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2400 Seminole Rd IRR20-0001 App ,,5.i---7C-N-4,1City of Atlantic Beach APPLICATION NUMBER a � Building Department (To be assigned by the Building Department.)`r 800 Seminole Road r , � �r 1 RR Z � -- 10 00 ( ` Atlantic Beach, Florida 32233-5445 \ v?: // Phone(904)247-5826 Fax(904)247-5845 i ��`` - �� s Date routed: 1 / 3 ciao .,`i ;�� E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM /I Cm Property Address: 24LA -s Ern/ion . 0 Department review required Yes No L i in ✓ Applicant: l�OLA - A) t C 2 l U2 y arming &Zoni (� 1...._) A Tree Administrator 2R Project: l G ATia v — O H fkRC.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: 14pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUIL PLANNING &ZONING Reviewed by: / Date:r2/A/ZOZO 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 7f-' ' s�l , City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole RoadI �Z/"� ( O041� Atlantic Beach, Florida 32233-5445 lJ U Phone(904)247 5826Fax(904)247 5845� E-mail: building-dept@coab.us Date routed: ' / 3 G/ 2.__C)City web-site: http://www.coab.us 111 APPLICATION REVIEW AND TRACKING FORM rTh Property Address: 24CC) E fb�l Th �� Department review required Yes No k fuiTding Applicant: k Out k-1A n.) l C (Toro y inning &Zoninq) -� r( Tree Administrator Project: 12i C A ( I C.) i� COLD b_e R c.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: Approved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: i¢� ,0 'Date: 2`3"ZG TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:_ Date: FIRE SERVICES Third Review: I 'Approved as revised. ❑Denied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 ftur -I LJAi-, *,\ Florida Friendly Landscapes P IRRIGATION COMPLIANCE CHECKLIST _� iR zO --OOo ( �4rJ;i19'r" `� DATE: --ak / -7,/ oz- A. PROVIDE PROJECT INFORMATION: �1 RESIDENTIAL, ADDRESS: Z40O Sefv AC p e Cdr NEW INSTALLATION RESIDENTIAL, CONTRACTOR: kit)hf1+M '/1(1'1)vy `IIC UPGRADE/REPLACE NON-RESIDENTIAL, OFFICE: Zg'S -gso CELL: L"I({R'Sg39 FAX: NEW INSTALLATION J/ JI NON-RESIDENTIAL, , EMAIL: ,,HehiI ii/rl?o,y.Cow, 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 /01, /SO SQ FT grouped together. HIGH VOLUME IRRIGATION shall mean an irrigation TOTAL IMPERVIOUS SURFACE AREA - Z I 000 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 Z) ,s-c• SQ FT flow rate,per emitter,of thirty(30)gallons per hour 1 (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 4$.(Ago 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: KL HIGH WATER USE HYDROZONE(S) [ALL APPLICANTS] 3Z,ADO SOFT 31.3 %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. J 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 PlumbingPermit Application **ALL INFORMATION 09,t"�� r M HIGHLIGHTED IN 75 rCityofAtlanticBeachBuildingDepartmentGRAY IS REQUIRED. rf800SeminoleRd, AtlanticBeach, FL32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 2 OO Sinn 1NOL.� Ro'\ PROJECT VALUE $ Ivo ✓IINEW 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 ❑VIISCELLANEOUS ❑Sewer Replacement ►':ack Flow Preventer ,Lawn Sprinkler System (number of sprinkler heads) 61, ❑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. ** pother 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: Pe.Thie. 51_F�IMVW Phone Number: Plumbing Company: I-RA-,IOW TE--04,--1 1ote--)-1 fwJ( Office Phone: 285. 53.S0S Fax Co. Address: kV 1 AC`S -fn.-M - 13Lvi City: AC3 State: FL Zip: 37233 License Holder: di4" /j./h{t.1---- State Certification/Registration # 37 Notarized Signature of License Holder /Alai ")/)ft n, The forego' instrument was acknowledged before me th e ' qday o art_._ , 20;42, in the State of Florida, County of /u Uo—� F.J ';;'P,,., CHERYL LYNNOVERBY $ it_! f .;��`% NotaryPubtic Slate ofFonCa I Signature of Notary Public t ,., Commission#GG 08599'. rini r� My Comm.EzNiresJul 17.2021 ersonall Known OR [ 1 Produced ldentificatio ii ,.�OF f.�, aaaec tfa1Qn NivaW NCIBfj Aasr. 0 y T pe of Identification: Updated 10/17/18