1109 E Linkside Ct PLRS21-0059 1 Fixture ,,„.: ,...,\,,‘,„;.,� PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
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' � �� PLRS21-0059
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 4/5/2021
10'119'., ATLANTIC BEACH. FL 32233 EXPIRES: 10/2/2021
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:
1109 E LINKSIDE CT PLUMBING RESIDENTIAL PLUMBING - ONE FIXTURE $500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172374 5100 SELVA LINKSIDE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
ADVANTAGE PLUMBING 880 MAYPORT RD JACKSONVILLE FL 32240
BEACH
,. OWNER: I
ADDRESS: I CITY: STATE: I ZIP:
MARCUM JEFFREY J 1109 LINKSIDE CT E ATLANTIC BEACH FL 32233-4386
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.
LIST OF CON TIONS
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 1 $7.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$66.00
Issued Date:4/5/2021 1 of 2
%ji.A.`'rr' PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
, ,i,
.x.--L CITY OF ATLANTIC BEACH PLRS21-0059
6v "" ISSUED: 4/5/2021
800 SEMINOLE ROAD
o'; i.) ATLANTIC BEACH, FL 32233 EXPIRES: 10/2/2021
Issued Date:4/5/2021 2 of 2
Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 PL Z — 3o 5C
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:'C jj ‘-e/OSS.--
JOB ADDRESS: ///� / / fie e7 }5 PROJECT VALUE $ SG�rQJ
✓dJEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink _L - Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
❑VIISCELLANEOUS
❑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: -✓ e[` ilmt?l`1/ Phone Number:
Plumbing Company: /9/) i//,4j / If),,y)/ Jf f Office Phone: ;i17-16(--1 Fax,2//
Co. Address: 5-.1</) J 24 %)�)Pi /r(1/ City: 0, /3,1, State: t/ Zip: 322 3K
License Holder: (i4#-- �7 i (gL State Certification/Registration # 1 V5/3
Notarized Signature of License Holder4//, /la
The foregoin in ument wa acknowledged before this__–) d of R --1 , 200 (, in the State of Florida,
County of 4 v4rC'—
4
Ov tti
v:;i4Z„ TONI GNDLESPERGER
ignature of Notary Publi �-4
1,," COMMISSION#GG353178
rn�..;d;= EXPIRES:October 6,2023 ersonally Known OR [ ] Produced Identification
°�°F F`O' Bonded Thru Natary Public Underwriters
ype of Identification:
Updated 10/17/18
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