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383 10th St PLRS22-0087 Plumb Permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER } ,, PLRS22-0087 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 6/8/2022 ATLANTIC BEACH. FL 32233 EXPIRES: 12/5/2022 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: 383 10TH ST PLUMBING RESIDENTIAL PLUMBING - ONE FIXTURE $1500.00 TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170091 0000 ATLANTIC BEACH COMPANY: ADDRESS: I CITY: STATE: ZIP: TDG PLUMBING 4426 LOYS DR JACKSONVILLE FL 32246 OWNER: ADDRESS: CITY: STATE: ZIP: SABIA BARRY W 383 10TH ST ATLANTIC BEACH FL 32233-5529 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 1 $7.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$66.00 Issued Date:6/8/2022 1 of 2 Plumbing Permit Application **ALL INFORMATION HIGHLIGHTED IN i,.14 . City of Atlantic Beach Building Department GRAY IS REQUIRED. ,7 800 Seminole Rd, Atlantic Beach, FL 32233 LIZS2Z— 8 %- '' Phone (904) _- 826 Email: Building-Dept@coab.us PERMIT#:PS~3 VO'-'1'‘f\ 2475 JOB ADDRESS:7(g ) 1 PROJECT VALUE$ I -F--) 0� ❑NEW OR REPLACEMENT INSTALLATION and/or DRE-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 I Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System 0 MISCELLANEOUS ❑ 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: . Phone Number: �' S^"�3L Plumbing Company:L b F �i"�Lv IN/ Office Phone: � � � Fl-L-,•("-\ ' 1 ,Fax -r-'6(f'- S-S S?- 11 1 Co.Address:f `��-��1 0 1—. .13 0(2- City:;' State:ft Zip:! ?24 r(tJ 1 Kc-)'� n State Certification/Registration '(^ \ �7o( License Holder � #'c Notarized Signature of License Holder JKIII The foregoi ' strument w s acknowledged before me this ©day • _ . • 2Q-(, in the State of Florida, County of L')\/' 4 , • II ,,..............„ -„_�� •�_ �,,^ Signature of Notary Public C ;',,':�''- TONI GINDLESPERGER ,+ `i .� Personally Known OR [ ] Produced Identification rta EXPIRES:October 6,2023 ` Type of Identification: L;.oT: L,V.P,;,F Bonded Thru Notary Public Underwriters.. Updated 10/17/18