2266 W Oceanwalk Dr PLRS22-0046 Plumbing Permit ' '' -• PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS22-0046
800 SEMINOLE ROAD
ISSUED: 3/24/2022
TLD y ATLANTIC BEACH. FL 32233 EXPIRES: 9/20/2022
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONr OF • • • ' BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF
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.
• • • • • • • • OF • •
2266 W OCEANWALK DR PLUMBING RESIDENTIAL PLUMBING - 7 FIXTURES $2420.00
TYPE OF REALIESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 1094 OCEANWALK UNIT 03
COMPANY: ADDRESS:
Clay County Master 449 Arthur Moore Or GREEN COVE FL 32043
Plumbing LLC SPRINGS
• ADDRESS:
GOFF JED F 2266 W OCEANWALK DR 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.
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 $5500
PLUMBING FIXTURES 455-0000-322-1000 7 549.00
STATE DBPR SURCHARGE 455-0000-208-07M 0 $2.00
STATE DCA SURCHARGE 455-0000-2080600 0 $2.00
TOTAL:$108.00
Issued Date:3/24/2022 1 of 2
PlumbingION
Permit A lication "ALL LIGHTED IN
pp HIGHLIGHTED E
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 pL-Rszz. -Go4 CP
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMn#:
JOB ADDRESS: 99(olo OCmnoic 10. Dr. (.) PROJECT VALUES 614,10,`
WNEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit Of
Clothes Washer Shower 0'
Dishwasher _J_ Shower Pan
Drinking Fountain Slop Sink
Floor Drain af Three Compartment Sink 01
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink I - Vacuum Breakers
LaundryTray _� Water Connected Appliances
Lavatory I• Water Heater
Other Fixtures r Treating System J_
❑MISCELLANEOUS /l
❑ Sewer Replacement I`
❑ Back Flow Preventer
n Lawn Sprinkler System(number of sprinkler s
Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Well ""SIRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.••
Li 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: Zw.,X, c)r..- I Phone Number. 051) 343-89(,7_
Plumbing Company: CI24 C"nh{ fn-.k. Piox;ism Office Phone: (401) 689 - 9UW Fax
Co.Address: F.O. Civic 1314 City: fn;c411o�State: P( Zip: 31050
License Holder: Ks�e holler State Certification/Registration# CFC 19369E0
Notarized Signature of License Holder
The forego strument as acknowledged before me this��da 20LLn the State of Florida,
County of j[g�
Signature of Notary Publi
TONI GINDLESPERGER [ ] Personally Known OR [ ] Produced Identification
my COMMISSION liGG 853178
EXPIRES:October 6,2023 Type of Identification: (�
BandedT Nobry%m Und,m .
Updoted l0/]l/JB