2341 Fiddler's Ln PLRS21-0076 2 Fixtures S �'
' ''�'~� PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
fr... CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD PLRS21-0076
ISSUED: 5/5/2021
;ti>' EXPIRES: 11/1/2021
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.
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:
2341 FIDDLERS LN PLUMBING RESIDENTIAL Plumb: 2 Fixtures, INTERIOR $500.00
REMODEL
TYPE OF ' REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: ' NUMBER: GROUP:
169463 0114 OCEAN WALK UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
SWEENEY REMODELING 14047 MOUNT PLEASANT ROAD JACKSONVILLE FL 32225
AND PLUMBING
OWNER: ADDRESS: CITY: STATE: ZIP:
BRYNN K DREDLA 2341 FIDDLERS LN ATLANTIC BEACH FL 32233-4681
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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.
FEES
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 2 $14.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:5/5/2021 1 of 2
�-/1.:-' :, PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
J3 `'i
=( CITY OF ATLANTIC BEACH PLRS21-0076
J 800 SEMINOLE ROAD ISSUED: 5/5/2021
'4.-r tiv' EXPIRES: 11/1/2021
ATLANTIC BEACH, FL 32233
TOTAL:$73.001
Issued Date:5/5/2021 2 of 2
Plumbing Permit Application **ALL INFORMATION
� ' ,,- HIGHLIGHTED IN
1.. s City of Atlantic Beach Building Department GRAY IS REQUIRED.
\r 800 Seminole Rd, Atlantic Beach, FL 32233
-6.,11"~ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: Z SLl\ ( CS U-^(-- PROJECT VALUE$ jc o `—
[11 NEW OR REP EMENT INSTALLATION and/or ❑RE-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 / Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory / Water Heater
Other Fixtures Water Treating System
❑MISCELLANEOUS
❑ Sewer Replacement
O Back Flow Preventer
O Lawn Sprinkler System (number of sprinkler heads)
❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Well **SIRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.**
O 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: Ck.,,Lcsel . S-oe-c-- c--7 cA f _ Phone Number: I i-&--$h --by 3 7
Plumbing Company: 3^0«,•7e,-7 ci M 'j' ;,� I Office Phone:9J04 Sos 6,437 Fax
Co. Address: ICI 1 Det-%c.S pE,;�E- Lx . City: o.ccsono'll-E State: -f(• Zip: 7 Z Z 23—
License Holder:iip. / 0State Certification/Registration # �F�'/UJ Z d'3 37
Notarized Signature of License Ho eri / OLL In" F---
The foregoing instrument was acknowledged before me this 5 da Mt} l , 202), in the State of Florida,
County of OvVR -
Signature of Notary Public G/���/c/ AdZI,
,' MY COMMISSION#HH 117153
CHRISTIAN GILES
'; [1,Krsonally Known OR [ ] Produced Identification
11,..• EXPIRES:ApdI13,2025 Type of Identification:
*ORo Bonded Thru Notary Pudic underwriters
Updated 10/17/18