87 S Saratoga Cir PLRS19-0062 plbg permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
;00 PLRS19-0062
0 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/28/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 9/24/2019
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 agenci es.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
87 S SARATOGA CIR PLUMBING RESIDENTIAL re-pipe 2 fixtures & install $2000.00
waste water pump system
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1717750000 ATLANTIC BEACH VILLA
#02
COMPANY: ADDRESS: CITY: STATE: ZIP:
B & G PLUMBING,
HEATING & AIR 2232 Corparate Square Blvd JACKSONVILLE FIL 32216
CONDITIONI
OWNER: ADDRESS: CITY: STATE: ZIP:
ALLEN WILLIAM R 11 ET AL 328 2ND ST ATLANTIC BEACH FL 32233-3339
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.
Oki-
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 3 $21.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:3/28/2019 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0062
ISSUED: 3/28/2019
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 9/24/2019
--------T
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$80.00
Issued Date:3/28/2019 2 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
Phone: (904) 247-5826 Email: Building-DeptifIccIab.us PERMITM
JOB ADDRESS: 87 SARATOGA CIR S PROJECT VALUE S2,000-00
04EW OR REPLACEMENT INSTALLATION and/or ZRE-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
DMISCELLANEOUS
Osewer Replacement
E]Back Flow Preventer
E]Lawn Sprinkler System (number of sprinkler heads)
05rease interceptor(Trap)_gallons (Requires 3 sets of plans)
f_�Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.
210ther NEW INSTALLATION-WASTE WATER PUMP SYSTEM
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:WILLIAM ALLEN Phone Number: (904).50279443
Plumbing Company: B&G PLUMBING, CO. Office Phone: �904)223-3585 Fax(904)223-3750
Co.Address: 2232 CORPORATE SQUARE BLVD Citv:--JAVCKSONVILLE State:'FL Zir):P2233
License Holder:)GENE C. ROVER -11� State,Certif ication/Registration #'�CFC:022593
Notarized Signature of License Holder
The foregoing R* strument was acknowledged before me tlhisi� —day of 'Ma44Ck , 20 in the State of Florida,
County of ya V01–
LORI S.NORDGREN
rida
I" I I �are of Notary Pu
Notary Public-state of Florida
commission#FF 947336
_0 MY Comm.Expires Mar 10,2020 ally Known OR Produced Identification
Zt Bonded through National Notary Assn. Pe rson
Type of Identification:
Updated 10/17118
Cash Register Receipt Receipt Number
City of Atlantic Beach R8591
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $80.00
PLRS19-0062 Address: 87 S SARATOGA CIR APN: 171775 0000 $80.00
PLUMBING $76.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 3 $21.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8591 $80.00
Date Paid: Thursday, March 28, 2019
Paid By: B & G PLUMBING, HEATING &AIR CONDITIONI
Cashier: CB
Pay Method: CREDIT CARD 4
Printed:Thursday, March 28,2019 12:02 PM 1 of 1