1205 Hibiscus St PLRS22-0054 Plumbing Permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS22-0054
n " ISSUED:4/7/2022
ATLANTIC
SON ROAD EXPIRES: 10 4/2022
a o� C BEACH.
EAFL 32233 /
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
CODE, NEC, IPIVIC, 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.
• . ADDRESS: s • OF • •
1205 HIBISCUS ST PLUMBING RESIDENTIAL PLUMBING FOR DETACHED $10609.00
GARAGE 6 FIXTURES
TYPE OF BUILDING
CONSTRUCTION: NUMBER: GROUP:
171058 0100 ATLANTIC BEACH SEC H
COMPANY: sr •
All Scale Plumbing 4320 Deerwood PKWY STE 101-117 Jacksonville FI 32216
• ADDRESS:
HUTCHCRAFT WILL1 1205 HIBISCUS ST ATLANTIC BEACH FL 32233-2609
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.
CONDITIONSLISTOF
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 455-0000322-1000 0 $55.00
PLUMBING FIXTURES 455-0060-322-1000 6 542.00
STATE DBPR SURCHARGE 455-0000-2080700 0 $300
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$101.00
Issued Date:4/7/2022 1 of 2
PlumbingPermit Application "ALL INFORMATION
PP HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS S Z
REQUIRED.
,-�
/�
800 Seminole Rd, Atlantic Beach, FL 32233 pLRZ —LCS Z4
Phone: (904) 247-5826 Email: Building-Depnatcoab.us PERMIT III ccel I-0053
JOB ADDRESS: 1905 lil' SSG L,1-N 5-j— PROIECTVALUE$
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L�NNEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
_�� TYPE OF FIXTURE QN TYPE OF FIXTURE QTY
Bathtub 10 1 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
LaundryTray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
❑MISCELLANEOUS
❑ Sewer Replacement
❑ Back Flow Preventer
❑ lawn Sprinkler System (number of sprinkler heads)
Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
C Well *0 svRwD 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: d, ,,A.0 AaS Gt-Z Phone Number:
Plumbing Company: Alisc aSoa it AJr)b, Ile Office r�Phone: 140Y)3.2�'-9301Fax
Co.Address: ISI o ivkt,�Io6lr, Ail a City: JhoaG1G3000'116tate:AlZiP: -V ca/ r r
License Holder: �t4r z Ala S 6 State Certific tion/Registration# C 56 Z 7,2 9.3/
Notarized Signature of License Holder
The foregoi ' trument w acknowledged before me thisy f 20�n the State of Florida,
County of
Signature of Notary Publ
_ [ ] Personally Known OR [ ] Produced Identifica
$$I
TON]GINDLESPERGER Type of Identification:
E,. My COMMISSION M GG 363176 Updatedr0/17/18
EXPIRES:Omber6,2023
° Boneed ibtu Ndary Public WMemMters