299 ATLANTIC BLVD 1 PLPP19-0008 PLUMB PERM f;7- PLUMBING COMMERCIAL OR PERMIT NUMBER
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PLPP19-0008
MULTIFAMILY DETAILS PER
ISSUED: 3/26/2019
BUILDING PLAN PERMIT EXPIRES: 9/22/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + 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:
PLUMBING COMMERCIAL OR
299 ATLANTIC BLVD MULTIFAMILY DETAILS PER PLUMBING - 8 FIXTURES $5000.00
BUILDING PLAN
TYPE OF
ZONING: :D •
• • GROUP:
1725310000 ATLANTIC BEACH
TERRACE
COMPANY: ADDRESS:
PIPE WORKS LLC 8340 THORNTON RD JACKSONVILLE FL 32221
• ADDRESS:
SOUTHCOAST CAPITAL 1600 INDEPENDENT SQ JACKSONVILLE FL 32202-5018
PRTNSHIP LTD
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 • • i
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 4S5-0000-322-1000 0 $5S.00
PLUMBING FIXTURES 4S5-0000-322-1000 0 $0.00
PLUMBING FIXTURES 4SS-0000-322-1000 7 $49.00
Issued Date: 3/26/2019 1 of 2
PLUMBING COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER PLPP19-0008
r, ISSUED: 3/26/2019
BUILDING PLAN PERMIT EXPIRES: 9/22/2019
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $108.00
Issued Date:3/26/2019 2 of 2
Plumbing Permit Application **ALL INFORMATION
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#:
JOB ADDRESS: q �� rlah�ii �IvU -�t� PROJECT VALUE $ 50GU CL-)
>pLpp I c) -DOO6
KNEW OR REPLACEMENT INSTALLATION and/or ❑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 L Three Compartment Sink
Floor Sink 1 Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2. Water Heater
Other Fixtures Water Treating System
❑MISCELLANEOUS
❑ 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. G �1
Owner Name: �)(�r �ct.,���� Phone Number:
Plumbing Company: et W rjyY) L�C_ Office Phone: ��`� ��� OKFax
Co. Address: 2 ���Sl� iaye tN City: ��?� State: p� Zip: >8
License Holder: G 6'no'
ate Certification/Registration # �'FC ���SM(02
Notarized Signature of License Holder
The forego" instrume t was acknowledge before me this Z-&d y o `� , A `, in the State of Florida,
County of J
Signature of Notary Public
roNlclNOLESPERCER ersonally Known OR [ ] Produced Identification
MY COMMISSION#FF 924951 y p
r e of Identification:
EXPIRES:October 6
�, sondod Thru Notary public Urden19 rs Updated 10/17/18