274 W 9th PLRS18-0265 PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS18-0265
800 SEMINOLE ROAD ISSUED: 11/1/2018
ATLANTIC BEACH. FL 32233 EXPIRES:4/30/2019
CODE,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
AND CITY OF • • OF ORDINANCES ,
ALL CONDITIONS OF ' ' • CAREFULLY.
NOTICE:In addition to the requirements of this permit,there maybe 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.
• . , rs . r • OF • •
274 W 9TH ST PLUMBING RESIDENTIAL RE PIPE- 10 FIXTURES $2400.00
TYPE OF a BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170945 0120 ATLANTIC BEACH SEC H
COMPANY; Rr •
STEEG PLUMBING 1601 MAIN STREET ATLANTIC BEACH FL 32233
COMPANY INC
• ADDRESS: CITY: STATE: ZIP:
ATWELL RUTH ANN 274 W 9TH ST ATLANTIC BEACH FL 32233-2538
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 rightof-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0 322-1000 0 50'00
PLUMBINGFI%TURES 455-0000-322-1000 10 $70.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $200
STATEDCASURCHARGE 455-0000.208-0600 0 $200
TOTAL:$129.00
Issued Date. 11/1/2018 1 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
-7
Ph(904)247-5826 fm(904)247-5845 h L-R S( (S _ b z 6 S
JoB ADDRESS: o?/ 'i� C� % R 1�� PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Values o1//GU M)
TYPE OF FIXTURE QTY TYPEOFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Now Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory -0, SepticTank&Pit Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE oFFfxruRE QTYTYPE oFFixTVRE QTY
Bathtub Z
Clothes Washer _� Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drum Three Compartment Sink
Floor Sink Toilet 71-
How
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory _ Water Heater 4—
Other Fixtures Water Treating System
MISCELLANEOUS:
D Sewer Replacement D Back Flow Preventer D Crease Interceptor(Trap) gallons(Requires 3 nets of plana)
D Lawn Sprinkler System-Number of Heads D Well ••
as SIRWD Well Completion Form.Completed oto to be submitted to the B t to dd ng Department for final inspection.*"
D Other
permit becomes void tf work does ns,commence within a six month period or work is suspended m abandoned for six months,1 hereby mnify Net I have read
this application and know the same to be We and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or ns,. no permit does not give authority to violate the provisions of any other state or lore]law regulation mnstmctim or the perfmmance ofemstrocum.
Property Owners Name )ri(N Phone Number,21-4EIL—
Plumbing Company CG ( 7 —" Office Phone L�Fax
Co.Address: _ City AtA�� State Zip3 �
License Holder(Print): H state Certification/Registration# 4f4oTilk
Notarized Signature ojLkense No(der t
F
roNi
LE too fore rr i da o 20
. qq,, IdV COMMIF{SION�FrB3i961
'r!:��?a' exPimes.Ocrobar s, 2111
y afore of Notary Publi
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