701 Begonia St PLRS21-0172 Sewer Replacement =,:o...4,-9--„,..r.I.\\ PLUMBING RESIDENTIAL PERMIT PERMIT NUMBERiliCITY OF ATLANTIC BEACHPLRS21-0172ISSUED: 11/18/2021
800SEMINOLEROADEXPIRES: 5/17/2022 ATLANTIC BEACH. FL 32233 '
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: I PERMIT TYPE: ; DESCRIPTION: I VALUE OF WORK:
701 BEGONIA ST PLUMBING RESIDENTIAL PLUMBING SEWER $1880.00
REPLACEMENT
TYPE OF I REAL ESTATE i ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: ; NUMBER: . ; GROUP:
170919 1020 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: , STATE: ZIP:
ADVANTAGE PLUMBING 880 MAYPORT RD JACKSONVILLE FL 32240
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
DONOVAN ENTERPRISES JACKSONVILLE
315 6TH AVE S FL 32250
LLC BEACH
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.
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 1 $7.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 11/18/2021 1 of 2
}
1 rS'« PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
,---,`'`" CITY OF ATLANTIC BEACH PLRS21-0172
i 1''c'.- --. " ISSUED: 11/18/2021
1 \ 800 SEMINOLE ROAD' EXPIRES: 5/17/2022
'}�r ATLANTIC BEACH, FL 32233
ITOTAL:$66.00
Issued Date. 11/18/2021 2 of 2
Plumbing Permit Application "ALL INFORMATION
- City Department
[TEDOf Atlantic Beach Build le artment GRMy IS REQUIRED..
,. 800 Seminole Rd, Atlantic Beach, FL 32233
i' ' =' Phone: (904) 247-5826 Email: Building-Dept@coab.us - -
t�iR#:PL �zl 0�7�
JOB ADDRESS: ` Qc� �+r�t O S� . PROJECT VAWE$ %Sga
DilEW OR REPLACEMENT INSTAUATJON and/or ORE-PIPE
TYPE OF FIXTURE Q7Y 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 Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
Eoi15
Sewer Replacement
pled( Flow Preventer
0 Lawn Sprinkler System (number of sprinkler heads)
t`lrease interceptor(Trap) gallons(Requires 3 sets of plans)
O Well •'SIRwo well CainAletien Farm.Completed form to be submitted to the ++
DOther Department for final trsspec ort.
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 taw regulation cgnstrt;Ction or the performance of construction.
Owner Name: O eA t1v Phone Number:ot D&-{ .q2-1-4- . S1
Le
Plumbing Company:V\a I)Mn Qq p Office Phone:q 04 21-h -dI84 R Fax
Co.Address: La BO V\AC�t-- � J� City:V‘4,0-1/11-;G�CLi State:C.(, Zip:
License Holder: 6A3G-- zeal ..•- State/5 I),�� C an �C�n�
on/Registration# �� r.lq
5-,
Notarized Signature of License Holder J Ar2—
The fore Ding instrument was acknowledged before l
�B a ih s\9) day of\A ov e.tmintr, 20.2_1,.in the State of Florida,
County of vCLA
Signature of Notary Public ( ti•
Notary Public State of Florida
1 Stacy Sanders I N J PersonallyKnown
My Commission I Produced Identification
Ill HH 182982 Type of identification:
Exp. 10/7/2025 I