410 GARDEN LN IRR18-0053 ,,,,: tot irfe IRRIGATION PERMIT PERMIT NUMBER
;'t� s; IRR18-0053
J�..:h s, CITY OF ATLANTIC BEACH
�r ISSUED: 10/8/2018
»,r / 800 SEMINOLE ROAD EXPIRES: 4/6/2019 I
';19 ATLANTIC BEACH. FL 32233 111
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
410 GARDEN LN IRRIGATION 21 Head Irrigation System $0.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 5208 SELVA MARINA GARDEN
02
COMPANY: ADDRESS: CITY: , STATE: ZIP:
NOLAN PLBG AND
IRRIGATION, INC 12542 Woodcutter Road JACKSONVILLE FL 32220
OWNER: ADDRESS: CITY: STATE: ZIP:
TOOMER CURTIS W 410 GARDEN LN ATLANTIC BEACH FL 32233-4528
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
1
',Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $55.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $86.50
Issued Date: 10/8/2018 1 of 2
01-Alt,, City of Atlantic Beach APPLICATION NUMBER
(--
ii:t � Building Department (To be assigned by the Building Department.)
800 Seminole Road �+/—0053
OOC 2-0 Atlantic Beach, Florida 32233-5445 (S J�J
Phone (904)247-5826 • Fax(904)247-5845
''1 �? E-mail: building-dept@coab.us Date routed: l O/3 f/i.
City web-site: http://www.coab.us /
APPLICATION REVIEW AND TRACKING FORM
Property Address: I/O 6 f 6]'J De• - • •gent review required Yes No
i ,V' j'PLBuil.. •
^�
Applicant: I v )L t! cyy �j/v6, 7r. fling &Zoninj'
A Tree Administrator
Project: 2-f tfe ' Cori 4-"I ( d 4 cy5k,m Public Works
,� Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
*'\,es-
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
f64.
Florida Dept. of Environmental Protection `
• Florida Dept. of Transportation ‘/
:13/0
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
.(15
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ['Denied. ['Not applicable
(Circle one.) Comments:
BUILDING p
PLANNING &ZONING i `J,/_ I y- (O
Reviewed by: Date:
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
0�w City of Atlantic Beach APPLICATION NUMBER
�� Building Department (To be assigned by the Building Department.)
. s.. 800 Seminole Road f g42-118 ,mob 0 53
�r Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-5845
Pt on 9%' E-mail: building-dept@coab.us Date routed: t '/3/ �e
City web-site: http://www.coab.us J
APPLICATION REVIEW AND TRACKING FORM
Property Address: '410 6AgD6----xi De. - - ent review required Ye No
�, 1
Buil.'.._
V
Applicant: 1 U L 1 N ?Luna/)J "1Ft ning &Zonin_C )
Tree Administrator
•
Project: 2-f ff (r-r94...11.-Q r �fil Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature A<.,
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 'Vic,/
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: proved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: ✓ Date:'1 l0- Id 04--
TREE ADMIN. G
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 32233
Ph(904)(247-5826 Fax(904)247-5845
t �y
JOB ADDRESS: t0 C fOJLGA !•-Y1 A-A-144,6c 32233PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ 600
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 ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
VLawn Sprinkler System-Number of Heads 2) ❑ 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 (L e Ten(AWL- Phone Number q01-1 -Z' -%? 3
Plumbing Company altki (11A,WAdiAA ; 102:4,368.-fGm Office Phon dq 1$3-4321 Fax f1.145kCo. Address: 11542 U i-L!Y . PA City ,CQ (Shcrti
IAUt State R., Zip 3222b
•License Holder(Print): Sad, 1k&yvre. N.)010Y1 tate Certification/Registration# C f LO5II%1
Notarized Signature ofLicense Holder �/ � ��
Sworn and subscribed before me this 20r' 'daffy of Se-f)NAbeC 20 19
o r' Notary?uDGe State of FloridaNiff Q_ t
Roslyn D Nolan Signature of Notary Public ,
,p• Meet
GG 174740
aid• Eupwet 0111112022
r.,.. .
