425 Atlantic Blvd PLPP20-0006 Salt Air Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
BEACH HOSPITALITY
SERVICES 1520 REPUBLIC DR ATLANTIC BEACH FL 32233-4021
COMPANY:ADDRESS:CITY:STATE:ZIP:
C W WOOD PLUMBING 1328 ROMNEY ST JACKSONVILLE FL 32211
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170696 0000 SALTAIR SEC 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
425 ATLANTIC BLVD
PLUMBING COMMERCIAL OR
MULTIFAMILY DETAILS PER
BUILDING PLAN
SALT AIRE - 67 FIXTURES $37000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING BASE FEE 455-0000-322-1000 0 $59.00
PLUMBING FIXTURES 455-0000-322-1000 67 $469.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $7.86
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 2/26/2020
PERMIT NUMBER
PLPP20-0006
ISSUED: 2/26/2020
EXPIRES: 2/14/2021
PLUMBING COMMERCIAL OR
MULTIFAMILY DETAILS PER
BUILDING PLAN PERMIT
CITY OF ATLANTIC BEACH
STATE DCA SURCHARGE 455-0000-208-0600 0 $5.24
TOTAL: $596.10
2 of 2Issued Date: 2/26/2020
PERMIT NUMBER
PLPP20-0006
ISSUED: 2/26/2020
EXPIRES: 2/14/2021
PLUMBING COMMERCIAL OR
MULTIFAMILY DETAILS PER
BUILDING PLAN PERMIT
CITY OF ATLANTIC BEACH
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $59.00
PLPP20-0006 Address: 425 ATLANTIC BLVD APN: 170696 0000 $59.00
PLUMBING $59.00
PLUMBING BASE FEE 455-0000-322-1000 0 $59.00
TOTAL FEES PAID BY RECEIPT: R12861 $59.00
Printed: Tuesday, August 18, 2020 3:52 PM
Date Paid: Tuesday, August 18, 2020
Paid By: C W WOOD PLUMBING
Pay Method: CREDIT CARD 354025354
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12861
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 Holder9
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