Permit Irrigation 745 Redfin 2011 7 7 --
CITY OF ATLANTIC BEACH
�. ry 800 SEMINOLE ROAD
,° :S ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
5 3C
Application Number 11- 00001704 Date 2/28/11
Property Address 745 REDFIN DR
Application type description IRRIGATION /SPRINKLER
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
INSTALL IRRIGATION SYSTEM
Owner Contractor
COOPER AARON OWNER
745 REDFIN DRIVE
ATLANTIC BEACH FL 32233
Permit PLUMBING PERMIT
Additional desc . INSTALL IRRIGATION SYSTEM
Permit Fee . . . 62.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/27/11
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 62.00 62.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 66.00 66.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
J nn( Ph (904) 247 -5826 Fax (904) 247 -5845
7
JOB ADDRESS: 175 V�2 t-W ' tf /-- 1( ea 22 23 PERMIT #
1
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: F E COPY
❑ Sewer Replacement ❑ Ba ck Flow P>2v n er ❑ G rease Interceptor (Trap) p ( p) gallons (Requires 3 sets of plans)
Lawn Sprinkler System - Number of Heads 1g ❑ 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 authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name A mow COQ' Phone Number 2-3 35iLi
Plumbing Company lit^/ylejsr O f f i c e Phone 7 , 0 1 6 - 7 ? Fax
Co. Address: City State Zip
License Holder (Print): State Certification/Registration #
Notarized Sig ; - - - - , = ' • �iAS I 4
f! ;..;.„ , t ` ' : M ' _ DEBORAH A. WHITE -1
C
i
OMMISSION a R;, �,q . , d subscribed before m s . y o. ' 20 I/
-1' Y EXPIRES Ma
y21 Aro , ry Yb1,2011 J � i / i ✓, r
Notify puWio : , .,.:
- of Notary Public
. `.zL1 r
�rP,
�� CITY OF ATLANTIC BEACH
®WNER / BUILDER AFFIDAVIT
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455- 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT (247 -5826) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER- BUILDER PERMIT.
-7 H5 P1 c,- N r- 23q--3%--1
ADDRESS PHONE NUMBER
A Ar<0t CS Do PE
PRINT NAME
Z it
S NATURE DATE
Before me this �-^' day of // 20 (/ in the county of
Duval, State of Florida, has person II appeared herin by himself / herself and affirms that
all statements and declarations are and accurate. ��[y
Notary Public at Large, tate oi , County gH � 7
sonally Known ! C
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Notary Signature:
F: BLDG / Owner - Builder Affadavit; REVISED: 4/16/2009
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Florida Friendly Landscapes
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= • IRRIGATION COMPLIANCE CHECKLIST
\/ pill 9
DATE 2 -2 4 '
A. PROVIDE PROJECT INFORMATION:
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ADDRESS ! '`tcl 14 RESIDENTIAL, NEW INSTALLATION
RESIDENTIAL,
CONTRACTOR UPGRADE /REPLACE
-�
OFFICE CELL J 3t NON - RESIDENTIAL, FAX NEW INSTALLATION
EMAIL A lkOiJ • eC I NON - RESIDENTIAL,
C W V �% @ �vV�(i cow UPGRADE /REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION: HYDROZONE shall mean an irrigation watering zone
in which plant materials with similar water needs are
TOTAL LOT AREA 5 3 S Q FT grouped together.
TOTAL IMPERVIOUS SURFACE AREA - 2- SQ FT HIGH VOLUME IRRIGATION shall mean an irrigation
system that does not limit the delivery of water
directly to the root zone and which has a minimum
TOTAL PERVIOUS AREA /LANDSCAPE 5 3o3 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)ii] x 0.60
IRRIGATION ZONE shall mean the grouping together
MAX HIGH VOLUME IRRIGATION O
S' SQ FT of any type of water emitter and irrigation equipment
pt 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
LOCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW. �f
XHIGH WATER USE HYDROZONE(S) [ALL APPLICANTS] 1-2C0 SQ FT G 1 d %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.
7 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.
7 LOW WATER USE HYDROZONE(S) [NON - RESIDENTIAL ONLY] 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.
r MOISTURE 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) 904.24Z5845 • www.coab.us FFL- ICCv12.07.10
Y t1..A.vr 1r4 City of Atlantic Beach APPLICATION NUMBER
�s
Building Department (To be assigned by the Building De artment.)
sy 800 Seminole Road r 6
«? Atlantic Beach, Florida 32233 -5445
4 Phone (904) 247 -5826 • Fax (904) 247 -5845
r F3 !) . E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: `4C Department review required Yes No
Building
Applicant: P g & Zoning kr—
4
ree Administrato
Project: u is orks
Public Utilities
Public Safety
Fire Services
Re ie�fee 4 � = pe ,,u .: .r
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:
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 05/14/09