278 Seminole PLRS18-0243 PLUMBING RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH PLRS18-0243
ISSUED: 10/16/2018
800 SEMINOLE ROAD EXPIRES:4/14/2019
ATLANTIC BEACH. FL 32233
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
ALL • • INSPECTION• • . • • • • r OF • • •A BUILDING
CODE, • CITY OF • • 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 as water management districts,state agencies,or federal agencies.
278 SEMINOLE RD PLUMBING RESIDENTIAL 14 FIXTURES $5000.00
TYPE OF ZONING: BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170512 0000 SALTAIR SEC 01
COMPANY: rr •
C&J Plumbing Service, LLC 54110 Marlee Road Callahan FL 32011
OWNER: CITY: STATE: ZIP:
ADDRESS:
LAGNER JENNIFER A 278 SEMINOLE RD ATLANTIC BEACH FL 32233-4143
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITYOPAIDAJMOUNTPLUMBING BASE FEE 455-0000-323-1000 0 PLUMBING455 0000 32210000PLUMBING FI%TURES 455-0000-333-1000 14 0 STATE OCA SURCHAflGE 455-0000-2080600 0
Issued Date: 10/16/2018 101`2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS18-0243
800 SEMINOLE ROAD ISSUED: 10/16/2018
n V EXPIRES:4/14/2019
ATLANTIC BEACH. FL 32233
Issued Date: 10/16/2018 2 of 2
PLUMBING PERNIIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
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Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS:_ D'� 5 ! h pIt �Zd Z 33 PFRhm#
( ivEwyRREPLACEMENTINSTALLAITON: Project Value$ S000=
TYPE OFFLYPOBE �—
Q7P TIPEOFFn777RE QTY
Bathtub - ' / Septic Tank&Pit
Clothes �her _ Shower
r Shower Pan
Drminng Fcunffim Slop Sink
Floor Drain Three Compartment Sink _
Floor Sink Toilet
HoseBibs Urinal -�—
Kitchen Sink ! Vacuum Breakers .
Laundry TroyLavWater Connected Appliances
Other ixtures '--�- Water Heater
_. Water Treating System
RE-PIPE:
wm�crtlf:r-K --y
TYPHOFF7x7vnE Q.TP TPPEOFFIXTORE QTY
Bathtub Septic Tank&Pit
Clothes Washer Showa
_ Dishwasher Showa Pan
Drinking Fountain Shop Sink
For in Three Compartment Sink
HosellFluor Sink Toils
Kitcithheenn Sink
Urinal
Kitchen Vacuum Breakers
LaundryTrayWater Connected Appliances
Other .
Water Heats .
Other Fixtures Water Treating Systema
MISCELLANEOUS:
0 Sewer Replacement 0 Back Flow preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plana)
0 Lawn Sprinkler System-Number of Heads 0 Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
0 Other
Pertmtb drf rkd atcommraice wrthmasumonW odor worku
pen susances ora mined wor months.I herebycertifythatlhaveread
ornot.plicetionendoesnot same to be true and correct All provisions of lam and ordinances govemingtltis work witlbecompliedwithwhetherspecflied
ornot. the permit does not give authority to violate the provision;ofeny other state or local law regulation construction err We puformaace ofeonsaoctio¢
Property Owners Name Jl '(�/fi�t'fer Lq�n��— Phone Number �o ��- OZOz
Plumbing CompanyC_!".�pluhnbl�trr� SC ,tIcE OfficePhoneffof.l Dl, R3e7Fax
20.Address: 'I A%I(Vte iLal CitfLaAwA,4 stateF( Zip S7g1(
`..ieenae Holder(Print): i \a iL` l • "(V�tRtn State Certification/Regisbation# CFC 1 tF29b'l(a
not sirrl�Yfolae, � fie/ 1Bt+.1�
ION 100>J1109 Before me this /J` day of, &;�D 20 /9
Signattue ofNntary R;blin