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390 Plaza IRR19-0048 IRRIGATION PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH IRR19-0048 8 ISSUED: 9/23/2019 00 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL •RK MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' CODE, ' OF iNTIC 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 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. JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 390 PLAZA IRRIGATION IRRIGATION $3000.00 TYPE OF • iGROUP: 1699810000 ATLANTIC BEACH COMPANY: ADDRESS: ' • ADDRESS: CITY: STATE: ZIP: WEBER JULIEANN E 124 14TH ST 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. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $70.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00 STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $109.00 Issued Date: 9/23/2019 1 of 1 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) `i 800 Seminole RoadI !�r� r' Atlantic Beach, Florida 32233-5445 IR E'9 r 00 Phone(904)247-5826 • Fax(904)247-5845 ^!COM E-mail: building-dept@coab.us Date routed 9 L jig City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 390 PLAK- A Dg9artment review required Yes o Buildin Applicant: O N C fanning &Zoning n nn nn Tree minis rator Project: L 21�� G�`'� ( ( Public Works Public Utilities Public Safety Fire Services Review fee $ 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: BUILDIN PLANNING & ZONING Reviewed by: Date: /7 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 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road (� r� Atlantic Beach, Florida 32233-5445 (�R� — Vo Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: t L City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 39 C/ hcA -;_z� A Dqpartment review required Yes No / �� Buildin Applicant: ("I'D N C fZ -1 tanning &Zoning II Tree mini rator Project: l 21�� G.� ( lC)(\,-p Public Works Public Utilities Public Safety Fire Services Review fee $ 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: pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING G 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 s * INFORMATIONPlumbinb Permit Application HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 i R R t 9 UCA5 Phone: (9904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: J6 z PROJECTVALUE$ �PA-Zo- " ❑NEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE TYPE OF FIXTURE QTY 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 ❑MISCELLANEOUS ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Lawn Sprinkler System (number of sprinkler heads) ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Well **SJRWell Completion orm.Completed form to be submitted to the Building Department for final inspection.jp,W ** ❑ Others Y� 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 c struCtion. e- 7 ,�� O Owner Name: �" Phone Number: Plumbing Company:�� '� Ow{� Office Phone-7d r U ` ` K` x 3 Co. Address: 1(2— ( � �r� City: � Stat �Zip: � �2 License Holder:, "_ 42 6:1 State Certific gistr do # Notarized Signature of License Hol The foregoi ' strument as acknowledged befor a this ay f , 2 , in the State of Florida, County of �� Signature of Notary Pu is TGA L, R!FSPERGER ^V3 Fr924951 [ ] Personally Known OR [ ] Poduced Identificati r 6,2019 .• _Underwriters Type of Identification: Updated 10/17/18 Irrigation Compliance Checklist "ALL INFORMATION HIGHLIGHTED IN Florida Friendly Landscapes GRAY IS REQUIRED. City of Atlantic Beach Building Department .r»� 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: DATE: A. PROVIDE PROJECT INFORMATION: ADDRESS: ( ❑ RESIDENTIAL, ((( NEW INSTALLATION ��j �1 ` _� ❑ RESIDENTIAL, CONTRACTOR: yQ C� yUPGRADE/REPLACE IA7-L7 O OFFICE: Lt f (J ��[iCELL: ! FAX NEW INSTALLATION I ❑NON-RESIDENTIAL, EMAIL: l LUG' L �� V' `� C ' Gy 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 r f , [7 `J SQ FT grouped together. HIGH VOLUME IRRIGATION shall mean an irrigation TOTAL IMPERVIOUS SURFACE AREA SQ FT system that does not limit the delivery of water directly to the root zone and which has a minimum TOTAL PERVIOUS AREA/LANDSCAPE , II SQFT flow rate,per emitter,of thirty(30)gallons per hour - (gph)or one-half(.5)gallons per minute(gpm)or greater. (Per COAB Code Section 24-181(b)(4)ii) X 0.60 f/ IRRIGATION ZONE shall mean the grouping together MAX HIGH VOLUME IRRIGATION ( z]b.`tx SQFT of any type of water emitter and irrigation equipment operated simultaneously by the control of a timer and 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: 11 ,,7 HIGH WATER USE HYDROZONE(S) [ALLAPPLICANTS] 5-6c) SQ FT i S %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. 1�g2 / �j 11 MODERATE WATER USE HYDROZONE(S) [NOWRESIDENTIALONLY] ` /�J SQ FT l %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 flowerrjbeds. ❑ LOW WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY] L SQ FT f�� r %TLA Low Water Use Hydrozones contain plants that rarely require supplemental wateri g and that are drought tolerant during extreme dry periods,such as native shrubs and vegetation,established trees and ground covers,and wooded areas. I/MOISTURE SENSOR(S) [ALLAPPLICANTS] At least one(1)moisture sensor shall be located in each Irrigation Zone. LJ EMITTERS [ALL APPLICANTS] Emitters shall be sized and spaced to avoid excessive overspray on to impervious surfaces. Updated 10/17/18 Latm I&XI 1 p - l70w6to G�,, I� ve �ve. eccl(-�low ,p r �G u t3 1 veA.. r2 ..p— E (edr1 c �a IVG - I oW preSflrc - Dr,p me. (0 '4/OV 3 --To Z-Ovte 5 - Re5s-jee - d�;p tree '4r- tomes lWrvkl P .00 _ o ON � ras mw I 1 a - Amp mv- L£' 107 GIvc.1� I l _ mid — . 1 1 1 1 F - - '00W le��ue�� x�3 (gag 003V mens aw am »e�a� 6'tB wee Owner Builder Affidavit "ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. i 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1"CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED 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 A ONE 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 MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . III. 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(1). 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@COAB.US) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OW.NN R-BUILDEgERMIT. Job Address: Gt� 1 d't �—� f✓�vl ( `•G �/ � �1 / � Owner Name: c� t'k W k=� �' Phone Number: Mailing Address: 2 � -City: State: 'Zip: Z Notarized Jt wrier o Signature 9 The f"eg�' g instrum nt was acknowledge before me this day o + , 20 ,1 in the State of Florida, County of "ONIGINDLESPERGER Signature of Notary Public _ >.Ad;SSION#FF924951 :.; 2", October 6,2019 V` ,;• [ ] Personally Known OR [ ] Produced Identification o, ,, E r;cac'i o Pto'ary'Pub6c Unde carters Type of Identification: FSPERGER :y°•' - Updated 10/24/18 4 FF 924951 �_ -r 6,2019