315 AHERN ST PLRS18-0252 PLUMBING 11142-tetPLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS18-0252
800 SEMINOLE ROAD ISSUED: 10/23/2018
f`g 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:
315 AHERN ST PLUMBING RESIDENTIAL install 19 fixtures $8000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169740 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: I ZIP:
AHERN TH PROJECT LLC 830-13 AlA 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.
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:$192.82
Issued Date: 10/23/2018 1 of 2
b
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
, Ph(904)247-5826 Fax(904)247-5845 PE I - 03-&
JOB ADDRESS: 3 lc A+t ST 0 0,44 2 J- :S PERMIT# I')- O2
NEW OR REPLACEMENT INSTALLATION: Project Value$ 000d
TYPE OF FfXTURE - QTY TYPE OF FIXTURE QTY
Bathtub _____ Septic Tank&Pit
Clothes Washer ______L_ Shower ____L____
Dishwasher __L____ Shower Pan
Drinking Formtam Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavat ry 5" Water Heater
Other Fixtures Water Treating System
—4---
RE-PIPE:
TYPE OFFfXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher SFtbwer 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:
2 Sewer Replacement 0 Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of ph-
0
Lawn Sprinkler System-Number of Heads o Well . **
**SJRWL) 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 sac month period or work is suspended or abandoned for six mnrittta I hereby certify thar I have
this application and know the same to be nue and correct. All provisions of laws and ordinances waning this work will be complied with whether specie
or not. The permit mit does not give=holyk?.r' -to violate the provisions of any other state or�local law regulation mon or the performance of consnuctic
PropertyOwners Name I(71 y CJC� Phone Number
n
Plumbing Company "JAM Phi 41 ( r✓L Offtce Phone 262,- '1 ((Fax
Co.Address: 1 1 –'1-4 1941/1 (t tL City .' State ft.Zip_32arg
License Holder(Print): S(0 7r /4' s e' / State Certification/Registration# 0 24 3 7 9
41
N, ,,. : ,--• ✓ 4
. iI—wi1 :older d1.
r
.`; MY COMMISSION t FF 900342 (��`Jam"
..y..:.= EXPIRES:November 16,2o�s Sworn and su,. 'bed before me this I.,� .. of ` 2018
V''f„od t:' Bonder,'rhtu Notary Pubtc Undemite; f ,
r- Signature of Notary Public A.. /. lr