751 Sailfish Dr PLRS21-0191 Water Heater, 2 Fixtures Revision r'' 'r'�� PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
4'�-_ ��, PLRS21-0191
�v,:���a;- CITY OF ATLANTIC BEACH
�`r ISSUED: 12/20/2021
// 800 SEMINOLE ROAD
�`1i"" ATLANTIC BEACH, FL 32233 EXPIRES: 6/18/2022
MUST CALL INSPECTI. 4`' `' •i4 ' ' !i - 47-5814 BY 4 P4 ' £OR NEXT DAY INSPECTIO r is
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDIN
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: l DESCRIPTION: VALUE OF WORK:
Water Heater, 2 Fixtures,
751 SAILFISH DR PLUMBING RESIDENTIAL $900.00
Sewer Replacement
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: i NUMBER: GROUP:
171235 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
JOHN MOON PLUMBING 1103 PALM CIR JACKSONVILLE FL 32250
BEACH
OWNER: I ADDRESS: CITY: STATE: ZIP:
SAILFISH DR FAMILY TRUST C/O MICHAEL MANGANI 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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
7
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 1 $7.00
PLUMBING FIXTURES 455-0000-322-1000 3 $21.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 12/20/2021 1 of 2
S' Llr ....
;:5
, PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
r �" CITY OF ATLANTIC BEACH PLRS21-0191
ISSUED: 12/20/2021
� 800 SEMINOLE ROAD''':'!:-,:).i119%- ATLANTIC BEACH, FL 32233 EXPIRES: 6/18/2022
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$87.00
Issued Date: 12/20/2021 2 of 2
(.,:si,-,-,,=' Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
\, ,, City of Atlantic Beach Building Department GRAY IS REQUIRED.
, 800 Seminole Rd, Atlantic Beach, FL 32233 f
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
l r 1 Revision to Issued Permit OR ❑ Corrections to Comments Date: /21,2-
Project Address: 7`9 l Jai �T / A -
Contractor/Contact Name: .,...)-9 /41.‘"/ O tkj Pte`"
Contact Phone: 9(,c(- _-2.qg
_.) / Email:�Q a X-17:-t-7 17, LLvi/tcal/ , li' f
Description of Proposed Revision/Corrections: DECEIVE
/ j piDEC 2 9 2021
/2-c---1-0C-44:, /C. 5-c-.4. BY:
(eepiet, e/LA-4, i.)-( 1.-6
I --- /'1(_, it affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Wi_ IJ,proposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added: )
• _ ,il opos evision/corrections add additional increase in building value to original submittal?
L1No LJ*Yes (additional increase in buildin: ,.lue: ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: , / '/11ri
(Office Use Only)
❑ Approved r Denied -1 Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18