2338 Fiddlers Ln PLRS24-0023 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
TIMOTHY J MCGILL AND
LAURA L MCGILL LIVING
TRUST
2338 FIDDLERS LN ATLANTIC BEACH FL 32233-4681
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:
169463 0138 OCEANWALK UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2338 FIDDLERS LN PLUMBING RESIDENTIAL PRIVATE PROVIDER - 24
fixtures $22000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 24 $168.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.35
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: 2/15/2024
PERMIT NUMBER
PLRS24-0023
ISSUED: 2/15/2024
EXPIRES: 8/13/2024
PLUMBING RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.23
TOTAL: $228.58
2 of 2Issued Date: 2/15/2024
PERMIT NUMBER
PLRS24-0023
ISSUED: 2/15/2024
EXPIRES: 8/13/2024
PLUMBING RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PlumbingPermit Application ALL INFORMATION
S` '' HIGHLIGHTED IN
l`'._
I City of Atlantic Beach Building Department GRAY IS REQUIRED.
j 800 Seminole Rd, Atlantic Beach, FL 32233 2H- X.2S
Phone: (904) 247-5826/ Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: R31 0 FSl'Ci1 ( 'i La/Lc, PROJECT VALUE$ a`COO
CI NEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer 1,_ Shower a
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink 7 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory S Water Heater I
Other Fixtures 4— Water Treating System I
MISCELLANEOUS
E Sewer Replacement
E Back Flow Preventer
E Lawn Sprinkler System (number of sprinkler heads)
C. Grease Interceptor (Trap) gallons (Requires 1 set of digital plans)
CI 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: irn G@rc
I ( Phone Number:
Plumbing Company: MI`J Sy I(C....- fJh5- Office Phone:`kay' TY.•acc ( Fax?jdi'• ' 1( 76c?
Co. Address: 5-6,Q,:-) (J€P C )/Uc) it3 City: YCL x State: F[ Zip: 1.07 .0 22O
License Holder: / icc;/4 te/ Sk1 1 oil (i- Stat ,ertification/Registration # C('Cv? c vo
Notarized Signature of License Holder 4,t1%---; (7
1
The foregoing, nstru lent was acknowledged before me this 1 j} day of 0-6101/Ia ill , 20.2 y, in the State of Florida,
County of 1_ /\;u(
I(
Signature of Notary Public
4!•.'7.`i,--, VANESSA ANGERS Personally Known OR [\ Produced Identification
MY COMMISSION#H11244118 n^ p
EXPIRES:March 23,2026 Type of Identification: (3(P,W(Lie4 'Wtkp v' tl(_e4'L . pi f'c Q( r , o''L
reOF".
Updated 10/11/23
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