800 MAYPORT RD PLPP18-0009 PLUMBING COMMERCIAL r�''V'r%� PLUMBING COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER
PLPP18-0009
ISSUED: 12/13/2018
BUILDING PLAN PERMIT EXPIRES: 6/11/2019
MUST CALL INSPECTION • • 914 BY / PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! BUILDING
CODE NEC, IPMC, AND CITY OF s BEACH CODEOF 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:
PLUMBING COMMERCIAL OR
800 MAYPORT RD MULTIFAMILY DETAILS PER $7500.00
BUILDING PLAN
TYPE OFBUILDING USE
ZONING: . ! •
• • GROUP:
170755 0000 ATLANTIC BEACH SEC H
COMPANY. ADDRESS:
AMERICAN PLUMBING 5720 ARLINGTON RD JACKSONVILLE FL 32211
CONTRACTORS
• ADDRESS: CITY: STATE: ZIP:
PAN AM INVESTMENTS INC 7880 GATE PKWY JACKSONVILLE FL 32256
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.
, z
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 4SS-0000-322-1000 0 $55.00
PLUMBING FIXTURES 4SS-0000-322-1000 4 $28.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 12/13/2018 1 of 2
I
.'Sv `'rJ.' PLUMBING COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER PLPP18-0009
ISSUED: 12/13/2018
BUILDING PLAN PERMIT EXPIRES: 6/11/2019
TOTAL: $87.00
Issued Date: 12/13/2018 2 of 2
ALL
Plumbing Permit Application **HIGHLI HIGHLIGHTED
ON
} HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
c
800 Seminole Rd, Atlantic Beach, FL 32233 PLPiejs— wo
"""'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: IOWI W1(�—o �3a
JOB ADDRESS: 3017 Mau rpa� - PROJECT VALUE $ b.
❑NEW OR REPLACEMENT INSTALLATION and/or EIRE-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
❑ Back Flow Preventer
❑ Lawn Sprinkler System (number of sprinkler heads)
❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ 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 authority to violate the provisions
of any other state or local law regulation construction or the performance of construction.
Owner Name: QPr�1 ,✓1 1A�1«} '�S Phone Number: t(_!�6"_&(
XFS
Plumbing Company: ktyle.r�-h �`'� 1 �ffice Phone: 9-4-74S-t6 4 3 Fax
Co. Address:5'72J Arl«4fA fj City: �'-� (��`W`� State: R--Zip: 32-2—e-
License Holder: 'kA^o M•,L_z� State Certification/Registration #
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this �3 day of , 20A i, in the State of Florida,
County of
r- JAMIE D.SMITH Signature of Notary Public
.0 . MY COMMISSION#GG 255331 '
a• EXPIRES:September 6,2M [ ] Personally Known OR oduced Identification
,ro-,6td:;;:NotaryPubkUrNIM71ets ]�
Type of Identification: ./
Updated 10/17/18