315 2nd St PLRS19-0140 14 Fixtures PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
r ts, PLRS19-0140
Vr CITY OF ATLANTIC BEACH ISSUED: 7/16/2019
800 SEMINOLE ROAD
»'. ATLANTIC BEACH. FL 32233 EXPIRES: 1/12/2020
MUST CALL INSPECTION • • • 1 + 247-5814 BY 4 PM FOR NEXT DAY • •
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
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.
ADDRESS*. DESCRIPTION: OF •
315 2ND ST PLUMBING RESIDENTIAL PLUMBING - 14 FIXTURES $4500.00
TYPE OF
• • GROUP:
169779 0010 ATLANTIC BEACH
COMPANY:--- ADDRESS:
MARCHAND PLUMBING 10139 BOOKWOOD FOREST BLVD JACI<SONVILLE FL 32225
INC.
• ADDRESS:
DSM RENOVATIONS LLC 1433 PONTE VEDRA BLVD PONTE VEDRA FL 32082
BEACH
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.
OF • . .
I'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 0 $0.00
PLUMBING FIXTURES 455-0000-322-1000 14 $98.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.30
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 7/16/2019 1 of 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Keach. 1.1. 32233
Ph (904)247-5826 Fax (904) 247-5845 P L R S( 1 — b( 40
.JOB ADDRESS: 316'- .24- St PERMIT# ------
NEW OR REPI.ACEMENT iNSTAt.I,ATION: Prt ject Value . y S��• a
T ,m,of•Fixi-i'kr Q7 T),w.,OFFIXTURE SKr Qry
Bathtub I Septic-tank K Pit
Clothes Washer f____ Sho«cr 1
Dish%vasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three C'ompartntcnt Sink
Floor Sink Toilet
Ho:c Bibs L Urinal
Kitchen Sink I Vacuum breakers --
I aundry Tra% _ Water('omneetcd Appli,uces
I.ayatot' _�. Water Neater
Other Fixtures __ Watcr'Freating Sy.tem
Tww OF FIXT1 WE QTY Rf Qct'
Bathtub Septic Tank R Pit
Clothes Washer Shower
Dishwasher __. Shower Pan
Drinking Fountain Slop Sink --
Floor Drain •I'hrce Contpattmem tiink _
Floor Sink __-- Toilet ----__--
I lose Bibi _-_-___ Urinal
Kitchen Sink Vacuum breakers _
Laundr Tray Water('onnectedAppliame,
lavatory Water I leater _
Other Fixtures Water Treatim,S%mem _
MISCELLANEOUS:
Sewer Replacement Back blow Preventer (irc;ase Interceptor( I rap) gallons(Requires 3 sets of plan.)
Limn Sprinkler System-Number ol'l leads Well _
*r.SIRit'D 11 i ll('r»trhlr�linfr 1'or»r.Completed loran to be submittal to the Building Department for final inspection.'�Y
Other ---
Penni%becomes%oid if%%ork doe.,not comm;nce%rithin a sig ntmuh period or%cork ix Su<pendcd or ahandoncd tirt sig n►onths.t hereh} cerci f%that 1 11%e read
thi,application and kno%%the sante to he true and correct. All pro%isions of Ltas and ordinance:powminp this Mork%%ill he complied%tilt►%%heaher specified
or not. I he pemiit does not gi%e authnrit% tot iolate the pro%6ions of am other state or hw:d hi%% re elation citwontetion or the perGsrntance of construction.
Property Owners Name M �l/'lOI/A7-'Oil SI'lli
Plumbing Compan}•_►"1Q(� Of
�pnr� �l `IC1I j -.---- licc Phots,
5` 5 rax
��� L
Co. Address: 3q _��� _ City Q� ---____-- State Zip,� .%-50
License Holder(Print): 1� Sta ('t r itiratititi`Rcgistraition # 'A513r�5
- 10
P
z otorized Sigtwf re of License 11alder - ---
Before me this 12. . _ day I JUt� _----___-_ 20 t -`------
�w •; LESLIE FEIGHT
Commission it GG 329521Cionntsur•nfT\rttarr Public lS`)
Expires August 15,2022
;;�,•' &xdod Thru Troy Fain Insurance 800.385.1019