338 4th St irrigation permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NIE)Cr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 16-IRR-2614
Description:
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 338 4TH ST
RE Number. 1698180000
PROPERTY OWNER:
Name: SMITH BRENDAN P
Address: 338 4th Street
Atlantic Beach, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: QUALITY BY DESIGN INC
Address: 38115 Yale CIR
LEESBURG, FL 34788
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500.For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department CFo be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 1 (a - 1RR- Z(da4
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coath.us Date routed: k4azb_(�,
City web-site: ht1p:/Pwww.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 33—E> 4�� S, Department review required Yes -No
Buildino
Applicant: C�Rf tanning&Zomng,),
79e�ls ra or
Project: (s r Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review Date
of Permit=PBIY
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
DiMsion of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. E]Denied.
(Circle one.) Comments: to
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREEADMIN. Second Review: []Approved as revised. ODenied.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: [_]Approved as revised. E]Denied.
Comments:
Reviewed by: —Date:—
Revised 05114109
11/22/2016 TUB 9! 18 FAX Quality By Design 2001/004
PLUM13ING PERMiT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADlourss: PERMIT Nilila-�V -
NEw OR REpLAcr,,mEmr INSTALLATION: Project Value$
TyPFoFFzx7vRE QTY TYPEOFFU7,uRF Qry
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Ilan
Drinking Foluntain Slop Sink
Floor Drain Three Compartment Sink
FloorSink Tollet
Hose Bibs Utinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TypeopFix7URE QTY TYPE oF FixruRE QTY
Bathtub Septic Tank& Pit
Clothes Wesher Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain rhree Compartment Sink
Floor Shik Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry I ray Water Connected Appliances
Lavatory Water Heater
Other Pixturet; Water Treating System
MISCELLANEOUS:
(:I Sewer Replacement 0 Back Flow Preventer 0 Grease interceptor(Trap) gallons(Requiree;3 sets orphans)
it Lawn Sprinkler Systerri-NumberofHeadis -'3,f) o wall
**,T,IRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
11 Other Kie-P Ro C)U C.'Tl ol\�&_
(SiL� O.V�L. - C�rv, —
rannit becomes void ifwork does net commerce within.six month period or wo�I,suspended or abaccloned for six months.I hereby ca"Ify met I have read
this application and know Ilia same to he true and correct, All provisions of laws and ordinance,governing this work will be corepliedi with whether specified
arnot. I'hoperiiiildozsiiotgivoa;ithorI to,,ou 'lop" A"knins"lany intrinsic or local in.regulation construction or the ticrtarmonce,ofiensimic
Number 0cA'r)'-I,0L
Property Owners Narn Q'i V
Plumbing Compal ..—Office PhoneqfSM JJFYxe'K)3
y
Co. Address:,_Uk ci yl�sbi. sttelPL zlp�;Rm.
License Holder t1l, State C.,tification/Registration#-
Noturi7ed Signature of License 11older &or_ see -
Sworn !�/Slbscribecl befloremeAlhil's (Rit day of 20
aim &
se cowm67 ofNotary Pu i iln�2
Y 7%26, Signature bi
,. is
Z?
7 00
Florida Friendly Landscapes
IRRIGATION COMPLIANCE CK KLIST
A. PROVIDE PROJECT INFORMATION: DATE
RESIDENTIAL,
ADDRESS 6L, 4=:k r- NEW INSTALLATION
CONTRACTOR dQ4�1,-Y RESIDENTIAL,
T.t.r UPGRADE/REPLACE
OFFICE :SSd,k'33_2Q_jj CELL FAX NON-RESIDENTIAL,
NEWINSFALLATION
NON-RESIDENTIAL
EMAIL UPGRADE/REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION: MROZONE shall rneean an irrigation watering zone
TOTAL LOT AREA -7 SO FT 1,ch Plant materials wft similar writer need,am
grouped togethen
TOTAL IMPERVIOUS SURFACE AREA j LA 50 ET HIGH VOLUMIE IRRIGATION shall rmann an irrigation
systend that does not limit the delivery of warns
directly to the tons sone and which has a mininturn
TOTAL PERVIOUS AREA/LANDSCAPE So FT How rate,per ensitter.of thirty(30)gallons per hour
(gPh) or one-half (.5) gallons per nsurnste igpm) or
[PERSECTION24-181(b)(411i] x 0.60
IRRIGATION ZONE Shall aman the grouping together
MAX HIGH VOLUME IRRIGATION SO FT Of any I�Pe alfwate,evnftb�r and irrigatiort equipment
opeml-� simultaneously by the control of a lb,e,
anda,,glevithre.
