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114 JACKSON RD IRR PERMIRRIGATION PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 PERMIT NUMBER IRR19-0005 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. AMERICAN WELL & IRRIGATION,INC. IRRIGATION 1651 MAYPORT RD IRRIGATION - 30 HEADS $1400.00 ATLANTIC BEACH FL 32233 • ADDRESS: V ALLISON FORSYTH 1738 SELVA MARINA DR ATLANTIC BEACH FL 32233 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. Issued Date: 1/31/2019 1 of 2 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $60.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $94.00 Issued Date: 1/31/2019 1 of 2 sj�:Lyrr. City of Atlantic Beach Building Department 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 !3 Phone (904) 247-5826 - Fax (904) 247-5845 E-mail: building-dept@coab.us C't b i t hh++E//www coati us APPLICATION NUMBER (To be assigned by the Building Department.) n.tc rn, ,+= • 1 G.� / 1 1 i y we -se. p. APPLICATION REVIEW AND TRACKING FORM Property Address: (� S Ar'js,Sow Applicant: m �>2 Lefler Vy FC C_ - Project: Review fee $ Department review required Yejrl No i mg Hing & Zonin Tre'e Administra or Public Works Public Utilities Public Safety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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 SC - Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: UILDING PLANNING & ZONING Reviewed by: Date: !^ 30 9 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 rS �uJj, V-1ty U1 Nl11111LIt, OGQ1.11 Building Department 800 Seminole Road r' Atlantic Beach, Florida 32233-5445 � s Phone (904) 247-5826 - Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us Mr-r-LlvaM I iviv NUIV1OG1N (To be assigned by the Building Department.) 12�� , -0005 Date routed: I �� APPLICATION REVIEW AND TRACKING FORM Property Address: Applicant: Imo-) m .CeA-v —LC- t 2-111 Project:[ R ` ,Leal ( C) Gu 3 y�C AOS Review fee $ Department review required Yes No i ing Hing & Zonin Tre-Administra or Public Works Public Utilities Public Safety Fire Services 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 Se - Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING 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: FIRE SERVICES Third Review: ❑Approved as revised. [—]Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 CITY OF ATLAN'FIC; YEAC:H 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 JoB ADDRESS: NEW OR REPLACEMENT INSTALLATION: Project Value $ m o o RE -PIPE: I 12R2t 9 -- a 0Os PERNUT # TYPE OF FIXTURE OTY 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 TYPE OF FIXTURE OTY TYPE OF FIXTURE OTY 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) 'Lawn Sprinkler System -Number of Heads _A 11Well *" SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.�Y ❑ 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 performannc"e of construction. Property Owners Name N1 � Phone Number l I (o -319-7- Plumbing Company e r C �� 1 1 C 1 �i mice Phone 24 q' 6qM Fax 2H O. '� Oh Co. Address: City State Zip License Holder (Print): St4tr,Certification/Registration 4 -!Q Notarized Signature of License Holder worn i0subscribed before me s 01 20A4 ;a Y P "moo TONI GINDLESPERGER MY COMMISSION 9 FF 924951 ignature of Notary Public .,,T.,,Tz EXPIRES: October 6, 2019 Bordod Thru Notary Public Underwriters EyY�Yl6gibYV4sp� IQ J� Florida Friendly Landscapes IRRIGATION COMPLIANCE CHECKLIST A. PROVIDE PROJECT INFORMATION: ADDRESS CONTRACTOR OFFICE EMAIL B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION: kc O CELL -2113 —f5 �J FAX —L_L" I L� 1 DATE TOTAL LOT AREA Gl V SQ FT TOTAL IMPERVIOUS SURFACE AREA - I SQ FT TOTAL PERVIOUS AREA/LANDSCAPE _ U) ki K SQ FT (PER SECTION 24-181(b)(4)ii) X 0.60 MAX HIGH VOLUME IRRIGATION QI SQ FT C. PREPARE & ATTACH A HYDROZONE PLAN: *'2. 2 r— RESIDENTIAL, NEW INSTALLATION RESIDENTIAL, UPGRADE/REPLACE NON-RESIDENTIAL, NEW INSTALLATION f NON-RESIDENTIAL, UPGRADE/REPLACE HYDROZONE shall mean an irrigation watering zone in which plant materials with similar water needs are grouped together. I 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) gallon$ per hour (gph) or one-half (S) 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) [ALLAPPUCANTS) D SQ FT I %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-RESIDEAMAL 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 7 LOW WATER USE HYDROZONE(S) [NON-RESIDENRALONLY] Sr' FT � t LH 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 SENSOR(S) [ALLAPPLICANTSI At least one (3) moisture sensor shall be located in each Irrigation Zone. EMITTERS [ALL APPUCANTS] Emitters shall be sized and spaced to avoid excessive overspray on to impervious surfaces. City ofAtlantic Beach • 800 Seminole Road • Atlantic Beach, Florida 32233 (P) 904.247.5800 • (F) 904.247.5845 . www.coob.us FFL-ICC v12.07. f0