1509 MAYPORT RD PLPP21-0018 '''vPLUMBING COMMERCIAL OR PERMIT NUMBER
7 , i,
`"' MULTIFAMILY DETAILS PER PLPP21-0018
'r ISSUED: 5/19/2021
x ;,,,r BUILDING PLAN PERMIT EXPIRES: 11/15/2021
MUST CALL INSPECTION PHONE LINE4`(9O4) 247-5$14 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:
PLUMBING COMMERCIAL OR
1509 MAYPORT RD MULTIFAMILY DETAILS PER SEWER REPLACEMENT $2200.00
BUILDING PLAN
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172057 0000 SECTION LAND
COMPANY: ADDRESS: CITY: , STATE: ' ZIP:
ASAP PLUMBING & DRAIN
CLEANING P. 0. BOX 48070 JACKSONVILLE FL 32247
OWNER: ADDRESS: CITY: STATE: ZIP:
MONUMENT HOUSE OF 1509 MAYPORT RD ATLANTIC BEACH FL 32233-1944
. FATIH CHURCH
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
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 C $55.00
PLUMBING FIXTURES 455-0000-322-1000 1 $7.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:5/19/2021 1 of 2
p;,,.41144
y, Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
Wir r 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: L13t 21 00(
JOB ADDRESS: 1509 mayport road PROJECT VALUE$2.2017, '''
✓d11EW 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 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)
p 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:monument house of faith church Phone Number: (904)699-8647
Plumbing Company: asap plumbing and drain Office Phone: (904)994-6440 Fax(904)346-0770
Co. Address: p o box 48070 City: Jacksonville State: fl Zip: 32247
License Holder: larry dean State Certification/Registration # cfco56659
Notarized Signature of License Holder . A
The foreg strument was acknowledged before me this J
9day of ` , 202( , in the State of Florida,
Countyof -VV `
-/----- �-�
Signature of Notary Publi Ci(/f
, Notary Publie Sage of Fboda
r/'t Joan Dean
My Commissio,,GG 278974 ersonally Known OR [ ] Pr:.uced Identification
Ace, Expires 12102/2022
Type of Identification:
Updated 10/17/18