334 S Oceanwalk Dr PLRS21-0192 23 Fixtures rf'Ais- PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
`,'"., CITY OF ATLANTIC BEACH PLRS21-0192
VISSUED: 12/21/2021
``�'i��` 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 6/19/2022
MUST CALL INSPECT!• .'' ,• 1`a 1 i.. ' ' i • ��' - , • • °. a' ` EXT DAY INSPECTIa 1
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: i DESCRIPTION: i VALUE OF WORK:
334 S OCEANWALK DR PLUMBING RESIDENTIAL PLUMBING - 23 FIXTURES $5000.00
TYPE OF REAL ESTATE ! ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: ) GROUP:
169463 0518 OCEANWALK UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
PREMIER PLUMBING, INC 2663 ORKNEY CT ORANGE PARK FL 32065
OWNER: ADDRESS: jCITY: STATE: ZIP:
BYRNES WILLIAM P 334 OCEANWALK DR S ATLANTIC BEACH FL 32233-4570
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 23 $161.00
STATE DBPR SURCHARGE 455-0000 208-0700 0 $3.24
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.16
TOTAL:$221.40
Issued Date: 12/21/2021 1 of 2
,, ' ' PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
'''''' CITY OF ATLANTIC BEACH PLR521-0192
800 SEMINOLE ROAD ISSUED: 12/21/2021
ATLANTIC BEACH, FL 32233 EXPIRES: 6/19/2022
Issued Date: 12/21/2021 2 of 2
r•'.. 10" Plumbing Permit Application **ALL INFORMATION
4101, HIGHLIGHTED IN
r • City of Atlantic Beach Building Department _ GRAY IS REQUIRED.
+M f 800 Seminole Rd, Atlantic Beach, FL 32233 t.-IRl 01 9 Z_
Phone: (904) 247-5826 Email: Building-Dept@coab.us
PERMIT /9 00 23
JOB ADDRESS: 3:9--/ (1- ea xduotik, Qg PROJECT VALUE $ S79( 7
E tT EW OR REPLACEMENT INSTALLATION and/or CSE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub `'I Septic Tank& Pit
Clothes Washer I Shower ___1__
Dishwasher I Shower Pan I
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet S
Hose Bibs u2_ Urinal
Kitchen Sink _II Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory (p Water Heater __L_
Other Fixtures Water Treating System
❑MISCELLANEOUS
Li Sewer Replacement
❑ Back Flow Preventer
El 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.
Owner Name: AA ►Lhae l Muni') Phone Number: goy- 7G(074f I
Plumbing Company: P/eal,`Gr OUrY)04i ij)(_ Office Phone: *),I-50-8(07( Fax
Co. Address: (Al asi-a1A- on /4Ua- S Un;i- le City: J?x State: rc. Zip: 3a 2.5-6,
License Holder: Mar,_ ell bb5 State Certification/Registration # CIL- k/3D"Zoy
Notarized Signature of License Holder a12�- — (- ---^
_ 7
The foregoi strument as acknowledged before me this _(d oft--_�-' ( , 20C��, in the State of Florida,
County of V TO_
Signature of Notary Public • _.
QC_I.,/
,I;i6''• TONI GINDLESPERGER
• .s. MY COMMISSION#GG 353178
=' [ ] Personally Known OR [ J Produced Identificatio
`;;,, oQo= EXPIRES:October 6,2023
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Updated 10/17/18