174 15th St IRR21-0006 -tuvir,, Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
f r City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
I QRZ ( - 000Co
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: fk•6- ; .)-, 0a13
JOB ADDRESS: FI Li- (5 +h S T -Q•-r2 , qG 0 PROJECT VALUE$ I15ao. DO
11]NEW OR REPLACEMENT INSTALLATION and/or DRE-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
dBack Flow Preventer
YLawn Sprinkler System (number of sprinkler heads) 31
❑Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Well **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: MI c-Nies. ihAP,c,n Phone Number: 9b4 - 9q 3‘)).16
Plumbing Company: SE/N. % L LA IJ \) C Af % ts• Ce., Office Phone: 6109-10,-4 , 'tf,- Fax
Co. Address: 13loo 7Cc-.i.o\1L- C2 D . City: 41. .2 oNoJ 5 State: ct. Zip: 5aD..51
License Holder: MiC. P&1- J\, 8,z; p1/4 0-r" State Certification/Registration# - 3c.(-
Notarized Signature of License Holder ,-htt:A%LiNc.,4 Q . J w.,,),-
f\C
The fore .nstrumentacknowledgedbefore me
this. day C1`
inas
, 2Q�in the State of Florida,
County of \r�
lP
11 c/
Signature of Notary Public �f
srlii4 TONT GINDLESPERGER /
. ' .; MY COMMISSION#GG 353178
"' [ ] Personally Known OR [ ] Produced Identification
"a•.��.'off: EXPIRES:October 6,2023
''rFOF FS°P' Bonded Thru Notary Public Under*iiters
Type of Identification:_
Updated 10/17/18
J� �' y, Florida Friendly Landscapes
I
. 1 ,I� IRRIGATION COMPLIANCE CHECKLIST
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DATE 3 -2. *L 1
A. PROVIDE PROJECT INFORMATION:
ADDRESS 111+ 16 L S "T• ATL. c.Af.A...- ri., r NEA L,
NEWW INSTALLATION
RESIDENTIAL,
CONTRACTOR 9C-,:-/>. 7\06 /a \>4C,I>,P\tsi C-. r UPGRADE/REPLACE
NON-RESIDENTIAL,
OFFICE°l c'-}, 104- .Gt-kA 1 CELL FAX r NEW INSTALLATION
NON-RESIDENTIAL,
EMAIL 1..4“-? G L.P. (,\› -( )3• &I.M/>-I1- • Lo NA. r UPGRADE/REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION: HYDROZONE shall mean an irrigation watering zone
SQ FT in which plant materials with similar water needs are
TOTAL LOT AREA 4r$0 0 grouped together.
TOTAL IMPERVIOUS SURFACE AREA - a I (p SQ 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 aSQ FT flow rate, per emitter, of thirty (30) gallons per hour
i° y U (gph) or one-half (.5) gallons per minute (gpm) or
greater.
[PER SECTION 24-181(b)(4)ii] x 0.60
IRRIGATION ZONE shall mean the grouping together
SQ FT of any type of water emitter and irrigation equipment
MAX HIGH VOLUME IRRIGATION j '64 SQ
simultaneously by the control of a timer
and a single valve.
C. PREPARE ATTACH A I ROZONE PLAN:
ON A COPY 0' . • • i- URVEY(RESIDENTIAL APPLICANTS)OR A LANDSCAPE PLAN(NON-RESIDENTIAL APPLICANTS),INDICATE THE
LOCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW.
fl HIGH WATER USE HYDROZONE(S) [ALL APPLICANTS] 1) 5' O SQ FT fob %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.
✓ MODERATE WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY] I, 19. b 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] SQ FT %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.
✓ 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,Florida 32233
(P)904.247.5800 • (F)904.247.5845 • www.coab.us FFL-ICCv12.07.10