765 Redfin PLRS18-0242 oat' PLUMBING RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH PLRS18-0242
800 SEMINOLE ROAD ISSUED:
ATLANTIC BEACH. FL 32233 EXPIRES:
INSPECTIONMUST CALL • • • • • • INSPECTION.
ALL • • • • • • • • • s OF • • • • BUILDING
CODE NEC, IPMC, AND CITY OF • • OF ORDINANCES .
CONDITIONS OF •
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 as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
765 REDFIN DR PLUMBING RESIDENTIAL $6100.00
ZONING:TYPE OF REALESTATE SUBDIVISIONBUILDING USE
CONSTRUCTION: NUMBER: GROUP:
1712810000 ROYAL PALMS UNIT 02
COMPANY: rr •
ROLLAND REASH 11606 COLUMBIA PARK DRIVE EAST JACKSONVILLE FL 32258
PLUMBING
• ADDRESS:
REINIKAINEN DOLORES M 765 REDFIN DR ATLANTIC BEACH FL 32233-3901
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.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
PLUMBING BASE FEE 455-0000-332-1000 0 $55.00
PLUMBING FIXTURES 455-WW322-1000 0 $0.00
PLUMBING FIXTURES 455-0000-322-1000 11 $77,00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2,00
STATE DCA SURCHARGE 455-0006208-0600 0 $2.00
TOTAL:$136.00
Issued Date: 1 of 2
,.' PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLR518-0242
800 SEMINOLE ROAD ISSUED:
ATLANTIC BEACH, FL 32233 EXPIRES:
Issued Date: 2 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 r [2
Ph(1I904)2476�
t-55826 Fax(904) 247-5845 1.�.-r��p /(,
JOB ADDRESS: �(Y S n F 3 a J(C.• PERMIT# ZO/VD !20—
NEW
0NEW OR REPLACEMENT INSTALLATION: Project Value$�t /o 0•
TYPEOFFIXTURE QTY TYPE OFFixTURE QTY
BathtubSeptic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Thee Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers _
Laundry Tray Water Connected Appliances _
LavatoryWater Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPEOFF/XTORE QTY TYPE OFFrxTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer �_ Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain - Thee 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)
❑ 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 1 have read
this application and know the same to be We and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or nol. The permit does not give authority to violate the provisions ofany other slate or local law regulation construction or the perforrmance of construction.
Property Owners Name�101L 7S �CI f� �} I�Q Phone Number
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Co.Address: lluup C 1Dmbl i�,2K &E City TAX State Zi
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License Holder(Print): 0 I�A 1 Ic-c ertificaGon/R 'stration#
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