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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 / t !1 • r� L\f,'J J, ,j . �� Florida Friendly Landscapes tt1 -) 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 f --t_X X X k' k. •O Lou-) -- ill c,H voLLivA"e I1 ( Confivllzr / / Z - �3ac r_E L 0, o� / ,)L PO,ILL WkT - / // JO COP'? c l / e ________________zf/ 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