306 Plaza PLRS23-0026 Permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
JS j1
CITY OF ATLANTIC BEACH PLRS23-0026
J v~ 800 SEMINOLE ROAD ISSUED: 2/7/2023
ATLANTIC BEACH. FL 32233 EXPIRES: 8/6/2023
MUST CALL INSPECTION PHONE • 1 . . BY . PM FOR . INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, . .
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:
306 PLAZA PLUMBING RESIDENTIAL PLUMBING - SEWER $1100.00
REPLACEMENT
TYPE OF
ZONING: :D •
• • GROUP:
169951 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
PIPE-RIGHT PLUMBING INC 1311 TROTTERS WALK WAY JACKSONVILLE FL 32225
•
ADDRESS: CITY: STATE: ZIP:
RILEY RICHARD M 306 PLAZA ATLANTIC BEACH FL 32233-5442
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 • .
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 1 $7.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$66.00
Issued Date: 2/7/2023 1 of 2
Plumbing Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 �
Phone: (904)) 247-5826 Em il: Building-Dept@coab.us PERMIT#: PLRSz3—(D02
JOB ADDRESS: P 7 PROJECT VALUE$ a Dv
❑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
❑MISCEJ�LANEOUS
ewer 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 regulations construction or the performance of construction.
Owner Name: -S i�/2/1E J1 t /� t! Phone Number:
Plumbing Company: /"D / '(5ffice Phone: /y7 .l^ 752 Fax
Co. Address. �/ • � City: o` State: >10-Zip: 3Z2-2-5;
License Holdero,
l7�� State Certification/Registration # C PC(,3121,-
Notarized Signature of License Holder 14
l
The forego ng I trument w6s acknowledged before me this day of J 20, ,ii the State of Florida,
County of
Signature of Notary Public
Personally Known OR [ ] Produced Identification
TONIGINDLESPERGER
_ MY COMMISSION 353178 Type of Identification: -�
EXPIRES:October 6,2023 Updated 10/17/18
Bonded Thru Notary Public Underwriters
Y.