2337 Seminole Road PLRS22-0151 Permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS22-0151
n 800 SEMINOLE ROAD ISSUED: 10/6/2022
A ATLANTIC BEACH. FL 32233 EXPIRES:4/4/2023
INSPECTIONMUST CALL • 91 ' • DAY INSPECTION.
ALL • • • • • ,• (2117) IF TRE FLIPATA BUILDIVG
CODE, NEC, IPIVIC, 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 maybe 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:
2337 SEMINOLE RD A PLUMBING RESIDENTIAL PLUMBING -4 FIXTURES $2000.00
SUBDIVISION:TYPE OF REALESTATE ZONING: BUILDING USE
CONSTRUCTION: NUMBER: GROUP: , -
BLUFFS CLUSTER HOMES
168846 5002 COND
ADDRESS:
SWEENEY REMODELING
AND PLUMBING dba 14047 MOUNT PLEASANT ROAD JACKSONVILLE FL 32225
Sweeney of NE Florida
ADDRESS:
BOHR SARAH H 2337 SEMINOLE RDA ATLANTIC BEACH FL 32233-5988
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT I QUANTITY I PAID AMOUNT
PLUMBING BASE FEE 4550000-322-10M 0 $SS CO
PLUMBING FIXTURES 4550000-322-1000 4 1 $28.00
STATE )BPR SURCHARGE 455-0000208.0700 0 $2.00
STATE DCA SURCHARGE 455-0000-2080600 1 0 $100
Issued Date:10/6/2022 1 of 2
PlumbingALL
Permit Application "'HIGHLI HIGHLIGHTED IN ON
pp NIGHLIREQUIRE
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 L RnS'A" 01S
Phone: (904) 247-5826 Email: Building-DeptPcoab.Us PERMna: G`Ls� ZZ- f of
qq '' 2sue
JO�BA�DDRESS:r� J_i '- lC PROJECT VALUES
�'
[9NEW OR REPLACEMENT INSTALLATION and/or EIRE-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 T
Floor Sink Toilet
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)
D Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
C Well '•51RWD 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 con.st{r-u—ction or the performance of construction.
••
Owner Name: xf Al• I N'ee..f.-• 1 Phone Number: 9O452Z
i ,/
Plumbing Company:t� c Xr 1pnaj� Office Phone: f 6YfZ Fax
Co.Address:SIZJ�v �• City: .., t • /StateZip:7Z,•j
_
License Holder: K.q� 5ye State Certification/Registration If C�(/4 Z 0'S7'7
Notarized Signature of License Holder '7
The foregoing+Rstt•,ument was acknowledged before me this 20C a the State of Florida,
County of
=EX�PIRCS: 2
RGEft Sign re of Notary Public
`�' ,6,353178
`y. ,6,2023 [ ] Personally Known OR[ ] Produced Identification
<I-` . �;i: �waere Type of Identification:
Updorrd m/v/1a