533 ATLANTIC BEACH CT - PLUMBING SPLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS18-0286
800 SEMINOLE ROAD ISSUED:
ATLANTIC BEACH. FL 32233 EXPIRES:
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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
533 ATLANTIC BEACH CT PLUMBING RESIDENTIAL PLUMBING 44 FIXTURES $10000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1420 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
NELSON PLUMBING CO. 11624 -1 DAVIS CREEK ROAD EAST JACKSONVILLE FL 32256
INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
ROICK JAMES A 2228 OCEANWALK DR W ATLANTIC BEACH FL 32233
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.
LIST OF CONDITIONS
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 455-0000-322-1000 0 $0.00
PLUMBING FIXTURES 455-0000-322-1000 44 $308.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.45
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.63
Issued Date: 1 of 2
- ;;11,A t. PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
JS ' 1
s CITY OF ATLANTIC BEACH PLRS18-0286
7...... V~ 800 SEMINOLE ROAD ISSUED:
`' 0r ATLANTIC BEACH. FL 32233 EXPIRES:
TOTAL_$372.081
Issued Date: 2 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
, Ph(904)247-5826 Fax(904)247-5845 P L RS( 5— 0 Zc ,
JOB ADDRESS: 6-33 A t.4•Jr i c. g FA-c K (T PERMIT#&12305/1
NEW OR REPLACEMENT INSTALLATION: Project Value$ J 01 000
TYPE OF FIXTURE - QTY TYPE OF FIXTURE QTY
Bathtub 2 Septic Tank&Pit
Clothes Washer I Shower q
Dishwasher i Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs ''j Urinal
Kitchen Sink ( Vacuum Breakers __a__
Laimdiy Tray I Water Connected Appliances
OtherLav _a_ W__,1__ * 'W�ater T System
RE-PIPE.
i
TYPE OF ' URE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Slibwer Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitten Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of pts
o Lawn Sprinkler System-Number of Heads 0 Well -
**STRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection
O 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
this application and know the same to be true and ooarect. All provisions of laws and ordinances governing this works will be complied with whether specii
or not The permit does not give authority to violate the pro - 'ons of any other state or local law regulation construction or the performance of constructic
Property Owners Name eLADDA6N de ST2Uteriea►,/ Phone Number
Plumbing Company A/els oh/ ®C,u 0110v 6 ( ) ...r.„e. Office Phone Fax
Co.Address: 1113.211—( OAVi s (itktic. Q.f)/ E , C I—IW State A Zip 32234
License Holder(Print): 0 t / E/ 0�+/,// ` .''S cation/Registration# 02 v 377
"R �, MY COMMISSION:FF 900342 ifillW ' / da of /V DUif m illA— 20 ir
•" +�� EXPIRES.November 16,2019 and Sll e` "• �' ' e me
.,t i •'0,..'
fir Warta Taro Notary oubtic tinaerwrilerr
Signature of Notary Public/ // i -,..,22