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1186 Stocks St PLRS19-0186 17 Fixtures C ,Lyf- PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER inti .. _.�� CITY OF ATLANTIC BEACH PLRS19-0186 // ISSUED: 9/27/2019 800 SEMINOLE ROAD ry%.., " ATLANTIC BEACH. FL 32233 EXPIRES: 3/25/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA 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: 1186 STOCKS ST PLUMBING RESIDENTIAL PLUMBING - 17 FIXTURES $6000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: COMPANY: ADDRESS: CITY: ! STATE: ZIP: CRABTREE PLUMBING INC 2351. URBAN RD JACKSONVILLE FL 32210 OWNER: ADDRESS: CITY: STATE: ZIP: 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 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 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 0 $0.00 PLUMBING FIXTURES 455-0000-322-1000 17 $119.00 I STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.61 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $178.61 Issued Date: 9/27/2019 1 of 1 Plumbing Permit Application **ALL INFORMATION �� HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 ((�� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: IBES 19_0)31 JOB ADDRESS: 5 5 1 ©LKS STREET PROJECT VALUE $ i OO trJsIEW OR REPLACEMENT INSTALLATION and/or ERE-PIPE H L I`S (. 1 " 0 (U 1� TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub / Septic Tank & Pit Clothes Washer t) Shower Dishwasher I Shower Pan I Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 3 Hose Bibs a Urinal Kitchen Sink I Vacuum Breakers Laundry Tray Water Connected Appliances I Lavatory 3 Water Heater Other Fixtures Water Treating System ❑VIISCELLANEOUS (c., 1 ❑Sewer Replacement ❑Back Flow Preventer ❑Lawn Sprinkler System (number of sprinkler heads) D3rease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Well **SIRWD 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 lawibfr-d'regulation construction or the performance of construction. /` �/ , I Owner Name:� ) Q'�r Phone Number: 6/01-'�g-('`1�4O`- Plumbing Company: C'r bh tf. T 1 f ( Office Phone: Fax Co. Address: 2&CI tt146/1 f2oa,` City: J) V, If-C State: rE- Zip: License Holder: Ki Crc4 fi^- State Certification/Registration # Cir Ca0-Z&6 Notarized Signature of License Holder -,•._ II jj The foregoing inst�ru�j ent was acknowledged be •re me day of , 20 � � , in the State of Florida, County of -DV V°�- KAREN STUDZINSKI � „..0'k,:;„ °a°. ,`c% Notary Public-State of Florida ,, ' 4, Commission# GG 010932 Sign ture of Notary Pub ' • Z4.4 My Comm.Expires Oct 6,2020 "..n" �., Bonded Notary h National s Assn. Personally Known OR [ ] Produced Identificati.' Type of Identification: Updated 10/17/18