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1380 East Coast Dr PLRS22-0132 PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH PLR522-0132 .0 800 SEMINOLE ROAD ISSUED: 9/9/2022 a 9 ATLANTIC BEACH. FL 32233 EXPIRES: 3/8/2023 CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS 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. • . yrs • r • OF . ' 1380 EAST COAST DR PLUMBING RESIDENTIAL PLUMBING - 6 FIXTURES $5000.00 TYPE OF BUILDING CONSTRUCTION: NUMBER: GROUP: 171904 0000 SELVA MARINA UNIT 01 COMPANY: ADDRESS: TDG PLUMBING 4426 LOYS DR JACKSONVILLE FL 32246 • ADDRESS: CITY: STATE: ZIP: MANSUR AL 1380 EAST COAST DR ATLANTIC BEACH FL 32233-5522 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IP 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. LISTOF CONDITIONS Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT PLUMBING BASE FEE 455-0000322-]000 0 $55.00 PLUMBING FIXTURES 455-0000-322-SOW 6 $4300 STATE DBPR SURCHARGE 455 0000 208 07W 0 $300 STATE OCA SURCHARGE 455.00W-208-0600 0 $300 TOTAL:$101.00 Issued Date:9/9/2022 1 of 2 "ALL ON Plumbing Permit Application HIGHLIGHTEDIN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 i�LRSZZ- C713Z Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMGIT#Jzc22 •0.243 JOBADDRESS: 1.110 eAST CosJT 0J PROJECTVALUE$ � '!© g ❑NEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub 1 Septic Tank& Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Z- Hose Bibs Urinal Kitchen Sink Vacuum Breakers LaundryTray Water Connected Appliances_ Lavatory Water Heater Other Fixtures Water Treating System ❑MISCELLANEOUS ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Lawn Sprinkler System (number of sprinkler heads) ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Well "'SIRWD 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: Y"%014%r.06 'AL. Phone Number: Plumbing Company:--VO Office Phone:_Fax Co.Address: 44?.L Lwin (a s` _ City: _Ylvt Stater zip: License Holder. —(LA4%% f.,A%f%Kj State Certification/Registration R F[-IY i-7aLL Notarized Signature of License Hofdere�� The foregoi rument w s acknowledged before me this day ofEwl 20�the State of Florida, County of �/ ture of Notary Public qH TONI GINDLEGPERGER y MYCOMMISaIONp GG 3531 ersonally Known OR [ ] Produced Identification U,, + E%RIRES:October 6,2C23 of Identification: EondMTMUNogry Wtlic Under.Ml2rS UOtlaMtl 10/ll/18