302 MAGNOLIA ST PLRS19-0048 PLUMB PERM PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
PLRS19-0048
CITY OF ATLANTIC BEACH
ISSUED: 3/7/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FIL 32233 EXPIRES: 9/3/2019
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:
302 MAGNOLIA ST PLUMBING RESIDENTIAL PLUMBING - SHOWER $850.00
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: J' NUMBER: GROUP:
1704460010 SALTAIR SEC 02
COMPANY: ADDRESS: CITY: STATE-
JOHN MOON PLUMBING 1103 PALM CIR JACKSONVILLE FL 32250
BEACH
ADDRESS: STATE, ZIP:
TOKE JONATHAN ET AL 302 MAGNOLIA ST ATLANTIC BEACH FIL 32233-4028
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
AT-FORNEY 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.
F,
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 4SS-0000-322-1000 0 $SS.00
PLUMBING FIXTURES 455-0000-322-1000 0 $0.00
PLUMBING FIXTURES 455-0000-322-1000 2 $14.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $73.00
Issued Date: 3/7/2019 1 of 2
"ALL INFORMATION
Plumbing Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Olt 9' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:P olit
JOB ADDRESS: J02_ A?g1VQ _57;6��e7_ PROJECTVALUE $ 85'0 ,,0
11!�
El NEW OR REPLACEMENT INSTALLATION and/or L1 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
EIMISCELLANEOUS
Ll Sewer Replacement
El Back Flow Preventer
El Lawn Sprinkler System (number of sprinkler heads)
Ei Grease Interceptor (Trap)_gallons (Requires 3 sets of plans)
Ei Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.
o 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.
OwnerName: JDNff_F1�#/1j Phone Number:
Plumbing Company: &_kl�ice Phone:
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Co. Address: ( ,,)rST��I A,D S7- City: �-NPVM_j
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License Holder: --- lip M&v State Certification/Registration # cl�Lol�w
Notarized Signature of License Holder
The foregoirm-instrument wai acknowledged before me this_O_day of N\',C"- 20 n the State of Florida,
County
CHI
Signature of Notary Public SZ�, Q_�
92 ' U
Personally Known OR Produced Identification
Type of Identification: Mc_�oO - 476 - 5��-( -Zf - n
TONI GINDLESPIRGEER Updated 10/17118
My
24951
2019
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