363 ATLANTIC BLVD - PLPP19-0026 S` '\"' PLUMBING COMMERCIAL OR PERMIT NUMBER
_ l':". MULTIFAMILY DETAILS PER PLPP19-0026
� � ISSUED: 12/16/2019
� �.3,,;. BUILDING PLAN PERMIT EXPIRES: 6/13/2020
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:
PLUMBING COMMERCIAL OR
363 ATLANTIC BLVD MULTIFAMILY DETAILS PER PLUMBING - 2 FIXTURES $0.00
BUILDING PLAN
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169730 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
IDEAL CONDITIONS
HEATING & A/C & 1617 Rowe Avenue JACKSONVILLE FL 32217
PLUMBIN
OWNER: ADDRESS: CITY: STATE: ZIP:
NSHORE LLC P.O.BOX 357742 GAINESVILLE FL 32606
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.
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 2 $14.00
Issued Date: 12/16/2019 1 of 2
„t— 1-, Plumbing Permit Application "ALL INFORMATION
i. City of Atlantic Beach Building Department HIGHLIGHTED IN
GRAY IS REQUIRED.
_c_;?c800 Seminole Rd, Atlantic Beach FL 32233 ->
` ",'” ,j Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 263 ATLANTIC BLVD UNIT 5 ( COMM19-0024) PROJECT VALUE $ Z_ CDC C O
DIEW OR REPLACEMENT INSTALLATION and/or LIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 1
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 1 Water Heater
Other Fixtures Water Treating System
CMISCELLANEOUS
❑Sewer Replacement
OBack Flow Preventer
❑Lawn Sprinkler System (number of sprinkler heads)
Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
0 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 law regulation construction or the performance of construction.
Owner Name:FGC Phone Number: (904)838-7426
Plumbing Company: IDEAL CONDITIONS PLUMBING Office Phone: (904)379-8762 Fax(904) 737-3940
Co. Address: 1617 ROWE AVE City: JACKSONVILLE State: FL Zip: 32208
License Holder: CLIFFORD SNELL State Certification/Registration # CFC1429419
Notarized Signature of License Holder /,t ,< .
G
The foregoin 'nstrumynt was acknowledged before me this f day of frL!201 9 in the State of Florida,
County of i (A.,
Signature of Notary Public
z..0.4k... JANET NICOLE PRINOLE
i g*; ...I MY COMMISSION#FF 995318
; ,,a EXPIRES:September 23,2020 ]-Personally Known OR [ J Produced Identification
'':,off''' 3onded Thv Notary Public Underwriters Type of Identification:
Updated 10/17/18
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y, Jr�
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a°, Cash Register Receipt Receipt Number
LA, r)
\� , City of Atlantic Beach R11293
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $73.00
PLPP19-0026 Address: 363 ATLANTIC BLVD APN: 169730 0000 $73.00
PLUMBING $69.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 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: R11293 $73.00
Date Paid: Monday, December 16, 2019
Paid By: IDEAL CONDITIONS HEATING & A/C & PLUMBIN
Cashier: CB
Pay Method: CREDIT CARD 1
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Printed: Monday, December 16,2019 8:09 AM 1 of 1 FPI