319 AHERN ST PLRS18-0251 PLUMBING PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
, CITY OF ATLANTIC BEACH PLRS18-0251
800 SEMINOLE ROAD ISSUED: 10/23/2018
—01119%-
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:
319 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
BEACH
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.
I -
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:$192.82
Issued Date: 10/23/2018 1 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 37213 j
, Ph(904)247-5826 Fax(904)247-5845 P L RS (6 -Oz s
JOB ADDRESS: 311 Awe-12A) ST 01 D7,4 I LIrv43 PERMrF# (1 - 02.7 t{
NEW OR REPLACEMENT INSTALLATION: Project Value$ g 00 l)
TYPE OF FIXVRE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer I Shower ____.1 _
Dishwasher ___I___ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
---3--
Hose Bibs2 Urinal
Kitchen Sink T Vacuum Breakers
Laimdry
Tray Connected Appliances 2-
La
Other F�rues - Water HeaterWater Treating System l
RE-PIPE:
`
TYPE OF FIXTQTY
URE TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Rower Pan
ink
Floor DDrinking rain
TTS Compartment Sink
Floor Sink Toilet
Hose Bats Urinal
- Kitchen Sink Vacuum Breakers
LavatoryLaundry T� Water Heater
Appliances Water Connected
Other Fixtures Water Treating System
MISCELLANEOUS:
o Sewer Replacement 0 Back Flow Preventer El Grease Interceptor(Trap) gallons(Requires 3 sets of ph
o Lawn Sprinkler System Number of Heads 0 Well . **
** S,TRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspectior
• 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 I have
this application and know the same to be true and correct. Ail provisions of laws and ordinances governing this work will be complied with whether specii
or not. The permit does not give authority to violate the provisions of-nw...- state or local law regulation construction or the performance of constructic
Property Owners Name am i Q.1` & •-_,- 1ft r Phone Number
in
Plumbing Company /ye Sot& Phu h' g •oG. Office Phone 212.- ifs pt( Fax
Co.Address: ,([62(f-I DAF✓6 re&.A. 7 f E ity -3-1A-? State gr Zip
License Holder(Print): .S COV---- /V' / e • State Certification/Registration# 02,0r79
Notarized Signature of Licexse Holder I i,
� day of� 1 2015
LISA P.BASSSworn .ss d . bscribed befor: me this -,-�: MY COMMIS510N#FF 9C:,�%ItiA/19"6441
;; _ EXPIRES:November is ,ups Signature of Notary Public Op i Z v
a Rf J�• Bonded Thio Notary Public Underwriters