1711 Beach Ave. PLRS19-0080 31 Fixtures PLUMBING RESIDENTIAL PERMIT PERMITNUMBER
— s,
CITY OF ATLANTIC BEACH PLRS19-0080
�`- — ISSUED: 4/24/2019
800 SEMINOLE ROAD EXPIRES: 30/21/2019
o�'° ATLANTIC BEACH. FL 32233
INSPECTIONMUST CALL • • t • FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONr OF • • •A 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: r • OF WORK:
1711 BEACH AVE PLUMBING RESIDENTIAL PLUMBING -31 FIXTURES $29000.00
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
• • GROUP:
NORTH ATLANTIC BCH
1696610000 UNIT 1
COMPANY: ADDRESS:
TDG PLUMBING 4426 LOYS DR JACKSONVILLE FL 32246
ADDRESS:
PECORARO RUSSELL 1211 SALT MARSH LN FLEMING ISLAND FL 32003
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 . r
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 455-0000-322-1000 0 $5500
PLUMBING FIXTURES 455-0000-322-1000 0 $000
PLUMBING FIXTURES 455-0000-322-1000 31 $21700
STATE DBPR SUflCHAHGE 455-0000-20807M 0 $4,08
STATE DCA SURCHARGE 455-0000208-06M 0 $2.72
TOTAL: $278.80
Issued Date:4/24/2019 1 of 2
0 Plumbing Permit Application "ALL INFORMATION
Plumbing PP RAYISREQUIRE
Citym Atlantic Beach Building Department GRAY HIGHLIGHTED REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 L h S l`1 - 0o C-�
Phone: (904) 247-5826 Email: Building-DeptPcoab.us PERMIT#: 1g_ OLI I b
JOBADDRESS: J'10 L&QI, AJC_ PROJECTVALUE$ 25,0442-00
❑NEW OR REPLACEMENT NSTALLATION and/or ORE-PIPE L�J w
TYP€OF FIXTURE QTY TYPE OF FIXTURE QTY _
Bathtub �_ Septic Tank& Pit
Clothes Washer Shower `1
Dishwasher 1. 1— Shower Pan -
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet Z7
Hose Bibs `�_ Urinal
Kitchen Sink Vacuum Breakers
LaundryTray 1 Water Connected Appliances_
Lavatory _ Water Heater 2
Other Fixtures Water Treating System
❑MISCELLANEOUS J
❑ Sewer Replacement
❑ Back Flow Preventer
❑ Lawn Sprinkler System (number of sprinkler heads)
❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Well "SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection."
❑ 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: Pe.CL cLPrQ.o Phone Number:
Plumbing Company t o(,— ��.�nSi nS Office Phone:s'4S'7 Jy 1 FaxSt.�-lk4_5
Co.Address: LlU3a. L,�ti•� �� City: -,%fjK State:F2ip: ,)Q L
License Holder. A QRq�J A-' State Certification/Registration It rtX-142^)�(r+L
Notarized Signature of License Holder �—
The foregoin ' trument�(••as acknowledged before me this f 21�in the State of Florida,
County of. ���YY7777,,,
S'gnat re of Notary Public
TowoxottsvEaa�l
'�„ rpu#,issonrFF��� Personally Known OR [ ] Produced Identification
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i. EXPIPES'.D�°�
_ nNwmvvuam Type of Identification:
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