450 MAKO DR - PLRS19-0214 PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0214
'' ISSUED: 11/14/2019
800 SEMINOLE ROAD
"~`0';19? ATLANTIC BEACH. FL 32233 EXPIRES: 5/12/2020
MUST CALL INSPECTION PHONE LINE(904).247-5814 BY&PM FOR NEXT DAY INSPECTION.. na
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING`
CODE,ANEC, 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:-
450 MAKO DR PLUMBING RESIDENTIAL 1 PLUMBING -2 FIXTURES $1500.00
TYPE OF REAL ESTATE BUILDING USE, .
ZONING.: • SUBDIVISION:
CONSTRUCTION NUMBER: °•GROUP: °
ROYAL PALMS UNIT
171476 0000 02A3.00
• COMPANY: ° • I 'CITY:
of e. • ADDRESS: - " STATE: ZIP:
•
•
ATLANTIC COAST !
3653 REGENT BOULEVARD,#305 JACKSONVILLE FL 32224
PLUMBING CORP.
"OWNER: • ADDRESS: • CITY: j STATE: ZIP:
MILLER RICHARD J 450 MAKO DR ATLANTIC BEACH j FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTICE 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 2 $14.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$73.00
Issued Date: 11/14/2019 1 of 2
•
PL�aaavG PERMIT APPLICATIONN.''- : ...
:• .: :: err Y OF ATLA •
•
• NTIC-BEACH ...
•
500:Seminole Ad Atlantic Beach,FL:32233•" :: :•
24 g ..
Ph(904) 7-5826 Fax(904)2 ?-$84
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:.: :Jon ADDR� . •-•- -- ... •••• -•
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• • 1E'at+.0 I PLACEATENT STALLATION:
: 'ro�iecfi.Value .::/500:0.9::: ::
. ... TYPE OFFLUU .-:... ..
• . .:Bathtub - - :.
: : :On, : •
":•:x�P or1�'rzrrx�:
•
• Clothes Washer Septic Tank&Pit
•: .. lshwaslaer• :.: : hlawer.
. ^, -:-: • :Shower Pan
•
Drinking Fountain. SlopSllih •
7 1 Drain . : : :. .�_�..
... ...
•
Floor Sink : ••• :• .... . •-". a Compsririient Sink
Hose Bibs
Toilet•..
. Kitchen Shah.:.:•: . . . llaeuum Brea6ii::
... • tai n lry Tray "." "^" '--Water Connected Appliances —"` . .
:-: Lavatory.• • :- : -Water Renter:. .
Outer Fmtitroe ;Z Water Treating .
systni. .:. _ :
: :RE-PIPE. .... ....
•
TYP;'oPFir,u22 gam.:::: : TY°,kOFFxxrrini!: 122*
Bathtub . .: . • .. �__.: Septic Link &int • : ,
,: :• • ::- MONS •
Dishwasher... - . Shower ...
•
Dri Fountain : . '__ • Shower Pan..•: : : : :.
ung. : Slop Shah :.-::"
... : -Figor Drain.:.. ... : Three Compartment Sink::
FIoat Sink .:.
Huse Bibs'.:•:: : : Toilet .... .. ....•.
Kitchen-Sink `—` •
... U –`
Kite TrayVacuum Break _ _ .
• . Lavatoy : - :• Water.Connected Appliances--.:�:" ::. . ..
ty ... Water}Teeter
- Otherzuree :: :.
• Water Treating System "—' "•" "
- :Sewer Replaieenru t:::O Back Plow Preventer o:Grease Interceptor('bap) : :,•:gallons(Requires 3 gets of plans)•:.:
•: ►.:Lawn Spruakler�System Number of ileads:_ •: 0-Weil : ..::- *..• - ....•..
*.SJRWD Fell Completton Farm Completed form to bo aubnnitted to tuildiizig Department for Anal inspection_**
.
: Other:_ : ... .
mitt becomes void if work docs not commence within a slx monthe d _.
period or work Is suspended or.abiiridoned for six nnonths X herby Milt(that I have rend:
:'s application:and kIIOw the some to be tnie end correct-All provisions of laws end ordinances governing this work:will be conipiied with Whether specified.::: •
MA Tho permit does notgive authority to vlolnta the provisions of al*other state or legal law rontiletion construction or thovadbemance of eoi firemen.. .
aperty ovviners Nanxe • ;GSC. m 1 ei .r. :.:
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. Pbon bey 33
• . umbmg Company: �»- ._ C. 'ea/4. 74/%' Office Phone 1K17'-"3''5 'Fru4 (x`30 . . ...
:: ).Address: 3653. ,i ,3l- 3°. ':: 7 : City 0X • y.stataA7.Zip 3 .ZZ-St
cense Holder" •
(1*rrn fl,. .. ,<,to Certifieation(gegistration#'••�% .O✓��.•�1U
r:arizedS} npiure ofxi?cense,i5Tolder � /�'
•
•• $
P
efore me this• /i'/`.4. day of:: jet ,,� "r: . :_2 ... ..
Signature of Notary Public.
- _
�o'••.,,. ..:: DIANE 0.ROCHE
;4.• ,.MY COMMISSION,fE GG 117147
:1
.. 4'P
• .. • -- . ''-I��`: . .. EXPIRFS:June 21,202L"
d NPublic Un e
ti Fa;t:°�° Bonded ThN Notary denttit rs
41' 0
r
t 4, Cash Register Receipt Receipt Number ;
i �;
. City of Atlantic Beach R11063
T�,
1 .
DESCRIPTION I ACCOUNT I QTY I PAID
PerrnitTRAK $73.00
PLRS19-0214 Address: 450 MAKO DR APN: 171476 0000 $73.00
PLUMBING $69.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-3224000 2 $14.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 -. $2.00
TOTAL FEES PAID BY RECEIPT: R11063 $73.00
Date Paid:Thursday, November 14, 2019
Paid By: ATLANTIC COAST PLUMBING CORP.
Cashier: CB
Pay Method: CREDIT CARD 10
Printed:Thursday,November 14,2019 3:10 PM 1 of 1 8