1596 MARITIME OAK DR PLRS19-0054 plbg permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
r, PLRS19-0054
V� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/13/2019
ry~°'tjer ATLANTIC BEACH. FL 32233 EXPIRES: 9/9/2019
CODE,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
OF • OF ORDINANCES .
ALL • i 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
INSTALL 32 FIXTURES FOR
1596 MARITIME OAK DR PLUMBING RESIDENTIAL NEW SINGLE FAMILY $9600.00
RESIDENCE
TYPE OF
ZONING: :D •
• • GROUP:
169505 1975 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS:
SUNSHINE STATE
PLUMBING 710 Haines Street Jacksonville FL 32202
• ADDRESS:
ZALUPSKI CHRISTOPHER E 275 IST ST S JACKSONVILLE FL 32250-6747
BEACH
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.
_l
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 32 $224.00
Issued Date: 3/13/2019 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0054
800 SEMINOLE ROAD ISSUED: 3/13/2019
EXPIRES: 9/9/2019
ATLANTIC BEACH, FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.19
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.79
TOTAL:$285.98
Issued Date:3/13/2019 2 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 S _ 00 S
JOB ADDRESS: 1596 MARITIME OAK DR. PERMIT# RES18-0358
NEW OR REPLACEMENT INSTALLATION: Project Value$9600.00
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 2 Septic Tank&Pit
Clothes Washer 2 Shower 3
Dishwasher I Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 5_
Hose Bibs 4 Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances 3
Lavatory 6 Water Heater 2
Other Fixtures F
2 Water Treating System I
RE-PIPE: E
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 ❑ 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 summer kitchen&outdoor shower
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.
Property Owners Name Zalupski Phone Number 904-
Plumbing Company Sunshine State Plumbing Office Phone 904-262-1066 Fax 904-262-0358
Co. Address: 710 Haines Street City Jacksonville State FL Zip 32202
License Holder(Print): Michael T. Porter State Certification/Registration# CFC 1426859
Notarized Signature of License Holder / —
An, L R,,,j*AR;;iCKEKSLA Sworn and subscribed before me thyis I day of /1'�ti+-� 2019
4 GG 1,'-C32 �l
' =� Signature of Notary Public
_'*_ g
OF V- `" _
Cash Register Receipt
City of Atlantic Beach R10363
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $55.00
PLRS19-0054 Address: 1596 MARITIME OAK DR APN: 169505 1975 $55.00
PLUMBING ROUGH 07/19/2019 MJ $55.00
PLUMBING ROUGH 07/19/2019 MJ 455-0000-322-1002 0 $55.00
• R10363
11
Date Paid:Thursday, September 19, 2019
Paid By: SUNSHINE STATE PLUMBING
Cashier: LE
Pay Method: CREDIT CARD 4
Printed:Thursday,September 19,2019 1:10 PM 1 of 1 ir
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