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835 Atlantic Blvd PLPP19-0009 14 Fixtures PLUMBING COMMERCIAL OR PERMIT NUMBER rl MULTIFAMILY DETAILS PER PLPP19-0009 ISSUED:4/2/2019 BUILDING PLAN PERMIT EXPIRES: 9/29/2019 MUST CALL INSPECTION PHONE LINE f • FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM . (2017) OF THE FLORIDA BUILDING CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS 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,orfederal agencies. JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUEOFWORK: PLUMBING COMMERCIAL OR 835 ATLANTIC BLVD MULTIFAMILY DETAILS PER PLUMBING - 14 FIXTURES $40000.00 BUILDING PLAN SUBDIVISION:TYPE OF REALESTATE ZONING: BUILDING USE CONSTRUCTION: NUMBER: GROUP: 177602 0010 SECTION LAND COMPANY: ADDRESS: Barrs Plumbing Inc. 476 SW Barrs Glen Lake City FL 32024 • ADDRESS: FEIGLEY LESLIE LYON 724 S WASHINGTON AVE GREENVILLE MS 38701-5831 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 4550000-322-1000 0 $55.00 PLUMBINGFIXTURES 4550000-322-1000 0 $0.00 PLUMBING FIXTURES 455-0000322-1000 14 $9800 STATE DBPR SURCHARGE 4550000-208-0700 0 $2.30 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date:4/2/2019 1 of 2 -• PLUMBING COMMERCIAL OR PERMIT NUMBER PLPP19-0009 01F, �' MULTIFAMILY DETAILS PER ISSUED:4/2/2019 BUILDING PLAN PERMIT EXPIRES: 9/29/2019 TOTAL:$157.30 Issued Date:4/2/2019 2 of 2 Plumbing Permit Application '*ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: Pl-, c l - 0b JOB ADDRESS: ©-5- AjL, `G @,/t2 PROJECT VALUE$ U d F-1 NEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer 1 Shower Dishwasher Shower Pan Drinking Fountain Slop Sink E Floor Drain 3 Three Compartment Sink Floor Sink Toilet ;;- Hose Bibs Urinal Kitchen Sink Vacuum Breakers LaundryTray Water Connected Appliances Lavatoryy _ Water Heater OtherFixtures Water Treating System ❑MISCELLANEOUS 1 0 Sewer Replacement 1-1BackFlow Preventer 0 Lawn Sprinkler System(number of sprin ,ads) 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) 0 Well "SIRWO Well Completion Form.Completed form to be submitted to the Building Department for final inspection.** 0 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:- �"er nN Phone Number: Plumbing Company:�&/r5 yLaW.hdc Office Phone: `65-0-3j-O4 Cq Fax f�_�Cir I^S Co.Address: 111K d7d Sw IfL.S. G�r.w City:l.,k- CCA> State:EL zip:TJ License Holder: C' State Certification/Registration #e-FC(`d2-? (sty Notarized Signature of License Holder', The foregoing instrum�ent�"as acknowledged before me this f 20 1 1n the State of Florida, County of�C� j Signature of Notary Publi Tow GINDfESFERGER [ ] Personally Known OR[ ] Produced Identification wvcIRES:G ob r6,ou I Type of Identification: a Cfl Z 0- 1 1 („ - Pit o ZZ - b EkPIRES:OCIaber6,2D19 -+ �arM1ry Wtary pueln UMmwMm UOtlafetll0/I)/]8