Permit 420 & 422 W Dutton Island Rd 2011 SFAT . . f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J �,,, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002260 Date 7/13/11
Property Address 422 W DUTTON ISLAND RD
Application type description SINGLE FAMILY ATTACHED DWELLING
Property Zoning TO BE UPDATED
Application valuation . . . 75000
Application desc
single family attached
Owner Contractor
BEACHES HABITAT BEACHES HABITAT
1671 FRANCIS AVE. 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -1222 (904) 241 -1222
Structure Information 000 000
Construction Type . . . . . TYPE 5 -A
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
Permit PLUMBING PERMIT
Additional desc .
Sub Contractor . ADVANTAGE PLUMBING
Permit Fee . . . 118.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/09/12
Special Notes and Comments
CHANGED EH APN TO AP- PERMIT WILL NOT
PRINT WITH APN
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
PLEASE PROVIDE COPY OF SURVEYS FOR LOTS 2 & 3.
PLEASE PROVIDE COPY OF RECORDED DEEDS FOR LOTS 2 & 3
INDICATING RESPONSIBILITY FOR PROPERTY MAINTENANCE BY EACH
TOWNHOME OWNER.
CO FOR LOT 2 CURRENTLY UNDER CONSTRUCTION, AND ISSUANCE OF
DEVELOPMENT PERMIT FOR LOT 3 WILL BE HELD UNTIL REQUESTED
DOCUMENTS (SURVEYS, DEEDS) ARE RECEIVED.
Full � ri if gg f ht -of -way restoration, including sod, is required.
PERMIT IS kPPRIVEIIrONLC t L�
D�NN L rOFbAl L IC H4ML A I4 q' IE FLORIDA
BUILDING CODES.
`: ff1 CITY OF ATLANTIC BEACH
s ;
800 SEMINOLE ROAD
tl. 1 ` Si , ATLANTIC BEACH, FL 32233
73. INSPECTION PHONE LINE 247 -5814
Page 2
Application Number 11- 00002260 Date 7/13/11
Special Notes and Comments
and container cannot be placed on City right -of -way.
Documentation of Wetland Deed Restriction recordation is
required before Certificate of Occupancy approval.
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 118.00 118.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 122.00 122.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 - 584
J OB ADDRESS: L A 22 J o__4- bt dlyA \k at PERMIT # 260
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub / Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Dram Three Compartment Sink
Floor Sink Toilet
Hose Bibs _T— Urinal
Kitchen Sink = Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory a Water Heater !
Other Fixtures Water Treating System
RE -PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Dram 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: gallons (Requires 3 sets of plans)
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) g
❑ Lawn Sprinkler System - Number of Heads
❑ Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. **
❑ Other
have read
Permit becomes void if work does not commence within a six month period or�ws and is ordinances governing abandone
th s for six
will months
be complied with wheth specified
this application and know the same to be true and correct. All provisions of laws
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.
Property Owners Name fc .f Y--c `_� V40.b `-Vn Phone Number 241 -1 222
Plumbing Company 1C1 -
t--D1 \NT:5T1 Office Phone 24- t `1 --c: Fax 24 gV
Co. Address: �R. r- �� k3`K - 1■1>
City i(g '1 _ State Zip -
/'
License Holder (Print): C- 4 19 State Certification/Registration # ly�f
U7��'
Notarized Signature of License Holder ) _ P�7 4cst i.z1-0
MICHELLE L. CREWS Sworn and subscri ed before me this 1. day of - , emu\ L 20 4
.„..i, MY C OMu tss( ON # EE037670 C�►, Q(t, � - �V—
EXPIRES October 28, 2014 Signature of Notary Public
(407) A:8153 Flor dallotaryServbe.eom