314 3rd St PLRS19-0089 9 Fixtures PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
s
CITY OF ATLANTIC BEACH PLRS19-0089
ISSUED: 5/7/2019
800 SEMINOLE ROAD EXPIRES: 11/3/2019
u: u ATLANTIC BEACH.FL 32233
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
• ,K MUST INSPECTION• • . • • • • r OF • • D• BUILDING
ALL
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 maybe 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.
3143RD ST PLUMBING RESIDENTIAL PLUMBING - 9 FIXTURES $2100.00
TYPE OF SUBDIVISION:ZONING:
CONSTRUCTION: NUMBER: GROUP:
169779 0000 ATLANTIC BEACH
MARCHAND PLUMBING 10139 BOOKWOOD FOREST BLVD JACKSONVILLE FL 32225
INC. CITY: STATE: ZIP:
OWNER: DD
PINKSTAFF KEVIN JOHN 314 3RD ST ATLANTIC BEACH FL 32233-5232
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.
"DESCRIN ACCOUNT 7MTOTAL:$122.00
FEE
1111100321-moo
PLUMBING FIXTURES
355-0000-332-1000 P W MBING FI%TURES455- 0STATE DBPR SURCHARGEa55-00001080]00STATE OCASURCHARGE455-0000-3080500 0
Issued Date:5/7/2019 1 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. Fl.32233 p
Ph(90`4))247-5826 /fax/(904))247-5/845 P[, S� I -QQ8q
JOB ADDRESS: �/y 3�� lT t14; I- ode*e4�-7f/ PERMIT// S,9 -d
NEW OR REPLACEMENT INSTALLATION: Project Values ` too
Trpr.-oFFixruRE QTY TYPE of FUTURE QTY
Bathtub __J___ Septic Tank& Pit
Clothes Washer I Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Fluor Urein 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
RE-PIPE:
TrPEoFFtA'TvRE QTY TYPEoFFU'TURE QTr
Bathtub _ Septic Tank&Pit
Clothes Washer _ Shower
Dishwasher _ Shower Pan
Drinking Fountain - Slop Sink
Fluor Drain Three Compartment Sink _
Floor Sink Toilet
I lose Bibs _ Urinal -
Kitchen Sink Vacuum Breakers
Laundry Tray' -- Water Connected Appliances
Lavatory 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 - I Well ••
**SIRR'D If'ell Completion Form.Completed form to be submitted to the Building Department for final inspection.**
Other
1'ennit hsome.voiJ if wud does not cemmenar within a six month period or work is suspenJeJ nr nhaad.W rnr six month,I hcwb)waif)that l hna nvd
this applirminn mW knoxlbe samemhe true unJ cm(eet. All pmvieionsnf lows and ordinances gmgming this xark will he cumpliid nith xhedmr specilicJ
or ant. 'Ihe permit docs not give outhorirym violam the provisions of any other slam or Laval lax rcgnlmi:m mnstmetimt or the rkrfnrmenrepof�cansa�ucti�one.,
Property Owners Name A tve\l•vl 1AntS/4�� _Phone NumbelQC){ ppv- _
Plumbing Company �(�.d� ��� � �� - --Office Phone Fax
Co. Address: 0l` t"Xi,JGi<L>21•p IJf ve. __ _ Cily')i i state�lip
License Holder(Print): i- —____ Stale Certification/Registration#C)'C9J`W.5.
Notarized Signature njLicense Holder
Before me this day 20
Signature bf Notary Public _ �' DLWSTARHS
CO #C
GG 190190
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