45 Simmons Rd PLPP23-0004 Permit PLUMBING COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER PLPP23-0004
ISSUED: 2/3/2023
BUILDING PLAN PERMIT EXPIRES: 8/2/2023
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, • OF BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF . . 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:
PLUMBING COMMERCIAL OR
45 SIMMONS RD MULTIFAMILY DETAILS PER UNDERSLAB PLUMBING FOR $1200.00
BUILDING PLAN BATHROOM
TYPE OF
ZONING: :D •
• • GROUP:
172164 0000 DONNERS R/P
COMPANY: ADDRESS:
TDG PLUMBING 4426 LOYS DR JACKSONVILLE FL 32246
ADDRESS:
AMERICAN LANDSCAPE 1352 PINEWOOD RD JACKSONVILLE FL 32250-2931
AND LAWN CARE INC BEACH
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN 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 3 $21.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 2/3/2023 1 of 2
Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
J J"' City of Atlantic Beach Building Department GRAY IS REQUIRED.
J
800 Seminole Rd, Atlantic Beach, FL 32233 'PLPPZ J `dC04
Phone:
U (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ;IZ-V03y
JOB ADDRESS: /.S S'�^�^� PROJECT VALUE$ I 0 0. 0 0
❑NEW 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
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray 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 **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection. **
❑ Other w b; Al Ps t), t.ndc V
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:2lY\PC co A_n I Cs.nASn QDe Phone Number:
Plumbing Company:—TOA Office Phone: V"W- Tl Li ( Fax S^,,y_
Co. Address: !d4aG l.�y� ��-- City: -YA,4 State:-EL—Zip: _2527-44
License Holder:—Mcky*' J q nt`I State Certification/Registration #
Notarized Signature of License Holder
The foregoi gin trument as acknowledged before me this day of t- , 2 in the State of Florida,
County of L AC
0
Signature of Notary Publi
' �ppVA,;;�c,• TONI GNOLESPERGER
MY COMMISSION#GG 353178
=' o
EXPIRES:October 6,2023 [>#'e'rsonally Known OR [ ] Produced Identifi n
Bonded Thru Notary Public Underwrhers Type of Identification:
Updated 10/17/18