54 Oceanside Dr PLRS19-0153 plbg permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
PLRS19-0153
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 8/2/2019
EXPIRES: 1/29/2020
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (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 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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
54 OCEANSIDE DR PLUMBING RESIDENTIAL remodel master bath $1000.00
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1688465150 OCEAN SIDE
COMPANY: ADDRESS: CITY: STATE: ZIP:
ELITE PLUMBING LLC 944 STEEPLE CHASE LANE ORANGEPARK FL 32065
OWNER: ADDRESS: CITY: STATE: ZIP:
LEVIN SIMON 54 OCEANSIDE DR ATLANTIC BEACH I'L 32233-5927
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.
7:�
,Roll off conta ner 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 45S-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: 8/2/2019 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
-0153
PLRS19
CITY OF ATLANTIC BEACH ISSUED: 8/2/2019
800 SEMINOLE ROAD
EXPIRES: 1/29/2020
ATLANTIC BEACH, FL 32233
Issued Date:8/2/2019 2 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:. 5y -04,JL;: PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Values
TYPE oF FixTuRE QTY TYPE oF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan X,
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:
F-i Sewer Replacement 0 Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
El LawnSpri 0 Well
, y JrNI RJ4 eIN
SJJR WD 4W W�ec orm to be submitted to the Building Department for final inspection."
1,
EXPIRES:October 27,2020
Ei Other SoMed Thru Notary Public WdetwNers
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 coffect. 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.
Property Owners Name 51"W C41S Phone Number
Plumbing Company elti-e PluA.,lbve LLe— Office Phone 3t-4 t-t-7- J-4-73 Fax
Co. Address: 9qq S+&2_,-e'e =q*6L=- ui city M"46?"if- State rL_ Zip 3zows
License Holder(Print): 'Z>Aowl 67 04-mbiy4t -:IML State Certification/Registration#
Notarized Signature of License Holder
JENNIFER JOHNSTO�` Before me this day of X� q S 20
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Signature of Notary Public o'
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