363 Atlantic Blvd PLPP22-0027 15 fixtures, grease trap permitOWNER:ADDRESS:CITY:STATE:ZIP:
NSHORE LLC P.O.BOX 357742 GAINESVILLE FL 32606
COMPANY:ADDRESS:CITY:STATE:ZIP:
A TO Z CONTRACTING AND
PLUMB 406 HAMLET RD JACKSONVILLE FL 32221
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169730 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
363 ATLANTIC BLVD 06
PLUMBING COMMERCIAL OR
MULTIFAMILY DETAILS PER
BUILDING PLAN
INTERIOR BUILDOUT - 15
FIXTURES AND GREASE TRAP $42000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 16 $112.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.51
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
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: 11/16/2022
PERMIT NUMBER
PLPP22-0027
ISSUED: 11/16/2022
EXPIRES: 5/15/2023
PLUMBING COMMERCIAL OR
MULTIFAMILY DETAILS PER
BUILDING PLAN PERMIT
CITY OF ATLANTIC BEACH
TOTAL: $171.51
2 of 2Issued Date: 11/16/2022
PERMIT NUMBER
PLPP22-0027
ISSUED: 11/16/2022
EXPIRES: 5/15/2023
PLUMBING COMMERCIAL OR
MULTIFAMILY DETAILS PER
BUILDING PLAN PERMIT
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: __________________________________________________PERMIT # ____________
NEW OR REPLACEMENT INSTALLATION: Project Value $___42000.00___________
TYPE OF FIXTURE QTY
Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures
TYPE OF FIXTURE QTY
Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System
RE-PIPE: TYPE OF FIXTURE QTY
Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures
MISCELLANEOUS:
TYPE OF FIXTURE QTY
Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System
Sewer Replacement Back Flow Preventer Grease Interceptor (Trap) ______ gallons (Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads _______ 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.
Property Owners Name Phone Number
Plumbing Company Office Phone Fax
Co. Address: City State Zip
License Holder (Print): State Certification/Registration #
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20
Signature of Notary Public
Comm22-0035363 Atlantic Blvd, suite 6&7
2
2
1
1
1
2
65
3
3 hand sinks
Gas
A TO Z CONTRACTING AND PLUMBING INC 9043900907 9049004720
406 hamlet rd Jacksonville FL 32221
Brett Thomas CFC1427822
8th November 22
Rosquillas 2 LLC 904-669-4180Attn: Mathew Conner
PLPP22-0027