733 Vecuna Rd PLRS19-0174 Underslab PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0174
8
ISSUED: 9/18/2019
00 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 3/16/2020
MUST CALL INSPECTION • ! • 1 i . PM FORiINSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' 1 BUILDING
CODE, ' OF 1CH 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:
733 VECUNA RD PLUMBING RESIDENTIAL UNDERSLAB DRAINAGE, 7 $500.00
FIXTURES
TYPE OF
ZONING: :D •
• • GROUP:
171322 0000 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS: CITY: STATE: ZIP:
ADVANTAGE PLUMBING 880 MAYPORT RD JACKSONVILLE FL 32240
BEACH
• ADDRESS:
HUEBNER JEFFREY W 733 VECUNA RD ATLANTIC BEACH FL 32233-3929
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.
c °&:
�� r-�
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 7 $49.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 9/18/2019 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0174
Vr 800 SEMINOLE ROAD ISSUED: 9/18/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/16/2020
TOTAL: $108.00
Issued Date: 9/18/2019 2 of 2
Plumbing Permit Application **ALL INFORMATION
r HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 �(,(���� �j 174
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 233 Vec,i no, 'R`) /}}J &4, 3,2�23 3 PROJECT VALUE $
04EW OR REPLACEMENT INSTALLATION and/or FIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub _ Septic Tank & Pit
Clothes Washer _j_ 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
1
a1/IISCELLANEOUS i
[]Sewer Replacement
❑Back Flow Preventer
❑Lawn Sprinkler System (number of sprinkler heads)
grease Interceptor (Trap) gallons (Requires 3 sets of plans)
Well **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. **
96ther I)n:I�r�IN10 clrc..nG,Hz ��SPeCt ori
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.
Owner Name: 3e Fr webner" Phone Number: 901(-L/l„?-W�&
Plumbing Company: Office Phone: CIM4-.)W •-I u's Fax Rbl-9N-+-18Ci 1
Co. Address: FbU y'vtYarnf �zpo City: afl(,*1(. fDt6Lch State:FL Zip: JD-,435
License Holder: //State Certification/Registration # C FLUaS`iS'�
Notarized Signature of License Holder
The foregoing instrument was acknowledged bef a me this V'day of , K ham✓ 20_L�i, in the State of Florida,
County of Dia,v QC
Signature of Notary Public TRACYWATOWN
[Personally Known OR [ ] Produced Identification
EXPIRES:No"mber20,2022 Type of Identification:
?: ? Banded Thu PAIlIcU rml n
Updated 10/17/18