583 ROYAL PALMS DR IRR21-0007 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%3 {fib a 1 Po 1 m s d J T t PERMIT# ( i D
R Z(-0007
NEW OR REPLACEMENT INSTALLATION: Project Value$ 11-1 50 oC)
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
RE-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:
o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System Number of Heads Il- 0 Well **
SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other C X\St1 n() Vv f i l l pump
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 authority1to violate the provisions any other state or local law regulation construction or the performance631-1.1
` of construction.
Property Owners Name f ltnfl Q ` r )c ts Phone Number. €)3- 1�o _
•
Plumbing Company l I Mil) car\ W e 1 1 f c \�� Cff ce Phone 2y 41`640 Fax2.1-1°)-g.)` le
Co. Address: \ 5) M Qu p t + Qct - City • ii i.V1 statek_ zip x2_)3.7)
J r (� C1 I C>✓ St.to Certification/Registration# I't0
License Holder(Print): W /
Notarized Signature of License Holder t�•2 ',
worn an subscribed before this-Z-5—day ustOt \,‘ _____a_ 20
2
,. TGNI GiNDLESPERGER '�
�=t.,,, ignature of Notary Public
MY COMMISSION#GG 353178c• EXPIRES:October 6,2023
F„°•' Bonded Thru Notary Public Undervrtlters �e
Florida Friendly Landscapes
_ '• IRRIGATION COMPLIANCE CHECKLIST
<-1-_-0.219'r"
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A. PROVIDE PROJECT INFORMATION: DATE (L/122 I
ADDRESS ik (k c) S v RESIDENTIAL,
\ NEW INSTALLATION
CONTRACTOR P rjer C a n N C.x‘ t 1\ ga`�on \J u e- Lo ft ccr UPGRADE/RESIDENTREPLACE
OFFICE 211-5121 0 V CELL 2' -1• 3 LI sL) FAX 41 , I ' t,_, 7
NEW INSTALLATION
EMAIL O ( \ .r 1 C ,n W Z I I C� ,[�rnA I' . U !----
NON-RESIDENTIAL,
;J • UPGRADE/REPLACE
R. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION: HYDROZONE shall mean an irrigation watering zone
• in which plant materials with similar water needs are
TOTAL LOT AREA ' LSQ FT grouped together.
TOTAL IMPERVIOUS SURFACE AREA - I--\---1 3 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 I
I ' 3 SQ FT flow rate, per emitter,of thirty(30) gallons per hour
(gph) or one-half (5) gallons per minute (gpm) or
greater.
[PER SECTION 24-181(b)(4)iij x 0.60
IRRIGATION ZONE shall mean the grouping together
MAX HIGH VOLUME IRRIGATION
} N LI 1 , ? OSQ FT of any type of water emitter and irrigation equipment
operated simultaneously by the control of a timer
and a single valve.
C. PREPARE&ATTACH A HYDROZONE PLAN:
ON A COPY OF THE SITE PLAN OR SURVEY(RESIDENTIAL APPUCANTS)OR A LANDSCAPE PLAN(NON-RESIDENTIAL APPLICANTS), INDICATE THE
LOCATION OF THE FOLLOWING AND FILL IN APPROXIMATE COVERAGES BELOW.
XHIGH WATER USE HYDROZONE(S) [ALLAPPLICANTS] 3o141,QJ SQ FT 1 0 0 %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] SQ FT %TLA
Moderate Water Use Hydrozones contain plants than 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.
XMOISTURE 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-ICCv12.07.70