370 Plaza PLRS22-0084 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
TROY KIMBERLY 370 PLAZA ATLANTIC BEACH FL 32233-5442
COMPANY:ADDRESS:CITY:STATE:ZIP:
Snyder Co dba SNYDER
HEATING & AIR PO BOX 16826 JACKSONVILLE FL 32245
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169976 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
370 PLAZA PLUMBING RESIDENTIAL PLUMBING - REMODEL 17
FIXTURES - Renewed $14800.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $17.86
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 17 $119.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.61
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: 6/7/2022
PERMIT NUMBER
PLRS22-0084
ISSUED: 6/7/2022
EXPIRES: 2/7/2024
PLUMBING RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $196.47
2 of 2Issued Date: 6/7/2022
PERMIT NUMBER
PLRS22-0084
ISSUED: 6/7/2022
EXPIRES: 2/7/2024
PLUMBING RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Plumbing Permit Application ALL INFORMATION
r s.. /:•;.\ HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 P Lid SZ
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 370 Plaza PROJECT VALUE $14,800.00
VEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer 1 Shower 2
Dishwasher 1 Shower Pan 2
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs T Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray 1 Water Connected Appliances
Lavatory 4 Water Heater 1
Other Fixtures z/ Water Treating System 1
VIISCELLANEOUS
Sewer Replacement
Back Flow Preventer
Lawn Sprinkler System (number of sprinkler heads)
Drease Interceptor (Trap) gallons (Requires 3 sets of plans)
Well **SJRWD Well,completion Form.Completed form to be submitted tp the Building Department for final inspection. **
Other replace cast iron rerouted water lines Permit RES22-0151
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:Kimberly Troy Phone Number: (410)375-9498
Plumbing Company: SnydeeCo Office Phone: (904)641-0699 Fax
1Co. Address: PO Box 16826 City: Jacksonville State: A Zip: 32245
License Holder: John Zellner State Certification/Registration # CFC1427375
Notarized Signature of License Holder i tutI.A#\
The fore o ' strurient wps acknowledged before me this 7 d. e ilk a
202 he State of Florida,
County of 1 JCL 0
C
l,...";*;,....._ TONIGINDLESPERGER Signature of Notary Public4MYCOMMISSION#GG 353178
Ii:, ,7 ..,...,..EXPIRES:October 6,2023
Bonded Thru Notary Public Underwriters Personally Known OR [ ] Produced Identification
Type of Identification: Vc
Updated 10/17/18