333 Plaza PLRS19-0145 Install 2 Water Heaters PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
s PLRS19-0145
CITY OF ATLANTIC BEACH ISSUED: 7/25/2019
800 SEMINOLE ROAD
4°;li' ATLANTIC BEACH. FL 32233 EXPIRES: 1/21/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT • 1 OF •
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
333 PLAZA PLUMBING RESIDENTIAL install 2 water heaters $2100.00
TYPE OFG USE
ZONING: :D •
• • GROUP:
169999 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
DAVID GRAY PLUMBING 6491 POWERS AVENUE JACKSONVILLE FL 32217
INC.
OWNER: ADDRESS: �
William Alfaro 333 PLAZA 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 • •
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 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: 7/25/2019 1 of 2
Plumbing Application Permit A lication **ALLINFJRI`J41A .
,.: HIGHLIGHTER 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.us PERMIT#:
3 PDDRESS: PICS 6'v PROJECT VALUE $
6_i,II W OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit , _^
(1-othes 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 02-
Other Fixtures Water Treating System
❑YIISCELLANEOUS
r-,
LTS,1 vvt_r Replacement
_,.bar.k Flow Preventer
01-awn 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
becomE.s void if work does not commence within a six month period or work is suspended or abandoned for
certify that I have read this application and know the same to be true and correct. All provisions of laws anc'
governing this work will be complied with whether specified or not. The permit does not give authority to violate the
cf any other state or locai law regulation construction or the performance of construction. �-
Owner Narre � ) "� ,� Phone Number-IL:-5- L' _q '2
;rig Company , L I bV) Office Phone: -4-U-4 ( Fax1'1__- _1M_6g25
Co.Address: U1 Ei I rc) i�5 Al�ilLArt City: G��Sc� �,11c,1 State: 1'L� Lip:
License Holder: L) 'r" �- State Certification/Registration #
Z6�iNotarized Signature of License Holder`
.oregoing instrument was acknowledged before me this day of , 20 , in the
Ytty of ikj,)
www
.oV Notary Public State&Flodda Signature of Notary Public
45 4P N, Grimaris Rivera
My Commission GG 242920
Expires 07/=022 [�Personally Known OR [ ] Produced Identification
Type of Identification:
Updated 10/17113