70 Ocean Breeze Dr PLRS18-0275 plbg permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
J -! \ \
CITY OF ATLANTIC BEACH PLRS18-0275
800 SEMINOLE ROAD ISSUED:
r•Oi31~ 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:
70 OCEAN BREEZE DR PLUMBING RESIDENTIAL PLUMBING -5 FIXTURES $5000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
168908 8250 OCEAN BREEZE REVISED
PLAT
COMPANY: ADDRESS: CITY: STATE: ZIP:
SWEENEY REMODELING 14047 MOUNT PLEASANT ROAD JACKSONVILLE FL 32225
AND PLUMBING
OWNER: I ADDRESS: CITY: STATE: ZIP:
FOX CARL R 70 OCEAN BREEZE 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.
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 5 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 1 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845 PL-R.S( .6 -Oa 75
JOB ADDRESS: --70 (Xi:LA .-1 -----0_f'7 -z PERMIT # \?-- 63
NEW OR REPLACEMENT INSTALLATION: Project Value$ w
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 ______L— Septic Tank&Pit
Clothes Washer Shower l
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet __i_
Hose Bibs c) Urinal
Kitchen Sink 6 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2Water 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 ❑ 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 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 authorito violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number 9?0'( Ba 3 64 3 7
I
Plumbing Company S Pou�.a' i,L, �t p(,,�,�,,,h,I•t Office Phone 'P0(/$oibctT7 Fax
Co. Address: typ�t i v&J . Qlc�-i�,.. i- ",2-e1 . ( City o c. on,"•`t It Stat t• Zip $ t z 2 5-
License Holder(Print): V .sV.t t l..k• ,c,.a-t-v. State Certification/Registration# CC Itl 26.37
Notarized Signature of License Holder
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Notarized r/_ �_
-' yrt' 20 C
- ^ =Y---�--- Sworn . d subscribed bef• e : - �' �C
NIOINOLESPERGER
t,Y COMMISSION#FF 92,951 I Signature of NotaryPublic 0 `t _ '
;; ,1 EXPIRES:October 6,2019
gl' •,= andod Thru Notary Public Underwriters