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751 Cavella Rd PLRS22-0077 Plumb Permit ? iv,,'-;�, PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER ,c, f CITY OF ATLANTIC BEACH PLRS22-0077 800 SEMINOLE ROAD ISSUED: 5/26/2022 Fss O ATLANTIC BEACH. FL 32233 EXPIRES: 11/22/2022 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: DESCRIPTION: I VALUE OF WORK: 751 CAVALLA RD PLUMBING RESIDENTIAL WATER HEATER $600.00 TYPE OF I REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171346 0000 ROYAL PALMS UNIT 02A COMPANY: ADDRESS: I CITY: STATE: I ZIP:. OWNER: I ADDRESS: I CITY: STATE: i ZIP: MCBRIDE AMY E 751 CAVALLA RD ATLANTIC BEACH FL 32233-3916 FAIRCHILD 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 1 $7.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$66.00 Issued Date:5/26/2022 1 of 1 Plumbing Permit Application **ALL INFORMATION ': �.-. HIGHLIGHTED IN . -,;el '_ , City of Atlantic Beach Building Department GRAY IS REQUIRED. ' ' 800 Seminole Rd, Atlantic Beach, FL 32233 '="r'" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: PLRSz2-bd71 JOB ADDRESS: 51 Cave. ( I a. 0 PROJECT VALUE$ CaOO-QD Ldf W OR REPLACEMENT INSTALLATION and/or ORE-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 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:I ,2�.n�IL4/ (' c 2. Phone Number: —5iOg6) Plumbing Company:I OW r\e_r` - Office Phone: iC/©`i"-S0e—i'2710 Fax Co.Address:i , . City: State:I Zip: License Holder:` Stat Certification/Registration# Notarized Signature of License Holder` �,,,,,��!�i j �//` The forego' g ' strument as acknowledged bef. - • e this2 d on • _ 20Z. &the State of Florida, County of (7 Signature of Notary Publicc\-------„, °2iAYpk ' )LESPERGER 3 _,,: `t '.,, t'YC-:_�.,.. ;ION#GG 353178 ' [ ] Personally Known OR [ ] Produced Identification t :v. rig r L.m =9;:�fi� E%�.''Rc:::;October 6,2023 Type of Identification: s "'FOF''`'' Ju,,j zry Public Underwriters �,. ...., . Updated 10/17/18 Owner Builder Affidavit **ALL INFORMATION r,,,,,4. HIGHLIGHTED IN ,40:4 ` City of Atlantic Beach Building Department GRAY IS REQUIRED. 74 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.US PERMIT#: I. . FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1"CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE ORA FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED.PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. IL INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . HI. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. -? S'l C Job Address: 1 ,,�a,►� �C.,, - � Owner Name:: n�V"Y \ ri\r",1- \' — Phone Number:. 70C- r-320-62•41074 Mailing Address:1'5j L'tic)ctit[4_ 'Ahl City: '1.1i__Amt. ; ..� State:: 1 — Zip:' 2 Notarized Signature of Owner, . " C�S T11P. he ping i srn trruent was acknowledge. before me this Z &day of A' 0-( ,20Z, in the State of Florida, County L Tc›—1,l Signature of Notary Public t [ ] Personally Known OR [ ] Produced Identification .,,.,_s,_ Type of Identification: 4_ , ;off is ;•- TONI GINDLESPERGER d *' � , %'t MY COMMISSION#GG 353178 Updated 10/24/18 rS i ,..��.;o EXPIRES:October 6,2023 pT�" °e'' Bonded Thru Notary Public Underwriters • OFR,.