Permit Irrigation 605 Plaza 2011 s ..;v rj ; ., City of Atlantic Beach APPLICATION NUMBER
f' S, Building Department
(To be assigned by the Building De rtment.)
r . 800 Seminole Road // l / �w
'f': Atlantic Beach, Florida 32233 -5445 / cY
Phone (904) 247 -5826 Fax (904) 247 -5845 /-
- 4 ostiv E -mail: building- dept @coab.us Date routed: (.! z/1/
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6 P/&Tz L Department review required Yes No
Applicant: kbS V S _ Planning & Z� Zv
1 Tree Administrator
Project: / 11/ 5/-1. 7 . / ern Public Works
Public Utilities
Public Safety
Fire Services
Review fee I ° ' `'
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verged 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: pproved. ❑Denied.
(Circle one.) Comments:
BUILDING /
PLANNING & ZONING (P /2 /a it
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: QApproved 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
JOB ADDRESS: &C P41 Z — 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 ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
LQLawn Sprinkler System - Number of Heads /4,0' ❑ Well **
�{* SJRWD Well Completion Form. Completed f rm 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.
e Th
Property Owners Name f L C 00) y /L/A Phone Number S? 5 — /,?S'y
Plumbing Company Xj /OF Office Phone 3 3 3 S Fax 377- 9y 9
Co. Address: t2 ?4' 7 /� 04 rt 444 .0g J-1 City 1. State /`=/ Zip 3 z Z 2�
License Holder (Print): / /2 , State Certification/Registration ier / a7'b (
Notarized - _ — —
_ - SHIRLEY L GRAHAM
*. MY COMMISSION # 6!3 957F60 o and subscribed befor - mj s , • ay • f .. LI,
bnlar 14, 2 w 2011
EXPIRES: Fe
%T '' Bonded Thnr Notary Public Underwriters
Rj ' - _ ure of Notary Publi • lifit
' ` CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
J ' " � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002165 Date 6/03/11
Property Address 605 PLAZA
RE number . 169463 -0138- -
NCR OLD ACCOUNT NUMBERS . . AB13001
Application type description IRRIGATION /SPRINKLER
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
SKOWYRA, TED KDS VENTURES LLC
12347 HARBOR WINDS DR N
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 626 -3423
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 62.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/30/11
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.
(/ :-
Florida Friendly Landscapes
3 ' \ IRRIGATION COMPLIANCE CHECKLIST
/ li
..
...'.77
// !
DATE 5 >7/ ' f
A. PROVIDE PROJECT INFORMATION:
/ f 5 2 RESIDENTIAL,
ADDRESS ( y 1 /0 Z NEW INSTALLATION
RESIDENTIAL,
CONTRACTOR UPGRADE /REPLACE
_ NON- RESIDENTIAL,
OFFICE CELL 2 5 /29Z-- FAX NEW INSTALLATION
rN
NON- RESIDEN I IAL,
EMAIL 1 K-U't t 1‘. ,' _ t,.; I ; . 7. • C.. re -_i-: . UPGRADE/REPLACE
B. CALCULATE MAXIMUM HIGH OLUME IRRIGATION: HYDROZONE Shall mean an irrigation watering zone
` f in which plant materials with similar water needs are
TOTAL LOT AREA / ` 0 SQ grouped together.
TOTAL IMPERVIOUS SURFACE AREA - 7 (...) t2 CJ 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
C; 0 0 0 SQ FT flow rate, per emitter, of thirty (30) gallons per hour
TOTAL PERVIOUS ARLA/I ANDSCAPE , (gph) or one -half (S) gallons per minute (gpm) or
—
greater.
(PER SECTION 24- 181(bi(4)lij x 0.60
IRRIGATION ZONE shall mean the grouping together
L S — VC) 0 SO FT of any type of water emitter and irrigation equipment
MAX HIGH VOLUME IRRIGATION 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 TILE
LOCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW.
f HIGH WATER USE HYDROZUNE(S) LA ?L,GC�,TS? /0 C) 0 SQ FT . " ?STLA
High Water Use Ilydruzwits 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 he placed on u separate irrigation zone.
7 MODERATE WATER USE HYDROZONE(S) r.'t:'i- P:r'CtNr /4. Ovtr'r 5Q F I °5 TLA
Moderate Water Use Nydrozones contain plants that once twubiished, require irrigation every two to three weeks In ahsence of rainfall or
when they show visible struts such as wilted foliage or pole rn)nr. The are typically perennials, seasonal plants and flower beds.
i LOW WATER USE HYDROZONE(S) O.N PFSnF . tat ONLY1 50 FT °i TLA
Low Water Use Hydroznne_c contain plants that rarely require supplemental watering and that are drought tolerant during extreme dry
periods, .such as nutwe shrubs and vegetation, established trees and ground rovers, and wooded areas.
7 ,MOISTURESENSOR(S) [An AFFVC:41,751 A t /cast one (1) moisture sensor shall be located in aril irrigation Zone.
'2 L e:'-'-'6w,....5
EMITTERS (AU AM "?•')TS, Emitters shall be sized rind spa. to avoid excessive o•ersprav on to impervious sutfut es.
city at Beach • 800 Seminole Road - Atlantis, Beach, Florida 3273.7
(P) 904247.5800 • (F) 904.247.5845 • w wrnah.us CUPT° IL E
PLUMBING PERMIT APPLICATION
CiTY OF ATLANTIC BEACII
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 FF�a_ x 247 -5
FOB ADDRESS: "' J I ( --A" - °A (7 jL f" J t' ee - � � P ERMIT #
' LW OR REPLACEMENT iNSTALLATION: Project Value S
TYPE OFFIXTURE QT}' TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Dram Three Compartment Sink
Floor Sink _ Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
I.aundty° Tray Water Connected Appliances
Lavatory — Water i !eater
Other Fixtures Water Treating System
tE -PIPE:
Ti',. Y OF FIXTURE Qn T rrE OF FIXTURE Qn •
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher _..� Shorter 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 2 Grease Interceptor ('Trap) gallons (Requires 3 sets of plans)
/Lawn Sprinkler System - Number of Heads / fri Well * *
** SI /RWT) Well Completion Form. Completed Corm to be submitted to the Building Department for final inspection. **
_ Other
Permit becomes void if work doe; rot commer.c: within a six month period or work is suspended or abandoned for six month;. t hereby cenify that t ha%a read
his app ic`ation and know the same to he true and correct. All pro%isions of laws and ork.li=wes governing this work will be complied with whether 5prcttied
ar not. The permit does not give authority to violate the pro. i.ion: of any other state or local late regulation construction or the performance ofcons-Am: ion_
Property Owners Name 0/7 /' 4 > % t1;. -r- r Phone Number $' /4 2 --
Plumbing Company Office Phone Fax
Co. Address: Cite S tate Zip _ _
License Holder (Print): IN1 kk} '� 1 e Certification/Registration T
;Notarized Sigmsir(re o License Holder t �
.- Sworn and subscribe belhre me this day of 20
Signature of Public
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