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1958 BEACHSIDE CT PLUMB PERM PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER X11 PLRS19-0023 CITY OF ATLANTIC BEACH n 800 SEMINOLE ROAD ISSUED: 1/24/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 7/23/2019 INSPECTIONMUST CALL • 914) 247-5814 BY 4 PM FORDAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT ! • 1 OF • ' ! • BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, ! 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. • : ! •N: VALUE OF • 1958 BEACHSIDE CT PLUMBING RESIDENTIAL PLUMBING - 7 FIXTURES $1000.00 TYPE OF BUILDING • • GROUP: 169542 0588 BEACHSIDE COMPANY: ADDRESS: ' J WHITEHEAD PLUMBING 12811 BEAUBIEN RD JACKSONVILLE FL 32258 INC • ADDRESS: ' RICHTER GREGORY J 1958 BEACHSIDE CT 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 . ! '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 45S-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 0 $0.00 PLUMBING FIXTURES 455-0000-322-1000 7 $4900 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$108.00 Issued Date: 1/24/2019 1 of 2 Plumbin Permit A lication **ALL INFORMATION g �� HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. N 800 Seminole Rd, Atlantic Beach, FL 32233 _ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: � . PROJECT VALUE $ 1 too Elt n ❑NEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE P LI`S( /-00"_3 TYPE OF FIXTUREqTY TYPE OF FIXTURE QTY Bathtub I 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 **SIRWD 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: Phone Number: Plumbing Company: iLftjA X1 Office Phone: F x NV Co. Address: � D v�� City:� �r �Statet Zip: License Holder: State Certification/Registration # li 147,l7l¢� Notarized Signature of License Holder The forego* strument as acknowledged before me this ay of G' , 2�, in the State of Florida, County of Signature of Notary Pu Tav+;INDLESPERGEIi p sonally Known OR [ ] Produced Identification qrr •5 b1Y r0�4,v?ISS10N M FF s24 5 Bonded IRES:Octru Notary Pu ber 6,2ff yprse f Identification: r Updated 10/17/18 �� �n cok ek e � U nti}j rn .CsIr