1221 Mayport Rd PLPP20-0022 7 Fixtures PLUMBING COMMERCIAL OR PERMIT NUMBER
PLPP20-0022
' ; . MULTIFAMILY DETAILS PER
ur s ISSUED: 10/7/2020
�;,,,; BUILDING PLAN PERMIT EXPIRES: 4/5/2021
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:
PLUMBING COMMERCIAL OR
1221 MAYPORT RD MULTIFAMILY DETAILS PER PLUMBING - 7 FIXTURES $1500.00
BUILDING PLAN
TYPE OF REAL ESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
171090 0100 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: I ZIP:
STYLES SMITH PLUMBING 1537 PENMAN RD SUITE A JACKSONVILLE FL 32250
BEACH
OWNER: I ADDRESS: CITY: STATE: ZIP:
SHOPPES OF AIA NORTH 4237 SALISBURY RD N STE 212 JACKSONVILLE FL 32216
LLC
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I(`
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.
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 7 $49.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 10/7/2020 1 of 2
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,. Plumbing Permit Application ;;FIGHLIGHTEDIN FORMATION
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„ City of Atlantic Beach Building Department GRAY IS REQUIRED.
ntr - 800 Seminole Rd, Atlantic Beach, FL 32233 PLPP20-0022
4'`�''� Phone: (904) 247-5826 Email: Building; laept(�coab.us PERMIT ti: _/400.,0 -(9,'''�
JOB ADDRESS: 1' a�. ��'I '7�',-#Al 1 rd PROJECT VALUE $ �)� 52o. QD
✓a11EW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
ys:.::
" TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY 3
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan w
Drinking Fountain Slop Sink
Floor Drain __ Three Compartment Sink
__1_HFloor Sink I Toilet
--1---
Hose
ose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory ___L_ Water Heater )
Other Fixtures _____L__ Water Treating System
CIVIISCELLANEOUS
❑Sewer Replacement
❑Back Flow Preventer
Lawn Sprinkler System (number of sprinkler heads) °'
(=Lawn
Lrease Interceptor (Trap) gallons (Requires 3 sets of plans)
'F ell **SJRWD Well Completion Form,Completed f rm to be submitted to the Building Department for final inspection.**
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Other Y r�
I v'Aihin el • L2Y 6,J 7 ei,ti+r0J/-1
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.
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Owner Name: Er..l,L` Lown C i1 n / Phone Number: COL( = Li -rJ/` —i Ci "/
Plumbing Company: ; ---y,le , ,5/11,•)-1, PIvirb,)u - Office Phone: � LI I - 1/1 -2,) Fax
Co. Address: i 5 3 7 Pe�:..-y 7AA r0I. City: J ' I. ''z', - ' State: f"L. Zip: ,i;.:2 c,
License Holder: ') n/7 , 7-1,7 State Certification/Registration # (_I=L )Ll,. `n(v -2
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Notarized Signature of License Holder : � S` =,..--.---e,-__
The foregoing instrument was acknowledged before me this Vday of 0(11)\-)0( , 20 Z,O, in the State of Florida,
County of lf\XUk\
�.� Signature of Notary Public , ! ./.0._. A 4 i
L STEPHMUE M SwEENEY •
Ar :- � Notary Public-State of Florida f,/�Personall Known OR [ )
,,''� y Produced Identification 4•,.,•. Commission c GG 2506at
My Comm.Expires Oct 5.2021 aType of Identification:
+ded throuth National notary Assn,
Updated 10/17/18