871 Sherry Dr - Irrigation/Sprinkler j S f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
t p v" 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: 16 -IRR -103
Job Type: IRRIGATION /SPRINKLER
Description:
Estimated Value:
Issue Date: 2/22/2016
Expiration Date: 8/20/2016
PROPERTY ADDRESS:
Address: 871 SHERRY DR
RE Number: 169982 -0000
PROPERTY OWNER:
Name: PALMER ET AL, CHRISTY L
Address: 871 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN WELL & IRRIGATION,INC.
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.
s!- -vir City of Atlantic Beach APPLICATION NUMBER
d ,t r Building De
� ldin 9 p artment
(To be assigned by the Building Department.)
800 Seminole Road /�
1-17111,- e Atlantic Beach, Florida 32233 -5445 /6- lee yos
Phone (904) 247 -5826 • Fax (904) 247 -5845
0ms0 E -mail: building- dept @coab.us Date routed: / / 3 ,
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addres :
f7/ SAE r-ry Department review required Yes No
Building
Applicant: ik C,47) Nei] (Planning & Zonin
Tree Administrator
Project: / r r 1 iil- h) (T 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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by:� / 1/� Date: 01/4i
TREE ADMIN. Second Review:
(Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I (Approved as revised. (Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
+ Florida Friendly Landscapes
.'� t ,
4 - - :f IRRIGATION COMPLIANCE CHECKLIST
I� , ' _ -Cr.?
y r
A. PROVIDE PROJECT INFORMATION: DATE
ADDRESS 1 \ �) eY Y 4 Us f' \ NEW INSTALLATION
CONTRACTOR 0Sed\pYo Ur\se c�. i RESIDENTIAL,
1 U PGRADE/REPLACE
OFFICE cl -- h' - D D CELL 1251 . ?" '5L( FAX 2_ ` i 1 ID r NEW INSTALLATION
EMAIL UtYY C, i 1 t1 Y\ YU 1 1 _ e'' 9\r'ra I I . c' V c ' NON- RESIDENTIAL,
L UPGRADE/REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION:
HYDROZONE shall mean an irrigation watering zone
S FT in which plant materials with similar water needs are
TOTAL LOT AREA '� l 1 ( grouped together.
TOTAL IMPERVIOUS SURFACE AREA - SQ FT
HIGH VOLUME IRRIGATION shall mean an irrigation
1 �`� system that does not limit the delivery of water
directly to the root zone and which has a minimum
TOTAL PERVIOUS AREA/LANDSCAPE - 6 SQ FT flow rate, per emitter, of thirty (30) gallons per hour ol j (gph) or one - half (5) gallons per minute (gpm) or
[PER SECTION 24 181(b)(4)ii] x 0_b0
greater.
IRRIGATION ZONE shall mean the grouping together
MAX HIGH VOLUME IRRIGATION C3 (� • W SQ 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 (RESIDENTIALAPPLICANTS) OR A LANDSCAPE PLAN (NON - RESIDENTIAL APPLICANTS), INDICATE THE
LOCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW.
HIGH WATER USE HYDROZONE(S) [ALL APPLICANTS] 5 1 t OLki , 7D SQ FT l.} L) % T LA
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] 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.
- LOW WATER USE HYDROZONE(S) [NON RES(DENTIALONLY 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.
MOISTURE SENSORS) [ALL APPLICANTS] At least one (1) moisture sensor shall be located in each Irrigation Zone.
)(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
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: ? fl I ` t l f 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 tt __❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
Lawn Sprinkler System- Number of Heads 1 �.[� ❑ 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 IC r t 4 Phone Number 5 31p•
Plumbing Company � ex \ Ca r W 1 t 4 1 I T r i 9 `ir\ Office Phone 24 • S W FaxZ� R I f
Co. Address: `lQ ;1 \ (1.( 'p �� T .l City `. .y) . State ¶ Zip 3223 3
License Holder (Print): J e.`? V) UP n& \ \ C t. tate Certification/Registration # 1'4 Q
Notarized Signature o License Holder
x o . '' N Notary Public State of Florid f , e this day . V20
Shirley L Graham
c o M Commission FF 08699
r ° FDe 00 Expires 02/14/2018 ig : ture of Notary Pub • d i
•