251 S Nautical Blvd PLRS19-0103 Water Heater PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0103
3 800 SEMINOLE ROAD ISSUED: 5/31/2019
'110• ATLANTIC BEACH. FL 32233 EXPIRES: 11/27/2019
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
ALL • . INSPECTION• • . • • • • I 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,orfederal agencies.
251 S NAUTICAL BLVD PLUMBING RESIDENTIAL WATER HEATER $990.00
TYPE OF ZONING: SUBDIVISION:G USE
CONSTRUCTION: NUMBER: GROUP:-
1707030376 SEASPRAY
ADDRESS:
STEEG PLUMBING 1601 MAIN STREET ATLANTIC BEACH FL 32233
COMPANY INC
• ADDRESS:
JURGENS CONRAD 251 NAUTICAL BLVD 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.
FEES
=DBPR
ION ACCOUNT QUANTITY PAID AMOUNT
SE FEE 455-0000-322-1000 0 $55.00
FIXTURES 455-0000322-1000 0 $0'oc
XTURE$ 4553000-3221000
RCHARGE 455-0000-208-07M 0 $2'oo
RCHARGE 4550006208-0600 B $2'oo
TOTAL:$66.00
Issued Date:5/31/2019 1 oft
'*ALL ON
Plumbing Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 /,,
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERM^ITTM h LRSl9 -Vl d3
JOB ADDRESS: a2SI 120"-Y,a/ ®/ �'o-I'ti PROJ ECT VALUE$ �f X30 of
ANEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
C ' 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 "s/RwD 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: Lff/lAM'tFfyeAs Phone Number:
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Plumbing Company:�9m PA4 [sr/g u Office Phone: a`}��s�g/ Fax
Co. Address: Afl.//�I1'�/z7®Jh 5r City: ,Q( . A State:fl Zip: 32-733
License Holder: I w .1*Y< State Certification/Registration if CFG037/16
Notarized Signature of License Holder
The foregoi 'nstrument as acknowledg before me this 3jda o , 20L9 in the State of Florida,
Countyof Uy
Signature of Notary Pubh
R
,,,,;ignature
<ssi ersonally Known OR [ ] Produced Identification
�se^�raR Type of Identification:
UpdoWd m/v/2-a