720 Sabalo PLRS18-0260 >. PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLR518-0260
ISSUED: 10/26/2018
800 SEMINOLE ROAD
`J EXPIRES:4/24/2019
ATLANTIC BEACH. FL 32233
INSPECTIONMUST CALL • 904
ALL • • CONFORM • • • • t OF • • E
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
rthat
: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
ay be found in the public records of this county,and there may be additional permits required from other
mental entities such as water management districts,state agencies,or federal agencies.
JOBAD-DRESS: PERMIT TYPE: DESCRIPTION: VALUEOFWORK:
720 SABALO DR PLUMBING RESIDENTIAL $1850.00
TYPE OF ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ROYAL PALMS UNIT
1714300000 02A3.00
COMPANY: ADDRESS:
BILL FENWICK PLUMBING 11623 E COLUMBIA PARK DR JACKSONVILLE FL 32258
OWNER: ADDRESS:
W W BERG INC PO BOX 350747 JACKSONVILLE FL 32235-0747
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 AMOUNT
PLUMBING BASE FEE 455-WM-322-1000 0 FFa
PLUMBING FI(TURES 455-0000-322-1000 1
STATE GBPR SURCHARGE 4550000-201-07M 0
STATE DCA SURCHARGE 455-0000-208.mw 0
Issued Date: 10/26/2018 1 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
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�� Ph(9004)247-5826 Fax (904) 247-5845 PLR S 1 , — 02-4 (7
JOB ADDRESS:2 2c) so'bak ,,J( r PERMITc#as 19 -O35�
NEW OR REPLACEMENT INSTALLATION: Project Valuesl�SO -c70
TYPEoFF7X7URE QTY TYPEoFF1X7,URE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower 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
RE-PIPE:
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
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
•*S/RWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
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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 read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name ) l^) 'a>f1Y\C Phone Number 9LLL- p3-0530
Plumbing Company?:n`i\ 1�7-Pr\ tyrk Y'IUtT lic;nd Office PhoneRd-� to,gGH-'12`(-�8�t
Co. Address: 1\to V�> c6tdr,t \c, 22 r V c L City -SRX State—n,Zip 322
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License Holder(Print): F-)t�\ e / �� State Certification/Registration# Ct'CUt-100�q
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- ----- _aa_J � ,n t f�--
is•"!;.� lRIANNA TALLMAN Sworn and subsc ' ed before me this 2- da of 20 \9
eommifaion f GG/070
My eommlaclon Eaplr•a ,y� 0
Nowlnb•r t4. 20 o Signature of Notary Public',lo)I,l �',J1.UlLL