311 Ahern St PLRS19-0181 21 Fixtures PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
} CITY OF ATLANTIC BEACH PLRS19-0181
800 SEMINOLE ROAD
ISSUED: 9/23/2019
76) ;"" ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2020
MUST CALL INSPECTION • • • 1 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, ' OF BEACH CODEOF 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:
311 AHERN ST PLUMBING RESIDENTIAL PLUMBING - 21 FIXTURES $8000.00
TYPE OF
ZONING: :D •• • GROUP:
169737 0010 ATLANTIC BEACH
COMPANY: ADDRESS:
NELSON PLUMBING CO. 11624-1 DAVIS CREEK ROAD EAST JACKSONVILLE FL 32256
INC.
• ADDRESS:
AHERN TH PROJECT LLC 830 13 A1A N #120 PONTE VEDRA FL 32082
BEACH
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 21 $147.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.03
STATE DCA SURCHARGE 455-0000-208 0600 0 $2.02
Issued Date: 9/23/2019 1 of 2
,rs�Lvri� PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
r
� v CITY OF ATLANTIC BEACH PLRS19-0181
800 SEMINOLE ROAD ISSUED: 9/23/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2020
TOTAL: $20770.5
Issued Date:9/23/2019 2 of 2
Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED. gg,,
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 3 I 1 / 1'}'(t tk%) Sr' PROJECT VALUE $ �CS�y OJ
EW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer 1 Shower
Dishwasher I Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs Urinal
Kitchen Sink �_ Vacuum Breakers Z
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
❑MISCELLANEOUS
❑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. **
[]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.
Owner Name: Phone Number:
Plumbing Company: A lelf cvv Pw4jm" / n ,T,,,r..Office Phone: Fax
r tT�_:
Co. Address:l�t,�2-Y—� nf1�i� n!je I, ED City: 'rN x State: Zip:_ �_
License Holder: 0 tS 6ate Urtification/Registration # 02-03-) g
Notarized Signature of License Holder l
L
The foregoinginstrum t was acknowledged before me this day of 120 �, in the State of Florida,
County of 4}
LISA P.BASS
MYCOMMISSIONNFF900 2 I Signature of Notary Public �� C
:as EXPIRES:November 16:-U I
E3ondedTnuPbtaryPublwUmfer�rrters [ ersonally Known OR [ ] Produced Identification
Type of Identification:
Updated 10/17/18