715 Plaza PLRS22-0079 Plumb Permit fltr�jJ�r'
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
g PLRS22-0079
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 6/1/2022
ATLANTIC BEACH. FL 32233 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: I PERMIT TYPE: 1 DESCRIPTION: L VALUE OF WORK:
715 PLAZA PLUMBING RESIDENTIAL REPIPE WATER AND
$8000.00
DRAINAGE - 15 FIXTURES
TYPE OF I REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
171124 0000 ROYAL PALMS UNIT 01
COMPANY: I ADDRESS: CITY: 1 STATE: I ZIP:
STEEG PLUMBING 1601 MAIN STREET ATLANTIC BEACH FL 32233
COMPANY INC
OWNER: ADDRESS: CITY: I STATE: I ZIP:
GRIFFIN RAPP 715 PLAZA ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II'
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 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 15 $105.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.40
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$164.40
Issued Date:6/1/2022 1 of 2
Plumbing Permit Application **ALL INFORMATION
r ' ' HIGHLIGHTED IN
-� . _. City of Atlantic Beach Building Department ,� Lis
IS REQUIRED.
�`' '` 800 Seminole Rd, Atlantic Beach, FL 32233 l L��S 2z- DQ'7 c
.'" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: e45-v'"Dll
JOB ADDRESS:' 7/5' ft/A 24 PROJECT VALUE$ 9
VEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub
—./.= Septic Tank & Pit
Clothes Washer
/ Shower •v
Dishwasher _i_ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 9 1
Hose Bibs Urinal
Kitchen Sink f Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 4_7 Water Heater
Other Fixtures Water Treating System
El MISCELLANEOUS S
CI Sewer Replacement ��
❑ Back Flow Preventer
❑ Lawn Sprinkler System (number of sprinkl- •-.ds)
❑ 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
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 orCR
local law regulation construction or the performance of construction.
Owner Name: jiii 4,,,,, Phone Number:
Plumbing Company:: -.465 J/'2 AI 1 ? fig-- Office Phone: '3(%'s79/ Fax
/,////
Co. Address: f 2?Q//h it - City: !�1Z„G/I State Zip:3
22,33
License Holder:',., ,G// State Certification/Registration # ,C-600371%
Notarized Signature of License HolderIPj ./... .r
The forego • . trument w s acknowle d before m�this I da CY\ , 20� ,tithe State of Florida,
County of 0 V0/71)
Q-- ‘441/ s,h.- 'Z---&
.!i, TONIGINDLESPERGER Signature of Notary Public
. ::f,%!i,,,*?,,,„
t• f/% ;,_ MYCOMMISSION#GG 353178 '+
•%:” EXPIRES:October 6,2023 ersonally Known OR [ ] Produced Identification
° a Bonded Thru Notary Public Underwrllerc •
U. ... Type of Identification:
Updated 10/17/18