307 4th St Open Permits 12.10.21iL-16 IRRIGATION PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
s'
J City of Atlantic Beach PERMIT#
s, Building Department
800 Seminole Road Atlantic Beach, FL
J;3 ,/ (P)904-247-5800
DEL 022021
SITE INFORMATION
ADDRESS Li -tit BY:
PROJECT VALUE ).C'0 c. c.v
Contractor/Owner Irrigation Self Certification Checklist
Irrigation Standards: Please review all of the following standards prior to signing the certification section.
E High Volume irrigation,if used does not exceed 60%of landscape/pervious area
Example:Total lot area=5,500 sq.ft.;Impervious area=2,200 sq.ft.;Total landscape/pervious area=5,500-2,200=
3,300 sq.ft.; Maximum High Volume Irrigation=3,300 x 60%= 1,980 sq.ft.
lawns and turf areas that exceed 50%of the total landscape area of the lot,low volume irrigation may be used as
needed.
At least one(1)moisture sensor shall be located in each irrigation zone.
Emitters shall be sized and spaced to avoid excessive overspray on to impervious surfaces.
12'A hydrozone plan must be submitted that indicate areas to be irrigated and shows low,moderate and high water use areas.
Plans may be prepared by property owners or contractors on a copy of the survey or a site plan.
PZ backflow preventer must be installed for all irrigation systems. Backflow preventers must be tested by a certified tester
and results sent to Public Utilities.
Irrigation system shall be installed according to Section 24-178.
Permit becomes void if work does not commence within a six(6) month period or work is suspended or abandoned for six(6)
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 INFORMATION
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OWNER NAME Lt.v- I Q„II S u h01.5 7/7/./.0i4-1zp PHONE#9 —0 73 QI0
COMPANY fi ,c‘5 Lct -., ,pr s'.-h'e, OFFICE# 1,3 -0 Cl c
c2COMPANYADDRESS 7,„ 1J2 4 FAX#OAy
CITY O STATE (LL ZIP CODE 322/0 EMAIL /2 t S t,ve, /'Ro al-6-1'i I
LICENSE HOLDER CA4 YQ.Cit u 5 71eck-A STATE CERT/REGISTRATION# 1-6 5
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SIGNATURE OF LICENSE HOLDER PRINT OR
TYPEGt/
NAME --,,•,
DATESignedandswornbeforemeonthis2- day of D eco?b&r 2-0:21 by State of Fi-
G1/4 r 1,c17 On 6/ 1 IV County of D 14 it 1A
Identification verified:t F L• 0' L '
Oath S -:-...-_-- ---_--7—
f7/ L-tP. CHRISTIAN GILES
1,1 MNotary SignatureYCOMMISSION#HH 117153o3.2025
My Commission expires / /13/202.3
30 IRRIGATION PERMIT APPLICATION . .. •
IRR21-0022
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ANEF am: FORM BUAPO LOCATIONS. 1/24/20
LEGEND.
m CIChCRETE MC NUMENT
0 1110M PIRG aFiROO BCI( LAPD SURVEYORS, IPC.
0/E OVEAHEACI ELECTRIC Esc EMaas0F S7AEET Raa(c ME 1881
C/A CENTER OF ROAD 385-
6334E.
FLORICA 12507
x aROSS—CUT Ie eoNcrtETE GENERAL NOT S: m, 36e—6334 FAX 1vury .ae—ase7
moil: cAficeOe(Mar eeurvaycse.acm
EA EDGE CIF ASRIIA1.TLE 7F1931.) TFTs is a: Boundorp, Topographical
one Tree 9..rvey.
As bast determined from on
2.)) Pa ctsircct of Title ftrriahec. MJ\•
inspection of Floac Insurcnee Rate 3.) Pat abstracted for easements. V,.
Mop: 120075 0409 4. Basis of Bearings: Assumoc LCUW..EVERETT RES 10..4095
Mop;
11/2/'8, tte lands/house S. 831-151'-36' W. clang the
alaonald9iassyo,
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Wesurve>ed lie in Zone "X".
