1837 Ocean Grove Dr 16-IRR-13 Irrigation PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH 16-IRR-13
800 SEMINOLE ROAD ISSUED:
ATLANTIC BEACH. FIE 32233 EXPIRES:
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM 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 applicableto this property
that may befound 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,orfederal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1837 OCEAN GROVE DR PLUMBING RESIDENTIAL IRRIGATION
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1696000000
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
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
Roll off container company must be on City app roved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
CIS BUILDING FEE 455 0000 322 1000 1 $55,00
PLUMBINI 455-MOO 322 FEW 1 $700
STATE BEER SURCHARGE 455 0000 208 FEW 1 $2w
STATE BEA SURCHARGE 455 BEER 208�0700 1 S2M
TOTAL: $66.00
Issued Date: 1 Of I
City of Atlantic Beach APPLICATION NUMBER
Building Department Cro be assign 0 by the Building Department.)
800 Seminole Road ;_
Atlantic Beach, Florida 32233-5445 4- lzie
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http:1Mwv.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 43 1 defd#fl�rO)(6— Department review required Yes No
Applicant: 7� Woe Buildlug.._
_Truff7uff U11INFIROX
Project: Public Works
9 Public Utilities
Public Safety
Fire Servictas
Review fee $
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept.of Environmental Protection
F41-0–nda Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
D�ivlsion of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: XApproved. E]Denled.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:.1a.,z Date:
TREEADMIN. Second Review: DApproved as revised. E]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date
FIRE SERVICES Third Review: L]Approved as revised. ElDenled.
Comments:
Reviewed by: —Date:
Revised 07127110
City of Atlantic Beach APPLICATION NUMBER
Building Department (Fo be assigned by the Building Department.)
v800 Seminole Road 14
Atlantic Beach, Florida 32233-5445 lez
Phone(904)247-5826 Fax(904)247-5845
n E-mail: building-dept@mab.us Date routed:
City web-site: hftp://�.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: &.47a, I-VI Department review required Yes No
=B
rZ.nmg
Applicant: dmims;Tffltor—
Public Works
Public Utilities
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or P'
of Permit Verified By Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water ManagennemDustnct
Ninvy Corps of Engineers
Division of Hotels and Restaurants
37wision of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: XApproved. [-]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Ae�� 4: Date:_il_�
TREEADMIN. Second Review: [:]Approved as revised. [jDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 07127110
C, Florida Friendly Landscapes
IRRIGATION COMPLIANCE CHECKLIST
DATE
A. PROVIDE PROJECT INFORMATION:
RESIDENTIAL,
ADDRESS OCen GOA- NEW INSTALLATION
RESIDENTIAL,
CONTRACTOR C—&,A "rti 1)g�,, t M.;njL,', 3:^e F UPGRADE/REPLACE
r- NOWRESIDENTIAL,
OFFICE 1'7g-071,1 CELL j6y-'7S?-627U FAX TOV-919-07/Y NEW INSTALLATION
EMAIL F NON-RESIDENTIAL,
UPGRADE/IREPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION: HYDROZONE shall mean an irrigation watering zone
-7 SO FT in which plant materials with similar Water needs are
TOTALLOTAREA --4506 grouped together.
TOTAL IMPERVIOUS SURFACE AREA - 3371 SO 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 4, 11 -1 SO FT flow rate,per emitter, of thirty(30) gallons per hour
(gjph) or one-half (5) gallons per minute (grpm) or
greater.
IPER SEC77ON24-18 l(b)(4hil x 0.60
IRRIGATION ZONE shall mean the grouping together
SO FT of any type of water emitter and irrigation equipment
MAX HIGH VOLUME IRRIGATION 2. 15 0 operated simultaneously by the control of a timer
and a single valve.
C. PREPARE&ATTACH A HYDROZONE PLAN:
ON A COPY OF THE Sin Pi-AN OR SO RVEY(RESIDENTIAL APPLICANTS)OR A LAN)SCAPE Pi-AN(NON-RESIDENTIAL APPLICANTS),IN DICATE TH E
LOCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW.
