345 1st St PLRS19-0137 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
AVENS MARK 345 1ST ST ATLANTIC BEACH FL 32233-5227
COMPANY:ADDRESS:CITY:STATE:ZIP:
MIKE SANVILLE PLUMBING
INC 5627 Verna Blvd. #3 JACKSONVILLE FL 32205
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169766 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
345 1ST ST PLUMBING RESIDENTIAL PLUMBING - 3 FIXTURES $2000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $8.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 0 $0.00
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
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: 7/18/2023
PERMIT NUMBER
PLRS19-0137
ISSUED: 7/18/2023
EXPIRES: 1/14/2024
PLUMBING RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $88.00
2 of 2Issued Date: 7/18/2023
PERMIT NUMBER
PLRS19-0137
ISSUED: 7/18/2023
EXPIRES: 1/14/2024
PLUMBING RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0137
J
Vr
800 SEMINOLE ROAD
ISSUED:
EXPIRES:
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION • • 1 BY 4 PM FOR INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF D+ BUILDING
CODE, NEC, IPMC, 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 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:
345 1ST ST PLUMBING RESIDENTIAL PLUMBING - 3 FIXTURES 2000.00
TYPE OF
ZONING: D •
GROUP:
169766 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
MIKE SANVILLE PLUMBING
5627 Verna Blvd. 43 JACKSONVILLE FL 32205
INC
OWNER: ADDRESS:
AVENS MARK 345 1ST ST ATLANTIC BEACH FL 32233-5227
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 0 0.00
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
TOTAL: $80.00
Issued Date: 1 of 2
R 7 3
Plumbing Permit Application ALL INF13 iVIATION
HIGHLIGHTED IN
71lCityofAtlanticBeachBuildingDepartmentGRAYISREQUIRED.
Tl
w v
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: D011
JOB ADDRESS: Y!L 4— PROJECT VALUE$ GUU
NEW OR REPLACEMENT INSTALLATION and/or DRE-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
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: QnJ(' Phone Number:
Plumbing Company: i'CC(, A/(/,' L&OCiffice Phone:t
Fax 77
Co. Address:1 Pr/L/C,. (I l Vvt4- City:
Y4L9c,,
State:Ft Zip:
License Holder:
r G f &4U - c' kJ.$tat ;ertification/R gistration #
Notarized foSignature License Holder9
The foregoing.' rument w s acknowledged before me this isday f 2Vinthe teof Florida,
County of i
Signature of Notary Public
personally Known OR [ ] Produced Identificationrl— TONT GINDLESPERGER
MY COMMISSION#FF 924951 Type of Identification:
EXPIRES:October 6,2019
R pF F Bonded Thru Notary Public Underwriters Updated 10/17/18