Florida Friendly Landscapes
:a Y' IRRIGATION COMPLIANCE CHECKLIST
x
ir
S 9'14
DATE: ■ t + s i i
A. PROVIDE PROJECT INFORMATION: 1
ADDRESS: wilt) �a 1. 4 6.2 4 �+����j ANEW INSTALLATION
�,,r • ,�(_ 33 [7 RESIDENTIAL,
CONTRACTOR:, „_�1L1,y'1lincYn 11 1 Re. 8ctATC'N- UPGRADE/REPLACE
OFFICE: 2,t CELL: W"� "Vti3�1 FAX:. �.)(i� N W INSTALLATIONS
D NON-RESIDENTIAL,
EMAIL ,A O R! _IA Li a• UPGRA ACE
8. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION HYDROZONE shalt mean an irrigation watering zone in•
which plant materials with similar water needs are
TOTAL LOT AREA j j,0 O Sa Fr grouped together.
TOTAL IMPERVIOUS SURFACE AREA - 2` 1-( ' SQ FT HIGH VOLUME IRRIGATION shall mean an irrigation
system that does not Iimit the delivery of water
dkeatfy to the root zone and which has a adrviewe
TOTAL PERVIOUS AREA/LANDSCAPE 1 SQ• thaw rate per emitter,of thirty.(313)saltans per hour
(ph)or one-half(.5)gallons per minute(gpm)or
greater.
(Per COAG Cade Section 24-181(b)(4)H) X Al- 1 ZiJ a i.60
IRRIGATION ZONE shall mean the grouping together
_"onallatinlrais emir"' of any type of water emitter and irrigation equipment
MAX HIGH VOLUME IRRIGATION �`� _SQ FT operated simultaneously by the control of a timer and
a sin&valve.
G Pii~ARE AND ATTACH A HYDROZONE PLAT t. -
ON A COPY OF THE SITE PLAN OR SURVEY(RESIDENTIAL APPLICANTS)OR A LANDSCAPE PLAN(NON-RESIDENTIAL
APPLICANTS), INDICATE THE LOCATION OF THE FOLLOWING ANO FILL IN APPROXIMATE COVERAGES BELOW:
„( HIGH WATER USE HYDROZONE(S) jAU APDL+UAnr7S1 "ZOO SQ FT %TLA
High Water Use Flydrozones contain plants that require supplemental watering or a regular basis throughout the year.These areas include
turf and lawn grasses and ore typically characterized by high visibility focal points of landscaping design where hligh Volume Irrigation is
used Nigh Water Ilse Zones shall be placed on a separate irrigation zone.
MODERATE WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY) SQ FT %ILA
Moderate Water Use Hydrazones 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 typkolty perennials,seasonal plants and flower beds.
C LOW WATER USE HYDROZONE(S) [NON-RESIDENTIALONLY) SOFT %TU+
taw Water Use Hydrazones contain plants that rarely requke supplementai watering and that are draught tolerant during extreme dry
periods,such as native shrubs and vegetation,established trees and ground covers,and wooded areas.
! — h tsar 4-twee bcxc ��..
K. MOISTURE SENSOR(S) All APPLICIWTS) At least ane(1)rroistures.�nsorshalr�dirreach irrigation Zone.
M t� ralb• 6 a
e. ac rt. zz l-s
i EMITTERS [Ail APPLICANTS] Emitters shall be sized and spaced to avoid excessive overspray on to impervious surfaces.
City of Atlantic Beach 0800 Seminole Road'Atlantic Beach,FL 32233•(P)904,247.5800•(F)904,2475845•www.coob.us
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Cash Register Receipt Receipt Number
City of Atlantic Beach R6949
''J j 9.
.
DESCRIPTION ACCOUNT I QTY I PAID
PermitTRAK $86.50
IRR18-0053 Address: 410 GARDEN LN APN: 172020 5208 $86.50
BUILDING $55.00
BUILDING PERMIT i 455-0000-322-1000 0 $55.00
BUILDING PLAN REVIEW $27.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R6949 $86.50
Date Paid: Monday, October 08, 2018
Paid By: NOLAN PLBG AND IRRIGATION, INC
Cashier: CB
Pay Method: CREDIT CARD 008603
Printed: Monday,October 08, 2018 10:00 AM 1 of 1 ir