1707 BEACH AVE IRR22-0001 IrrigationOWNER:ADDRESS:CITY:STATE:ZIP:
MALLOY JENNIE S 1707 BEACH AVE ATLANTIC BEACH FL 32233-5838
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:
169660 0000 NORTH ATLANTIC BCH
UNIT 1
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1707 BEACH AVE IRRIGATION IRRIGATION $1500.00
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 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 City of Atlantic Beach Approved certified tester and a copy of the results sent to Public Utilities.
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: 1/25/2022
PERMIT NUMBER
IRR22-0001
ISSUED: 1/25/2022
EXPIRES: 7/24/2022
IRRIGATION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
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
2 of 2Issued Date: 1/25/2022
PERMIT NUMBER
IRR22-0001
ISSUED: 1/25/2022
EXPIRES: 7/24/2022
IRRIGATION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
IRR22-0001 Address: 1707 BEACH AVE APN: 169660 0000 $94.00
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 $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R18587 $94.00
Printed: Tuesday, January 25, 2022 3:24 PM
Date Paid: Tuesday, January 25, 2022
Paid By: HULIHAN TERRITORY
Pay Method: CREDIT CARD 578804380
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18587
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
902 Assisi Lane Jacksonville, Florida 32233 Phone: 904-247-5886
Name of Premises: _____________________________________________ Account No: ____________________________
Service Address: _______________________________________________________________________________________
Mailing Address (If Different): ____________________________________________________________________________
Contact Person: ________________________________________ Phone Number: __________________________________
Type of Service: Process Fire Domestic Irrigation Other: ________________
Type of Assembly: ___________________________________ Manufacturer: _____________________________________
Model: ____________________________________________ Serial No: _________________________________________
Size: ______________________________________________ Location: _________________________________________
Gauge Manuf: _________________________Serial No: ________________________ Date Calibrated/Verified: _____________
Remarks: ______________________________________________________________________________________
I certify that the data in this report is accurate.
Tester Name (print) : _______________________________________ Date: ________________________________
Tester Signature: __________________________________________ Phone: _______________________________
Affiliation: ________________________________________________Cert No.: ______________________________
Tester Company: __________________________________________ Address:______________________________
THIS ASSEMBLY PASSED FAILED
Email completed form to Ebrown@coab.us/jdsmith@coab.us
I
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Check Valve #1 Check Valve #2 Relief Valve PVB or SVB
Closed tight
at __________ PSI
Leaked
Closed tight
at ___________PSI
Leaked
Opened at
__________PSI
Did Not open
Air inlet opened at _________ PSI
Did not open
Check Valve Held at _________PSI
Leaked
Cleaned only
Replaced:
Rubber Kit
CV Assembly
Disc
O-Rings
Seat
Spring
Stem/Guide
Retainer
Lock Nuts
Other, Describe
Cleaned Only
Replaced:
Rubber Kit
CV Assembly
Disc
O-Rings
Seat
Spring
Stem/Guide
Retainer
Lock Nuts
Other, Describe
Cleaned Only
Replaced:
Rubber Kit
CV Assembly
Disc
O-Rings
Seat
Spring
Stem/Guide
Retainer
Lock Nuts
Other, Describe
Cleaned Only
Replaced:
Rubber Kit
CV Assembly
Disc
O-Rings
Seat
Spring
Stem/Guide
Retainer
Lock Nuts
Other, Describe
Closed tight at
___________PSI
Closed tight at
___________PSI
Opened at _____PSI Air Inlet ______________PSI
Check Valve _____________PSI
IRR22-0001