425 Atlantic Blvd PLPP20-0006 Salt Air Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
Al City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 PLP P Z 0 -000�p
Phone: (904) 247-5826 Email: Buildin -Dept@coab.us PERMIT#: ! — °49/7
JOB ADDRESS: 1/2S ,"l2/7-'+ c 6/tea'• PROJECT VALUE $ , UCk,
❑NEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE ECEIVE
AUG 17 2020
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub /,S Septic Tank& Pit BY:
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink /,.S Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory /,.S Water Heater ...3
Other Fixtures Water Treating System
El MISCELLANEOUS
❑ Sewer Replacement
❑ 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: � �j •C' /0/e/ Phone Number:
Plumbing Company: 6"- " vC/ 045 Office Phone: ?V /-660'/ Fax
Co. Address: /3 2-1) /, D7 �J City: o- C State:✓ R Zip: .J ii //
License Holder: (— - G - 1-41;s%_State Certification/Re istration #Cia7O97
Notarized Signature ofLicense Holder
9
The foregoi g " strument s acknowledged before me thisz i d of P , 2 C?in the State of Florida,
County of U f
Signature of Notary Public
0)k, TONIGINDLESPERGER [ I Personally Known OR [ ] Produced Identification
• *, :,; MY COMMISSION aR GG 353178
-� „�P� EXPIRES:October 6,2023 Type of Identification:
+tO' ;°.:. Bonded TNu Notary Public Obenhers
Updated 10/17/18
i' L PLUMBING COMMERCIAL OR PERMIT NUMBER
ry +`" Y.: . S') MULTIFAMILY DETAILS PER PLPP20-0006
' * ISSUED: 2/26/2020
/•,,ii;r V BUILDING PLAN PERMIT EXPIRES: 8/24/2020
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: 1 DESCRIPTION: VALUE OF WORK:
PLUMBING COMMERCIAL OR
425 ATLANTIC BLVD MULTIFAMILY DETAILS PER SALT AIRE - 67 FIXTURES $37000.00
BUILDING PLAN
TYPE OF REAL ESTATE 1 BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: ZONING: GROUP:
170696 0000 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
ADVANTAGE PLUMBING 880 MAYPORT RD JACKSONVILLE FL 32240
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
BEACH HOSPITALITY
SERVICES 1520 REPUBLIC DR ATLANTIC BEACH FL 32233-4021
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.
', " : 1131'
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
1 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 67 $469.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $7.86
Issued Date: 2/26/2020 1 of 2
o''`' . , PLUMBING COMMERCIAL OR PERMIT NUMBER
') MULTIFAMILY DETAILS PER PLPP20-0006
u7r ISSUED: 2/26/2020
;,. BUILDING PLAN PERMIT EXPIRES: 8/24/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $5.24
TOTAL:$537.10
Issued Date:2/26/2020 2 of 2
PLPP ?. 0- Ooo(
PlumbingPermit Application **ALL INFORMATION
,,:f!-�`�r� M N HIGHLIGHTED IN
t City of Atlantic Beach Building Department GRAY IS REQUIRED.
+ 800 Seminole Rd, Atlantic Beach, FL 32233 U/'
4WPhone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT / 9- do/i
_ 6
JOB ADDRESS: ' S /A;Tk_ f I_-/tJ A PROJECT VALUE $ ,J7 cod. Ud
111 NEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub /9 Septic Tank & Pit
Clothes Washer a Shower .5
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink 10 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory / 5 Water Heater e.1
Other Fixtures Water Treating System
/
DMISCELLANEOUS / t.91,
❑ Sewer Replacement
❑ 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: 1kVio 572,(7, Phone Number:
,J Ce
Plumbing Company: •�Dyq�i/ l id&Ig'/A( Office Phone: ��(7-`=�`'f ` ...Fax' L-ci
5 `Ito
Co. Address: r;�` ;')%l/l-0', / -.' / City: , 1 �/; State: Zip: ' ? 2<;-7(
License Holder: 6>L'L ^% �- it :- _ - State Certification/Registration #
Notarized Signature of License Holder �\ ez-G/
e
f r i r:_instrument was acknowledged bef e me this Zia • 20 the State of The o egog y _� � Florida,
County ofi3\ro.—, II
•
.�•.... ...d.:., . „„.,..,...... Signature of Notary Publi AL Alai.
:iRY? TONI G1NU::.,P7'GER ,
`,_ MY COMMISSION -G ..3178
"' Personally Known OR [ ] Produced Identification
1.1.,- -:g EXPIRES:Octcber�,2�023 Type of Identification:
FOFA;.P: Bonded fire Notary r;.b3c.rn,:rviifers
"_'+ Updated 10/17/18