720 Triton Rd PLRS19-0148 Moving Pool Euip �S-'>>jr�„` PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
PLRS19-0148
CITY OF ATLANTIC BEACH ISSUED: 7/30/2019
800 SEMINOLE ROAD
EXPIRES: 1/26/2020
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LIN I E-"(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 , .
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:
720 TRITON RD PLUMBING RESIDENTIAL moving pool equipment & $0.00
testing
TYPE OF •
ZONING: .D •
• • GROUP:
171338 0000 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS:
BR JAX LLC POOLWERX 12565 EAGLESHAM DR JACKSONVILLE FL 32225
BEACHES
• ADDRESS:
PRODANOFF ZORNITZA 11100 COLDFIELD DR JACKSONVILLE FL 32246
GENOVA
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 1 $7.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 7/30/2019 1 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: 7J O Trl'
()o PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
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 FIXTURE QTY TYPE OF FIXTURE QTY
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
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
4ther
SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
.��✓ YY3 VYl l Op l�S �2
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 provisionns}of any other state or local law regulation construction or the performance of construction.
Property Owners Name n�� / " Phone Number
Plumbing Company Poo — RR 10,xf� Office Phone Fax
Co. Address: .35 City Orl State FL Zip 3 Y
License Holder(Print): 660OL45 c State Certification/Registration# CPC l 4.S S 5 Z V
Notarized Signature o5LtEe e Holder L —{�
"" Genova ron an
.`<P�Y•P�d��� Zor�ItZa
E�XPIRESIA 9USGU12020 Before me this 0�0 day of 20
�. -
°`� Bcnded Tnru ��N� Signature of Notary Public
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