1085 Atlantic Blvd Unit 67 PLPP22-0012 8 fixtures permitOWNER:ADDRESS:CITY:STATE:ZIP:
NCM LLC ET AL P.O.BOX 309 BRIDGEPORT CT 06601
COMPANY:ADDRESS:CITY:STATE:ZIP:
Floridian Plumbing, Inc.2749 Cove View Dr Jacksonville FL 32257
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
177391 0000 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1085 ATLANTIC BLVD
PLUMBING COMMERCIAL OR
MULTIFAMILY DETAILS PER
BUILDING PLAN
UNIT 67 - PLUMBING 8
FIXTURES $2300.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 8 $56.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $115.00
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: 6/3/2022
PERMIT NUMBER
PLPP22-0012
ISSUED: 6/3/2022
EXPIRES: 11/30/2022
PLUMBING COMMERCIAL OR
MULTIFAMILY DETAILS PER
BUILDING PLAN PERMIT
CITY OF ATLANTIC BEACH
2 of 2Issued Date: 6/3/2022
PERMIT NUMBER
PLPP22-0012
ISSUED: 6/3/2022
EXPIRES: 11/30/2022
PLUMBING COMMERCIAL OR
MULTIFAMILY DETAILS PER
BUILDING PLAN PERMIT
CITY OF ATLANTIC BEACH
Co Z- oo7
l \ Plumbing Permit Application ALL INFORMATION
i HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
XPi; . Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1 L P t -zL
JOB ADDRESS: 1085 Atlantic Blvd Jacksonville FL WA- 6. 7 PROJECT VALUE $2,300.00 CD C) I Z--
eniEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 1 Septic Tank& Pit
Clothes Washer 1 Shower
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 1
Hose Bibs 1 Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 1 Water Heater 1
Other Fixtures Water Treating System
MISCELLANEOUS l
Sewer Replacement
Back Flow Preventer
Lawn Sprinkler System (number of sprinkler heads)
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:NCM LLC ET AL Phone Number: (203) 514-1564
Plumbing Company: Floridian Plumbing INC Office Phone: (904)885-7661 Fax
Co. Address: 2749 Cove View Dr City: Jacksonville State: FL Zip: 32257
License Holder: Oriola Lukaj State Cer .fic tion/Registration # 6 Ft I L 2,el-i41i
c
Notarized Signature of License Holder ,..0-
The foregoing instrum nt was acknowledged before me this <: day of Juv1c , 202.2_, in the State of Florida,
County of -buk/3-
DEiiORAHfE,lZ I..„,. ._.,.. ,.,..
T
2-.::;:40.01,,,
Cammissun#Hi16815fi Signature of Notary Public
4= Expires August 23,2025
Bon/01hnlTroy F Ins+xreu1:00385-7019 ] Personally Known OR [ ] Produced Identification
Type of Identification:
Updated 10/17/18