116 Jackson Rd IRR19-0031 17 HeadsIRRIGATION PERMIT
PERMIT NUMBER
CITY OF ATLANTIC BEACH
IRR19-0031
800 SEMINOLE ROAD
ISSUED: 6/6/2019
ATLANTIC BEACH. FL 32233
EXPIRES: 12/3/2019
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.
116 JACKSON RD IRRIGATION IRRIGATION - 17 HEADS
172140 0000
HULIHAN TERRITORY P O BOX 331268 ATLANTIC BEACH
• ADDRESS:
AF AB VENTURE LLC 1738 SELVA MARINA DR ATLANTIC BEACH
$1200.00
DONNERS S/D PT LOT 2
17 -
FL 32233
FI_. 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: 6/6/2019 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
1 0
$2.00
TOTAL: $94.00
Issued Date: 6/6/2019 1 of 2
City of Atlantic Beach
Building Department
r � 800 Seminole Road
C' Atlantic each, Florida 32233-5445
Phone (904) 247-5826 - Fax (904) 247-5845
E-mail: building-dept@coab.us
City web -site: hftp://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Prooerty Address: I 1 G, A W W::�n1--) R-0
Applicant: 0 l-1 H- R A�
Project:
Review fee $_
Depa4axent review required Ye No
uildin
nning & Zoning
ree mi ra 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:
ra1I WOTYW.] k1�"Irild11.y
Reviewing Department
First Review:
EgApproved.
❑Denied.
❑Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
y�
/ �
Date: 6 -y-awq
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 Atlantic Beach
S� Building Department
800 Seminole Road
ri Atlantic Beach, Florida 32233-5445
9
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.)
IRL�-(
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 11 G-, A W K 5�C-),� R-0
Applicant:
Project:
Review fee $
D ent review required Yes No
uildin
nning & Zoning
red minis ra 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
Reviewing Department
First Review:
❑ proved.
[]Denied.
❑Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING &ZONING
Reviewed by:
?
��/ �---�
l
Date:^3 ice(
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
ALL
*INFORMATIONPlumbin Permit Application HIGHLIGHTEDIN
JS City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: l Kn 4�Gcr R..i PROJECT VALUE $ MZ2 0
ONEW OR REPLACEMENT INSTALLATION and/or ❑RE -PIPE
TYPE OF FIXTURE
Bathtub
Clothes Washer
Dishwasher
Drinking Fountain
Floor Drain
Floor Sink
Hose Bibs
Kitchen Sink
Laundry Tray
Lavatory
Other Fixtures
CVIISCELLANEOUS
QTY 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
[]sewer Replacement
Lack Flow Preventer
IRLawn Sprinkler System (number of sprinkler heads) —%--
❑Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
Elwell** 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 provisions
of any other state or local law regulation construction or the performance of construction.
Owner Name:AIP AA giA}we Phone Number:
Plumbing Company: �*d l i Hd,vt T"– A liyu Office Phone: Z$6 - S'S'M Fax
Co. Address: %n l A'�iD.rlt1G j1Yc{ City: A State: Zip: 3�3
License Holder:
State Certification/Registration # I 9 7
Notarized Signature of License Holder
The foregoln rument was acknowledged before me this
County of 'LIc
7
6
Si ature of Notary Public L
A'
Frsonally Known OR [ ] Produced Identification —i
ype of Identification:
Updated 10/17/18
day
o , 20n, in the State of Florida,
yp�
SPp 6 '
CHERYL LYNN OVERBY
Notary Public— Spate Of FbrCa
Commission # GG 085991
My Comm. Excites Jul 17.202
Bonded tho4h Nal&6 Notary Pssr.
Florida Friendly landscapes
IRRIGATION COMPLIANCE CHECKLIST
A. PROVIDE PROJECT INFORMATION:
ADDRESS: 1".0 , ir..SDr11 211
CONTRACTOR: RU� I�CIN IeYrl f�tu �tiC
OFFICE: 2.$S - ft�' CELL: 4yq - $$?jq FAX:
EMAIL: M&'e*YAF_ \W���laHTerr�� r y_ [c-3Wl
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION
TOTAL LOT AREA
U-1 S SQ FT
TOTAL IMPERVIOUS SURFACE AREA - 1-1Z50 SQ FT
TOTAL PERVIOUS AREA/LANDSCAPE Z Z -S- SQ FT
(Per COAB Code Section 24-181(b)(4)ii) X 0.60
MAX HIGH VOLUME IRRIGATION 12-1 S_ SQ FT
C. PREPARE AND ATTACH A HYDROZONE PLAN:
DATE: 512^111
❑ RESIDENTIAL,
NEW INSTALLATION
❑ RESIDENTIAL,
UPGRADE/REPLACE
❑ NON-RESIDENTIAL,
NEW INSTALLATION
❑ NON-RESIDENTIAL,
UPGRADE/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 (.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:
l�C HIGH WATER USE HYDROZONE(S) [ALLAPPLICANTS] /000 SQ FT L %TLA
High Water Use Hydrozones contain plants that require supplemental watering on a regular basis throughout the year. These areas include
turf and lawn grosses 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-RESIDENTIAL 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.
LOW WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY] (000 SQ FT %S %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) [ALL APPLICANTS] At least one (1) moisture sensor shall be located in each Irrigation 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, FL 32233 • (P) 904.247.5800 • (F) 904.247.5845 • www.coab.us