1710 Maritime Oak PLRS18-0262 PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLR518-0262
800 SEMINOLE ROAD ISSUED: 11/2/2018
r v ATLANTIC BEACH. FL 32233ALL EXPIRES: 5/1/2019
• . • • • .F11 • • ' • r • • • • •
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 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.
install water treatment $66.00
1710 MARITIME OAK DR PLUMBING RESIDENTIAL system
TYPE OF ZONING: BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 1880 COUNTRY CLUB UNIT 02
COMPANY: DDCITY: STATE: ZIP:
AFFORDABLE 3760 KORI RD JACKSONVILLE FL 32257
WATER/KINDER INC
OWNER: ADDRESS:
HEDBERG KRISTEN 1710 MARITIME OAK DR Atlantic Beach FL 32233
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 AMOUM
PLUMBING BASE FEE J55-0000-322-1000 0 $55.00
PLUM6INGEI%rLRES 455-0000-322-1000 1 5TH
STATE 08PR SURCHARGE 455-0000-2080700 0 52'00
STATE DCA SURCHARGE 4550000-208-0600 0
Issued Date:11/2/2018 1 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRESS: iiia r"IrQ6j "AIG Driuis, ATt_ Be3aZ�APFRMIT11 _t #
NEW OR REPLACEMENT INSTALLATION: Project Values CvCo- 00
TYPEOFFIXTURE QTY TYPE OF FIXTURE QTY
BathtubSeptic Tank&Pit —
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink --
Floor Dram 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
RE-PIPE:
TYPE OF FIXTURE QTY TYPEOFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes WasherShower —
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Three Compartment Sink
Floor Drain
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers —
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Futures Water Treating System
MISCELLANEOUS: gallons(Requires 3 sets of plans)
❑ Sewer Replacement ❑Back Flow Preventer ❑ Grease Interceptor(Trap)—g
❑ Lawn Sprinkler System-Number of Heads
❑ Well
** SJRWD Well Completion Form. Completed form-to be submitted to the Building Department for final inspection.*•
o Other
'Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six mans s.I hereby certify that I have read
this application and know the smne to be true and onrrect. All pmvisions of laws and ordinances governing this work will be complied with wh=specified
,or not. The permit does ran give authority to violate the provisions of my other store or local law regulation construction or the performance of construction.
Property Owners Name CQSC Y 14d )tPhone Number-416.614 1
I Pho_ Q
Plumbing Company QFrORDABLE 1A fA g Office Phone���G��n/9 F Fa�
Co.Address: ZMPO IGO2i R0-1-J City Jiec.ksnnu)Ila StateFZip 122.5'1
License Holder(Print): m.A IZ K A - �E�Sta�fication/Regislration# ()00618(0
Notarized Signature of Licensq Holder
of Ocie*62 20$
Sworn and subscribed be me this 24 da Y
Signature of Notary lie
Rio ,=