158 16th St IRR19-0008 Irr 30 Heads IRRIGATION PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH IRR19-0008
800 SEMINOLE ROAD ISSUED:4/1/2019
-_a
"I, U,
DH De ATLANTIC BEACH, FL 32233 EXPIRES:9/28/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
NEW I 'VELM.14 tER
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 manazement districts,state agencies,or federal agenciI _
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
158 16TH ST IRRIGATION IRRIGATION -30 HEADS $1900.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1718790000 MANDALAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
HULIHAN TERRITORY P 0 BOX 331268 ATLANTIC BEACH FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP:
POLYTINSKY GABRIELE 158 16TH ST ATLANTIC BEACH FL 32233-5804
MARSHA KLING
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 approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QU INTITY PAIDAMOLINT
BUILDING PERMIT 455 0000 322 1000 0 $6000
ED I DOING PLAN CHECK 455 0000 322 1001 0 $3000
STATE DEPT SURCHARGE 455 0000 206 0700 0 $2 00
STATE DCA SURCHARGE 455 HURT 208 0600 0 $2,00
TOTAL:$94.00
Issued Date:4/1/2019 1 of 2
IRRIGATION PERMIT PERMIT NUMBER
-0008
IRRI9
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED:4/l/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 9/28/2019
l,s.ed Date:4/l/2019 2 f 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Serninole Road
Atlantic Beach, Florida 32233-5445 1 RRIq -0oo
Phone(904)247-5826- Fax(904)247-5845 -_71 I
E-mail: building-dept@cwb.us Date muted:
City web-site: http://�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addres- tsa�' Depa ant review required Yes No
Affuild.��
Applicant: 'Ie r-f- Tlartfiring&Zoning
NP�Adm—iM!mfftor—
Project: c PublIcWorks
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept,of Environmental Protection of Permit Verified By �C'12
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: '10"Oproved. E]Denied. []Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: '00'r, —Date
TREE ADMIN. Second Review: E]Approved as revised. ElDenied. []Nat applicable
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. ODenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/1912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Deparhent.)
800 Seminole Road I RRIq -0o
Atlantic Beach, Fonda 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date muted:
City welb-site: h1tp:1&mw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addresr, Department review required Yes -No
Applicant: 0-,-\ ng&Zoning
TT�,AcIrnin7Mabr
Project: P'k k-T i C) PublicWorks
Public Utilities
Public Safety
Fire Services
Review fee $. Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept.of Environmental Protection
Flonda 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
APPI-19ATION STATUS
Reviewing Department First Review: 02Approved. ElDenied. E]Not applicable
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: frI Date:11113_
TREE ADMIN. Second Review: E]Approved as revised. []Deniadl. E]Not applicable
PUBLIGWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by, Date
FIRE SERVICES Third Review: DApproved as revised. ElDenied. E]Nm applicable
Comments:
Reviewed by: Date:
RevisedWIRM07
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: /5-S /&tl %Zd PERMIT#
NEW OR REPLACEMENT INSTALLATION: ProjectValueS 11m)
TYPE OF FixTuRE Qry TYPEOFFixTURE 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 Tiny Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPEOFFIxTuRE QTY TYPEOFFixTURE 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:
c Sewer Replacement odBack Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads '30 7 Well
SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
Ei Other
Permit becomes old if work does not conamrsce within a six month period or work is suspended or abandoned for six months.I hereby certify,that I hac read
this applicaflon andlanoorthe sametobetrucandcorre,ct. All provisions of laws and ordinances governing ibis work will be complied with whether specified
or not. The permit does not giw authority to�iolatc the provisions of my other state or local law regulation construction or the performance of construction,
Property Owners Name (266 1 Phone Number
Plumbing Company _r —
&�lnri,, edri ih� 14 C Office Phone ZgS-SS�iS Fm
Co.Address: U-1-1 0aftlKL Sly,( City A& State EL Zip'92Z51
License Holder(Print): 15rA+ "I State Certification/Registration#
Notarized Signature of License Holder
- - - - - - - - Sworn and subscribed before i Fcl� 20
Signature of Notary Public
Fiori a Friendly Landscapes
IRRIGATION COMPLIANCE CHECKLIST
DATE: 71(A I I
A. PROVIDE PROJECT INFORMATION:
RESIDENTIAL,
ADDRESS: can"t NEW INSTALLATION
RESIDENTIAL,
CONTRACTOR: UPGRADE/REPLACE
-1 NON-RESIDENTIAL,
OFFICE; ZSS.- 95-OS CELL: 'qq1?-8,93Cf FAX:_ NEW INSTALLATION
0 NON-RESIDENTIAL,
EMAIL: MA.4i,60 UPGRADE/REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION HYDROZONE shall mean an irrigation watering zone in
which plant materials with similar water needs are
TOTAL LOT AREA oas'p SO FT grouped together.
HIGH VOLUME IRRIGATION shall mean an irrigation
TOTAL IMPERVIOUS SURFACE AREA SO FT system that does not limit the delivery of water
directly to the root zone and which has a minimum
TOTAL PERVIOUS AREA/LANDSCAPE 7—S770 SQ FT flow rate,per ennitter,of thirty(30)gallons per hour
(gph�or one-half(.5)gallons per minute(gipm)or
greater.
(Per COAB Code Section 24-181(b)(00 X 0.60
IRRIGATION ZONE shall mean the grouping together
MAX HIGH VOLUME IRRIGATION MOO SO FT of any type of water emitter and irrigation equipment
operated simultaneously by the control of a timer and
a single yalve.
C. PREPARE AND ATTACH A HYDROZONE PLAN:
ON A COPY OF THE SITE PLAN OR SU RVEY(RESIDENTIAL APPLICANTS)OR A LANDSCAPE PLAN(NON-RESI DENTAL
APPLICANTS�,INDICATE THE LOCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW:
HIGH WATER USE HYDROZONE(S) [AULAPPUCANTS] 11delo SO FT 7-14 96TIA
High water use Hydrozones contain plants that require supplemental watering on a regular basis throughout the year.These arecor include
turf and lown grosses and are�typically characterized by high visibilityfocal points of landscaping design where High volume Irrigation is
used.High Water Use Zones shall be placed on a separate irrigation zone.
0 MODERATE WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY] _SO %114
moderate water Use Hydrozones contain plants that,once established,require irrigation every two th,three weeks in absence ofrainfall or
when they show visible stress such as wiftedfliage or pole color These are typicallyr I
.Zoials seasanalplamrsandflowerbeds.
LOW WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY) SOFT 6,02.3p %TtA
Low water use mydrozones contom plants that rarely require supplemental watering and thatere,drought tolerant during estrerne day
periods,such as notate shrubs and w,getatiam,established trees and ground cown,and wooded one�
MOISTURE SENSOR(S) [ALLAPPLICANTS] At least onz,(1)moisture semarshall be located in each Irrigation Zonse.
F1 EMITTERS [ALLAPPLICANTS] Emitters shall be sized and spacensf to awid excessive omrsPmY on to impervious surldOes
City ofAtintic Beach.800 Seminole Road.Atlem tic Beach,Ft.32233.(P)904.24 7.SSW.(F)904.24 Z 5845. .w.coarb.us
eloo
10