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55 Sherry Dr PLRS19-0169 18 Fixtures PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER r s PLRS19-0169 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 9/13/2019 W 19, ATLANTIC BEACH. FL 32233 EXPIRES: 3/11/2020 MUST CALL • i .04 247-5814 BY , PM FORDAY INSPECTION. ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' a BUILDING CODE, AND OF ATLANTIC aCH CODE OF ORDINANCES . ALL • i OF PERMIT APPLY, PLEASE READ a . 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: 55 SHERRY DR PLUMBING RESIDENTIAL 55 SHERRY ST- 18 FIXTURES $6000.00 TYPE OF • • GROUP: 169756 0000 ATLANTIC BEACH • . . ADDRESS: CITY: STATE: ZIP: MARCHAND PLUMBING 10139 BOOKWOOD FOREST BLVD JACKSONVILLE FL 32225 INC. • ADDRESS: AF AB VENTURE LLC 1738 SELVA MARINA DR NEPTUNE BEACH 1 L 32266 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. imp 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 4SS-0000-322-1000 0 $SS.00 PLUMBING FIXTURES 455-0000-322-1000 0 $0.00 PLUMBING FIXTURES 455-0000-322-1000 18 $126.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.72 STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00 TOTAL:$185.72 Issued Date: 9/13/2019 1 of 2 PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH PLRS19-0169 800 SEMINOLE ROAD ISSUED: 9/13/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 3/11/2020 Issued Date:9/13/2019 2 of 2 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)2477-5826 Fax (904) 247-5845 P L R s (q -b C I � JOB ADDRESS: s�j�r✓ / ST PE'`RMIT# NEW OR REPLACEMENT INSTALLATION: Project Values 6 U b U ©` TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer I Shower 21 Dishwasher Shower Pan 2 Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 3 Hose Bibs 2 Urinal Kitchen Sink I _ Vacuum Breakers Laundry Tray I Water Connected Appliances Lavatoryt' 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 submitte 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 authhoority/to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Plumbing Company PIC Office PhoneAw 55 Fax Co. Address: 10 Vl' City State ft-_Zip3@16— License Holder(Print): State Certification/Registration#(—""M-1395 Notarized Signature of License Holder D NEE] MANAL Sworn and subscribed before e this Z day of �� 20 ion#GG 1902_3March 6,2022 Signature of Notary Public ru Troy Fain Insurance S�,Ma`s7019