313 N Oceanwalk PLRS20-0052 3 Fixtures PLUMBING RESIDENTIAL PERMIT
r PERMIT NUMBER
ri CITY OF ATLANTIC BEACH PLRS20-0052
--..
YV 800 SEMINOLE ROAD ISSUED: 3/13/2020
` 1
Ji3r ATLANTIC BEACH. FL 32233 EXPIRES: 9/9/2020
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:
313 N OCEANWALK DR PLUMBING RESIDENTIAL PLUMBING - 3 FIXTURES $1500.00
TYPE OFREAL ESTATE I BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
169463 1510 OCEANWALK UNIT 04
COMPANY: ADDRESS: CITY: STATE: ZIP:
STEEG PLUMBING 1601 MAIN STREET ATLANTIC BEACH FL 32233
COMPANY INC
OWNER: ADDRESS: CITY: STATE: I ZIP:
ANDERSON DONALD D 313 OCEANWALK DR N ATLANTIC BEACH FL 32233-4693
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.
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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 3 $21.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$80.00
Issued Date:3/13/2020 1 of 2
r - ,
-7-iii „ PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS20-0052
800 SEMINOLE ROAD
ISSUED: 3/13/2020
uilt ATLANTIC BEACH. FL 32233 EXPIRES: 9/9/2020
i
Issued Date:3/13/2020 2 of 2
, `- PlumbingPermit Application **ALL INFORMATION
fsy•��\ pp HIGHLIGHTED IN
;v,1 City of Atlantic Beach Building Department GRAY IS REQUIRED.
91,0) 800 Seminole Rd, Atlantic Beach, FL 32233 P L Kf ZO-00Z
"r"'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 3)3 OAtGn ►k7,S, d r PROJECT VALUE$ /6-10-it
NEW 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 _t__
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
CI MISCELLANEOUS
❑ Sewer Replacement
E Back Flow Preventer
❑ Lawn Sprinkler System (number of sprinkler heads)
ii 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.**
El 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. 1�/ / y
Owner Name: 4,0) 4)j4 0).1. Phone Number: 6/ / ` 0) / 3
Plumbing Company: 0-��ty criDcr, (..,f, Office Phone: a 9/-5)V Fax
Co. Address: 40 MA -(-- City: '/tk. State:/ Zip: ��Z.1.3
License Holder: / 51feState Certification/Registration # e _
c), P3P1 r*
Notarized Signature of License Holder
The forego ig 'nstrumen was acknowledged befor me this ay o1 L�20� the State of Florida,
County of 0 kt
411
�� Signatur of Notary Pub 'qui.. ,
_ 1111
i - y' k ,- TONI GINDLESPERGER
.: do% t,,"1 MYCOMMISSION#GG353178 Personally Known OR [ I Produced Identification
r„,4..:A EXPIRES:October 6,2023 Type of Identification:
4.9r I;' Bonded Thru Notary Public Underwr ters
Updated 10/17/18