2363 Seminole Rd PLRS20-0169 Bath Remodel j�rs' PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
iw PLRS20-0169
' CITY OF ATLANTIC BEACH ISSUED: 11/25/2020
800 SEMINOLE ROAD
!u;:i>% EXPIRES: 5/24/2021
ATLANTIC BEACH, FL 32233
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.
4OTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
hat may be found in the public records of this county, and there may be additional permits required from other
:overnmental entities such as water management districts, state agencies, or federal agencies.
fl,- JOBADDRESS: I PERMIT TYPE: ' DESCRIPTION: I VALUE OF WORK:
4 FIXTURES FOR MASTER
2363 SEMINOLE RD PLUMBING RESIDENTIAL $1800.00
BED AND BATH REMODEL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: ' GROUP:
168441 0054 ATLANTIC TOWERS
CONDOMIUM
COMPANY: ADDRESS: CITY: STATE: ZIP:
NAYNE CONN PLUMBING
INC. 6915 W BEAVER ST JACKSONVILLE FL 32254
,� OWNER: ADDRESS: CITY: STATE: ZIP:
THOMAS MARY K P 0 BOX 4781 Ocala FL 34478
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\
'OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
OUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
ECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
toll 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 4 $28.00
STATE DBPR SURCHARGE 455-0000 208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 11/25/2020 1 of 2
A'\'r) PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS20-0169
r6 E �/ ISSUED: 11/25/2020
800 SEMINOLE ROAD
'"`it �r ATLANTIC BEACH, FL 32233 EXPIRES: 5/24/2021
.
ITOTAL:$87.00
Issued Date:11/25/2020 2 of 2
PlumbingPermit Application
**ALL INFORMATION
rt'S'��/n, �� HIGHLIGHTED IN
jCity of Atlantic Beach Building Department GRAY IS REQUIRED.
Vir 800 Seminole Rd, Atlantic Beach, FL 32233 pLesao- 0 io ei
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:AF'S,2d -,C3z,9. -
JOB ADDRESS: G;l2c__? ;