83 Saratogo Cir PLR22-0057 Plumbing Permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
t, CITY OF ATLANTIC BEACH PLRS22-0057
800 SEMINOLE ROAD ISSUED: 4/13/2022
1,u ATLANTIC BEACH. FL 32233 EXPIRES: 10/10/2022
CODE,MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
AND CITY OF • • 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.
• • • r • • r • OF • •
83 SSARATOGA CIR PLUMBING RESIDENTIAL SHOWER PAN $1500.00
TYPE • BUILDING
• SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171776 0000 ATLANTIC BEACH VILLA
1 02
COMPANY: rr •
TACTICAL PLUMBING INC 595 Ashcroft Landing DR JACKSONVILLE FL 32225
• ADDRESS: CITY: STATE: ZIP:
DELEON RAMON PISO & 1003 CARLOTTA RD E JACKSONVILLE FL 32211
VIRGINIA PAR TRUST
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 PAIDAMOUNT
PLUMBING BASE FEE 45S,0000-322-1000 0 $5500
PLUMBING FIXTURES 455-0000-322-1009 1 $7.00
STATE DEEP SURCHARGE 455-0000208-07W 0 $200
STATE DCA SURCHARGE 455-0000-208-06W 0 $2.00
TOTAL:$66.D0
Issued Date:4/13/2022 1 of 2
ALL
Plumbingp Permit A lication "HIGHUGTEDININFORMATION
- b PP HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: PLRSZZ- D 7
JOB ADDRESS: <K� SgF4 , � /-iL Sl_ PROJECT VALUES�rOO
[]NEW OR REPLACEMENT INSTALLATION✓and/or ORE-PIPE
TYPE OF FIXTURE QTY 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
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)
n Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
F1 Well 0*VRwD 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: �n x rPo��2 ( , n Phone Number:%D 1 -7L27 — 19?7
Plumbing Company: �q G�i�a � P�L�, iya Office Phone: TDy 31[�Se�gt�F�x0 4 _
Co.Address: 190. , u ��D�� City: �i41 'C C State: Zip: =2217-
License Holder: 1' C State Certification/Registration#RIF II0I7aa�
Notarized Signature of License Holder
The foregoin I urri wasllacknowledged before me this day 26�n the State of Florida,
County of c) f 0.-t
00
Signature of Notary Public
?ONI GINDLESPERGER 1 Personally Known OR[ ] Produced Identification
MV COMMISSION#GG 353178 Type of Identification:
EXPIRES:OctoberQ 2023
Bentletlihv NMary PUNC UnEenallen Upacfed10/17/18