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335 10TH ST - IRRIGATION 5�=.0i;; City of Atlantic Beach APPLICATION NUMBER �S~ l!lkJ'S� Building Department (To be assigned by the Building Department.) r 800 Seminole Road v_1L �-} -0.0(14 ,� ;, Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 -4,01119',4 E-mail: buildin de t coab.us Date routed: i411,3- Li �J,31�� 9- P City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 S t D��-Si Deia ent review required Ye No Applicant: ' L`(i St J n SPJ i!��(�1�/ S Plannin. &Zonin y Kw) 1 Tree Administra or Project: ki\S ' \ D'Kw) to a spf., -12( Public Works � Public Utilities S Sk-ei� Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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. EDenied. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING & ZONING Reviewed by: `h Date: /1 •)717 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 S �i:ri, City of Atlantic Beach APPLICATION NUMBER �s ,�1 Building Department (To be assigned by the Building Department.) 7:, 'i 800 Seminole Road �j l/ s� Atlantic Beach, Florida 32233-5445 "� V--V_ �'� �� l Phone(904)247-5826 • Fax(904)247-5845 [LS l l-� -'� ;tiO• E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S ��v�`- S� De gwent review required Yes No Applicant: L- l S LJ n 5 i il\C-U13 Plannin &Zonin 1 ' Tree Administrate ,Q a Project: kr\Sk'U \ D"hut() Ito a S ( ( Public Works Public Utilities S5\--e- 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. - ?TDenied. ❑Not applicable (Circle one.) Comments: BUILDING h6641/15+ 15 In ea1 e-he I id) ( P h PLANNING&ZONING )-� Reviewed by:,,/ ....�- Date: I Z TREE ADMIN. Second Review: (Approved as revised. ['Denied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233DEC 1 4 Ph(904) 247-5826 fax(904) 247-5845 ?�1� JOB ADDRESS: 3 54-PERMIT## -/-11-411-004'-Q04 tI 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: El Sewer Replacement Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) o Lawn Sprinkler System-Number of Heads 3 0 n Well ** **SIR WD 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 f y other state or local law re ulatio f on o the erformance of construction. ( Property Owners Name a� i 2t� a ,..,.- em �� Phone Number Plumbing Company U` i//Gk is L6,_„,,I S t `'CGA n-Vt l2/S Office Phone 1g i' (('1 Fax Co. Address: 686, b a71e GA City `JcA >r StateEL Zip 322" License Holder(Print): R l e_1'\ .5 (A`-i. �S`� k"'1 to e 'fication/Registration# g 4 Notarized Signature o Lice, older ( ..Q 'VU E YP�, JENNIFER JOHNSTON Before me this i 1 day of ,� ctim 20 11. '+''i `k.`- MY COMMISSION#GG 042984 i N �ur� . ; EXPIRES:October 27,2020 >'•o o'' BondedThru Notary Public Underwriters Signature of Notary Public ^ T v`J 1-, ilk TT' \ Florida Friendly Landscapes `'�. -- s' IRRIGATION COMPLIANCE CHECKLIST 'J,, DATE: / 2/P(//l\ A. PROVIDE PROJECT INFORMATION: ADDRESS: k 3 ' 1 V + A U e_ /RESIDENTIAL, In ( I, NEW INSTALLATION CONTRACTOR: ►` , n1\_S L exit-'�'L S /�r i v-{1 I S ❑ RESIDENTIAL, n 9 4 UPGRADE/REPLACE OFFICE: 1.D -I I LI -I CELL: 2 I cI -03( FAX: ❑ NEW INSTALLATION / / I ❑ NON-RESIDENTIAL, EMAIL: R, t / Yvc- I "//��I clo Ce� l?-,,,,. t , �-O``"`- UPGRADE/REPLACE B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION HYDROZONE shall mean an irrigation watering zone in S which plant materials with similar water needs are TOTAL LOT AREA l/) �• 0 OO n SQ FT grouped together TOTAL IMPERVIOUS SURFACE AREA - '',-•". L O 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 6 0 0 SQ FT flow rate,per emitter,of thirty(30)gallons per hour (gph)or one-half(.5)gallons per minute(gpm)or greater. (Per COAB Code Section 24-181(b)(4)ii) X 0.60 IRRIGATION ZONE shall mean the grouping together MAX HIGH VOLUME IRRIGATION 1 g (,, (2 SQ FT of any type of water emitter and irrigation equipment operated simultaneously by the control of a timer and a sinele valve. C. PREPARE AND 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) [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] 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-RESIDENTIAL ONLY] 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 woodCM UNITY DEVELOPMENT ❑ MOISTURE SENSOR(S) [ALL APPLICANTS] At least one(1)moisture sensor shall be located in eiDE 1 V I. D ❑ EMITTERS [ALL APPLICANTS] Emitters shall be sized and spaced to avoid excessive overspray onto impervious surfaces. City of Atlantic Beach •800 Seminole Road•Atlantic Beach,FL 32233 •(P)904.247.5800•(F)904.247.5845•www.coab.us -74;:k—. c: ' , 0 e v rg S1 � ,9 � _1 cbnc F cr3 ` c. c 4—' lJ1 c. et- o a F O s- vs -i-y (. -y / M �� S 1 f0 �.. ri -I-- Q 3. NI p L� XD LA PI c4 c 1C n7- i .67.- c -- w 0