1624 ATLANTIC BEACH DR IRRIG PERM IRRIGATION PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH IRR19-0003
J 800 SEMINOLE ROAD ISSUED: 2/14/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 8/13/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' BUILDING
CODE, AND OF ATLANTIC BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF PERMIT PLEASE
• , CAREFULLY.
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.
JOB ADDRESS: PERMIT-TYPE: D-ES-CRIPTION: VALUE OF WORK:
1624 ATLANTIC BEACH DR IRRIGATION IRRIGATION - 27 HEADS $1450.00
TYPE OF
ZONING: :D •
CONSTRUCTION: NUMBER: GROUP:
169505 1120 ATLANTIC BEACH
COUNTRY CLUB UNIT 01
COMPANY: ADDRESS:
JUST JOHNSON INC P 0 BOX 962 HOLLISTER FL 32147
® • .
ADDRESS:
ATLANTIC BEACH
PARTNERS LLC 414 OLD HARD RD FLEMING ISLAND FL 32003
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.
LIST OF
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date: 2/14/2019 1 of 2
PERMIT NUMBER
IRRIGATION PERMIT
CITY OF ATLANTIC BEACH IRR19-0003
-. rl ISSUED: 2/14/2019
800 SEMINOLE ATLANTIC BEACH, FL 32D233 EXPIRES: 8/13/2019
Issued Date: 2/14/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 n[�
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t G� epartment review required Yes No
ui din
Applicant: ���' c7�1 nC C�
n Tree Administrator
Project: l ?—ZLC--�-1( QQ ��� � 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 B
Florida Dept. of Environmental Protection j (�
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:
UILDING
PLANNING &ZONING y .2 _� Cf
Reviewed b : rn Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie ❑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 05/1912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r 800 Seminole Road
Atlantic Beach, Florida 32233-5445 ' tz
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: G� .� epartment review required Yes No
ui din
Applicant:
Tree Administrator
Project: ���C� 7( �Q C(� Public Works
Public Utilities
Public Safety
Fire Services
Review fee$` `'rftya'DeptSigriatu�e
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B l
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:z��F 0e_.— Date:
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
J Florida Friendly Landscapes
' s IRRIGATION COMPLIANCE CHECKLIST
ti
'�SJi3l��
DATE: (// 7 `
A. PROVIDE
/PROJECT INFORMATION: /
! O 1 ` rs� 11 RESIDENTIAL,
ADDRESS:
/ NEW INSTALLATION
CONTRACTOR:
/� �� ❑RESIDENTIAL,
«caw U �C UPGRADE/REPLACE
-j�� �YS ❑NON-RESIDENTIAL,
OFFICE: 7°T Y CELL: FAX: NEW INSTALLATION
E / ❑NON-RESIDENTIAL,
EMAIL:�� �,�v�fAt,, -Wg) 9' �2" UPGRADE/REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION HYDROZONE shall mean an irrigation watering zone in
p' which plant materials with similar water needs are
TOTAL LOT AREA D SQ FT grouped together.
4 HIGH VOLUME IRRIGATION shall mean an irrigation
TOTAL IMPERVIOUS SURFACE AREA - 3, 7 / SQ FT system that does not limit the delivery of water
// _ directly to the root zone and which has a minimum
TOTAL PERVIOUS AREA/LANDSCAPE 6S � 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
n IRRIGATION ZONE shall mean the grouping together
�,
MAX HIGH VOLUME IRRIGATION � , qO, SQFT of any type of water emitter and irrigation equipment
/ operated s'- aneously by the control of a timer and
a sing'
C. PREPARE AND ATTACH A HYDROZONE PLAN:
ON A COPY OF THE SITE PLAN OR SURVEY(RESIDENTIAL APPLICANT`' Q/ 4N (NON-RESIDENTIAL
APPLICANTS), INDICATE THE LOCATION OF THE FOLLOWING Ar' \ C"�' TRAGES BELOW:
C
❑ HIGH WATER USE HYDROZONE(S) [ALLAPPLICANT' DcJs �j� -%TLA
High Water Use Hydrozones contain plants that real e � -ear.These areas include
turf and lawn grasses and are typically charactrVolume Irrigation is
used.High Water Use Zones shall be placed I, v- ! 0
11MODERATE WATER USE HYDROZONE(S, \ 0 �� %TLA
Moderate Water Use Hydrozones contain plants b. C e of rainfall or
when they show visible stress such as wilted foliage \ �(�� 'ds.
C/
❑ LOW WATER USE HYDROZONE(S) [NON-RESIDEI %TLA
Low Water Use Hydrozones contain plants that rarely reqs .,e dry
periods,such as native shrubs and vegetation,established t,
❑ MOISTURESENSOR(S) [ALLAPPLICANTS] At least one ,ationZone.
❑ EMITTERS [ALL APPLICANTS] Emitters shall be sized and spac, jl on to impervious surfaces.
City of Atlantic Beach•800 Seminole Road*Atlantic Beach,FL 3221 147.5800•(F)904.247.5845•www.coob.us
ALL
* INFORMATIONPlumbin Permit Application HIGHLIGHTEDIN .
City of Atlantic Beach Building Department GRAY IS REQUIRED.
' n
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: U` /� PROJECT, UE
124' � !J�
❑NEW OR REPLACEMENT INSTALLATION and/or ❑RE-PIPE
^_ W
0
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
_jE �.
Bathtub Septic Tank& Pit J C� < ca
Clothes Washer Shower ,* o- < Nr
Dishwasher Shower Pan C) WC) M t: Z Omt: z �
Drinking Fountain Slop Sink U U_ V o
Floor Drain Three Compartment Sink LU
p 13 Z
Floor Sink Toilet O ct 0
Hose Bibs Urinal U I-_amCn i—
CC
Sink Vacuum Breakers 0 2
Laundry Tray Water Connected Appliances a O w w
Lavatory Water Heater LLI 9 n' LC
zi IMw
4 0
Other Fixtures Water Treating System uj
O iu :s
❑MISCELLANEOUS LU
❑ Sewer Replacement cc
flack Flow Preventer
VLawn Sprinkler System (number of sprinkler heads),�j _
❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Well **SJRWD 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.
Owner Name: 141 V6,;2�-,5,f Phone Number:
Plumbing Company: ly,— �' )NCdtJ Office Phone: 42W-,'/A35"jq ,fax
Co. Address: t 1 l a GC'j pLe-hx City: /Zr ��/S State:,4 Zip:
License Holder: &_1j?jdljib Al State Certification/Registration#
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this day of g 20j�in the State of Florida,
County of I2II.t J Ct
Signature of Notary Public
coir?:?ye c.I JENNIFER JOHNSTON
MY COMMISSION#GG 042984 ` ersonally Known OR [ ] Produced Identification
'n:
<= EXPIRES:October 27,2020 Type of Identification:
I''.o':r•QQ`' Bonded Thru Notary Public Underwriters
Updated 10/17/18