65 SHELL ST - IRRIGATION ,( r ss • j
-slAn:r1 City of Atlantic Beach APPLICATION NUMBER
is Building Department (To be assigned by the Building Department.)
800 Seminole Road // n _
s Atlantic Beach, Florida 32233-5445 CO - ( �" Zd CD
Phone(904)247-5826 Fax(904)247-5845
�„o;;fig%- E-mail: building-dept @coab.us Date routed: Z ��� c./,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
I Building
Applicant: �l 01-1 F E AN-' ( ERR cr n annin •
Y ee Administrator
Project: HZ R. Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: �✓�.�/ ( Date: 21//1
TREE ADMIN. Second Review: ['Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 1 ,_ j R R _2 0 0
JOB ADDRESS: ly S- S� e/( S 7/Y`c< PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
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 Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
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 Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement [rack Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Ilir(wn Sprinkler System-Number of Heads 2-D ❑ Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
Permit becomes void if work does not commence within a 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 correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give author'ty to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name l'►, ///r5 Ul./ /4,j- Phone Number L9 9 F�
y y
Plumbing Company tit /k l /rte/r• .,,,7c . Office Phone dig tfiar— Fax Z 7d 2-74--5 d
Co. Address: %/ ?7 'km f____ /I lv) City ' State/- Zip ›1 Z 3>
License Holder(Print): �e7j/ / /A if State Certification/Registration# - 37
Votarized Signature of License Hoider 10
? i i; NI INDLESPERG 1•
, 4: , ;. MYIeFt ,i day o / • >• I 20 t -∎00
v.72,-,......A: EXPIRES:October 6,2019 I �.
� ;;i; e. ...`�'►i @kik'.• :i ra■qis .,1, Public e r
1
.- Florida Friendly Landscapes
�' -= .�
f�; • ki -'',s IRRIGATION COMPLIANCE CHECKLIST
tj V -r
'v4JSiIQ`'
DATE (• Z _/6
A. PROVIDE PROJECT INFORMATION:
ADDRESS S 7k e (( S L >-� — tteSID
NEW INSTALLATION
�- RESIDENTIAL,
CONTRACTOR bk4j4 [C /'/j(- I UPGRADE/REPLACE
OFFICE Z '-,5-5"- ---d 5 CELL FAX$-4(5"�(, FAX - 7O zZ f a r NEW INSTALLATION
/'L NON-RESIDENTIAL,
EMAIL 7 //� tit /%G4 ZO 'r (.t C0 41 I UPGRADE/REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION: HYDROZONE shall mean an irrigation watering zone
SQ FT in which plant materials with similar water needs are
TOTAL LOT AREA 5 Z 5 0 grouped together.
TOTAL IMPERVIOUS SURFACE AREA - 2_ID Z I SQ FT HIGH VOLUME IRRIGATION shall mean an irrigation
system that does not limit the delivery of water
7- 1 directly to the root zone and which has a minimum
TOTAL PERVIOUS AREA/LANDSCAPE 11
�6 z SQ FT flow rate, per emitter, of thirty (30) gallons per hour
(gph) or one-half (.5) gallons per minute (gpm) or
greater.
(PER SECTION 24-181(b)(4)ii1 x 0.60
IRRIGATION ZONE shall mean the grouping together
MAX HIGH VOLUME IRRIGATION
/ 5-7 7, U U SQ FT of any type of water emitter and irrigation equipment
operated simultaneously by the control of a timer
and a single valve.
C. PREPARE&ATTACH A HYDROZONE PLAN:
ON A COPY OF THE SITE PLAN OR SURVEY(RESIDENTIAL APPLICANTS)OR A LANDSCAPE PLAN(NON-RESIDENTIAL APPLICANTS),INDICATE THE
OCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW.
HIGH WATER USE HYDROZONE(S) [ALL APPLICANTS] 154-- D d SQ FT 3 0 %TLA
High Water Use Hydrozones contain plants that require supplemental watering on a regular basis throughout the year. These areas
include turf and lawn grasses and are typically characterized by high visibility focal points of landscaping design where High Volume
Irrigation is used. High Water Use Zones shall be placed on a separate irrigation zone.
r. MODERATE WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY] SQ FT %TLA
Moderate Water Use Hydrozones contain plants that,once established,require irrigation every two to three weeks in absence of rainfall or
when they show visible stress such as wilted foliage or pale color. These are typically perennials,seasonal plants and flower beds.
LOW WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY] DO 0 SQ FT /? %TLA
Low Water Use Hydrozones contain plants that rarely require supplemental watering and that are drought tolerant during extreme dry
periods,such as native shrubs and vegetation,established trees and ground covers,and wooded areas.
Fj/M<ASTURE SENSOR(S) [ALL APPLICANTS] At least one(1)moisture sensor shall be located in each Irrigation Zone.
r EMITTERS [ALL APPLICANTS] Emitters shall be sized and spaced to avoid excessive overspray on to impervious surfaces.
City ofAtlantic Beach • 800 Seminole Road • Atlantic Beach,Florida 32233
(P)904.247.5800 • (F)904.247.5845 • www.coab.us FFL-ICCv12.07.10
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