1769 Atlantic Beach Drive IRR18-0064 Application PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 y
JOB ADDRESS: I 1(0ct >�• ig-AIfi I C ?FACIA - t2\VG PERMIT # I1 iO '0414r t/
NEW OR REPLACEMENT INSTALLATION: Project Value $ ,,�
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY 0
Bathtub Septic Tank&Pit e•1
Clothes Washer Shower
Dishwasher Shower Pan C`'�•
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet '5
Hose Bibs Urinal W
Kitchen Sink Vacuum Breakers C.)
Laundry Tray Water Connected Appliances Z co
Lavatory Water Heater J I a z0 (V
Other Fixtures Water Treating System a, U z F=
RE-PIPE: O m o z a
LE
UUov c
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY W 1-. ct 0
0 cc Bathtub Septic Tank&Pit O Z O a
Clothes Washer Shower U -1 u' u)Dishwasher Shower Pan CC Q i z
Drinking Fountain Slop Sink 0 I, 2 UJ
Floor Drain Three Compartment Sink O w LLJ $.: ,
Floor Sink Toilet W } a ¢ m 1
Hose Bibs Urinal F— to = o
Kitchen Sink Vacuum Breakers ,— Ww
c»
w
Laundry Tray Water Connected Appliances > cc to
Lavatory Water Heater W
Other Fixtures Water Treating System CC cc
w
MISCELLANEOUS:
❑ Sewer Replacement n Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
K Lawn Sprinkler System-Number of Heads 3S ❑ Well **
** SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Bp l/ct i f b-or (L Phone Number
Plumbing Company uU 11/4BEV 1-1109-41 Office Phone RS- RSD Fax
Co. Address: t fl' 1 A'Javk.hic $lvA City ,4B State FL Zip '3ZZ 3''>
License Holder(Print): 5.,,11- `-JV , l'l4L& State Certification/Registration# -17-3 '7
Notarized Signature of License Holder 4 _ (�
Sworn and subscribed before hi 7 d of aril- 20
/6
CHERYL LYNN OVE /
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r� L\f,'J J,
,j . �� Florida Friendly Landscapes
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-) IRRIGATION COMPLIANCE CHECKLIST
0E19f"
DATE: /94Z//3
A. PROVIDE PROJECT INFORMATION: {{{
t RESIDENTIAL,
ADDRESS: I 7 oCk "'GU4 tic ctck �:� EW INSTALLATION
11 RESIDENTIAL,
CONTRACTOR: 'I Vi 9,2Iv4 Ian / UPGRADE/REPLACE
7 c�_ //�`G 1 NON-RESIDENTIAL,
OFFICE: c -gS�s CELL: z(�r-1 1-5s� FAX: NEW INSTALLATION
+ -NON-RESIDENTIAL,
EMAIL: a,�1�1@ hVq. tnetn�'QYv14r y.COQ UPGRADE/REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION HYDROZONE shall mean an irrigation watering zone in
which plant materials with similar water needs are
TOTAL LOT AREA 7-1,.-1)404 SQ FT grouped together.
TOTAL IMPERVIOUS SURFACE AREA - '2,6'‘ SQ FT
HIGH VOLUME IRRIGATION shall mean an irrigation
system that does not limit the delivery of water
directly to the root zone and which has a minimum
TOTAL PERVIOUS AREA/LANDSCAPE 21�) SQ FT flow rate,per emitter,of thirty(30)gallons per hour
(gph)or one-half(.5)gallons per minute(gpm)or
greater.
(Per COAB Code Section 24-181(b)(4)ii) X 0.60
IRRIGATION ZONE shall mean the grouping together
MAX HIGH VOLUME IRRIGATION (./) D SQ FT of any type of water emitter and irrigation equipment
operated simultaneously by the control of a timer and
a single valve.
C. PREPARE AND ATTACH A HYDROZONE PLAN:
ON A COPY OF THE SITE PLAN OR SURVEY(RESIDENTIAL APPLICANTS) OR A LANDSCAPE PLAN (NON-RESIDENTIAL
APPLICANTS), INDICATE THE LOCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES JBEELLOW:
X, HIGH WATER USE HYDROZONE(S) [ALL APPLICANTS] Q 7 SO FT (q %TLA
High Water Use Hydrozones contain plants that require supplemental watering on a regular basis throughout the year.These areas include
turf and lawn grasses and are typically characterized by high visibility focal points of landscaping design where High Volume Irrigation is
used.High Water Use Zones shall be placed on a separate irrigation zone.
1, MODERATE WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY] SO FT %TLA
Moderate Water Use Hydrozones contain plants that,once established,require irrigation every two to three weeks in absence of rainfall or
when they show visible stress such as wilted foliage or pale color. These are typically perennials,seasonal plants and flower beds.
LOW WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY] I,100 SQ FT / 7 %TLA
Low Water Use Hydrozones contain plants that rarely require supplemental watering and that are drought tolerant during extreme dry
periods,such as native shrubs and vegetation,established trees and ground covers,and wooded areas.
MOISTURE SENSOR(S) [ALL APPLICANTS] At least one(1)moisture sensor shall be located in each Irrigation Zone.
EMITTERS [ALL APPLICANTS] Emitters shall be sized and spaced to avoid excessive overspray on to impervious surfaces.
City of Atlantic Beach •800 Seminole Road*Atlantic Beach,FL 32233 •(P)904.247.5800•(F)904.247.5845 •www.coab.us
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LAitriry City of Atlantic Beach APPLICATION NUMBER
6, s Building Department (To be assigned by the Building Department.)
< 800 Seminole Road e-416--O00
d j /,lo Y
,� rs Atlantic Beach, Florida 32233-5445 !�-1�•LV
Phone (904)247-5826 • Fax(904)247-5845 1 / G
��st �' E-mail: building-dept@coab.us Date routed: t / ao/ l6
City web-site: http://www.coab.us 111
APPLICATION REVIEW AND TRACKING FORM
Property Address: r1(.0 1 PC+\arkki G rtment review required Yes No
B t/
Applicant: R u ( �44
- l -frl Planning &Zonin
Tree Administrator
Project: 55 R-ead Y t h, Ider. Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. (Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: mn� Date: --2 c ol�
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. ❑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
Sari;,�r, City of Atlantic Beach APPLICATION NUMBER
�s Building Department (To be assigned by the Building Department.)
�� 800 Seminole Road 1 p i ¢ /� (� (�
0 Atlantic Beach, Florida 32233-5445 1�R I(J 'VO"t 1
s3 �� Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: l I / 2-0//,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l -1C2 CI PCHCR- Grtment review required Yes No
i B . .
Applicant: R Lt. l ( VI (Ping &zoning
Tree Administrator
Project: 55
J HecLcp s y t IA k k r Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied. I !Not applicable
(Circle one.) Comments: /
BUILDING
PLANNING &ZONING Reviewed by: /� A—_ Date: /1 -20—(i"
TREE ADMIN. Second Review: ❑Approved as revised. Denied. 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