1355 LINKSIDE DR PLRS18-0299 PLRS PERMIT PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH PLRS18-0299
800 SEMINOLE ROAD ISSUED: 12/27/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 6/25/2019
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:
1355 LINKSIDE DR PLUMBING RESIDENTIAL PLUMBING - 5 FIXTURES $1200.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172374 5360 SELVA LINKSIDE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
DAVID GRAY PLUMBING 6491 POWERS AVENUE JACKSONVILLE FL 32217
INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
MORTON WENDY 1355 LINKSIDE DR ATLANTIC BEACH FL 32233-4393
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
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
TOTAL: $94.00
Issued Date: 12/27/2018 1 of 2
L>>,� Plumbing pp Permit A lication **ALL INFORMATION
JP.
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
5-7./fir 800 Seminole Rd, Atlantic Beach, FL 32233 p L RSLg U�(g
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1355 1.-'i,n1iSiGtr t v. PROJECT VALUE $ 11200
EINEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub l 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 Z- Water Heater
Other Fixtures Water Treating System
❑VIISCELLANEOUS
❑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: Wev dt.i MDY+O'n Phone Number: c10`-t—SoL1' 525
Plumbing Company: Livid cry- &A&luav Office Phone: ciOt+21W --) _1 k Fax
Co. Address: tP`t-q 1 Powe City: ...� State: Ft_ Zip: 3t-24—i
License Holder: Dr41J/iJ G124414 State Certification/Registration #11,r-r_ (5 ZZ5g(p
4 1
Notarized Signature of License Holder
ignt
The foregoing instrument was acknowledged before me this day of .b ccii4k1(2 )6, in the State of Florida,
County of ��Q
Notary Public State of Florida Signature of Notary Public i^/bUA
Gnmans Rivera
My Commission GG 242920
Expires07r30/2022 Personally Known OR [ ] Produced Identification
ype of Identification:
Updated 10/17/18
***MEASUREMENTS FROM FINISHED WALLS***
***SUBJECT TO CHANGE ON SITE***
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All dimensions size designations This is an original design and must Designed: 12/10/2018
given are subject to verification on not be released or copied unless Printed: 12/24/2018
job site and adjustment to fit job applicable fee has been paid or job
conditions. 2020 order placed.
Designl^32.kit All Drawing N: 1 No Scale.