1908 Sea Oats Dr PLRS22-0068 Plumb Permit rISSU.ice {'fiCITY OF ATLANTIC BEACH e PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
- PLRS22-0068
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ED:5/16/2022;
800 SEMINOLE ROAD
ATLANTIC BEACH..FL 32233. EXPIRES: 11/12/2022
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
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:.
i 1908 SEA OATS DR PLUMBING RESIDENTIAL . PLUMBING-3 FIXTURES . $1500.00
TYPE OF REAL ESTATE ZONING: : BUILDING USE SUBDIVISION:
CONSTRUCTION: • NUMBER: GROUP:
172020.0908 F SELVA MARINA UNIT 11
COMPANY: ADDRESS: CITY: STATE: ZIP:
STEEG PLUMBING ' - -�-- - -- - -- -- - -- ' - - _. i �
__ _ _
COMPANY INC 1601 MAIN STREET ATLANTIC BEACH FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP:
JULIHN LAWRENCE S 11 MORRISON CT. FREDERICKSBURG i VA 22405-2156
WARNING TO OWNER: YOUR FAILURE.TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT Ifs
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 cannotbe placed on City right-of-way.
- - - - ------ - - --
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 3 $21.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0. $2.00
TOTAL:$80.00
Issued Date:5/16/2022 1 of 2
; Plumbing Permit Application **ALL
INFORMATION
r, HIGHLIGHTED IN
-y City of Atlantic Beach Building Department GRAY IS REQUIRED.
airi
800 Seminole Rd, Atlantic Beach, FL 32233 D
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT'#:6 4-RS2Z- 6�
JOB ADDRESS:I (cloy Sec. 00,11- 1,:r ic- PROJECT VALUE$:. 1,5 OO:OU
1 J1 EW OR REPLACEMENLINSTALLATION 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
Laundry Tray Water Connected Appliances.
Lavatory I Water Heater
Other Fixtures Water Treating System
0 MISCELLANEOUS
p Sewer Replacement
• Back Flow Preventer.
❑ Lawn.Sprinkler System (number of sprinkler heads)
❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans).
❑ Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.**
Other Olisq 5 .1 S r:.0 .Ct . rcPI ,!(.-A" a,3 " U4n:l-`(
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., UGt r-r 3 ,A1 11 Phone Number: •
Plumbing Company:I S k t f U'\lolin ;hc_ 'Office Phone ' 610(1- ?•1-11-51411 Fax
Co.Address:; )COI /hc:h 51-KLA- City:E A 1"I4n Ft- 134...h -State: et,•Zip:i 3'4 4 3 3
License Holder:; 3:- s 4-.3. State Certification/Registration#; 6 GO 3`i h 6
Octic
Notarized Signature of License Holder}
The foregoing instrument was acknowledged before me this IC day • N``''r 20 a)-, in the State of Florida,
County of Duot .
IN
�e- - . .-. Signature of.Notary Public •
1. o�
AA:4i; +, TONI GINDLESPERGER
„ �•_ . *_ MY COMMISSION#GG 353178 Personally Known OR [ ] Produced Identification ille
': '.°'•T EXPIRES:October 6,2023
ii:'',Q.r:f;°' BondedThruNotary Pub6aUnderwriters Type of Identification:
Updated 10/17/18