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2329 Seminole Rd PLRS20-0025 plbg permit PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER PLRS20-0025 V� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 2/7/2020 ATLANTIC BEACH. FL 32233 EXPIRES: 8/5/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • D+ BUILDING CODE, AND OF ATLANTIC BEACH • OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. LNOTICE: n addition to the requirements of this permit,there may be additional restrictions applicable to this property be found in the public records of this county, and there may be additional permits required from other ental entities such as water management districts, state agencies, or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 2329 SEMINOLE RD PLUMBING RESIDENTIAL 2 FITXTURES FOR INTERIOR $1000.00 REMODEL TYPE OF ZONING: :D • • • GROUP: 1689081204 BLUFFS ADDRESS: CITY: STATE: ZIP: TOUCHTON PLUMBING 416 N RYAN AVE JACKSONVILLE FL 32254 .' ADDRESS: CITY: STATE: ZIP: KNABB FRANKIE C TRUST 3707 ORTEGA BV JACKSONVILLE FL 32210-4347 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 • . 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 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: 2/7/2020 1 of 2 PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER PLRS20-0025 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 2/7/2020 `n ATLANTIC BEACH, FL 32233 EXPIRES: 8/5/2020 Issued Date:2/7/2020 2 of 2 Y ALJ Plumbing Permit Application "ALL INFORMATION b HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. '.y 800 Seminole Rd, Atlantic Beach, FL 32233 PL-(1 Sa ci (� � Phone: (904) 247-5826 Email: .Building-Dept@coab.us PERMIT#: JOB ADDRESS: 2329 Seminole Road, Atlantic Beach FL 32233 PROJECT VALUE$1,000.00 04EW OR REPLACEMENT INSTALLATION and/or ORE-PIPE i TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit I Clothes Washer Shower 1 Dishwasher Shower Pan 1 Drinking Fountain Slop Sink i Floor Drain Three Compartment Sink i Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances 1 Lavatory Water Heater Other Fixtures Water Treating System ❑MISCELLANEOUS []Sewer Replacement []Back Flow Preventer ❑Lawn Sprinkler System (number of sprinkler heads) Grease Interceptor (Trap) gallons (Requires 3 sets of plans) E]Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.** 1 ❑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: Frankie Knabb Phone Number: (904)334-6967 Plumbing Company: Touchton PlumbingContractors Inc Office Phone: ,(904)389-9299 Fax(904)389-9212 Co.Address: 416 Ryan Avenue City: Jacksonville State: FL '?Zip; 32254 I License Holder: Eric Touchton <:State Certification/Registration# CFC056489 I Notarized Signature of License Holder The foregoin instrument was acknowledged before me this(qday of `i—P.10 20_2_Qin the State of Florida, County of v :Nae,� sHERRYHAYE 7714 Signature of Notary Public Commisston#GG � Expires Match 312022 0Personally Known OR [ ] Produced Identification nar���� �°" T'" "�'a" Type of Identification: Updated 10/17/18 1 I Cash Register Receipt Receipt Number City R ofAtlanticBeach • • • DESCRIPTION • • PAID PermitTRAK $73.00 PLRS20-0025 Address: 2329 SEMINOLE RD APN: 168908 1204 $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 • R11676 $73.00 Date Paid: Friday, February 07, 2020 Paid By: KNABB FRANKIE C TRUST Cashier: CT Pay Method: CREDIT CARD 6 Printed: Friday, February 07,2020 10:42 AM 1 of 1