596 N Nautical IRR19-0023 Irr-38Heads IRRIGATION PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH IRR19-0023
ISSUED: 4/23/2019
800 SEMINOLE ROAD EXPIRES: 10/20/2019
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (9D4) 247-5814 BY 4 PIVI 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
It, EIP
By be add 0 n ermts requi,
F 'Hes,.rf' Graf age GIB,
that may be found in the public records of this county,and there may be additional permits required from other
c ,
governmental entities such as water management districts,state agencies, d n
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
596 N NAUTICAL BLVD IRRIGATION IRRIGATION -38 HEADS $1500.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1707030346 SFASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
BLACKWELDER JOHN W 596 NAUTICAL BLVD N ATLANTIC BEACH FL 32233-4119
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.
FEES
DESCRIPTION ACCOUNT QUANTITY INRRJ
BUILDIZ�PERMIT 45S DOW 322 1000 0 $60,00
BUILDING PLAN CHECK 455 MO-322 1001 0 $30,00
$2=
STATE DSPR SURCHARGE 455 WOO 208 07M 0
STATE DCA SURCHARGE 455-0000 70a-0600 0 $2.00
TOTAL:$94.00
issued Date:4/23/2019 1 of I
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building DepaHment.)
,A'y 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(9114)247-5845
�,r' E-mail: building-dept@coab.us Date routed�
City web-site hftP 1/�.coab us -4 / tc) lkq
APPLICATION REVIEW AND TRACKING FORM
Property Address: ()T( apr( quire
:;g nent reView hall —Ye—sT-No I
di�:
Applicant: (A') N3C—'9_ fftWimng&Zonin—g "�,
-TfeaAdmimstrator
Project: Pi-Tt 0�'J Public Works
Public Utilities
Public Safety
Fire SeNices
Review fee Dept Signature Z�
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
I nice Dept.of Transportation
St.Johns River Water Man
_Wrwy Corp.of—E.g.n...
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: roved. E]Denied. E]Ncrt applicable
(Circle one.) Comments: )2KPP
BUILDING
PLANNING&ZONING Reviewed by: '_�/IT, Date:V-2.1- lei
TREE ADMIN. Second Review [JApproved as revised. E]Denied. [-]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRESERVICES Third Review: E]Approved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:—
R.vised 05/1912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road C) —cozz
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
Cry web-site hftp 8wwwcoath us
APPLICATION REVIEW AND TRACKING FORM
Property Address: S9 & N1),L2T( CPL M rtment review re uired Ye No
-In
US
nin &Zoning
Applicant: C A') t ..) dministrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
V77
Review fee Dept Signature
----------
Other Agency Review or Permit Required F�evtewor Recent Date
of Permit Verified By
Florida Dept.of Environmental Protection
orkta Dept.of Transportation
St.Johns Ri at Water Management District
Jmm_y Corps of Engineers
Division of Hotels and Restaurants
ivision of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: R�proved. E]Denied. E]Notapplicable
(Circle o e.5 Comments:
0
(�I�W1
lLjD31
PLANNING &ZONING Reviewed by: Date: A&
TREE ADMIN. Second Review: []Approved as revised. FIDenied.V ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: E]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Rov[W ONIK2017
A,glkIrrigation Compliance Checklist '*ALL INFORMATION
Florida Friendly Landscapes HIGHLIGHTED IN
quCity of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Build i rig-DePtOccab-Lis PERMIT#: iP'R19 -0()Z3
DATE: 9
A. PROVIDE PROJECT INFORMATION:
D RESIDENTIAL,
ADDRESS: QU AMMOL SWADA1. NEW INSTALLATION
U RESIDENTIAL,
CONTRACTOR: DW111PI'L UPGRADVIREPLACE
El NON-RESIDENTIAL,
OFFICE: CELL: 90, 91L-707,1 FAX:_ NEW INSIFALLATION
b NON-RESIDENTIAL,
EMAIL: UPGRADE/REPLACE
,j C-
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 SO FT grouped together.
HIGH VOLUME IRRIGATION shall mean an irrigation
TOTAL IMPERVIOUS SURFACE AREA Z!5702 SO FT system that does not limit the delivery of water
directly to the mad,zone and which has a minimum
TOTAL PERVIOUS AREA/LANDSCAPE SO FT flow rate,per emitter,of thirty(30)gallons per hour
jgph)or one�half(5)gallons Par minute(g,m)or
greater.
(Per COAB Code Section 24-181(b)(4)fi) X 0.60
IRRIGATION ZONE shall mean the grouping together
MAX HIGH VOLUME IRRIGATION YZ SO FT operated simultaneously by the control of a timer and
of any type of water emitter and Irrigation equipment
a single valve.
