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1500 SELVA MARINA DR IRR24-0005 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: FAVERGRAY HOMES LLC 415 PABLO AVE UNIT 200 JACKSONVILLE BEACH FL 32250 COMPANY:ADDRESS:CITY:STATE:ZIP: DUVAL LANDSCAPE MAINTENANCE LLC 77011 Business Park N Jacksonville FL 32256 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 171982 0000 SELVA MARINA UNIT 04 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1500 SELVA MARINA DR IRRIGATION Irrigation $10000.00 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. 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: 2/20/2024 PERMIT NUMBER IRR24-0005 ISSUED: 2/20/2024 EXPIRES: 8/18/2024 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 $105.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.36 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $161.86 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. 3 PUBLIC UTILITIES SEE ATTACHMENT INFORMATIONAL Notes: See Attachment - Tester Form Must be completed by certified tester and returned to Public Utilities. 2 of 2Issued Date: 2/20/2024 PERMIT NUMBER IRR24-0005 ISSUED: 2/20/2024 EXPIRES: 8/18/2024 IRRIGATION PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 119s- L BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach Building Departments PERMIT# ZN —BUDS 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process Phone: (904) 247-5826 Email: Buildin =Dept@coab.us Job Address /5-On :Set LAA Vilii,t4-1,, RE# 17/% 'L -OQQC ,{-jIA Legal Description - SO-'2 I(p-25`"') 1& Selva /'1a.re o U_/ C1 Valuation of Work(Re•lacement Cost) /4 0(y)Heated/Cooled SF ` Non-Heated/Cooled SF Class of Work: InIsJew Addition Alteration 1= 1 Repair Move ['Demo El Pool Window/Door Use of existing/proposed structure(s): Commercial RResidential •If existing structure, is a fire sprinkler system installed?:Yes El No Will tree(s)be removed in association with proposed project? El Yes (Must submit separate Tree Removal Permit) K-No Describe in detail the type of work to be performed: irt.0)/01/6 -Litylvs L=F Irr-tyl--,`0/1"/5.- zp,"4-4 R40-45-r-S/S- Letite.: Dip Florida Product Approval#For multiple products use Product Approval Information Sheet) Property Owner Information Name (vie,,o,,, i to Phone Address I So (G= 'lie,(i,4'c City State Zip Email CfI b(G !'tCt wner.or Agent(If Agent, Power of Attorney or Agency Letter Required)ray.C Dw+ Contractor Information Name of Company i)0 JD,/ 3t 442,,,dripc-c-Phone X01.( 376 021L Address 76[1 I31/2,/L55 1)14 11.1 City ickafty•f/z State FL Zip 32,25-& Qualifying Agent h p uc State Certification/Registration# 2T- 3/N Email )06114-1-1 6) DUO"beld CO/4AJob Site Contact Number • Worker's Compensation Insurer L pez OR Exempt El Expiration D to -7/0 Itz,ZM Architect's Name Email Phone Engineer's Name Email Phone Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS,POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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 city/county, and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSU) /WITH OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 9F COM CE Signature Owner or Agent) ignature Contra or) S÷Signedandswornto(or affirmed)before me this day of Signed and worn to(or affir ed)before me this day of 6r q by an*. Evi. t_bwa 2024 by J0Sw SOvc,l t,e.-- Signature of Nota U Signature of Notary erson Known OR [ I Produced Identification Personally Known OR Produced Identification Type of Identification: Seals V.SU'- ---- Type of Identification: 0 L- LIANNA HIGGS li ., Notary Publicir g!: :*;,.. VANESSA ANGERS ski r State of Florida i• MY COMMISSION#HH 244118Comm#HH167074 Y•%-'`. P; EXPIRES:March 23,2026 Expires 8/19/2025 FP • CAL IRRIGATION PERMIT APPLICATIONFOR INTERNAL OFFICE USE ONLY City of Atlantic Beach BldiDrtntPERMIT# 1 C Yr800SeminoleRoadAtlanticBeach,FL 32233 t>> (P)904-247-5800 SITE INFORMATION ADDRESS /6-----o, e_ 'OA 416\r,,\nA 1) r PROJECT VALUE ,O, D) Contractor/Owner Irrigation Self Certification Checklist Irrigation Standards: Please review all of the following standards prior to signing the certification section. High Volume irrigation,if used does not exceed 60%of landscape/pervious area 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. For lawns and turf areas that exceed 50%of the total landscape area of the lot,low volume irrigation may be used as needed. At least one(1)moisture sensor shall be located in each irrigation zone. Emitters shall be sized and spaced to avoid excessive overspray on to impervious surfaces. 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. 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. Irrigation system shall be installed according to Section 24-178. 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. OWNER INFORMATION OWNER NAME 4/1Q,,,t II.JJ( , „ A.PHONE# I. 117 - Z3/ A (3 a 1 COMPANY pier ( OFFICE# '50g- 2_06-2600 COMPANY ADDRESS c hlln s.-7-6,-- ?-0D FAX# CITY gt_k STATE T( ZIP CODE 32.-2-50 EMAIL a(bra tkOv 'c..P; Cry r,cif, c C,.,, LICENSE HOLDER SOSkQ vc..-Q—er STATE CERT/REGISTRATION# 1 — 3,'CI SIGN URE-OF ICEN HO PRINT OR TYPE NAME DATE Sig ed and sworn before me on this "" day of t—ei9f1A, . 1 2029 by State of --ftS3Yl jt6V,Oa J . CUC- X County of 1)1A Ll.1 Identification verified: 'ft_OL Oath Sworn: Yes No Notary Signa t,,1YP'••,VANESSA ANGERS 3 23/i' : MYCOMMISSION#HH244118 My Commission expires_ t 30 IRRIGATION PERMIT APPLIO 16, H`.,0f2021 EXPIRES:March 23,2026g' is, Revision Request/Correction to Comments **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________ Revision to Issued Permit OR Corrections to Comments Date: ________________ Project Address: ____________________________________________________________________________________ Contractor/Contact Name: ____________________________________________________________________________ Contact Phone: ______________________________ Email: _________________________________________________ Description of Proposed Revision / Corrections: __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _______________________________ affirm the revision/correction to comments is inclusive of the proposed changes. (Printed name) • Will proposed revision/corrections add additional square footage to original submittal? No Yes (additional s.f. to be added: _____________________________) • Will proposed revision/corrections add additional increase in building value to original submittal? No *Yes (additional increase in building value: $____________________) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: _______________________________________________________ __________________________________________________________________________________________________ (Office Use Only) Approved Denied 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 IRR24-0005 1500 Selva Marina Dr DUVAL LANDSCAPE MAINTENANCE LLC (904)376-0212 joshua@duvallandscape.com Hydro zone plan attached 50.00 By vangers at 12:01 pm, Feb 09, 2024 By Mike Jones at 2:45 pm, Feb 12, 2024 X By vangers at 12:02 pm, Feb 09, 2024 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