860 Paradise Ln PLRS23-0116 Permit rt-Ali.i�, PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLR523-0116
ISSUED: 6/23/2023
800 SEMINOLE ROAD`'''��� ATLANTIC BEACH. FL 32233 EXPIRES: 12/20/2023
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, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF . . PLEASE READ 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: 7 DESCRIPTION: VALUE OF WORK:
860 PARADISE LN PLUMBING RESIDENTIAL i PLUMBING - 19 FIXTURES $26000.00
TYPE OF
• • GROUP:
172376 0135 PARADISE PRESERVE
COMPANY: . DD. STATE:
All Scale Plumbing 1518 Whitlock Ave Ste 2 Jacksonville FI 32211
• ADD.
MOORE JENNIFER GETSY 860 PARADISE LN ATLANTIC BEACH FL 32233
ET AL
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.
CONDITIONSLIST OF
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE EEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 19 $133.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.82
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $192.82
Issued Date:6/23/2023 1 of 2
Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
'd City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 �Q C
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#- `eJa�
7G G'
JOB ADDRESS: V Larad, 5(!,- In PROJECT VALUE $
❑NEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 3 Septic Tank& Pit
Clothes Washer l 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 t!
Other Fixtures Water Treating System
❑MISCELLANEOUS
❑ Sewer Replacement `,
[I Back Flow Preventer
El Lawn Sprinkler System (number of sprinkler s)
❑ 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.•"
D 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: T°i�nli� 1 0'ore, Phone Number:
1 11
Plumbing Company: l .SGS ( )4 f47 Off ce Phone: 9 3� "aA�x
Co. Address: 1,515 141)'.0 City: aG 3owl ystate: ) �/ Zip: ,2.21
License Holder: /j//j Idi':9 10-s ((5 State Certifi ation/Registration# IG ��� `�.3 7/
Notarized Signature of License Holder
The foregoi instrument W acknowledged before me t , 20 the State of Florida,
County of I
Signature of Notary Public -
[ ] Personally Known OR [ ] Produced Identification
Type of Identification:
TO!11 GINDLES014ft9 1810/17. 8
MY COMMISSION#GG 353178
EXPIRES:October 6,2023
':FOFFv4P' Bonded Thr,Notary Public Underwriters