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1487 BEGONIA ST - PLUMBING PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER ' �" s CITY OF ATLANTIC BEACH PLRS18-0281 800 SEMINOLE ROAD ISSUED: -,119 ATLANTIC BEACH. FL 32233 EXPIRES: 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: 1487 BEGONIA ST PLUMBING RESIDENTIAL WATER HEATER $400.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171081 0100 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: CONCEPT RENAISSANCE SERVICES LLC 3903 Edidin DR JACKSONVILLE FL 32277 OWNER: ADDRESS: CITY: STATE: ZIP: PONCE JANET M 1487 BEGONIA ST ATLANTIC BEACH FL 32233-1846 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 0 $0.00 PLUMBING FIXTURES 455-0000-322-1000 1 $7.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$66.00 Issued Date: 1 of 2 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH I ZO, 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904) 247-5845 PL Qs ( © _ ��� JOB ADORES • i94-4 Baa0oio. s r ,pfl(tK B- 'Fe 3e233 PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ 4 U (--) TYPE OF FIXTURE QTY TYPE OF FIXTURE 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 TYPE OF FIXTURE 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 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads 0 Well ** **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** 0 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 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 au ority to viol the rovisions of any other state or local law regulation construction or the performance of construction. Property Owners Name jauct QP( Phone Number X404(j21512 2 Plumbing Company OP Du-0- P (.55O n4 . Jr Office Phone'i4 ac Fax Co. Address: 06 ig/4,t,.7 do ;,-,, . .-- "C City C:1- 4X State PC Zip 3 ZZ 5? License Holder (Print): 7' r / t _ State Certification/Registration# ` e4T t vq(403, Notarized Signature of License Holder i'� .L iii� Sworn .-. . - - di - . yof &__ v 206 6 '':,:r.„-:-.,...,.., - _ TON— I a SPERGER Signature of Not. Public ' —L " -, '� '`/i,*.= MY COMMISSION#FF 924951 _ VBEsocbe2Oj