C. PREPARE&ATTACH A HYDROZONE PLAN:
ON A COPY OF THE SITE PLVJ OR SURVEY FRESIDENTIALAPPLIH�ANTS)OR A LANDSWE PLANINON-FIESH)ENTIALAPPLICANTS),INDICATE THE
LO�TION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW.
HIGH WATER USE HYDROZONE(S) IALLAAA�NM �O FT %FLA
High Water Use Hydrozormseentall,plants that requira supplemental wLln. n," busirthroughenittireea, ese a.
include turfand lawn grasse;and am typicaffy choractsfized by high visibillityjacal peat f landswiting design where High Volume
Imfgation crused. High Water Use Zonesshall be placedon a separate i"ation,tone.
MODERATE WATER USE HYDROZONE(S) (NDWRESIDENUALOtAY] so FT %TLik
Moderate Water Use hydrozones contain plants that once established,requim irrigation every two to thmn weeks in.1mencefronabil a,
when they show visible stnesssuch as wilbeelfaliage orpale color Thew am tYpicalyPerennials,senscuralplantlandflower bed&
LOW WATER USE HYDROZONE(S) pvoNaESWNMIOW4 -�Q EL %ILA
Low Water Use Hydrazone;contain plants that rarely require supplemental"Wring and r t am dmu;ht�tcleMntdullnq ertnedre dry
periods,such as native shnubs,and verierbotion,established Fares andlimund covers;and wood ureux
MOISTURE SENSOR(S) [ALIAMICANTS) Atleastone(l)moistureseasorshallbelocatar�;,,each Irrigation Zone
EMITTERS [ALLAMLrANTS] EaNners shall be sized and spo,zd to avoid escessive rver,,prt 7 an hnpen,�Usur�d�, 7
CityefAtionlichreach - 900Serranolellead Arlanticifeark Florid, 3�233
(P)904.2475800 (F)904.2475845 - wwavcwhu, FFIL-ICCO2,07.10
SITE PLAN
LOT 13 BLOCK 5 AS SHOWN ON PLAT OF
SUBDIVISION "A" ATLANTIC BEACH
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BARTRAM MAIL SURVEYING. INC.
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Cash Register Receipt Rgc��
City of Atlantic Beach R1736
$66.00
PermitTRAK $L6.00
16-IRR-2614 Address: 338 4TH ST APN: 169818 0000 $67_ 1
00 1
PLUMBING $55.90j
PLUMBING R&qF FEE
pLUMBING—THOPC
STATE SURCHARGES S2 00
STATE DEER SURCHARGE 455-0000-208-0600 0
STATE DCA SURCHARGE 455-OUUU-L—'— 1 $2.00
Date Paid: Friday,June 09, 2017
Paid By:QUALITY BY DESIGN INC
Cashier: BA
Pay Method:CREDIT CARD I
Pnnted:Friday,June 09,2017 10:28 AM 1 Of 1
CITY OF ATLANTIC BEACH -
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
06/0912017 10:27:24
CREDIT CARD
VISA SALE
Cird 4 200000=518
SEQ#: I
Bakh#: 3a2
INVOICE I
Apprwal Code: 01725G
Enty Pkdmi mmul
We: Gnliv
Tax Arrant $0,00
Cird Code: m
SALE AMOUNT sm,
CUSTOMER COPY