91 Ocean Breeze Drive PLRS19-0110 shower pans permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0110
800 SEMINOLE ROAD ISSUED: 6/10/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 12/7/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA 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- PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
91 OCEAN BREEZE DR PLUMBING RESIDENTIAL install two shower pans $500.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1689088205 OCEAN BREEZE REVISED
PLAT
COMPANY: ADDRESS: CITY: STATE: ZIP:
E.R. PLUMBING LLC 1629 West Rd JACKSONVILLE FIL 32216
ADDRESS: CITY: STATE: ZIP:
FRAYMAN FELIX 1600 S PRAIRIE AVE #2202 CHICAGO IL 60616
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
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
PLUMBING BASE FEE 455-0000-322-1000 $55.00
PLUMBING FIXTURES 455-0000-322-1000 2 $14.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$73.00
Issued Date:6/10/2019 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
PLRS19-0110
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 6/10/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 12/7/2019
Issued Date:6/10/2019 2 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
Phone: (904) 247-5826 Email: Build i ng-Dept@coa b.us PERMIT#: PLaLct- 010
JOB ADDRESS: 91 Ocean Breeze PROJECT VALUE $ 500
b<]NEW OR REPLACEMENT INSTALLATION and/or [JRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan 2
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
EIMISCELLANEOUS
[-i Sewer Replacement
[I Back Flow Preventer
Ei Lawn Sprinkler System (number of sprinkler heads)
El Grease Interceptor (Trap)_gallons (Requires 3 sets of plans)
0 Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.
Ei 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: Felix Frayman Phone Number: +1 (702) 236-9477
Plumbing Company: E.R.Plumbing LLC Office Phone: 9045538664 Fax
Co. Address: 1629 West Rd city: Jacksonville State: X Zip: 32216
License Holder: Erick Raoe State Certification/Registration # CFC1428599
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this day of tT&tA,(_-, 20_L�; in the State of Florida,
County of PA.V CL I
Signature of Notary Publi
J IEN
ENNIFER JOHNSTON
"'y OM ISSION 042984 Personally Known OR o uc �clentification
0
#G�0
MYCOMMISSIO t 4-1!rr
N#GG 042984
EXPIRES:October 27,2020 Type of Identification:
:"I hu P Ite n:
8"4Aud Thru Notary Public Undenwit,,
Updated 10/17118
Cash Register Receipt Receipt Number
City of Atlantic Beach R9326
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $55.00
PLRS19-0110 Address: 91 OCEAN BREEZE DR APN: 168908 8205 $55.00
BUILDING SHOWER PAN 06/14/2019 RBE $55.00
BUILDING SHOWER PAN 06/14/2019 RBE 455-0000-322-1002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R9326 $55.00
Date Paid: Monday, June 17, 2019
Paid By: E.R. PLUMBING LLC
Cashier: CB
Pay Method: CREDIT CARD 5
010
I
Printed: Monday,June 17, 2019 10:47 AM 1 of 1 4