Permit Plumbing 366 10th St 2012 CITY OF ATLANTIC BEACH
s1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000802 Date 11/20/12
Property Address . . . . . . 366 10TH ST.
Application type description SINGLE FAMILY RESIDENCE
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 400000
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Application desc
new home
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Owner Contractor
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CDL AB LLC ELITE HOMES INC.
CHRIS LAMBERTSON 357 12TH ST
357 12TH STREET ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 32233 (904) 349-2803
-- Structure Information 000 000 NEW SINGLE FAMILY HOME
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 . . . . 244 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/19/13
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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
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible.
PERMIT ISAAPSEMMIr 0CK1�.-eQURIIWt NbM i0,9(tigil4F-91TAttiTItFIWAd�WAI�;YESI PHE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH.
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00000802 Date 11/20/12
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Special Notes and Comments
Cleanout must be covered with an RT1 concrete box with
metal lid. Cleanout to be set to grade and visible .
A reduced pressure zone backflow preventer must be
installed if irrigation will be provided or if there is a
private well on the property. Backflow preventer must be
tested by a certified tester and a copy of the results sent
to Public Utilities .
If fire sprinkler system is provided, contact Malcolm
Clemons at 247-5839 for backflow requirements . At a
minimum, will require a double check backflow preventer.
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.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management)
Full erosion control measures must be installed and
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection prior to start of
construction.
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 3 . 66
STATE PLBG DBPR SURCHARGE 3 . 66
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 244 . 00 244 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 7 . 32 7 . 32 . 00 . 00
Grand Total 251 . 32 251 . 32 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM FAX NO. :9048238736 Nov. 20 2012 10:50RM P1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole:lid Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: `A, ��' PERMET#
NEW OR REPLACEMENT INSTALLATION: Project Value
TYPE orFDa'>rI1RE Qxx TYPE OF FWURE QTY
Bathtub Septic Taank&Pit
Clothes Washer _1-.- Shower —s .
Dishwasher ._ Shower Pan ..—_.....
Drinking fountain Slop Sink.
Floor Drain Threc Compartment Sink
Floor Sink Toilet -
Hose Bibs Urinal
K#chen Sink Vacuum Breakers
Laundry Tray �.L Wted Appliances � /1
Lavatory water H®��
Other pixtums 'Water Treating System
RE-PIPE;
T PE OF,FIXIME QTY TYPE or FDUUI QTY
Bathtub Septic Tank&Pit �..
Clothes Washer T Shower
-
Dishwasher Shower Pan'
Drinking Fountain Slop Sink
Floor Drain ______ Three Compartment Sink
Floor Sink -- Toilet _--
Hose Bibs Urinal --
Kitchen Sink Vacuurn Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fbdures Water Treating System.
AUSCELLANEOUS:
C Sewer Replacement ❑Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of'pla►nR
0 Lawn Sprinkler System-Number of Heads ❑ Well **
**S,1RWD Well Completion Form. Completed farm to be submitted to the H lui d Department for feral inspection.*;
D Other
Pcrmit becomes void if work does not commence'within a six month period or work is suspended of abandoned for six months.I hereby cmft that I havo tea
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 pwmit does not give authority to violate the provisions of any other state or local law ragulaation construction or the performance of construction.
Property Owners Named/le 4.6 m es _ -�Phone Number Nf-Z�l
Plumbing Company lUel6Dr� l9s �n ffice Phone a - �
Co.Address: 1160y-I DUAJIS Agzt ity Statel' Zip32asG
w A
License Holder(Print): ' g2 Tr ,N g,l � tate Certification/Registration# ( A_( .
Notarized Signage of.License.flolder
Sworn and scribed before me tws day of h. at�'�1 20
;Ascribed
Signature of Notary Public ,. "