799 Stocks St PLRS20-0155 10 Fixtures PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS20-0155
800 SEMINOLE ROAD ISSUED: 10/26/2020
ATLANTIC BEACH, FL 32233 EXPIRES: 4/24/2021
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:
799 STOCKS ST PLUMBING RESIDENTIAL PLUMBING - 10 FIXTURES $3000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170945 0090 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
STEEG PLUMBING 1601 MAIN STREET ATLANTIC BEACH FL 32233
COMPANY INC
OWNER: ADDRESS: I CITY: STATE: I ZIP:
NOVAK ERIK L 7496 W INA RD TUCSON AZ 85743
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 10 $70.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$129.00
Issued Date: 10/26/2020 1 of 2
-S'-''�' PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
=JS 'f, '� PLRS20-0155
�r ,a•"_. CITY OF ATLANTIC BEACH
jr ISSUED: 10/26/2020
\\ 800 SEMINOLE ROAD
�;t >� EXPIRES: 4/24/2021
ATLANTIC BEACH, FL 32233
Issued Date: 10/26/2020 2 of 2
Permit Application **ALL INFORMATION
P-Oli. Plumbing ��k., HIGHLIGHTED IN
F;, - `i; City of Atlantic Beach Building Department GRAY IS REQUIRED.
,II Viir
800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 . -
Email:} Building-Dept@coab.us PERMIT#: r-01
S
PLUS� �
JOB ADDRESS: 79y 51e4_ .5/ PROJECT VALUE$ ?3000
❑NEW OR REPLACEMENT INSTALLATION and/orl)pRE-PIPE
TYPE OF FIXTURE QTY /' TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower 1
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 7 '
Hose Bibs 2- Urinal
Kitchen Sink Vacuum Breakers
Laundry TrayWater Connected Appliances
Lavatory I--' Water Heater /
Other Fixtures Water Treating System
❑MISCELLANEOUS /
`
❑ Sewer Replacement ;
❑ Back Flow Preventer
❑ Lawn Sprinkler System (number of sprinkler heads)
❑ Grease Interceptor(Trap) gallons (Requires 3 sets of plans)
❑ Well **SJRWP Well Completion Form.Completed form to be submitted to the Building Department for final inspection. **
❑ Other L-'�l�'.1l L is *, _/j 0/de-.t
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�ulconstruction or the performance of construction.
Owner Name: 60.., (f-r "I-PA'k• Phone Number: 531" ?.-6"'y'laNe9
Plumbing Company:
2 /I))! 6 /h C Office Phone: t'9-J/V Fax
/ 1
Co. Address: 40 40/,7 2� City: dfi, State:00 Zip: -3 3
License Holder: G-1 7M M State Certification/Registration # eFGe7/944
Notarized Signature of License Holder ti -
The foregoistrument as acknowledged ore me this _,_Fay o 1 __ , the State of Florida,
County of _ • 4 4)4
1MYCOt"":t„ ;CN I GIINNDLESPERGER Signature of Notary Public Q- \ C.--- ,A"---Thi
._
MMISSION#GG3531 ]78
IBondN1���Q EXPIRES:October 6,2023
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,S.°;
edThruNoaryPLbCUflderWTItLers ] Personally Known OR [ ] Produced Identification
Type of Identification:
Updated 10/17/18