615 AMBERJACK IRRIGATION CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-IRR-1644
Job Type: IRRIGATION/SPRINKLER
Description, IRRIGATION
Estimated Value:
Issue Date: 7/28/2015
Ex&ation-Date: 1/24/2016
PROPERTY ADDRESS:
Address: 615 AMBERJACK LN
RE Number: 171186-0000
PROPER 0 NER:
Name: DENNIS, JAMES R
Address: 4641 WHITES PT
GENERAL CONTRACTOR INFORMA ON: RIGATIONJNC.
Name: AMERICAN WELL & IR
Address: 1651 MAYPORT RD
Phone: 904-249-5400
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Departm
W
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us LDat
r w, Lrouted: 7fA
Cityweb-site'. http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
11'
Property Add ss: rl' &6)r— Department review required Yes- No
ar ss, Planning &Zoning
a" r
Applicant.
Project: 41 6-n Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
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: DApproved. X-- enied.
(Circle one.) Comments: A-4,ry ktd
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: XApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [JApproved as revised. ElDenied.
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: U I Gj�: PERmyr#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FmTuizE Q7T TYPE OF FDcTuRE 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:
Ei Sewer Replacement o Back Flow Preventer,,-Q--Qrease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads
SJRWD Well Completion Form. Complet ftormmtobe bmitted to the Building Department for fmal inspection."
Ei Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I her_ebY certif�,that 1 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. Ile 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 ��,�6sh Y)if)Ck -k Phone Number q(Di-3557
Plumbing Company Af�el['�CCty) ft� �ffk(��ffice Phone IL0',�4MFax
Co. Address: City—AiLL—c-h—State,& zip ..
State Certification/Registration#
License Holder(Print): ce -
Notarized Signature of License Holder VZle
j2s4 da f
jW fly Notary Public State of Florida or4,Zd subscribed befo rn this 20
J Shiriey L Graham
My Commission FF 086990
gnature of Notary Pub
OF 1� Expires 02/14/2018
NEE 1
Florida Filendly Landscapes
'P IRRIGATION COMPLIANCE CHECKLIST
DATE
A. PROVIDE PROJECT INFORMATION:
ADDRESS RESIDENTIAL,
)(=INSTALLATION
cit., IF- RESIDENTIAL,
CONTRACTOR Lt UPGRADUREPLACE
CELL FAX F_ NON-RESIDENTIAL,
OFFICE J NEW INSTALLATION
EMAIL NON-RESIDENTIAL,
ECI OV�tj I ynjj
UPGPADF/REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION: HYDROZONE shall mean an irrigation watering zone
j 0 C—) SQ FT in which plant materials with similar water needs are
TOTAL LOT AREA grouped together.
TOTAL IMPERVIOUS SURFACE AREA 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 SQ FT flow rate,per emitter,of thirty(30) gallons per hour
(gph) or one-half (-5) gallons per minute (gpm) or
[PER SECTION 24-18 1(b)(4)fi] X 0.60 greater.
IRRIGATION ZONE shall mean the grouping together
MAX HIGH VOLUME IRRIGATION 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.
HIGH WATER USE HYDROZONE(S) [ALLAPPLICANTS] 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
Ir7igation is used. High Water Use Zones shall be placed on a separate ir7igation zone.
MODERATE WATER USE HYDROZONE(S) [NON-RESIDENT7AL ONLY] (�� A SQ FT %TLA
Moderate Water Use Hydrozones contain plants th"once established,require irrigation every two to three weeks in absence ofrainfall or
when they show visible stress such as wiltedfoliage or pale color. These are typically perennials,seasonal plants andflower beds.
LOW WATER USE HYDROZONE(S) [NON-RESiDENTIAL ONLY] \T�\(� SQ FT IN,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
MOISTURE SENSOR(S) (ALLAPPLICAMM Atleastone Cl)moisture sensor shall be located in each Ir7igation Zone.
'�,EMITTERS [ALLAPPLICANTS) Emitters shall be sized and spaced to avoid excessive overspray on to impervious surfaces.
City ofAtlantic Beach - 800 Seminole Road - Atlantic Beack Florida 32233
(P)904.2475800 - (F)904-2475845 - www.coub.us FFL4CCO2.07.10