522 Aquatic Dr PLRS20-0013 6 Fixtures PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS20-0013
800 SEMINOLE ROAD ISSUED: 1/27/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 7/25/2020
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:
522 AQUATIC DR PLUMBING RESIDENTIAL PLUMBING - 6 FIXTURES $250.00
TYPE OF REAL ESTATE BUILDING USE j
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171818 5174 AQUATIC GARDENS
COMPANY: ADDRESS: CITY: STATE: ZIP:
IDEAL CONDITIONS
HEATING & A/C & 1617 Rowe Avenue JACKSONVILLE FL 32217
PLUMBIN
OWNER: ADDRESS: I CITY: STATE: ZIP:
REBECCA BURCHELL REAL PONTE VEDRA
ESTATE LLC 8192 SEVEN MILE DR BEACH FL 32082
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.
172711
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 6 $42.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.11
Issued Date: 1/27/2020 1 of 2
,oAtt t PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER 1
� :, CITY OF ATLANTIC BEACH PLRS20-0013
�
800 SEMINOLE ROAD ISSUED: 1/27/2020
"'j;9 ATLANTIC BEACH. FL 32233 EXPIRES: 7/25/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.07
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL: $212.18
Issued Date: 1/27/2020 2 of 2
-I-LArr,,, Plumbing Permit Application **ALL INFORMATION
j i HIGHLIGHTED IN
i City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 PLRSZO_oo 1 3
<4'°""~ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 522 Aquatic Dr PROJECT VALUE $250.00
s1EW 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
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 2
Hose Bibs Urinal
Kitchen Sink ! Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater I
Other Fixtures i7- Water Treating System
❑MISCELLANEOUS
El Sewer Replacement
(_.0.)
❑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:REBECCA BURCHELL Phone Number: 904-501-0504
Plumbing Company: IDEAL CONDITIONS PLUMBING Office Phone: 904-379-8762 Fax904-737-3940
Co. Address: 1617 ROWE AVE Q City: JACKSONVILLE State: FL Zip: 32208
License Holder: C�"� 5��1( State Certification/Registration # CFC1429419
Notarized Sign re of License Holder
The foregoi . Instrument was acknowledged before me this 1 day of ,cpxttt,o(_1 , 20),U, in the State of Florida,
County ofLA e.
,..,•,::1:,:;:',;,;;••. JANET NICOLE PRINDLE II�(�
* ,�, '' MY COMMISSION#FF 995318 Signature of Notary Public ,� ••//��
"'•, _ EXPIRES:September 23,2020
;Fo„,p^ Bonded TnruNotary P�rcunde�rters Personally Known OR [ ] Produced Identification
Type of Identification:
Updated 10/17/18