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110 JACKSON RD IRR PERMIRRIGATION PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 PERMIT NUMBER IRR19-0006 ISSUED: 1/31/2019 EXPIRES: 7/30/2019 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. 110 JACKSON RD IRRIGATION 172137 0000 AMERICAN WELL & I 1651 MAYPORT RD RRIGATION,INC. FORSYTH V ALLISON W 1738 SELVA MARINA DR IRRIGATION - 30 HEADS ATLANTIC BEACH ATLANTIC BEACH $1400.00 DONNERS S/D PT LOT 2 17 - FL 32233 FL 32233-4322 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. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION FEES ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $60.00 BUILDING PLAN CHECK 45S-0000-322-1001 0 $30.00 STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00 TOTAL: $94.00 Issued Date: 1/31/2019 1 of 2 City of Atlantic Beach �s r Building Department 'i 800 Seminole Road Atlantic Beach, Florida 32233-5445 , v Phone (904) 247-5826 • Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) II?PI(::�-00D�, Date routed: Z APPLICATION REVIEW AND TRACKING FORM ADentreview required Y Property Address: L 10O�Applicant: I`liY\�-�2 l C'J��!�ning �I �� I — ��C� ��5 Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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: - .r A-r.^wl L- ATI IC No Revised 05/19/2017 Mr r LI V P1..v.. Reviewing Department First Review: QApproved. ❑ Denied. ❑Not applicable (Circle one.) Comments: (ELDip PLANNING & ZONING Reviewed by:_ Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable FIRE SERVICES Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach } Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 „r Phone (904) 247-5826 - Fax (904) 247-5845 CUM y ' E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) zaG - OOy Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: ( �C«SOA-D De ent review required Yes No Applicant: H(Y�(--r? l�'� VlJ �I L Imo( Hing &Zoning e Project:�� f}f� S Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof 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: 124proved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by:� = ie�t== Date: "2 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: I Reviewed by: Date: Revised 05/19/2017 JOB ADDRESS: I PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 RR 19 - DDO(o �) Man R PERMIT # NEW OR REPLACEMENT INSTALLATION: RE -PIPE: TYPE of FIXTURE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures TYPE of FIXTURE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures QT, QT, Project Value $ TYPE of FIXTURE QTY Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System TYPE oFFIXTURE QTY Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ABack Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) 1 Lawn Sprinkler System -Number of Heads S ❑ Well k 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 prrov_isions of any other state or local law regulation construction or the performance of construction. Property Owners Name o n Phone Number (n 0/ % Plumbing Company cid 6d ce Phone 2 Fax Z Co. Address: City State a zip� License Holder (Print): e State Certification/Registration # i - Notarized Signature of License Holder Sworn aasubscribed before me TONI GINDLESPERGER1 afore of No Public MY COMMISSION # FF 924951 EXPIRES: October 6, 2019 Bonded Thru Notary Public Underwriters 20 Florida Friendly Landscapes IRRIGATION COMPLIANCE CHECKLIST A. PROVIDE PROJECT INFORMATION: DATE ADDRESS CONTRACTOR , Ln S t' } OFFICE �� 5 L CELL _2 FAX 2� EMAIL B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION: TOTAL LOT AREA TOTAL IMPERVIOUS SURFACE AREA TOTAL PERVIOUS AREA/LANDSCAPE (PER SECTION 24-181(b)(4)ii] MAX HIGH VOLUME IRRIGATION ?)qD SQ FT 5 5 SQ FT SQ FT X 0.60 SQ FT C. PREPARE & ATTACH A HYDROZONE PLAN: RESIDENTIAL, NEW INSTALLATION r RESIDENTIAL, UPGRADE/REPLACE - NON-RESIDENTIAL, NEW INSTALLATION - NON-RESIDENTIAL, U PG RADE/REPLACE HYDROZONE shall mean an irrigation watering zone in which plant materials with similar water needs are grouped together. 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 flow rate, per emitter, of thirty (30) gallons per hour (gph) or one-half (5) gallons per minute (gpm) or greater. IRRIGATION ZONE shall mean the grouping together of any type of water emitter and irrigation equipment operated simultaneously by the control of a timer and a single valve. 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) [ALLAPPLICANTSI 4 1 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-RESIDENTIALONLYI 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 )lower beds. LOW WATER USE HYDROZONE(S) [NOM-RESiDENTIALONLVI 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 /X MOISTURE SENSOR(S) [ALLAPPLICANTSI At leastone (1) moisture sensor shall be located in each 1"ation 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 FFL4CCO2.07.10