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Permit Plumbing 358 5th St 2012 CITY OF ATLANTIC BEACH t 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001097 Date 10/30/12 Property Address . . . . . . 358 5TH ST Application type description SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 400000 --------------------------------------------------------------------------- Application desc SINGLE FAMILY HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AF AB VENTURE LLC ELITE HOMES INC. 800 3RD ST STE C 357 12TH ST NEPTUNE BEACH FL 32266 ATLANTIC BEACH FL 32233 (904) 349-2803 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . NELSON PLUMBING CO. INC. Permit Fee . . . . 237 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/28/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE FOR AN APPROVED FINAL MECHANICAL A/C INSPECTION, A STICKER SHALL BE INSTALLED ON THE AHU TO VERIFY THAT DUCTS HAVE BEEN SEALED, A CERTIFICATION SHALL BE ON SIGHT FOR THE INSPECTOR STATING THAT THE A/C SYSTEM PASSED THE "AIR BLAST INSPECTION" FROM AND INDEPENDENT TESTING AGENCY. *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 If on-site storage is required, a post construction topographic survey documenting proper construction will be required. Full right-of-way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. PERMIT IS( Klg@LYYC3l� IG� 4�'ei �IT � b�1dVT � �INVCLI� tORIDA BUILDING CODES. }` CITY OF ATLANTIC BEACH is 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 `��"p INSPECTION PHONE LINE 247-5814 Page 2 Application Number . . . . . 12-00001097 Date 10/30/12 ---------------------------------------------------------------------------- Special Notes and Comments Management) Full erosion control measures must be installed and approved piror to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. Construction entrance required, or at minumum street must be swept daily. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 3 . 56 STATE PLBG DBPR SURCHARGE 3 . 56 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 237 . 00 237 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 7 . 12 7 . 12 . 00 . 00 Grand Total 244 . 12 244 . 12 . 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)247-5845 .TOB ADDRESS: 356 1-9h 19ye4 PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE of FIXTURE QTY TYPE of FDuvp.E 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 I _ Vacuum Breakers Laundry Tray _ I Water Connected Appliances �— Lavatory to 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 Slibwer 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 I;avatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of ph ❑ Lawn Sprinkler System-Number of Heads ❑ Well **VRWD 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 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 specv or not.j The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of constructic Property Owners Name El i k.. E 6e-•2..5 Phone Number 3V1-Z$6-3 Plumbing Company_. ?A4,m b►_ Office Phone�(-)-gl�S� Fax9.;s g0- 0 Co.Address: �zy'i ti.�' G z4_ i State a_Zip3 L2 License Holder rint : to Certification/Registration# (,'t`- OZ6331 IW&na Nic P�Ic older • •.My Comm.&OW Nov 16.2015 Sworn and su c ed before me s�3��day of 0C kV64Qt� 201 Z an"TWNO Na"on AM Caeminioa#F EE 1374n Signature of Notary Public,�, 2c" r