365 10th St Irrigation Submittal **ALL ON
'--" 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: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 365 10 th street PROJECT VALUE $1,800.00
[kW OR REPLACEMENT INSTALLATION and/or ORE-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
CMISCELLANEOUS ECEIVE
ElSewer Replacement MAY 17 2021
ElBack Flow Preventer
V Lawn Sprinkler System (number of sprinkler heads) 48 BY:
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: Phone Number:
Plumbing Company: aa mccoy irrigationOffice Phone: (904) 591-0765 Fax(904) 268-7436
Co. Address: 5013 cerise st City: jacksonville State: fl Zip: 32258
License Holder: anthony mccoy State Certification/Registration # i-84
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this f day of MA 1 , 20 21 , in the State of Florida,
County of 1)0 IIA L
Signature of Notary Public ;.////J� I �/t - 1/ze;4
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�. . ;.,- CHRISTIAN GILES
MY COMMISSION#1111 117153 [ ] Personally Known OR [%roduced Identification
,,744 EXPIRES:April 13,2025
'f Or„`.`.°' Bonded ThruNotary Public Underwriters Type of Identification: FL
Updated 10/17/18
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IRRIGATION COMPLIANCE CHECKLIST
0E19'r
DATE:
A. PROVIDE PROJECT INFORMATION:
ADDRESS: �lp / 0 T11 nt4t4 CI RESIDENTIAL,
j NEW INSTALLATION
CONTRACTOR: A A yvi
�40 P14/4,iniJ UPGGRRAADE/DE/❑ UEE
REPLACE
NON-RESIDENTIAL,
OFFICE90/ '03•-1, CELL:c3C/i f- 7c FAX:CID`1,W 74-43L NEW INSTALLATION
NON-RESIDENTIAL,
EMAIL: Y i -W AoL 2n'r7 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 so 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 SQ FT 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
IRRIGATION ZONE shall mean the grouping together
MAX HIGH VOLUME IRRIGATION SQ FT 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:
HC
IGH WATER USE HYDROZONE(S) [ALL /a SO FTS %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 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,FL 32233•(P)904.247.5800•(F)904.247.5845•www.coab.us