HIGH WATER USE HYDROZONE(S) [ALLAPPUCANTS] 2,Zr,,+ Q Er %TLA
High Water Use hydrozones martarn plants that require Supplemental Watering on a milarlar basis thrcatIhout the year These arms
include turf and Iowa grazes and am typically characterized by high visibility local points of landscaping design where High Volume
Irr(qationisusvd. High Water Use Zones shall be placed on a separom Irrigation zone
MODERATE WATER USE HYDROZONI [NONERESIDD[TAL ONLY) 5Q FT %TLA
Moderate Water Use hydrozones contain plants that once established,require irrigation eWay two to three weeks in absence ofminf.11 or
when theyshow vhablz�msssurh as wilhadjolloge oracle color Thez,are typically perennials,seasonal plants andflower beds
F_ LOW WATER USE HYDROZONE(S) [WhERESIMNIIAL ONLY] SO FT %TLA
Low Water Use hydroarmas contain plants that rarely require sapplemeatal watering and that are drought tolerant during wreme d'y
periods,such as native shrubs and mgmation,nstablished omes and ground comm and imadrd...
r- MOISTURE SENSOR(S) [ALLAPPLICANTS] Atleastone(I)moiswresensorsholibel"atedinmhlrHg.do�Z.ne
EMITTERS LAUAPPLICANTS] Emitter,shall be�ized and spaced to amid"casaive amrsproy an to impemious surfaces
City ofAtlantic Beach - BOOSeminoleRoad Atlantic Beach,Florida 32233
(P)904.247.5800 (F)904.247.5845 - mabas, FFL ICC v 12.07.10
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Serninole Rd Atlantic Beach, Fl,32233
Ph(904)247-5826 Fax(904)247-5845
joBADDREss: t?37 Oze,,r\ r�rovV_ 6('- All.,q.L IV-4 ,re 31ZN PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
7)rPEoFFrxTuRE QTY TYPE oF FnKTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
How Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE oF FnrTuRE QTY TYPE oF FixTuRE Qry
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Fluor Dmin Three Compartment Sink
Floor Sink Toilet
How Bibs Urinal
Kitchen Sink Vacumn Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Hester
Other Fortures Water Treating System
MISCELLANEOUS:
Ei Sewer Replacement Ei Back Flow Preventer c Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
iz Lawn Sprinkler Systern-Number of Heads q D [i Well
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
c Other
permit becomes void if work does not commence sithin a six month period or work is suspended or abandoned for six months.I hereby terrify that I have read
this application and know the same to be Me and correat All provisions of laws and ordinanoca governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of my other state or local Im regulation construction or the performance of construction.
Property Owners Name 91.b&4 S�r)o,r2- Phone NtrmberJdY-,7X-o7Q
I
y
-67(
Plumabing Compton A "2 �rwn+- iftc fficc Phone 76Y-W I ax_L�L
Co. Address: i�goi &AOA 91.,A Citv 1,clesong;16 StateoC� Zip .3;,7-Qc
License Holder(Print): cgnrA r 4. z$-M/teCerfification/Registrationit 47Q7
Notarized Sienalure ot'Licemellider 0/ //X,/K� /
1wom an so 'bed before Lf _Jo,n U 4 r
me this day of 201(f
M�� S'SIF7
i
's
nature of Notary Public
10K
LLI
z7
At
----------I
A 4-L
0-1
.... ...... .... . ... ..... .... .... ............. ...........
Cash Register Receipt Receipt Numbe
:19 City of Atlantic Beach R8684
DESCRIPTION
PermitTRAK $232.00
16-IRR-13 Address: 1837 OCEAN GROVE DR APN: 169600 0000 $66.00
OS BUILDING FEE $55.00
CS BUILDING FEE 1 455 0000 322 1000 1 $55.00
PLUMBING FInURES $7.00
PLUMBING FIXTURES 455-0000 322 1000 1 1 $7.00
STATE DBPR SURCHARGE $2.00
STATE DBPR SURCHARGE 455-0000 208-0600 $2.00
MENEFSTATE DCA SURCHARGE $2.00
STATE DCA SURCHARGE 455-0000-208-0700 $2.00
16-IRR-15 Address:731 PARADISE LN APN: $66.00
OS BUILDING FEE $55.00
ON BUILDING FEE 455 0000-322-1000 1 1 1 $55.00
PLUMBING FUCTURIES $7.00
PLUMBING FIXTURES 1 455 0000-322 1000 1 $7.00
STATE DBIPR SURCHARGE $2.00
STATE DERR SURCHARGE 455-0000 208 0600 1 $2,00
STATE DCA SURCHARGE $2.00
STATE DCA SURCHARGE 455-OOOD-208-0700 1 $2,00
TOTAL FEES PAID BY RECEIPT: R8684 $132.00
Date Paid: Monday,April 08, 2019
Paid By: EARTH WORKS DESIGN &
Cashier: CB
Pay Method: CREDIT CARD 7
Printed:Monday,April 08,2019 2:20 PM 1 Of 1 or