Permit 299-A Atlantic Blvd 2011 M Shack CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
` INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002368 Date 8/10/11
Property Address 299 ATLANTIC BLVD A
Application type description COMMERCIAL INTERIOR BUILD -OUT
Property Zoning TO BE UPDATED
Application valuation . . . 50000
Application desc
interior build out for new restaurant
Owner Contractor
SOUTHCOAST CAPITAL PTNRSHP LTD JEFFREY SCHAEFER MASTER BUILDR
1600 INDEPENDENT SQUARE 1414 PLAINFIELD AVE
JACKSONVILLE FL 322025018 ORANGE PARK FL 32073
(904) 635 -1236
Structure Information 000 000
Construction Type TYPE 5 -A
Occupancy Type BUSINESS
Permit PLUMBING PERMIT
Additional desc .
Sub Contractor . GULF MECHANICAL GROUP
Permit Fee . . . 244.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/06/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Avoid damage to underground water /sewer utilities. Verify
vertical and horizontal location of utilities. Hand dig if
necessary. If field coordination is needed, call 247 -5834.
Ensure all meter boxes, sewer cleanout and valve covers are
set to grade and visible.
A sewer cleanout must be installed at the property line.
Cleanout must be covered with an RT1 concrete box with
metal lid. Cleanout to be set to grade and visible.
Backflow preventer (RP2) must be installed on customer side
of meter. Backflow preventer must be tested by a certified
PERMIT IS tietstbeem aiid II ACCIBIDAEXEE the Are wU3it ' ietextrutoEAlentokimAWF11414jEfig FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
r) 800 SEMINOLE ROAD
:3 ATLANTIC BEACH, FL 32233
„ INSPECTION PHONE LINE 247 -5814
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Page 2
Application Number 11- 00002368 Date 8/10/11
Other Fees STATE PLBG DCA SURCHARGE 3.66
STATE PLBG DBPR SURCHARGE 3.66
Fee summary Charged Paid Credited Due
Permit Fee Total 244.00 244.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 7.32 7.32 .00 .00
Grand Total 251.32 251.32 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I 3 , / PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845 // 2 3 Z:=,5'
JOB ADDRESS: 2" 9 / 7 /L9A 4 L glue? l'2 322-3 3 P .. IT #
NEW OR REPLACEMENT INSTALLATION: Project Value $ V __
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink l
Floor Drain 5 Three Compartment Sink Z
Floor Sink 3 Toilet 2
Hose Bibs Urinal
I
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2, Water Heater
Other Fixtures fin4 5A/k5 Y 0 Water Treating System
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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 It-
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer c' Grease Interceptor (Trap) Quo 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 autho 'ty to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name ski---1_,) Phone Number
Plumbing Company J4n a f/'rrr (iji :e- . Office Phone 77-/..?C Fax Pa`s
Co. Address: / 0 / 5 - - 1 /4f>v 7 t / ' City , 4 State . Zip 3 z.-2-3
License Holder Print • E/SNe_' 4y .. JA ,/- t' State Certification/Registration # /f 27 0 2-Z
Notarized S ,! 7. I1_,_ A . ".ii
EXPIRES: May 21, 2016
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- , - .0. Bonded Tbru Notary Public s t.0 ^ I ' nd subscribed before th' lei day • f ,4 _ ,tee 20 /
Signature of Notary Public/ LZ_
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