254 S Oceanwalk Dr PLRS19-0136 3 Fixtures PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
PLRS19-0136
CITY OF ATLANTIC BEACH
-_ 800 SEMINOLE ROAD
ISSUED: 7/11/2019
EXPIRES: 1/7/2020
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' DA BUILDING
CODE NEC, IPMC, AND CITY OF • OF ORDINANCES .
L 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK.
254 S OCEANWALK DR PLUMBING RESIDENTIAL PLUMBING - 3 FIXTURES $985.00
TYPE OF
ZONING: :D •
• iGROUP:
169463 0508 OCEANWALK UNIT 02
ADDRESS: CITY: STATE: ZIP:
FLOW SOLUTIONS INC 4835 S BRIERWOOD RD JACKSONVILLE FL 32257
•
ADDRESS:
BRANDSTAETTER 254 OCEANWALK DR S ATLANTIC BEACH FL 32233-4676
RAYMOND
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 $55.00
PLUMBING FIXTURES 455-0000-322-1000 $0.00
PLUMBING FIXTURES 455-0000-322-1000 3 $21.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $80.00
Issued Date: 7/11/2019 1 of 2
't Plumbing Permit Application "ALL INFORMATION
f HIGHLIGHTED IN
j.� City of Atlantic Beach Building Department GRAY IS REQUIRED.
' 800 Seminole Rd, Atlantic Beach, FL 32233 ,� _ Q( _0 � //—
noI L �J l J p
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 254 Ocean Walk Drive South Atlantic Beach, FL 32233 PROJECT VALUE $985.00
✓ZINEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 1 Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 1
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 1 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 ••SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection."
❑Other Install lavatory drain, relocate water lines, install angle stops and supply lines for toilet.
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:Raymond Brandstaetter Phone Number: (904)316-5946
Plumbing Company: Flow Solutions, Inc Office Phone: (904)801-4008 Fax(904)802-7199
Co. Address: 9449 Craven Road City: Jacksonville State: FL Zip: 32257
License Holder: Zef Gjoka State Certification/Registration # CFC1427940
Notarized Signature of License Holder/ Yf7tt �,
The forego in instrument was acknowledged before me this�Lday of (,t 20in the State of Florida,
County of to DCII
Signature of Notary Public Wltv.,e
KAREN D.GREET...
Natary;l,liic State of tlonda Personally Known OR [ ] Produced Identification
Commission:GG 321959
My Comm.Exphes AOr 9.2023 ype of Identification:
iccaec throogt N�nora!Notary Assr. Updated 10/17/18
RegisterReceipt Number
Cash
City of
Beach • •
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $80.00
PLRS19-0136 Address: 254 S OCEANWALK DR APN: 169463 0508 $80.00
PLUMBING $76.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 3 $21.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL ' • • $80.00—
Date Paid: Thursday,July 11, 2019
Paid By: FLOW SOLUTIONS INC
Cashier: CB
Pay Method: CREDIT CARD 11
Printed:Thursday,July 11, 2019 3:29 PM 1 of 1 i