1580 Selva Marina PLRS18-0238 PLUMBING RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH PLRS18-0238
800 SEMINOLE ROAD ISSUED: 10/10/2018
ATLANTIC BEACH. FL 32233 EXPIRES:4/8/2019
FLCMUST CALL INSPECTION PHONE LINE (904) 247-5814 BY4 PIM FOR NEXT DAY INSPECTION.
ALLWIAK MYST CINFIRM TV THE C"RENT 6T
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county,and there may be additional permits required from other
governmental entities such aswater management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1580 SELVA MARINA DR PLUMBING RESIDENTIAL $450.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1719890000 SELVA MARINA UNIT04
COMPANY: ADDRESS: CITY: STATE: ZIP:
I
JACKSONVILLE FL 32240
ADVANTAGE PLUMBING 880 MAYPORT RD BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
KRING MICHAEL D 1580 SELVA MARINA DR ATLANTIC BEACH FL 32 2 33!S6'14
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACLUUNI I
PLUMBING BASE FEE 4SSoODG322-1000 0 $55BO
PLUMBING FIXTURES 455 COW 327-1000 4
STATE DBPR SURCHARGE 455 0000-208 0700 0
STATE DCA SURCHARG E n $2W
TOTAL:$97.001
issued Date: 10/10/2018 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH PLRS18-0238
ISSUED: 10/10/2018
800 SEMINOLE ROAD EXPIRES:4/8/2019
f:Dm ATLANTIC BEACH. FL 32233
issued Date:10/10/2019 2 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Adamic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: JAJgW )9R PERMlT# J7- 0-3.43
NEW OR REPLACEMENT INSTALLATION: Project Values 4so
TYPE oF FixTuRE QTY TYPEoFftavRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Fluor Drain Three Compartment Sink
Fluor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliartoes
Lavatory Water Heater
Other Fortunes Water Treating System
RF,PIPE:
TYPE oF FixTuRE QTY TYPE oF FffwRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Fluor Sink Toilet
How Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliance;
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
• Sewer Replacement Ei Back Flow Preventer Ei C�ase interceptor(Trap)_gallons(Requim 3 sets of plans)
• Lawit Sprinkler System-Number of Heads cl Well
**SJRWD Well Completion Form.Completedforratc,be submitted to lRe—Building Department for final inspection.**
El Other
Permit becomes void if work does not commmice,within a six month period or work is saxpended or abessioned for six months.I hereby certify thin I have"ad
this application and know the same to be true end correct. All provisions of laws end ordinances governing this work will be complied with whether specified
ornot. The permit does not give authority to violare the provisions of my other state or local law regulation construction or the performance of construction.
Property Owiters N &I Phone Number
Plumbing Company J,fA,,7A'A , M Office Phone Fax-
59�311 91:1 � -7 fLu&3 h I;e4
Co.Address: 1144 1 J city AL k,11 Stme/2-Zip
License Holder(Print): da""r,; 6Lay
I State Certification/Registration#
Notarized Signature of License Holder .4 Ar�- / .a)—
SwomandsubscaWdbefortemethis 10 MafO44- 20-[&-
Signature of Notary Pub9ZW&A1L4Z af USA—