1980 Mayport Rd PLRS19-0116 plbg permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
t; CITY OF ATLANTIC BEACH PLRS19-0116
v~ 800 SEMINOLE ROAD ISSUED: 6/13/2019
`il ATLANTIC BEACH. FL 32233 EXPIRES: 12/10/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, ' OF BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF PERMIT . . PLEASE .
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.
DESCRIPTION: VALUE OF WORK:
JOB ADDRESS: PERMIT TYPE: i
1980 MAYPORT RD PLUMBING RESIDENTIAL re-pipe 9 fixtures $2500.00
TYPE OF
ZONING: :D •
• • GROUP:
172217 0000 DONNERS R/P
• ADDRESS:
MARCHAND PLUMBING 10139 BOOKWOOD FOREST BLVD JACKSONVILLE FL 32225
INC.
• ADDRESS:
HERNANDEZ MAURICIA 1134 HAMLET CT NEPTUNE BEACH FL 32266-3138
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 . .
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 9 $63.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$122.00
Issued Date:6/13/2019 1 of 2
PERMIT NUMBER
PLUMBING RESIDENTIAL PERMIT
1)
,) ISSUED: 6/13/2019
.. ;
PLRS19-0116
800 SEMINOLE ROAD
�-ltf lily% CITY OF ATLANTIC BEACH ATLANTIC BEACH, FL 32233 EXPIRES: 12/10/2019
Issued Date:6/13/2019 2 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. FI, 32233
Ph (9104)247-5826 Fax (904) 247-5845 (�
JOB ADDRESS: MU ? PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value
TYPE OFFixrtlRE QTY TYPE OFFixn;RE Qrt
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:
TYPE OF FIxTURF. QTY TYPE OF FLYTURF QT}'
Bathtub �_ Septic Tank&Pit
Clothes Washer �_ Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain _ Three Compartment Sink _
Floor Sink - Toilet L
Hose Bibs _ Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances
LavatoryWater Heater
Other Fixtures Water Treating System _
MISCELLANEOUS:
Sewer Replacement - Back Flow Preventer L, Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads Well **
** SIRIVD II'ell Completion 1"01•112. Completed fotrn 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 air months.I hereby certify that I hacc read
this application and know the saiue to he true turd correct. All provisions of laws and ordinances gmeming this work will he complied with %I ether specified
or not. "1hc permit docs not give authority to violate the provisions of any other state or local law regulation construction or the perli�rtnancc of construction.
Properly Owners Name -� nq t'CCI. Z- Phone Number(�41)
Plumbing Company Of7I Phone Fax_-.__ _-
Co. Address: I f2x%
�V _ City3a�C__ State%ip _
License Holder(Print): tate Certification/Registration
Notarized.Signature ojLicense Holder (�
Before the this day o '
; .',h'!i}•. LESLIE FEIGHT Signature of Notary Publi _
Commission N GG 329527
.7.
Exores August 15,2022
�!►j;'~ Bondod TAru Troy FaIn Insurnncs 800.385701 9