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459 Aquatic Dr PLRS23-0041 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: ANIES LEANNE 1560 BROWNSVILLE DR HERNDON FL 20170 COMPANY:ADDRESS:CITY:STATE:ZIP: PRESTO PLUMBING LLC 6114 GOODMAN RD JACKSONVILLE FL 32244 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 171818 5298 AQUATIC GARDENS JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 459 AQUATIC DR PLUMBING RESIDENTIAL SHOWER PAN $750.00 FEES 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 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 3/15/2023 PERMIT NUMBER PLRS23-0041 ISSUED: 3/15/2023 EXPIRES: 9/11/2023 PLUMBING RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 3/15/2023 PERMIT NUMBER PLRS23-0041 ISSUED: 3/15/2023 EXPIRES: 9/11/2023 PLUMBING RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 rj'" Plumbing Permit Application ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 004 s_a! IPhone: L 904) 247-5826EEmail: Buuildin g Dept@coab.us PERMIT#: PC-RSZ 3 JOB ADDRESS: L+5 P j 11 at]Li ( Ai-i Co I 'cuti PROJECT VALUE $ -75033P D--- 33 JEW OR REPLACEMENT INSTALLATION and/or ERE-PIPE TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan 1_ 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 DviISCELLANEOUS 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 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: Le A nfie. i\-n It-S Phone Number: ao.-- 4!O -7S R Plumbing Company: PRS StO lop 5 Office Phone: C04 "`iy —14'W Fax Co. Address: 33% \,0Q-St \Deo-vcif- 1_ City: Jac S6nv 1t testate: :1-- Zip: 3a- S&4 License Holder: E1-i C - t j'CC_c' State Certification/Registration # C EC P4,2'1,2-41241 Notarized Signature of License Holder 1 The foregoing instrument was acknowledged before me this q day of1J`dlalrey\ , 202Z, in the State of Florida, County of tDuICt YLOR Signature of Notary Public C//1c.% CarrNssbeA 7890 Expir esJeriay10,2o27 Personally Known OR [Produced Identification Type of Identification: V'rt j- j 3 t U241-N Updated 10/17/18