1085 Atlantic Blvd PLRS20-0038 plbg permit PLUMBING COMMERCIAL OR PERMIT NUMBER
f � MULTIFAMILY DETAILS PER
PLRS20-0038
ISSUED: 2/25/2020
BUILDING PLAN PERMIT EXPIRES: 8/23/2020
MUST CALL INSPECTION PHONE • 1 , 247-5814 BY . PM FORDAY •
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! 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 UNIT 17 - ONE FIXTURE
1085 ATLANTIC BLVD MULTIFAMILY DETAILS PER (TUB) $900.00
BUILDING PLAN
TYPE OF
• • GROUP:
1773910000 SECTION LAND
COMPANY: ADDRESS:
COMFORT PLUMBING INC. 10023 BEACH BLVD JACKSONVILLE FL 32246
• ADDRESS: '
NCM LLC ET AL P.O.BOX 309 BRIDGEPORT CT 06601
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 0 $0.00
PLUMBING FIXTURES 45S-0000-322-1000 1 $7.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 2/25/2020 1 of 2
PLUMBING COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER PLRS20-0038
ISSUED: 2/25/2020
BUILDING PLAN PERMIT EXPIRES: 8/23/2020
TOTAL:$66.00
Issued Date:2/25/2020 2 of 2
* IINFORMATIONPlumbing Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 L_Rszc)-00S E,
Phone: (904) 247-5826 Email: Building-De)t(@coab.us PERMIT#:
JOB ADDRESS: 1085 Atlantic Blvd Unit 17 Atlantic Beach , FL 32233 PROJECT VALUE $900.00
aEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 1 Septic Tank & Pit
Clothes Washer Shower
Dishwasher _ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
DMISCELLANEOUS
[]Sewer Replacement
❑Back Flow Preventer
❑Lawn Sprinkler System (number of sprinkler heads)
Ehrease 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. '•
DOther Shower valve replacement
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:NCM LLC ET AL Phone Number: (904)474-3266
Plumbing Company: Comfort Plumbing Inc Office Phone: (904) 725-9397 Fax(904) /25-0352
Co. Address: 10023 Beach Blvd City: Jacksonville State: FL Zip: 32246
License Holder: Oriola Luka State Certification/Registration # CFC1429360
Notarized Signature of License Holder �)�'C'4_
The foregoing instrument was acknowledged before illeth� day of , 20jCjin the State of Florida,
County of�(
DEBORAH FEJZA Signature of Notary Public ::;L'
commissionill GG 129407
Expires July 30,2021
s00J8S101i onayKw Produced Identification
aTtn Troy Fm LM'WW
Type o entification:
Updated 10/17/18
Cash Register Receipt Receipt Number
City of Atlantic Beach R11824
• . • • ,
PermitTRAK $66.00
PLRS20-0038 Address: 1085 ATLANTIC BLVD APN: 177391 0000 $66.00
PLUMBING $62.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 1 $7.00
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 ' i
$66.00
Date Paid: Tuesday, February 25, 2020
Paid By: COMFORT PLUMBI
Cashier: FJ
Pay Method: CREDIT CARD 7
Printed:Tuesday, February 25, 2020 12:52 PM 1 of 1 of