323 AHERN ST PLRS18-0249 PLUMBING ' '''e' , PLUMBING RESIDENTIAL PERMIT
C,CPERMIT NUMBER
`' CITY OF ATLANTIC BEACH PLRS18-0249
"? ISSUED: 10/23/2018
800 SEMINOLE ROAD
�,;t>>% EXPIRES: 4/21/2019
ATLANTIC BEACH. FL 32233
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:
323 AHERN ST PLUMBING RESIDENTIAL 19 FIXTURES $8000.00
TYPE OF 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: STATE: , ZIP:
AHERN TH PROJECT LLC 830-13 A1A 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.
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:$192.82
Issued Date: 10/23/2018 1 of 2
PLUMBLNG PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Attanrir Beach,FL 32233
, Ph(904)247-5826 Fax(904)247-5845 p L R s t s-o z4c)
JOB ADDRESS: 313 FtmEL 4 1_41 141,4 I4 2- PERMIT# 17 - O2?6
NEW OR REPLACEMENT INSTALLATION: Project Value$ g 00 0
TYPE OFFIXTURE QTY TYPE OF FIX ZTRE QTY
Bathtub I Septic Tank&Pit
Clothes Washer —I Shower ---T----
Dishwasher _____L_ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
--3---
Hose
_Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances 2_
Lavatory __ Water Heater —I
Other Fres _0\ Water Treating System _I—
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OFFDCIDRE 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:
o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of pig
0 Lawn Sprinkler System-Number of Heads 2 Well . **
** STRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspecuor
Other
Permit becomes void if work does not commence within a six month period or work is suspeacied or abandoned for six mnothc I hereby certify that I have
this application and know the same to be nue and correct. All provisions of laws and ordinances governing this work will be complied with whether specii
or not. The permit does not give to violatcthc•,•visi of any other
state or local law regulation construction or the performance of constructic
Property Owners Name , -e ' /2O eor Phone Number
PlumbingCom}iany pie ‹,.... i (.h►� p 'C. Office Phone 26Z—?88 Fax
t
Co.Address: 1 12 l{-( ( t/is (44 a E City I AL State pc-- Zip
License Holder(Print): S t 0 err. i.e L tate Cer tificationiRegistration# 0 2,031?
]der I �I%
�y:F4i7% .l, -1ki 81 NM FF 900342 . , r�
Sworn and i bscribed befor m Q2-- f 2(1/
�'����� �`� ,r • c November 18,2019
. 4' r. Votary Public U x1M 9,3
�` _ Signature of Notary Public lam- ~