Nor
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line of Ott Street.
Net ve 6( wars Surotrie Officki Sd Y embole( hereon.
7
SCALE' 1'-2(I' DATE: 3/20/20 FRU BOC1K10(9 PAGE '6 I DRAFTSMAN•RLAB/HGIEI CRDER # 2C-47-4 - 6
FLETCHER WILLIAM DAVID
101 BENT PINE CT
Invoice Date: 12/10/2021
Record # Record Type Fee Group Fee Description Quantity Amount
IRR21-0026 IRRIGATION BUILDING BUILDING PERMIT 0 $65.00
STATE SURCHARGES STATE DBPR SURCHARGE 0 $2.00
STATE DCA SURCHARGE 0 $2.00
$69.00
Invoice Total: $69.00
Printed: Friday, December 10, 2021 10:18 AM 1 of 1
Please send your payment to this address:
,
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL, 32233
INVOICE #
INV-5312
Date Due: 1/9/2022
LIST OF INSPECTIONS
SEQ
ID SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
ELECTRICAL
FINAL**Mike Jones
Notes:
2/2/2021 2/2/2021 ELECTRICAL
ROUGH Rick Bell PASSED
Notes:
Bruce: 762-1522
10/25/2021 10/25/2021 ELECTRICAL EARLY
POWER Rick Bell PASSED
Notes:
Bruce 762-1522
Permit Number: ERES20-0134
Site Address: 307 4TH ST
City, State Zip Code: Atlantic Beach, Fl 32233
Applied: 6/17/2020 Approved: 6/17/2020
Issued: 6/25/2020
Parent Permit: RES20-0074
Parent Project:
Applicant: <NONE>
Owner: FLETCHER WILLIAM DAVID
Contractor: <NONE>
Description: NEW SERVICE - 200 amp
Finaled:
Status: ISSUED
Details:
Printed: Friday, 10 December, 2021 1 of 1
Permit Inspections
City of Atlantic Beach
LIST OF INSPECTIONS
SEQ
ID SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
MECHANICAL GAS
FINAL**Mike Jones
Notes:
2/1/2021 2/1/2021 MECHANICAL GAS
ROUGH Rick Bell PASSED
Notes:
Kelly: 271-9615
Permit Number: GSRS21-0004
Site Address: 307 4TH ST
City, State Zip Code: Atlantic Beach, Fl 32233
Applied: 1/14/2021 Approved: 1/14/2021
Issued: 1/21/2021
Parent Permit: RES20-0074
Parent Project:
Applicant: <NONE>
Owner: FLETCHER WILLIAM DAVID
Contractor: <NONE>
Description: GAS PIPING - 250 gal TANK, 2 WATER HEATERS & 3
OUTLETS
Finaled:
Status: ISSUED
Details:
Printed: Friday, 10 December, 2021 1 of 1
Permit Inspections
City of Atlantic Beach
LIST OF INSPECTIONS
SEQ
ID SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
MECHANICAL
HVAC FINAL**Mike Jones
Notes:
MECHANICAL
HVAC ROUGH Mike Jones
Notes:
2/3/2021 2/3/2021 MECHANICAL
HVAC ROUGH Rick Bell FAILED WITH
FEE
Notes:
Ben: 669-7442
no manual d
Permit Number: ACRS21-0022
Site Address: 307 4TH ST
City, State Zip Code: Atlantic Beach, Fl 32233
Applied: 2/1/2021 Approved: 10/12/2021
Issued: 2/2/2021
Parent Permit: RES20-0074
Parent Project:
Applicant: <NONE>
Owner: FLETCHER WILLIAM DAVID
Contractor: <NONE>
Description: 2 AC Units 5 Ton, 2 Ton
Finaled:
Status: ISSUED
Details:
Printed: Friday, 10 December, 2021 1 of 1
Permit Inspections
City of Atlantic Beach