447 Atlantic Blvd Unit3 PLPP22-0011 Plumb Permit PLUMBING COMMERCIAL OR PERMIT NUMBER
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TA� =s PLPP22-0011
,. __ . MULTIFAMILY DETAILS PER ISSUED: 6/1/2022
,ifBUILDING PLAN PERMIT EXPIRES: 11/28/2022
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: I VALUE OF WORK:
PLUMBING COMMERCIAL OR GATEWAY VISION 3
447 ATLANTIC BLVD 03 MULTIFAMILY DETAILS PER $1100.00
BUILDING PLAN FIXTURES
TYPE OF I REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP: I
170692 0500 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
STYLES SMITH PLUMBING 1537 PENMAN RD SUITE A JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: I STATE: ZIP:
LYON JONATHAN R ET AL 447 ATLANTIC BLVD STE 3 ATLANTIC BEACH FL 32233-4050
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IfN
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.
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 $2.00
Issued Date:6/1/2022 1 of 2
s `` Plumbing Permit Application **ALI INFORMATION
HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:COMP/.21;2—OOO ,
JOB ADDRESS:741 " i i i l"' i? E3 j PROJECT VALUE 7- o0.ere
✓'NEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray _ Water Connected Appliances
Lavatory 3 Water Heater
Other Fixtures Water Treating System
❑VIISCELLANEOUS
❑Sewer Replacement
❑Back Flow Preventer
❑Lawn Sprinkler System (number of sprinkler heads)
❑Grease Interceptor(Trap) gallons (Requires 3 sets of plans)
0 Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.**
❑Other 14dd;%1 A 5 (,A vA.4-Ofie 4
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.
I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances
governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions
of any other state or local law regulation construction or the performance of construction.
Owner Name I /OJ A/t - LYS`^ Phone Number: "-
Plumbing Company: S" i i✓5: �� ,. ; C 1�? rt$.::i Office Phone: 0161": -14/V-77,A Fax
Co.Address:. 5' . : .'71 City: 7t,' )3'8.4- State: 1= Zip:
License Holder: "fi r`7"". M t 1 ' State Certification/Registration# )(l g652 :i
Notarized Signature of License Holder T
The foregoi l• ument waracknowledged before me this / day O f, 2c ?n the State of Florida,
County of ) CL-
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Signature of Notary Public OW
TON GINDLESPERpersonally Known OR [ ] Produced Identification
GER
! =+? MY COMMISSION#GG353178 Type of Identification:
:9,•�i `o:' EXPIRES:October 6,2023 Updated 10/17/18
FOF•F` q` Bonded Thru Notary Public Unde rit