5517 Rigel Ct PLRS19-0209 Water Heater - 1-A1-1-4I, PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
4 I CITY OF ATLANTIC BEACH PLRS19-0209
�, " h 800 SEMINOLE ROAD ISSUED: 11/6/2019
`--/- ' v ATLANTIC BEACH. FL 32233 EXPIRES: 5/4/2020
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:
5517 RIGEL CT PLUMBING RESIDENTIAL WATER HEATER $1475.00
TYPE OF I REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169397 0200 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
DAVID GRAY PLUMBING 6491 POWERS AVENUE JACKSONVILLE FL 32217
INC.
OWNER: ADDRESS: CITY: STATE: I ZIP:
NAVAL CONTINUING CARE
RETIREMENT 1 FLEET LANDING BLVD ATLANTIC BEACH FL 32233-4599
FOUNDATION INC
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.
FEES
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 1 $7.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 11/6/2019 1 of 2
!' ''�''.,>> PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
/. �'� PLRS19-0209
J V, CITY OF ATLANTIC BEACH ISSUED: 11/6/2019
800 SEMINOLE ROAD
EXPIRES: 5/4/2020
�1;31� ATLANTIC BEACH. FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
I
TOTAL: $66.00
Issued Date: 11/6/2019 2 of 2
„ i.-- ,:i,„ Plumbing Permit Application **ALL INFORMATION
%,fr
,� HIGHLFSH•TE) IN
--tSCity of Atlantic Beach Building Department GRAY IS REUL FRED.
800 Seminole Rd, Atlantic Beach, FL 32233 pi.z`�l,-f _0 ZO�j
':i%:2 .' (Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:_ ______________
JOB ADDRESS: 55_17 Rigel :,ourlPROJECT VALUE $1,475.00 __._.________......_
✓I'JE I OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit ____
Clothes Washer Shower _ _
_
Dishwasher Shower Pan i__
Drinking Fountain Slop Sink ___
Floor D-airs Three Compartment Sink ____.__
Floor Sink _ Toilet _____
Hose Bibs Urinal _ __
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances___. _
Lavatory Water Heater 1__
Other Fixtures Water Treating System _______
❑VII>CELLANEOUS
]Sewer Replacement
[]Back Flow Preventer
❑Lawn Sprinkler System (number of sprinkler heads)
❑Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
! ]Well **SJR'ND Well Completion Form Completed form to be submitted to the Building Department for final inspecti:)r. ”"`
❑Other
111111===111111MINIIMIIIIIIIMINIIIIIIIIMENIE NIIIMEMINIMINIMIIIMINIMIN
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for s x 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 aw regulation construction or the performance of construction.
Owner Name:Flee! LandinatiremE nt Phone Number: (904)2�h>---------------
99U0
c�R ^--_—
Plumbing Company: David Gray Plumbing Office Phone: (904)724-7211 Fax(904)724_5925 `_
Co. Address: 6491 'ower Avenue City: Jacksonville State: "L t Zip: 32217
License Holder: ___.__, I-ji1J G-414-7 State Certification/Registration # CF_CO2253i'____._. ---
Notarized Signature of license Holder tl i t• /0ii
The foregoing instrumert was acknowledged before me this 4 day of Ue(04,110 20 14, in the State of F orida,
County of liMittA
e
Signature of Notary Public
Jsa ora Notary Public State of Florida — -- _-- --
Of
�` Grimaris"a
MycommiseionGG242920 [ ] Personally Known OR [ ] Produced Identification
,q�,F Expires07rda2022 Type of Identification:
Updatec 10/17/18