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551 Pelican Key PLRS22-0082 Plumb Permit 411>"j'"'''''r PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER ' so CITY OF ATLANTIC BEACH PLRS22-0082 800 SEMINOLE ROAD ISSUED: 6/2/2022 `x`',319'f• ATLANTIC BEACH. FL 32233 EXPIRES: 11/29/2022 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: 551 PELICAN KEY PLUMBING RESIDENTIAL REPIPE- 13 FIXTURES $2400.00 TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: I GROUP: 172027 5578 SELVA LAKES UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP:. STEEG PLUMBING 1601 MAIN STREET ATLANTIC BEACH FL 32233 COMPANY INC OWNER: ADDRESS: ) CITY: STATE:. 1 ZIP: DAVIDSON BRIAN S 551 PELICAN KY 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 13 $91.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.19 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$150.19 Issued Date:6/2/2022 1 of 2 Plumbing Permit Application **ALL INFORMATION l 3` HIGHLIGHTED IN p 13 City of Atlantic Beach Building Department GRAY IS REQUIRED. .r, �L�szz-coo©800 Seminole Rd, Atlantic Beach, FL 32233 0 � n Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS:! 5F7 ief/6 i c j PROJECT VALUE$ be— P70 r ❑NEW OR REPLACEMENT INSTALLATION and/orIRE-PIPE TYPE OF FIXTURE QTY 1 TYPE OF FIXTURE QTY Bathtub / Septic Tank& Pit Clothes Washer i Shower / Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs 7, • Urinal Kitchen Sink /. Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory .4.0 Water Heater / Other Fixtures ater Treating System ❑MISCELLANEOUS ()D ❑ 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 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: )1/0n 110,4i7 Phone Number:; 2j/3/k -9 { Plumbing Company: $i 0)//ei baht Office Phone: 2 911--.9f) Fax Co.Address:' P/ on or,r City: Alt 6P.1- State:t Zip: 3Z'Z 33 License Holder:..<--//j& ��iG/� state Certification/Registration # ��7//� Notarized Signature of License Holder r ,,,„ L.� The foreg instrument(was acknowle-,: •d before me this Z day U n e2t 20 2 r the State of Florida, County of L9VCA_. 1 Signature of Notary Public Lt- C �.ii.4.'...'':';'i;.: TOF•A GINDLESPERGER Personally Known OR [ 1 Produced Identification ...'..^.`',�` MISSION#G c .,, MYCOM G353178 Type of Identification: L a `�:' EXPIRES:October 6,2023 ' F Flo ' Bonded I Flru Nota Updated 10/17/18 .,. Lary Public Underwriters Updated