321 AHERN ST PLRS18-0248 PLUMBING -j' \‘E-1`2,X PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
' 1 ��
CITY OF ATLANTIC BEACH PLRS18-0248
k�� j 800 SEMINOLE ROAD ISSUED: 10/23/2018
-�c):1s9� ATLANTIC BEACH. FL 32233 EXPIRES: 4/21/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
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 as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
321 AHERN ST PLUMBING RESIDENTIAL install 19 fixtures $8000.00
TYPE OF I REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: i NUMBER: GROUP:
169742 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
NELSON PLUMBING CO. 11624-1 DAVIS CREEK ROAD EAST JACKSONVILLE FL 32256
INC.
OWNER: ADDRESS: CITY: EM11110111
AHERN TH PROJECT LLC 830-13 ALA N #120 PONTE VEDRA FL 32082
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.
1
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 19 $133.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.82
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$192.82
Issued Date: 10/23/2018 1 of 2
CL
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-582n6 Fax(904)247-5845 .�V-S I - C
JOB ADDRESS: 32( A+1FIQn) S? goo! [ V1hc4-4 ! PERMIT# 17– 0275
NEW OR REPLACEMENT INSTALLATION: Project Value$ Poo d
TYPE OFFIXTUIeE QTY TYPE OF FIXTURE QTY
Bathtub _I__ Septic Tank&Pit
Clothes Washer 1 Shower 1
Dishwasher ______ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs _2r_ Urinal
Kitchen Sink _._1_ Vacuum Breakers
Lalmdry Tray Water Connected Appliances 2
Lavatory --c- _ Water Heater ____L_
Other Fixtures Water Treating System --I—
RE-PIPE:
TYPE OFFIXTURE QTY TYPE OFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Slibwer 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:
u Sewer Replacement 0 Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of pt4
o Lawn Sprinkler System-Number of Heads z Well - **
**S]RWD Well Completion Form. Completed form to be submitted to the Building Department for final inspectior
Other `
Permit becomes void if work does not cake within a six month period or work is suspended or abandoned for six mnnrhe I hereby certify that I have
this application and know the same to be true and correct. All provisions of laws and ord.inances governing this work will be complied with whether specii
or not. The permit does not give=dimity to violate the provisions of any other state or local law regulation construction or the performance of constructic
Property ��Owners Name � Thi cc)fr Phone Number
Plumbing Company A /H., . , Cs ..I L Office Phone Z62- Yg g(Fax
Co.Address: — / . v6 l / City A-, State Zip
i , : r t can__ - _ • ♦ AM//L - Certiftcation�eg`istratton# 192011 n 7
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:;?';.14': / O .r�1,�1 lZQt(LC! Ser 1,-,-'7'"' hoc EXp'' ; � ,..mer 16,2019 '`„ . r r r/ ,
oe; Pnbz Undenrnters `i
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Signature o otary Public / 0/.