1071 Atlantic Blvd PLPP19-0019 Repair Drains PLUMBING COMMERCIAL OR PERMIT NUMBER
r � MULTIFAMILY DETAILS PER PLPP19-0019
ISSUED: 8/14/2019
BUILDING PLAN PERMIT EXPIRES: 2/10/2020
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
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
1071 ATLANTIC BLVD MULTIFAMILY DETAILS PER REPAIR DRAINS, 6 FIXTURES $1900.00
BUILDING PLAN
TYPE OF
• iGROUP:
177411 0040 SECTION LAND
COMPANY: ADDRESS: '
ADVANTAGE PLUMBING 880 MAYPORT RD JACKSONVILLE FL 32240
BEACH
• ADDRESS:
SIX POINTS JAX LLC CO TSG REALTY JACKSONVILLE FL 32217
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 4S5-0000-322-1000 0 $0.00
PLUMBING FIXTURES 4S5-0000-322-1000 6 $42.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
Issued Date:8/14/2019 1 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 Fl(—PP( �j —CLQ
Phone: (904) 247-5826 Email: Bulid in Dept@coab.us PERMIT#:
Ji
JOB ADDRESS: VY-'O PROJECT VALUE $ 0c)
ONEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain I Slop Sink I
Floor Drain Three Compartment Sink
Floor Sink Toilet s^
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory �2— Water Heater
Other Fixtures Water Treating System
OMISCELLANEOUS
[]Sewer Replacement
❑Back Flow Preventer
[:]Lawn Sprinkler System (number of sprinkler heads)
03rease Interceptor (Trap) gallons (Requires 3 sets of plans)
Well **SJRWD Well Completion Form.Co pl ted form to be submitted t the Buildin Department for final inspection. **
❑ u,Other 11" lata nc" ALS �d�-1
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.
Owner Name: TS Ci T ea-A4.� V,t-r 1 in��n'_r�S Phone Number:
Plumbing Company: &VC1,1 ?LI-Lmhi',1 Office Phone: Fax
Co. Address: 90 �pc✓k sA City: State: I:L Zip: 3�a3
License Holder: Cire State Certification/Registration # Ct=C Iti 0 Sl S 5
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this J�1 day of aa Cal 20 , in the State of Florida,
County of QuviceA
i
TRACYWATFRMM Signature of Notary Public _
MY coAlfalS M i GG 2762%
EXPIRES:November 20.2022
BeeTm,►+awyn [personally Known OR [ ] Produced Identification
Type of Identification:
Updated 10/17/18