5520 RIGEL CT PLRS22-0118 rt'y V\'r-, PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
�s s,
CITY OF ATLANTIC BEACH PLRS22-0118
V~ 800 SEMINOLE ROAD ISSUED: 8/11/2022
'-tri,ii91-' ATLANTIC BEACH. FL 32233 EXPIRES: 2/7/2023
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:
5520 RIGEL CT PLUMBING RESIDENTIAL PLUMBING - 10 FIXTURES $0.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: • NUMBER: GROUP:
169397 0200 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
IDEAL CONDITIONS
HEATING & A/C & 1617 Rowe Avenue JACKSONVILLE FL 32217
PLUMBIN
OWNER: ADDRESS: CITY: STATE: ZIP:
NAVAL CONTINUING CARE
RETIREMENT FOUNDATION 1 FLEET LANDING BLVD ATLANTIC BEACH FL 32233-4599
INC
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 10 $70.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date.8/11/2022 1 of 2
Plumbing Permit Application `*ALL INFORMATION
" � HIGHLIGHTED IN
''`�., City of Atlantic Beach Building Department GRAY IS REQUIRED.
1
1 800 Seminole Rd, Atlantic Beach, FL 32233
='=- Phone: (904) 247-5826 Email: Building-Dept@coab.usPERMIT#: p(- "p\ — 011
JOB ADDRESS: I fleet Lanaing unit O)LU 1 , a 1( PROJECT VALUE $ I ,000.UU
[JEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank & Pit
Clothes Washer I Shower
Dishwasher I Shower Pan I
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet L
Hose Bibs Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory L Water Heater
Other Fixtures I Water Treating System
❑MISCELLANEOUS
E1 Sewer Replacement
[Mack Flow Preventer / \ l.J
❑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.**
DOther
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: Cliff Snell Phone Number:
Plumbing Company: meal l..onaiIlonS I-lumping Office Phone: Fax
Co. Address: .10I Kowe Ave City: JaCKSOnVIIle State: 1-1 Zip:
License Holder: Clifford Snell State Certification/Registration # CTC I4Ly4-I i
Notarized Signature of License Holder (,,-t- .%
The foregoin instrum nt was acknowledged before me this -Jt�'day of 'SeI,yc.. , 20d-3 in the State of Florida,
County of / ;UC
t .1. t
f /:( :,>v JANETNICOLEPRINDLE a Signature of Notary Public 1. /Z.-
--�'
4 i+°; r Notary Public•State of Florida
:IWI Commission#HH 008203 [ ] Personally Known OR [ j Produced Identification
4 ' c �F, My Comm.Expires Seo 23,2024
t Bonded through National NotaryAssn. 1 Type of Identification:
Updated 10/17/18