1251 Gladiola St PLRS22-0081 Plumb Permit %S' "` PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
`' _' PLRS22-0081
ra _ ! CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 6/2/2022
• 405iS 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:
1251 GLADIOLA ST PLUMBING RESIDENTIAL PLUMBING - 11 FIXTURES $3200.00
TYPE OF REAL ESTATE I BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171026 1010 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY:
� STATE: ZIP:
Armada Construction 8806 Brierwood Road JACKSONVILLE FL 32257
Services LLC
OWNER: 1 ADDRESS: 1 CITY: STATE': t ZIP:
HETTLER GREGORY 0 1251 GLADIOLA ST ATLANTIC BEACH FL 32233
'WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IF'
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 11 $77.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$136.00
Issued Date:6/2/2022 1 of 2
i
I
01,m-4, PlumbingPermit Application i **ALL INFORMATION
. HIGHLIGHTED IN I
n' City of Atlantic Beach Building Department L GRAY IS REQUIRED.
'' 800 Seminole Rd, Atlantic Beach, FL 32233
RIS) . v Pc. s z z -c�o
Phone: (904) 247-5826 Email: Building-Dept@coab.US PERMIT#:
JOB ADDRESS:11251 GLADIOLA ST I PROJECT VALUE 0,200.00
✓INEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal o
Kitchen Sink 1 Vacuum Breakers 0/
Laundry Tray Water Connected Appliances 4 v
Lavatory 4 _ Water Heater 'N\
Other Fixtures 1 'f Water Treating System
❑VIISCELLANEOUS \' '''Th
❑Sewer Replacement
DBack 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:;HETTLER GREGORY 0 �Phone Number:
Plumbing Company:,ARMADACONSTRUCTION SERVICES-LLC 1 Office Phone:1[904)449-5112 . n Fax(904)300-3265
Co.Address:18806 BRIERWOOD RD. 1 City: JACKSONVILLE i State:YE-1.Zip:': 22-5-7-----__
License Holder::HAJRUDIN MESIC State Certification/Registration# O-FC1430171
Notarized Signature of License Holder'` � ` 1�
The foregoing instrument was acknowledged be re me this . / r day of ,2 ., in the State of Florida,
County of ,OIll1 til°
/40.:9;76..k.,., REFIK CORALIC ecifol.4 _
7 aim : ! Notary Public State of Florida ie;_:. REFIK CORALIC
=,�•,�};1 My Comm.Expires March 13,2024 Signature of Notary Public
`'+► R!. Commission No.#GG 959469
[ ] Personally Known OR [ ] Produced Identification
My Commission EXpireSType of Identification: 0/i Vet LteeAse
March 13, 2024 Updated10/17/18