380 12th St IRR20-0002 App JOB COPY
Plumbing Permit Application , .ALL INFORMATION
HIGHLIGHTED IN
I; City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-58261Email:�� uildin -Dept@coab.us PERMITth oa
JOB ADDRESS: I'SC9� l � PROJECT VALUE $ ccj
dVEW OR REPLACEMENT INSTALLATION and/or ERE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY U
Bathtub Septic Tank& Pit Z
Clothes Washer Shower < I -.1 Z `.6
Dishwasher Shower Pan C U z E
Drinking Fountain Slop Sink W OE o Li!
Floor Drain Three Compartment Sink U m 3 a
Floor Sink Toilet U .z U
W � Q D
Hose Bibs Urinal tCI Z a Z
Kitchen Sink Vacuum Breakers U J Ow w
Laundry Tray Water Connected Appliances LC Q H Z
w
Lavatory Water Heater W LL cr 2
Other Fixtures Water Treating System to 0 a w m
CIVIISCELLANEOUS H w O w
❑Sewer Replacement lLl V N cc W
❑Back Flow Preventer L j W
4 Lawn Sprinkler System (number of sprinkler heads) JO
D3rease Interceptor(Trap) gallons (Requires 3 sets of plans)
0 Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.**
DOther
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: P<a\-\,.l ,K Phone Number: `1,- ,\' 91`'1- 210?,
Plumbing Company: &. \..,k) C-\17 ,.)t-A-ciD�oILS Office Phone:IT-1-'2.b`1 -`31 11 Fax
Co.Address: Po, Gm 'ccc() S City: r)g^ant Or.'Z State: (I Zip: 3.2-06
� 134) 0.License Holder: � ) ' �^
-e-t U •r State Certification/Registration# 1:)t,41./.L 1 "\N)
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this ) 4 day of ll fIk.,.' y• 20110, in the State of Florida,
County of C ,t.
Signature of Notary Public �_
1,,{LY Pfd r,,
aP = Notary Public•State of Fiorlda
`[r1 Personally Known OR [ ] Pr d !1; ti jj n N FF 970919
e of Identification: ,,,�..,,.•• tib'Comm.Expires Mat 25,2020
Bondtd through National Wiry Aua.
►� ������� ated10/17/18
JOB COPY
Ji r 4* � Florida Friendly Landscapes
� ` � , f IRRIGATION COMPLIANCE CHECKLIST
\14:-:-___013 c-)'''
DATE:
A. PROVIDE PROJECT INFORMATION:
ADDRESS: S 0 iI JT(. 41', RESIDENTIAL,
NEW INSTALLATION
RESIDENTIAL,
CONTRACTOR: I✓0 C t nj I Nk1 S)O UPGRADE/REPLACE
' NON-RESIDENTIAL,
OFFICE:)(''."mayJ0ti`(6)) i CELL: q ty,-�)its 1"912-2 FAX: NEW INSTALLATION
�C3I a\c. 1 ] (Ov -r + `, A-0)` �� NONRADE/ EPLAC,
EMAIL: / Ci j Civ t t) UPGRADE/REPLACE
B. CALCULATE MAXIMUM HIGH VOLUME IRRIGATION HYDROZONE shall mean an irrigation watering zone in
t which plant materials with similar water needs are
TOTAL LOT AREA i �1 �" SQ FT grouped together.
TOTAL IMPERVIOUS SURFACE AREA - 1 31 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 10110 'D 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 c 1 Z o , Oo SO 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:
HIGH WATER USE HYDROZONE(S) [ALL APPLICANTS] TJ`)9) 4 SQ Fr ¶ B t1 %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] f 0 0 0 sQFr 1 0 fir %TLA
Moderate Water Use Hydrazones 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 pole color.These are typically perennials,seasonal plants and flower beds.
LOW WATER USE HYDROZONE(S) [NON-RESIDENTIAL ONLY] 322,0 t:SQ FT 2- ,• %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.
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
JOB COPY
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