801 Paradise Ln PLRS19-0120 24 Fixtures S. V' PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0120
8
ISSUED: 6/19/2019
00 SEMINOLE ROAD
U111 9 ATLANTIC BEACH. FL 32233 EXPIRES: 12/16/2019
MUST CALL INSPECTION ■ • • 1 i 4 PM FOR . INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENTi 1 OF • '
CODE, ' OF • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, 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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:-=J
801 PARADISE LN PLUMBING RESIDENTIAL INSTALL 24 FIXTURES FOR $9000.00
NEW SINGLE FAMILY HOME
TYPE OF
ZONING: :D •
• • GROUP:
172376 0165 PARADISE PRESERVE
COMPANY: ADDRESS:
B & G PLUMBING,
HEATING &AIR 2232 Corparate Square Blvd JACKSONVILLE FL 32216
CONDITIONI
• ADDRESS:
SPRINGFIELD BUILDERS LLC 1881 BEACH AVE 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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 24 $168.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.35
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.23
Issued Date: 6/19/2019 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0120
800 SEMINOLE ROAD ISSUED: 6/19/2019
ATLANTIC BEACH. FL 32233
EXPIRES: 12/16/2019
TOTAL: $228.58
Issued Date:6/19/2019 2 of 2
�y
"'''• * ALL INFORMATIONPlumbinb Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
=' Phone: (904) 247-5826 Email: Building-Dept@coab.u_s PERMIT#: P( e—Sl—l —
JOB ADDRESS: SD I Pt,VA or 0�e. i-1,1 - _ PROJECT VALUE S. ?, Dob 00
✓BYEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Lt Septic Tank & Pit _
Clothes Washer I Shower I
Dishwasher I Shower Pan
Drinking Fountain Slop Sink —
Floor Drain I Three Compartment Sink --
Floor Sink Toilet 4
Hose Bibs 2- Urinal —
Kitchen Sink 1 Vacuum Breakers
Laundry Tray I Water Connected Appliances I
Lavatory Water Heater I
Other Fixtures Water Treating System
❑MISCELLANEOUS
❑Sewer Replacement
❑Back Flow Preventer
01-awn Sprinkler System (number of sprinkler heads)
03rease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑Well **SJRWD 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: SPtjc lflelG( BVI► ►re( VS Phone Number: '-X04- W2� �Oz�S
Plumbing Company: f4 6-i Office Phone: q Cit ,-��3 3 Fax
Co. Address: �2?Z LOY�pypl ! 2 sT,�,tu � FMvaf City: TACJ'�Sbhl,{ Ile State: f- Zip: 322-lta
License Holder: V e State C rtification/Registration # (-E(02--1'(;643
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this day of T"vl-Q, , 20_�l, in the State of Florida,
County of p V1%Iyl I
LORI S.NOROGREN
7 i NWity Public Slwt�of florldw Signature of Notary Public
ConMelwwWw#�FF 94758
mycomm.flom,MWto,202 Personally Known OR [ J Produced Identification
eonM4111to MWonM Notry Mow.
Type of Identification:
Updated 10/17/18