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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 n i t i a l Re p a i r s Fi n a l 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