60 W Dutton Island Rd IRR23-0023 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
HIONIDES LUCKY 56 WEST DUTTON ISLAND RD ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
DUVAL IRRIGATION LLC 1227 FOX MEADOW TRAIL MIDDLEBURG FL 32068
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172097-0020
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
60 W Dutton Island Rd IRRIGATION Private Provider Inspections
- Irrigation $2000.00
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. State Law requires calling Sunshine 811 to have ALL public utilities located BEFORE beginning the work.
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. Tester Form Attached
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: 12/15/2023
PERMIT NUMBER
IRR23-0023
ISSUED: 12/15/2023
EXPIRES: 6/12/2024
IRRIGATION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $65.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.21
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $151.71
3 PUBLIC UTILITIES SEE ATTACHMENT INFORMATIONAL
Notes:
Tester Form Attached. Must return tested/passed RPZ Backflow Preventer form to Public Utilities. jdsmith@coab.us
2 of 2Issued Date: 12/15/2023
PERMIT NUMBER
IRR23-0023
ISSUED: 12/15/2023
EXPIRES: 6/12/2024
IRRIGATION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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 Initial Repairs Final 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
LORID
SITE INFORMATION
ADDRESS
City of Atlantic Beach Building Department 800 Seminole Road
(P) 904-247-5800
|High Volume irrigation, if used does not exceed 60% of landscape/pervious area
CITY
60 Dutton Island Rd PL--00e Irrigation Standards: Please review all of the following standards prior to signing the certification section.
ON PERMIT APPLICATION
IAleast one (1) moisture sensor shall be located in each irrigation zone.
OWNER NAME
* 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.
OWNER INFORMATION
COMPANY
Atlantic Beach, FL 32233
For lawns and turf areas that exceed 50% of the total landscape area of the lot, low volume irrigation may be used as
peeded.
Emitters shall be sized and spaced to avoid excessive overspray on to impervious surfaces.
Irrigation system shall be installed according to Section 24-178.
Contractor/Owner Irrigation Self Certification Checklist
Middleburg
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.
LICENSE HOLDER
RPZ backflow preventer must be installed for all irrigation systems. Backflow preventers must be tested by a certified tester
and results sent to Public Utilities.
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.
COMPANY ADDRESS 1227 Foxmeadow Trail
Anthony Chiellino II|
Duval Irrigation, LLC
SIGNATREOF LICENSE HOLDER
Signed and sworn before me on this
Anthony Chiellino Il|
hhay Chiellns L
Oath Sworn:YesNo
STATE FI
30 IRRIGATION PERMIT APPLICATION 11.10.2021
day of
PROJECT VALUE
ZIP CODE
identification verified QLH Ctsoayts1240
PERMIT#
PRINT OR TYPE NAME
Splenbe
CORDERIUS L. HARRISON
Notary Public -State of Florida
Commission # HH 311854
32068
My Comm. Expires Sep 14, 2026
FOR INTERNAL OFFICE USE ONLY
PHONE #
OFFICE #
FAX #
EMAIL
STATE CERT/REGISTRATION #
$2000.00
Notary Signature
by
My Commission expires
duvalirrigation @gmail.com
904-588-5999
904-588-5999
IR-284
State of
County of
DATE
IRR23-0023
1,,Revision Request/Correction to Comments ALL INFORMATION
HIGHLIGHTED IN
JCity of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
fl--.2;69:,7
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I, 1 V 2--5- OoZ.3
Revision to Issued Permit OR 0 Corrections to Comments Date: / /?/ -
I
Project Address: (j 0 U/
7 j 1 I n I ; /Gl/! J. C !)
Contractor/Contact Name: l/ e• )(
171r
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a)
Contact Phone: C, 7 L 1 6 IS b Email: 60 di je- T.U1 6'61,,-11.--,7 ,/,,... 40,,,,.,,,t
Description of Pr posed Revision/Corrections:
Tttj n 17 ) d ZO4 c— p //In
affirm the revision/correction to comments is inclusive of the proposed changes.
Printed name)
ill proposed revision/corrections add additional square footage to original submittal?
No Yes (additional s.f. to be added:
ill proposed revision/corrections add additional increase in building value to original submittal?
No *Yes (additional increase in building, •contractor must sign if increase in valuation)
Signature of Contractor/Agent'//
Office Use Only)
Approved Denied LI Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18