800 Seminole Rd PLRS22-0060 Plumbing Permit "•• PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
C CITY OF ATLANTIC BEACH PLR522-0060
800 SEMINOLE ROAD ISSUED:4/20/2022
rt vu ATLANTIC BEACH. FL 32233 EXPIRES: 10/17/2022
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION.
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: DESCRIPTION: VALUE OF WORK:
2265 BEACHCOMBER TR PLUMBING RESIDENTIAL PLUMBING -8 FIXTURES $1200.00
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
169463 0158 OCEANWALK UNIT 01
COMPANY: ADDRESS:
ADVANTAGE PLUMBING 880 MAYPORT RD JACKSONVILLE FL 32240
BEACH
ADDRESS:
KENNELLY BRADLEY JR 2265 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-4567
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 455-0000-3221000 0 $55.00
PLUMBING FIXTURES 45500003221008 8 $56.00
STATE DERR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0IX0-2080600 0 $E00
TOTAL:$115.00
Issued Date:4/20/2022 1 of 2
• Plumbing Permit Application "AU WFOMM'ton
City of Atlantic Beach guild
in6 !)epaTetaent moRAMME
oaays
800 Seminole Rd,Atlantic Beach, Fl 32.233 P LRS 2 Z- 00(oC
Phi: (904) 247-5826 Email:Building-DeDt0coab us
aeaarr*ta21 -(D2 Z1>
JOB ADDRESS: 2_1-0 `S ��QCxC�I-�Co �3F,e- 00
PROJECT VAWE$ I Z tl0
OV EW OR REPLWtA iaT INSTALLATION and/or CLE-M 1 1
TYPE OFFlx7URE ITy TYPE OFRXMRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher _L_ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment—Sink
FloorSink Tone 2-
Hose Bibs Urinal _
Ritchen Sink T— Vacuum Breakers _
Laundry Tray __ Water Connected Appliances_
Lavatory j Water Heater _
Other Fixtures _C Water Treating System _
IDviISCEt1ANE0US ()
Sewer Replacement
08ack Flow Presenter
0Lawn Sprinkler System{number of sprinkler heads)
Urease Interceptor(Trap)_gallons(Requires 3 sets of plans)
C Well "SIRND Wep CMAot ion Form.Cofnpleme form to to submitted to the auliding Departmemtarfind,L:sptrnn. ••
❑ONter
Permit becomes void if work does not commence within a sat month period or wait is suspended or abandoned for sic months
hereby certify that I have read this aoplication and know the same to be true and correct. All pmvisipns of taws and ordinances
goaeming this work will be complied with whether speoried or not. The permit does not give authority to violate the Provisions
of any other stajto or local law rcgWation comarx;ction or
the performance (of gond[ wftn.
Owner Natne:l11// J
Z'fv— \(fro,IIL4 It
`(� I Phone Number:
Plumbing Company,.l� LAIQL�ag2�— Offl—Phonl:°IO'��Z41 %F.q6 Fax
Co.Address: )v0TJ,rC2y Q, State: p: 2233n
litenseMddner. C State C ion/Registration0CFC/ �f��
Notarized Sfgneturae of Lkw Haider
The fore oing instrument was acknowledged before me this 13L�+ day of pr; 1 .201 2.in the State of Florida,
County of
Notary Puatic Slate of%r,da Signature of Notary Pubik -4l1-
Stacy gantlets
rip M 4 0}982 oa 4erwrially Known OR I 1 Produced It entification
Exp. +anrzou Type of identification:
Wnearaq' YM