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962 Ocean Blvd PLRS19-0086 Repipe PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH PLRS19-0086 ` ISSUED:4/30/2019 800 SEMINOLE ROAD EXPIRES: 10/27/2019 `7 ATLANTIC BEACH.FL 32233 MUST CALL INSPECTION PHONE LINE (904) 247-5814 Y 4 PM FOR NEXT DAY INSPECTION. ALL • • • • • • • •• I OF • • • • BUILDING CODE, AND CITY OF • • 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: PERMIT TYPE: DESCRIPTION: VALUEOFWORK: 1 962 OCEAN BLVD PLUMBING RESIDENTIAL re-pipe 8 fixtures $4000.00 TYPE OF BUILDINGSUBDIVISION: CONSTRUCTION: NUMBER: GROUP: ATLANTIC BEACH 170343 0100 PARKWAY COMPANY: rs • STEEG PLUMBING 1601 MAIN STREET ATLANTIC BEACH FL 32233 COMPANY INC • ADDRESS: CITY: STATE: ZIP: JOSH SMITH 962 OCEAN BV ATLANTIC BEACH FL 32233-5432 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. Roll off container ,any must be on City approved list. Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PLUMBING BASE FEE 455-0000-322-1W0 0 $SS.OJ PLUMBING ERMINES 4550000-3221000 8 $56.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 S2oo STATEDCASURCHARGE 455-0000-208-0600 0 $200 TOTAL:$115.00 Issued Date:4/30/2019 1 of 2 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH G 800 Seminole Rd Atlantic Beach, FL 32233 q�1(Qa, Ph(904)247-5826 Fax(904)247-5845 PL eS 141 —0OVe JOB ADDRESS: ©/l,0, ®/ PERMIT# u NEW OR REPLACEMENT INSTALLATION: Project Value$ 1,o0 U TYPE oFFIXTuRE QTY TYPE oFFixTURE 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 RE-PIPE: TYPEOFFIXTURE QTY TYPE of FIXTI/RE QTY Bathtub :Z_ 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 2. Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** **SIRWD 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 1 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. Property Owners Name`!��,�,I D6j Smt� Phone Number Plumbing Company. ��'/sC� 6 Ilk t Office Phone 2V 5)'// Fact— Co. ax Co. Address: Idd� m.Lun �1� City� .FOd State)'l Zip 3zsyg License Holder(Print): ° State Cer ifcali n/Registration#G'fe-O371110 Notarized Signature of License Holder (_J07 Sworn ubscribed before me gis day of tL 20-n :-.::,_,Yq�n'. JENNIFER.mHNSTtkI rnv wuulsswasccoaw Signature of Notary Public RESnxr 27,220 (. ..'o � ymtletl TM1N Nopry Publk Whmrilers