Permit Irrigation 330 11th St 2011 - yLy
; r ,, S tJ J CITY OF ATLANTIC BEACH
rj 4 ' s • - .) 800 SEMINOLE ROAD
0 - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
JJ11 >
Application Number . . . . . 11- 00002557 Date 9/01/11
Property Address 330 11TH ST
Application type description IRRIGATION /SPRINKLER
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
NEW IRRIGATION
Owner Contractor
JOHNSON B ET AL R J IRRIGATION
12321 BUCKS HARBOR DRIVE 1375 HIGH PLAINS DR. W
JACKSONVILLE FL 32225 JACKSONVILLE FL 32218
(904) 607 -6793
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 62.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/28/12
Special Notes and Comments
NO DIAGRAM SUBMITTED.
MAX HIGH VOLUME IRRIGATION = 5,729 SQ FT; HIGH WATER USE
HYDROZONES CANNOT EXCEED THIS AREA.
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
Ph (904) 24826 Fax (904) 247 -5845
JOB ADDRESS: 33 O l l — P ERMIT # C.1 7
NEW OR REPLACEMENT INSTALLATION: Project Value $ i 7i `
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 i
�rr -0 Water Treating System
RE -PIPE: 7
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 a1 Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Greas erc- : or (Trap) gallons (Requires 3 sets of plans)
awn Sprinkler System - Number of Heads Dell **
** SJRWD Well Completion Form. Completed form to b ubmitted to the Buil. ' • , ) epartment for final inspection. **
❑ Other j if/� ai /iy /:eL //- 03-611
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 prow roes o any other state or local law regulation construction or the performance of construction.
Property Owners Name l / IA ) 1 ° 1I D A-3 t^ 7 Phone Number C Z2 --SAY
Plumbing Company _g 1Y . ('/--r: `ai Office Phone ( : ) " 7- 6:73 ?Fax 6 6 _77
Co. Address: 1 3 is AN-4 /act OA r d ', L.) ,.
r City ./ °� R �C State Zip 3221. S
License Holder Print : C ''cam -9J Nt.& fl' State Certification/Registration
gq�qq ��pp��pp ' / \ on/Reglstration #
Notar , • , at ,f «. sSrt tiMo I. e
.Z..•• - EXPIRES: May 21, 2015
p - Bonded Nu Notary Public Untlenvriten: orn and subscribed before ' : th' Z d y o 20 f7
/ Signature of Notary Public
P)Lq
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7 ( 9 —
-7(6-fci
95
elv0 7(,'41
/ 1-44\ r, City of Atlantic Beach APPLICATION NUMBER
, .; 51 Building Department (To be assigned by the Building Department.)
s 800 Seminole Road / t-
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
▪ r jt l',1%' E -mail: building- dept @coab.us Date routed: 2 9 /r
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � �J0 > -n De • artment review required Yes No
Building „-
Applicant: k 4- r, k 7c I
Project: _Lrr/ Q h ®� Public Works _-
(� Public Utilities
Public Safety
Fire Services _-
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 v '""'
(Circle one.) Comments: A A M 44& fcui tQf '((O f4---
. t t Wk.
�, t-1 Pet) zoklis C-
PLANNING &ZONING < <t 1� grAke,_,Cat.16 U I Reviewed by: Date:
MIN. Second Review: A roved as revised.
❑ pp ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10