2212 Laughing Gull Cir PLRS19-0152 plbg permit Svc' i� PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
$ s, PLRS19-0152
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 8/2/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 1/29/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! + 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:
2212 LAUGHING GULL CIR PLUMBING RESIDENTIAL shower pan for bathroom $700.00
remodel
TYPE OF + BUILDING
ZONING: :D •
• • GROUP:
169463 0026 OCEANWALK UNIT 01
COMPANY: ADDRESS:
ELITE PLUMBING LLC 944 STEEPLE CHASE LANE ORANGE PARK FL 32065
• ADDRESS:
WALLACE RUTH N 2212 LAUGHING GULL CIR ATLANTIC BEACH FL 32233-4680
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.
i
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 C $2.00
TOTAL:$66.00
Issued Date:8/2/2019 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
A PLRS19-0152
CITY OF ATLANTIC BEACH ISSUED: 8/2/2019
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 1/29/2020
Issued Date:8/2/2019 2 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: 22t2 (Au9141Z1C r u!! c1¢t PERMIT# L 0,5119 bled
NEW OR REPLACEMENT INSTALLATION: Project Value$ a Uo 00/1-0
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:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ 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.
Property Owners Name a 14tc R_ Phone Number
Plumbing Company elt+E PIL44 1G LLC Office Phone 31Y (.t.z 5y-)3 Fax --
Co. Address: 9Ytf 6fwflEcsmse tij City C � PA4-r- State Ft Zip 3zdi.5
License Holder(Print): 'piwigel LAr State Certification/Registration# e-Fcty2-4y33
Notarized Signature of License Holder
Y P''. JENNIFER JOHNSTON Before me this day of S 201-7
� '�• ��"'fE`` MY COMMISSION#GG 042984
EXPIRES:October 27,2020 Signature of Notary Public
Bonded Thru Notary Public Underwriters
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