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1723 E Park Ter IRR21-0024 IrrigationOWNER:ADDRESS:CITY:STATE:ZIP: JOHNSON DEREK 48 CORAL ST ATLANTIC BEACH FL 32233-5825 COMPANY:ADDRESS:CITY:STATE:ZIP: HULIHAN TERRITORY P O BOX 331268 ATLANTIC BEACH FL 32233 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172020 0400 SELVA MARINA UNIT 08 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1723 E PARK TER IRRIGATION IRRIGATION SYSTEM FOR NEW SINGLE FAMILY HOME $1750.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL Notes: Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5878. 2 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL Notes: Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. 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: 12/8/2021 PERMIT NUMBER IRR21-0024 ISSUED: 12/8/2021 EXPIRES: 6/6/2022 IRRIGATION 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 $60.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.10 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $144.10 3 PUBLIC UTILITIES RPZ BACKFLOW INFORMATIONAL Notes: A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. Inspection Form Attached. 2 of 2Issued Date: 12/8/2021 PERMIT NUMBER IRR21-0024 ISSUED: 12/8/2021 EXPIRES: 6/6/2022 IRRIGATION PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $144.10 IRR21-0024 Address: 1723 E PARK TER APN: 172020 0400 $144.10 BLDG SUBSEQUENT PLAN REVIEW FEES $50.00 BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00 BUILDING $60.00 BUILDING PERMIT 455-0000-322-1000 0 $60.00 BUILDING PLAN REVIEW $30.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 STATE SURCHARGES $4.10 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.10 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R18225 $144.10 Printed: Wednesday, December 8, 2021 1:49 PM Date Paid: Wednesday, December 08, 2021 Paid By: HULIHAN TERRITORY Pay Method: CREDIT CARD 557301273 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R18225 IRR21-0024 PUBLIC UTILITIES PLAN REVIEW COMMENTS APPLICATION TRACKING COMMENTS Check Box to Add Comment Check Box to Print Underground Water Sewer Utilities Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5878.   Meter Boxes Sewer Cleanout Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.   RT1 Sewer Cleanout A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible.   RPZ Backflow A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. X X Sensus Touch-Read Meter Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities.   Fire Sprinkler Backflow Requirement If fire sprinkler system is provided, call 247-5878 for backflow requirements. At a minimum, will require a double check backflow preventer.   Fire Line Meter Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2” must be installed in a vault as noted in JEA specifications.   Utility Map See attached Utility Map.   Disconnect & Cap Disconnect and cap water and sewer lines.   Inspection Prior MUST call the Inspection Line at 247-5814 to request an inspection of the disconnected and capped water and sewer lines PRIOR to demolition.   Utility Inspections All water & sewer utility connections must be inspected prior to cover up. Please call the inspection line at 247-5814 to schedule inspections 24 hours in advance. Failure to schedule utility connections may result in failed inspections and additional fees, and delays in utility services.   System Development Fees All fees must be paid for water & sewer connections before meters will be set. Please call the finance department customer service line 247-5816 to coordinate payment of fees.     CITY OF ATLANTIC BEACH—BACKFLOW PREVENTION ASSEMBLY TEST REPORT City of Atlantic Beach Utilities 902 Assisi Lane Jacksonville, Florida 32233 Phone: 904-247-5886 Service Address: Certified Testing Company Information: ___________________________ ______________________________ ___________________________ ______________________________ ___________________________ ______________________________ Account#: ______________________________ Meter#: _______________________________ Meter Size: _____________________________ Device: ________________________________ Location: ______________________________ Reduced Pressure Principle Assembly Double Check Valve Assembly Check Valve #1 Check Valve #2 Relief Valve PVB/SVB Initial Test: Leaked Closed Tight Held At ________PSID Leaked Closed Tight Held At _________PSID Did Not Open Opened at _______PSID Air Inlet Did Not Open Opened at ______PSID Repairs: Details: Cleaned Replaced Cleaned Replaced Cleaned Replaced Check Valve: Leaked Held at _______PSID Cleaned Replaced Final Test: Closed Tight Held At __________PSID Closed Tight Held At _____________PSID Opened at _______PSID Air Inlet: Opened at _____PSID Check Valve: Held at ________PSID Line Pressure: _________________ Meter Reading: ________________ Held Backpressure: ______________ #2 Shutoff: ___________________ Relief Valve Exercised: __________________ Comments: ________________________________________________________________________________________________ The Above Report is certified to be true. Date/Time: Tester: Signature Tester # Test Kit Passed Failed Initial Test _______________________________________________________________________________________ Repairs__________________________________________________________________________________________ Final Test: _______________________________________________________________________________________ PVB DC RP DCDA Air Gap RPDA AVB SVB