 030749.pdf	2023.12.23	358.26kB
Septic Approval Paperwork 20220421 030947.pdf	2023.12.23	972.11kB
Site Plan 20220421 030847.pdf	2023.12.23	261.89kB
Sealed Pool Plans 20220421 030946.pdf	2023.12.23	625.52kB
Certificate Of Completion 20220810.pdf	2023.12.23	68.95kB
Win_20220810_15_07_34_pro 2022-08-10 15.16.47.21.jpg	2023.12.23	562.64kB
Notice To Owner Barrier Requirements 20220421 030746.pdf	2023.12.23	265.52kB

Contacts

Building & Zoning Department
Hours:
Monday-Friday
8:00 a.m. - 5:00 p.m.

Location:
135 NE Hernando Ave.
Lake City, FL 32055

Mailing Address:
Post Office Box 1529
Lake City, FL 32056-1529

Office Phone:
(386) 758-1008
(386) 758-1124
Building & Zoning Director
Troy Crews, CBO
(386) 758-1040

Fax:
(386) 758-2160

Email:
Building Department

Columbia County, FL | Permit Details

Contacts