295 Belvedere St IRR19-0029 IrrigationOWNER:ADDRESS:CITY:STATE:ZIP:
HEZEL STEPHANIE A 295 BELVEDERE ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
HULIHAN TERRITORY INC 1177 ATLANTIC BLVD ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170501 0000 SALTAIR SEC 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
295 BELVEDERE ST IRRIGATION IRRIGATION - 19 HEADS $1200.00
FEES
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 0 $2.00
TOTAL: $94.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 6/9/2021
PERMIT NUMBER
IRR19-0029
ISSUED: 6/9/2021
EXPIRES: 12/6/2021
IRRIGATION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 6/9/2021
PERMIT NUMBER
IRR19-0029
ISSUED: 6/9/2021
EXPIRES: 12/6/2021
IRRIGATION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
IRR19-0029 Address: 295 BELVEDERE ST APN: 170501 0000 $94.00
BUILDING $60.00
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN REVIEW $30.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R16048 $94.00
Printed: Wednesday, June 9, 2021 10:59 AM
Date Paid: Wednesday, June 09, 2021
Paid By: HULIHAN TERRITORY INC
Pay Method: CREDIT CARD 465950200
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16048
r/1.Alpy City of Atlantic Beach APPLICATION NUMBER
:is Building Department (To be assigned by the Building Department.)
�� 800 Seminole Road
I r Q
j Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 Date routed:
fi o�jr E-mail: building-dept@coab.us
City web-site: http://www.coab.us /
APPLICATION REVIEW AND TRACKING FORM
Property Address: 79 5 I)e_ vexiQte. _De ar Hent review required .Yes No
N.—.,......, Buildinq_�
Applicant: A A ( 4' C G—' arming &Zoning
Tree Administrator
Project: I r p-(.c:: —-v , " ( A IA Pot 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 \\JV
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: Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING r Reviewed by Date: 3a—t cl
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
rS.A4-;-,,. City of Atlantic Beach APPLICATION NUMBER
_j' �, Building Department (To be assigned by the Building Department.)
800 Seminole Road
a Atlantic Beach, Florida 32233-5445 1 r k — .r
Phone(904)247-5826 • Fax(904)247-5845 /.. C)
iivE-mail: building deptcoab.us Date routed: S t q
City web-site: http://www.coab.us /
APPLICATION REVIEW AND TRACKING FORM
Z� LDe art ee
Property Address: � IVC�er-'C_ SA- - �nt review requiredYNo
\—....., Building
Applicant: 4 D l l hn n ( e[` C--- ---•••-1ning &Zoning 3,
"Tree Administrator
Project: ...I r ( — t T I,-1 eaC 4, 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:
:UILDING
PLANNING &ZONING (j— /—a{XC�
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
_ Plumbing Permit Application **ALL INFORMATION
r�� %.A, HIGHLIGHTED IN
°U City of Atlantic Beach Building Department GRAY IS REQUIRED.
Atlantic Beach, FL 32233
800 Seminole Rd, q `Q
'. 'j!'' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: IRR`- [ — OUZ9
JOB ADDRESS: Zq eelVQrig i0 Siree.-k- PROJECT VALUE $
✓ANEW 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
1ISCELLANEOUS
El Sewer Replacement
❑Back Flow Preventer
Callawn Sprinkler System (number of sprinkler heads) 11
❑Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
Ei 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: j'4vvy/ eef/tee- Phone Number:
Plumbing Company: illi K
vcv,,, 1 c.irrt'ro�./ Office Phone: 7.._ -,S-^&-t,c Fax
Co. Address: tI(1 f A t" ,,..4 c Pt%rc( City: Ai? State: Ft- Zip: 32 Z 3 3
License Holder: tc f- /Ms 11.4.—.11.4.—. State Certification/Registration # _T-.• 3 7
$
Notarized Signature of License Holder j�j
The foreg°�' strumen was acknowledged before me thil day o 20/ 1, in the State of Florida,
County of L./(JU6
Si ature of Notary Public
I 49.„ -\,;(1,
,..•••,.:;'P�'.,„ CHERYL LYNN OVERBY I g
9„ ; Notary Public-Sate of Florida I
1=.* .. Commission#GG085991fll l I ersonally Known OR [ ] Produced Identification
��� orr My Comm.Expires ! ype of Identification:
1 , f,,,,, Bored through National Notary Assn.
Updated 10/17/18
SA
Jl ~ i
f. Florida Friendly Landscapes
'. ? IRRIGATION COMPLIANCE CHECKLIST
.A-J;3 Wr
DATE: 61245-(
A. PROVIDE PROJECT INFORMATION:
�� l ❑RESIDENTIAL,
ADDRESS: -2.-AS- lieCIe✓ F 71f�C T NEW INSTALLATION
❑RESIDENTIAL,
CONTRACTOR: O\ t "- kr " / UPGRADE/REPLACE
-� p �1 2
CI NON-RESIDENTIAL,
2
OFFICE: -81-- CELL: -T1�[ -P.g .7 1� FAX: NEW INSTALLATION
J 1 n \
[1 NON-RESIDENTIAL,
EMAIL: 1`�lA✓ l lv, `� 1 i via,1-crrc4cry_ eurk CurUPGRADE/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 15 O SQ FT grouped together.
2.75C) 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 4150 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 Z.5' 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:
X HIGH WATER USE HYDROZONE(S) [ALL APPLICANTS] X70' SQ FT Z.- %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 Hydrazones 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.
V 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
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