1026 Big Pine Key PLRS19-0081 Fixtures in Bathroom PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
S CITY OF ATLANTIC BEACH PLR519-0081
'� - -
800 SEMINOLE ROAD ISSUED:4/25/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/22/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONt OF • • D• BUILDING
CODE, NEC, IPIVIC, 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 AD-DRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1026 BIG PINE KEY PLUMBING RESIDENTIAL install 3 fixtures in guest $1500.00
bath
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
CONSTRUCTION;- NUMBER: GROUP:
1720275060 SELVA LAKES
COMPANY: ADDRESS:
TURNER PLUMBING CO. 1903 HENDRICKS AVE JACKSONVILLE FL 32207
• ADDRESS:
MAHARREY TIMOTHY 1026 Big Pine Key Atlantic Beach FL 32233
JAMES
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-ODW-3221000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 3 $2100
STATE OBER SURCHARGE 455-0000-308.0700 0 $2.0)
STATE DCA SURCHARGE 455-0001 0 $1W
TOTAL:$80.00
Issued Date:4/25/2019 1 of 2
Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 K E 3 ._!9 0 o P Z-
Phone: (904) 247-5826
47-582 r6�Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: Iy i3 h r ' 2L �V PROJECT VALUE$ / � a
°�
❑NEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPEk-P S I°j— 00, " I
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
LaundryTray Water Connected Appliances
Lavatory / Water Heater
Other Fixtures Water Treating System
❑MISCELLANEOUS
❑Sewer Replacement
❑ Back Flow Preventer
❑ Lawn Sprinkler System (number of sprinkler heads)
❑Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Well **SIRWm
D Well Completion Form.Copleted form to be submitted to the Build'(' Department for final inspection.**
Other ,.f 1..0.1.,✓ ! is .1�� �.,, !,.-]R- u -.,�C
Permit becomes void if work does not commence within a six month period or work is suspended or aband ned 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: M ia 11 l4,1/-t V Phone Number:
Plumbing Company: — /^ Plr....y. Office Phone: -3Y -7� Fax -3
Co.Address:�9d '3 ^H'"c��'I s W,1_ City: Stater1 , Zip: .32?s�7
License Holder: wSf-� 12, ��✓1�-✓ State Certification/Registration q cfe- 0Z91'kp
Notarized Signature of License Holder �.� S^ , 6 _ V
The foregoing instrument was acknowledged before me this 24Lday of T r I 20 l`�in the State of Florida,
County of DVLJ* li,
Signature of Notary Public41
JENNIFER JOHNSTON
Mr wNrllsslav aco ouasa [ j Personally Known OR [ j Produced Idejt dication
Ex ,,E,
21,2130
. '? mmea)m,xmery PmK unaer«Ire. Type of Identification: fil+
Updofedla/17/18