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Permit Irrigation 431 Selva Lakes 2011 64 g ,� ' I, CITY OF ATLANTIC BEACH ..,. .. ..' , 4 it f v 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 h Application Number 11- 00002481 Date 8/16/11 Property Address 431 SELVA LAKES CIR Application type description IRRIGATION /SPRINKLER Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc new irrigation Owner Contractor RAINES KENDRA D OWNER 431 SELVA LAKES CIRCLE ATLANTIC BEACH FL 32233 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 2/12/12 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. . r i���r rJJ ,.. City of Atlantic Beach -t APPLICATION NUMBER ` \ Building Department O s (To be assigned by the Building Department) vi 800 Seminole Road -1 i j'°'7 // � F> -6 rl a : c, X J ' R'- -' `� - Atlantic Beach, Florida 32233- $` C/ y Phone (904) 247 -5826 - Fax (•' 347 - d ?® 1 / te J Pi Ip % . E -mail: b - dept ©coab.us Date routed: Of /e) j` Q g City web -site: http: //www.coab.us ,. ,, APPLICATION REVIEW ANA RACKING FORM Property Address: 4 3 / Sly /Vii Z (LL't s Department review required Yes No Building Applicant, Q GO E £ Planning & Zoning Tree Administrator Project: �� � � Q `Y� Public Works (Criiblic Utilities `Public Safety Fire Services .04 ViFrVV�;fc�1. '. - a -_ - -. p zo 't ...,.. ' ,,,._ . = +: 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: $ - 124 1 TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: P IJB U ILITIE R eviewed by: Yate: PUBLIC SAFETY L> FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: ftnni frill uthi Reviewed by: Date: Revised 07/27/10 Public Utilities Plan Review Comments Date: Si/till( Initials: ( �"r- Project Name/Address: y31 .Sti,vw9 Likes CSC. Application Permit #: 11 .LY • Cheek Box Application Tracking Comments to 4kdti Comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call ❑ 247 -5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and ❑ visible. A sewer cleanout must be installed at the property line. Cleanout must be covered ❑ with an RT1 concrete box with metal lid. Cleanout to be set to a ade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backilow preventer must be ❑ tee a certified tester and a copy of the results sent to Public Utilities. Plans note the builriing will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch -read meter in a properly sized vault and an ❑ appropriate backtlow preventer installed. Bac1c low preventer must be tested by a certified tester and a copy of the results .sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247 -5839 for back low requirements. At a minimum, will require double check backflow ❑ - preventer. Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" ❑ must be installed in a vault as noted in JEA specifications. • 0 • ❑ • PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: / LS . 4444..- /G G'f cIe 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 Drinkir- Slop Sink Floor I Three Compartment Sink Floor 1 Toilet Hose I Urinal Kitche Vacuum Breakers Laund Water Connected Appliances Lavatc Water Heater Other 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) A j - 'Lawn Sprinkler System - Number of Head Za ❑ Well ** * SJRWD Well Completion Form. Comple ed form t4 . • 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 'olate the provisions of other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Plumbing Company Office Phone Fax Co. Address: City State Zip aikt hieense-ifolder-(Print): State Certification/Registration # Notarized Signature of Lieettsrlividur- Sworn and subscribed before me this day of 20 Signature of Notary Public CITY OF ATLANTIC BEACH ll% WNER / BUILDER AFFIDAVIT 1. 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 AI.1ER 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. 11. INJURY LIABIUTY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. M. 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; UNUCENS D 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; 1 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. 1 0-46C_ °( �] RESS , r61ra IX�I C-e L 0 U f t - 19c4 ADD PHONE NUMBER CW S PRINT N E ? DIII SIGNAT RE !� � DAT X /� Before me this t1 day of U // 20B_ in the county of Duval, State of Florida, has personally a eared herin by himself / herself and affirms that all statements and declarations are a and accurate. Notary Public at Large, State of f , County o C ❑ P all Known fined Identification - ‘ (> p ) , �'�' • "•`: ; :•? SHIRLEY L GRAHAM 1 *; " MY COMMISSION 00 957760 i��m Notary Signature: _ r . �a� ;^ EXPIRES: February 14, 2014 qf f,°g` Bonde F:BLDG/Owner- Builder Affadavit REVISED: 4/16/2009 r i \1 r4 1 Florida Friendly Landscapes .a. IRRIGATION COMPLIANCE CHECKLIST DATE g' /( A. PROVIDE PROJECT INFORMATION: /� / /G. ESIDENTIAL, ADDRESS V.,/ c_ re �t tG f`. r I EW INSTALLATION RESIDENTIAL, I'7 CONTRACTOR titl -t r UPGRADE /REPLACE NON - RESIDENTIAL, OFFICE CELL FAX r NEW INSTALLATION NON - RESIDENTIAL, EMAIL r 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 3 3 grouped together. TOTAL IMPERVIOUS SURFACE AREA - i 1 7 1 7 S 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 / o 6 CJ 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 'e9 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 LOCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW. r HIGH WATER USE HYDROZONE(S) [ALL APPLICANTS] SQ FT %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. (- MODERATE WATER USE HYDROZONE(S) [NON - RESIDENTIAL ONLY] g U U SQ FT S U %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. WATER USE HYDROZONE(S) [NON ONLY] `, U SQ FT S %TLA Low Water Use Hydrozones contain plants that rarely require supplemental watering and that are drought tolerant during extreme dry p eriods, such as native shrubs and vegetation, established trees and ground covers, and wooded areas. ( MO ISTURE 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 of Atlantic Beach • 800 Seminole Road • Atlantic Beach, Florida 32233 (P) 904.247.5800 • (F) 904.247.5845 • www.coab.us FFL ICCv12.07.10 • U • Z U H u.. Z H w (52/8/1//1 ,�,� /�, o = � ®�® am s. )y n/ w " � U H [n H Z w !� 1 p 01.90 S • W si 0 .1- ` / c CC � H ---,cc _ 0.08 3 = 0 0�8t • gp H H \ O m Lri S c U.. 0O � O z o cci i Lt L.LI se QZ :, ki � ° 0� 0 °Oz W VO U co 4 E 4 in U H. 4 M > _ o u H pa W Q N p t!) Q` x 1-4 O W z° o z .0'Z 0 'LZ w 0'g Z i ............. 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