387 BELVEDERE ST IRR21-0012 IrrigationOWNER:ADDRESS:CITY:STATE:ZIP:
KATE OBRIEN 387 BELVEDERE ST ATLANTIC BEACH FL 32233-4111
COMPANY:ADDRESS:CITY:STATE:ZIP:
SIMS HICKORY CREEK
NURSERY 12615 IVYLENA ROAD JACKSONVILLE FL 32225
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170703 0274 SEASPRAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
387 BELVEDERE ST IRRIGATION IRRIGATION 35 HEADS $3000.00
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 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: 2/1/2022
PERMIT NUMBER
IRR21-0012
ISSUED: 2/1/2022
EXPIRES: 7/31/2022
IRRIGATION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 3RD PLAN REVIEW FEE 455-0000-322-1006 0 $75.00
BUILDING PERMIT 455-0000-322-1000 0 $70.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.70
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $184.70
2 of 2Issued Date: 2/1/2022
PERMIT NUMBER
IRR21-0012
ISSUED: 2/1/2022
EXPIRES: 7/31/2022
IRRIGATION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $184.70
IRR21-0012 Address: 387 BELVEDERE ST APN: 170703 0274 $184.70
BLDG SUBSEQUENT PLAN REVIEW FEES $75.00
BLDG 3RD PLAN REVIEW FEE 455-0000-322-1006 0 $75.00
BUILDING $70.00
BUILDING PERMIT 455-0000-322-1000 0 $70.00
BUILDING PLAN REVIEW $35.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
STATE SURCHARGES $4.70
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.70
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R18647 $184.70
Printed: Tuesday, February 1, 2022 1:32 PM
Date Paid: Tuesday, February 01, 2022
Paid By: SIMS HICKORY CREEK NURSERY
Pay Method: CREDIT CARD 581629817
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18647
i
YLUMIINNLi YLK1VII t 1-trrL n-tt 1 von
t CITY OF ATLANTIC BEACH
800 Se "nole Rd Atlantic Beach,FL 32233
Ph(9 )247-5826 Fax(904)247-5845
FOB ADDRESS: 10 t / l',. PERMIT#
STEW OR REPLACEMENT INSTALLA7'ION: Project Value$ 3, 000
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray 1 Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE OF FIXTURE TY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer I Shower
Dishwasher I Shower Pan
Drinking Fountain Slop Sink
Floor Drain I Three Compartment Sink
Floor Sink i Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS: 1
Sewer Replacement WBaek Flow Pre enter H Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of He. •s 3J Well
SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
ri Other
Permit becomes void if work does not commence within 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 correc 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 .tovisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name VAIV./ Ot IP'r \1,ty Phone Numbe>C303 1T3 i '
I
Vim
Plumbing Company 51 _5 •1 —Alf ._
t 5&f& Office Phone Z .1 — 322'j Fax KI (q
Co.Address: 121015 \Vy I.E hl IA 9 ' City c 1 1GSOt I J Lomat&L Zip i2e
License Holder(Print): Q-0‘{ V S\tA State Certification/Registration# I " 2-3 S
Notarized Signature of License Holder i
Swoand subscribed before me this day of 20__
Sign of Notary Public
IRR21-0012