354 Aquatic Dr PLRS24-0027 S�'yu=lrr;
. J. PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS24-0027
ISSUED: 2/20/2024
800 SEMINOLE ROAD
EXPIRES: 8/18/2024
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION • • 1 . i + PM FOR + INSPECTION.
ALL •RK',MUST CONFORM T• THE CURRENT 6TH EDITION11 1 OF • ! + BUILDING
CODE, NEC IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIO,NS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
• : ADDRESS- s • OF • '
354 AQUATIC DR PLUMBING RESIDENTIAL T PLUMBING✓5 FIXTURES _ $2000.00 j
TYPE OF
• :D •
• • GROUP:
171818 5118 i AQUATIC GARDENS
COMPANY- + se ' '
- - THE PLUMB ER -- - 12130 Milford LN - - - -JACKSONVILLE - t— FL -- 32246
lippig 11
• + 11 ' + '
ROHECKER LARRY G ! 1764 LIVE OAK LN ATLANTIC BEACH , FL 32233
ST
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 MTICE OF COMMENCEMENT.
LIST OF • r •
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322=1000 0 $55.00
PLUMBING FIXTURES 455-0000322-1000 5 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date:2/20/2024 1 of 2
Plumbing Permit Application - - **ALL INFORMATION— — I
HIGHLIGHTED IN
' City of Atlantic Beach Building Department GRAY IS REQUIRED. {
- ' `-=='> " 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904)247-5826.Email: Building-Dept@coab.uS PERMIT#:-PLR3A.;b0z,7
JOB ADDRESS:r 7 -PROJECT VALUE$�afCDOO,t7d
R16W.OR REPLACEMENT INSTALLATION.and/or 1:1 RE-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 TrayWaterConnected Appliances
Lavatory _ Water Heater /
Other Fixtures /H aer Treating'System
❑MISCELLANEOUS
E1Sewer Replacement
ElBack Flow Preventer
❑ Lawn Sprinkler System (number of.sprinkler heads)
o Grease Interceptor:(Trap). : gallons (Requires 1 set:of digital 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.suspehded 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 of-local law.regulation construction or the performance of construction.
:OwnerName: .rfTo.s.�.i
m �e__ ; Phone Number:i
Plumbing Company:: �d� r_7A7 Office.Phone 1cKZA��S.S`1 Fax
Co. Address: 12130 Y1;11�e,rA L.rn N? i City: 1 olc 1 State: Zip: ,3�zN
c
License Holder;�('-,�;,�.i �1. fro �^ -- State Certification/Registration#Fkr 06(o7b�l t
:Notarized Signature of License Holder
The forego •nstrument Ylas acknowled ed before me this CC"ua of Fes. 204, in,the State of Florida,
.County of Q,
Signature of Notary Public Q.
Personal) Known OR Pr uce Identificatio
'=oi!5•••Bid;. TONIGINDLESPERGER
MY COMMISSION#FiH 407122 l y i `�
EXPIRES:october6,2027 'pe of Identification:
OF Updated 10111123