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
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Application desc
SINGLE FAMILY HOME
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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
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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
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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
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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.
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 3 . 56
STATE PLBG DBPR SURCHARGE 3 . 56
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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