57 Sherry Dr PLRS19-0167 18 Fixtures -1r4 PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
r CITY OF ATLANTIC BEACH PLRS19-0167
800 SEMINOLE ROAD ISSUED: 9/13/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/11/2020
MUST CALL INSPECTION PHONE • • NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 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.
JOBmid ADDRESS: PERMIT TYPE: DESCRIPTI• OF •
55 SHERRY DR PLUMBING RESIDENTIAL 57 SHERRY ST- 18 FIXTURES $6000.00
TYPE OF
• • GROUP:
169756 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
MARCHAND PLUMBING 10139 BOOKWOOD FOREST BLVD JACKSONVILLE FL 32225
INC.
• ADDRESS:
AF AB VENTURE LLC 1738 SELVA MARINA DR NEPTUNE BEACH FL 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.
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 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 45S-0000-208-0600 0 $2.00
TOTAL: $185.72
Issued Date: 9/13/2019 1 of 2
1 'J' PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0167
800 SEMINOLE ROAD ISSUED: 9/13/2019
D ATLANTIC BEACH. FL 32233 EXPIRES: 3/11/2020
Issued Date:9/13/2019 2 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)2477-5826 Fax(904)247-5845 P L R S I _ v' C7
.TOB ADDRESS: S`] S ell^ PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ UUC
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer _ I Shower _ 2
Dishwasher Shower Pan 2
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3_
Hose Bibs _ 7 Urinal
Kitchen Sink _I Vacuum Breakers
Laundry Tray —I Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE: '\U
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:
u Sewer Replacement �] Back Flow Preventer Grease Interceptor(Trap) gallons(Requires 3 sets of pl.
Lawn Sprinkler System-Number of Heads I1_-- Well **
** S.IRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspectioi
Other
Permit becomes x oid il'%N ork does not commence%%ithin a six month period or%%ork is suspended or abandoned for six months.1 hereby certify that I have
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 speci
or not. The permit does not give authority to violate the provisions of an),other state or local law regulation construction or the performance of constructic
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Property Owners Name r/i e� Phone Number
Plumbing Company Office Phoneb -5-1515 Fax
Co. Address: oeRrkzx
City Statef ZipIW5
License Holder(Print): tate Certification/Registration
older UW i7
fi ZENAIDARABANAL 1DaT
Commission#GG 190223 Sworn and subscribed before me this day of 2 '
s.;
o° Expires March 6,2022
Bonded Thu Troy Fain Insurance 80a38S701A
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