317 AHERN ST PLRS18-0253 PLUMBING PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS18-0253
ISSUED: 10/23/2018
800 SEMINOLE ROAD
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:
317 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 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.
FE
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:$192.82
Issued Date: 10/23/2018 1 of 2
(-Tp
PLUMBING PERMIT APPLICATION J
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 37733
, Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 3 ('1 A j4E p."J w ST Bid p 1$ 2 id Wi'f Li PERMIT# 1'7— CZ
NEW OR REPLACEMENT INSTALLATION: Project Value$ 40 COD
TYPE OF FIXTURE - QTY TYPE OFFETZTRE 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 __
Hose Bibs 2 Urinal
Kitchen Sink _____L___ Vacuum Breakers
Laundry Tray Water Connected Appliances 2
LavatoryS Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE OF FIXTURE 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
Kim Sink Vacuum Breakers
Lavatory Water Water HeaterWater ��Appliances
Other Fixtures Water Treating System
NIIS t OUS:
t Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of ph
o Lawn Sprinkler System-Number of Heads ❑ Well .
**SJRWD 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 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 eoarer. All provisions of laws and ordinances waning this work will be complied with whether specii
or not. The permit does not give mac:, to violate the provisions of any other state or Iocal law regulation mton or the performance of constructic
Property Owners Name ' 'Q N !—7 9 Phone Number
Plumbing Company .DSV P(SJn (2(u w,t,, e .7..^C. Office Phone ZL L.t/i EN Fax
Co.Address: !14Z t{—1 ORt/i s (7,24,'L 0 e- City -1—#,c State FC.Zip 322X
License Holder(Print): S c pit /✓ Ltd, / State Certification/Registration# 02-03/1
Notarized Signature o License Holder I /( / , • ',,,, / ,�/
CSN 0 i'
„Y:y USA P.suss Sworn . s s bseribed befote me this/' . coD 2
g* ji.)„.,s MY COMMISSION 11 FF 900c4? a �F
EXPIRES.November 16.2n19 i /� `d�
'%E i,1gol Qonied Thru Notary Public Urder+r_•:� Signature of Notary Public fA