Permit Plumbing 1345 Ocean Blvd 2012 r CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
=" ATLANTIC BEACH,FL 32233
� INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001728 Date 12/06/12
Property Address . . . . . . 1345 OCEAN BLVD
Application type description SINGLE FAMILY RESIDENCE
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 265000
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Application desc
NEW SINGLE FAMILY DWELLING
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Owner Contractor
LINDLEY TOLBERT DESIGN INC BOSCO BUILDING CONTRACTORS
465 BEACH AVE 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
--- Structure Information 000 000 NEW SINGLE FAMILY DWELLING 2927 SF
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . PLUMBING PERMIT
Additional desc 28 NEW FIXTURES
Sub Contractor COGBURN AND WAKEFIELD', PLBG
Permit Fee . . . . 251 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/04/13
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Special Notes and Comments
SEE CORRECTION REPORT ATTACHED
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.
A sewer cleanout must be installed at the property line.
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 .
A Right-of-Way Permit must be obtained for use of pavers
in the right-of-way.
A Revocable Encroachment Permit must be obtained.
Full right-of-way restoration, including sod, is required.
PERMIT IsRvl!1l0Nm6 bNCIDIA ICANCDiI PMYLIIY $lr-OiDRTIQIATIV )ICI$ V�1� ANCPfHE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
r ) 800 SEMINOLE ROAD
!J ATLANTIC BEACH,FL 32233
_ INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00001728 Date 12/06/12
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Special Notes and Comments
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.
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
TREE REMOVAL FROM SUBJECT PROPERTY FOR CONSTRUCTION OF NEW
SFR IS COVERED BY TREE PERMIT ##12-00100040; TREE REMOVAL
FROM ADJACENT PROPERTIES FOR CONSTRUCTION OF NEW SFR ON
SUBJECT PROPERTY IS A CIVIL MATTER TO BE RESOLVED WITH
ADJACENT PROPERTY (TREE) OWNERS.
SOUTH SIDE OF HOUSE FACES THE REAR OF ADJACENT STRUCTURE;
THEREFORE SECTION 24-172 (c) (1) a DOES NOT APPLY; THIS
PROVISION ONLY APPLIES IN THE CASE OF ADJACENT SIDE-TO-SIDE
POSITIONING.
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 3 . 77
STATE PLBG DBPR SURCHARGE 3 . 77
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 251 . 00 251 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 7 . 54 7 . 54 . 00 . 00
Grand Total 258 . 54 258 . 54 . 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
JOB ADDRESS: I ( / � �� PERMIT#LZ—f*72�
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub _ Septic Tank& Pit
Clothes Washer 1 Shower
Dishwasher _ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs 4 Urinal
Kitchen Sink 0— Vacuum Breakers
Laundry Tray Water Connected Appliances ;2- _
Lavatory ` 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 Drain 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:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
1_i Lawn Sprinkler System-Number of Heads ❑ 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.
Property Owners Name cAcAv2-S Phone Number 961-/ 2-`/4-c 6320
Plumbing Companyc SOU 'P-' 4-- Ptki A�( Office Phone �'10� �L7-l 290 Fax ' ?q-c"a31
Co. Address: City 3pfy- State 'Fc- Zip 32Z 1 u
License Holder(Print): It o inn to UIL- St to ertification/Registration # AFL t`PLF1`i'o
Notarized Signature of License Holder
; 1 SHIRLEY L.GRIWorn d subsc ' ed before e a of 202--
_, y+OMM ION n.DD 957760
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