C. PREPARE AND ATTACH A HYDROZONE PLAN:
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 HYDROZONES) [ALLAPPLICANTS] 2;"7 SOFT jjjRjjh=%TIA
High Water Use Hydnazanez contain plants that require supplemental watering on a regular basis throughout the year.These areas include
turfard lawn grosses and are typically characterized by high wisibilityfMI points of landscaping design where High Volume Irrigotlari is
Used High Water Use Zones shall be placed on a separate irrigation zone.
El MODERATE WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY) —SQFT %TILA
moderate Water use Hydrozones,contain plants that,once established,require irrigation every two to three weeks in absence ofminfall or
when they show visible sae�such m wiltedfolloge or pate color.These are typically perennials,seasonal phant,andflowe,beds.
El LOW WATER USE HYDROZONES) [NON-RESIDENTIAL ONLY] —SQfT _%TILA
Low Water Use Hydrazones contain plants that rarely require supplemental watering and Mat are,drought tolerant during airframe dry
periods,such as native shrubs and vegetation,established trees and ground caven,and wcded areas.
OISTURE SENSOR(S)[ALL APPLICANTS] At least one(1)moisture sensor shelf be located in each Irrigation Zone.
EMITTERS[ALL APPLICANTS] Emitters shall be sized!and spaced to ovoid excesshe overspray on to impervious surfaces.
Updated 10/17118
'*ALL INFORMATION
Plumbing Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Build i ng-Dept(h)coralb.us PERMITM jIQ\RJq DOZ
JOB ADDRESS: V1, Mum-64k 13WO A PROJECTVALUE$ 4SZV,&i9
ONEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE CITY TYPE OF FIXTURE CITY
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
VMISCELLANEOLIS
Ei S wer Replacement
Eliack Flow Preventer
Lawn Sprinkler System (number of sprinkler heads) .345
El Grease Interceptor(Trap)_gallons(Requires 3 sets of plans)
Ei Well --SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.
[I 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.
owner Name: . 101W PhoneNumber: W-�IJ -7e73
Plumbing Company: Owtilfkt-je!h! Office Phone: ft-J16-2,473 . Fax—
Co.Address: AIL wr� �Wcilv— City: ArWTTL &A9 State:_E� Zip: 52,27�
License Holder: J OWJ &4L04VfLXJI-- State Certification/Registration#
Notarized Signature of License Holder
C--� —5,the State of Florida,,
The foregoing MZent knowledged (/efre me this ada 0 20 IL
County of Signature of Notary Public
'ON'O��,,,',FN8?E Sea dentfcatiqn
Personally Known 011,�PXd;2
N87
ION""So'
-t M"O c)-
85S October S So
EXPIRS&October 6.NIS
Type of Identification:
'n�eaeer .....
4, Swdsdn�WM%YcU��Wm Upeoned10117118
MAP OF BOUNDARY SURVEY
DESCRIPTION:
LOT 1. BLOCK 3, OF -SEASPRAY' ACCORDING TO THE PLAT TWPEOF AS RECORDED
IN PLAT BOOK 35. PAGES 64. AND 64A OF THE CURRENT PUBLIC RECORDS OF DUVAL
C"TY. FLORIDA.
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"ALL INFORMATION
ner Builder Affidavit HIGHLIGHTED IN
jllllllk� OW
qrCity of Atlantic Beach Building Department RAY 1
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept2coalb.tus PERMIT A:
1. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART I"CONSTRUCTION CONTRACTING"REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TOBE DONE BY LICENSED CONTRACTORS. YOUHAVEAPPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER
OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE TONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING IM JST BE FOR YOUR USE AND OCCUPANCY.'IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILI YUUK�t[F`WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH
15 IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR.YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE 13UILDING CODES AND 70NING REGULATONS.
'SYOUR ESPONSIBILITY TO MAJKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
LT 0 COUNTY OR MUNICIPAL LICE.NSIN.
IREQUIRE YsTATELAWANDB G ORDINANCES.
I. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED..
Ill. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY;UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT
TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(l), AN-OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS
CERTIFICATE"To ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT#DCOAB.US)IF IN DOUBT.
V. ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALIETHE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: 571 L jv4q;opili, &V6 N. A-R I
Owner Name: JP1W 5 WGtKLQ�& Phone Number:
MaifingAddress: 04 fliftfrdilt L3(.V0 /4 City: State: zip:
Notarized Signature of Owner
L�q 20Lqm the State of Florida, County
The Mgaing=ument was ack le d before me this day of
0 -�V
Signature of Notary Public
I ] Personally Known OR I Produced Identification
Type ofidentification: -47?
WaPERGE]� i
14911 updoWdIO124118
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