1790 Francis Ave PLRS19-0076 H20 Heater PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
n CITY OF ATLANTIC BEACH PLRS19-0076
800 SEMINOLE ROAD ISSUED:4/18/2019
a v ATLANTIC BEACH. FL 32233 EXPIRES: 10/15/2019
CONDITIONSMUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL
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:
1790 FRANCIS AVE PLUMBING RESIDENTIAL install water heater $800.00
TYPE OF REALESTATE ZONING: BUILDING
SUBDIVISION:
CONSTRUCTION:- NUMBER: GROUP:
172129 0000 DONNERS S/D PT LOT 2
17-
• ADDRESS:
KEN JOHNSON PLUMBING, 14055 RED ROCK LAKE DR JACKSONVILLE FL 32226
LLC
ADDRESS:
NAPOLEON OLGA 1790 FRANCIS AVE 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 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 455-OOM 322-1000 0 $55.00
PLUMBING FIXTURES 455 MEN 3221000 1 $700
STATE OBPR SURCHARGE 455-0000-208-07M 0 $210
STATE OCA SURCHARGE 455 WW 208-06W 0 $2A0
TOTAL:$66.00
Issued Date:4/18/2019 1 of 2
! PLUMBING RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH PLRS19-0076
800 SEMINOLE ROAD ISSUED:4/18/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 10/15/2019
Issued Date:4/18/2019 2 of 2
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