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334 S Oceanwalk Dr PLRS21-0097 7 Fixtures E_______4, 0A,.'A'Il* PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER: CITY OF ATLANTIC BEACH PLRS21-0097 ISSUED: 6/17/2021 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 12/14/2021 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: 334 S OCEANWALK DR PLUMBING RESIDENTIAL Plumb 7 Fixtures $5000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169463 0518 OCEANWALK UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: WILLIAM'S BIG BOY JACKSONVILLE 516 SOUTH 11TH AVE FL 32250 PLUMBING INC BEACH OWNER: I ADDRESS: CITY: STATE: ZIP: BYRNES WILLIAM P 334 OCEANWALK DR S ATLANTIC BEACH FL 32233-4570 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. I LIST OF CONDITIONS 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 7 $49.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$108.00 Issued Date:6/17/2021 1 of 2 Plumbing Permit Application **ALL INFORMATION ,;,SjUr`�: �� HIGHLIGHTED IN 2. til City of Atlantic Beach Building Department GRAY IS REQUIRED. n 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826�r Email: Building-Dept@coab.us PERMIT#: 11---.00(n £ JOB ADDRESS: 3 3 -( , CCS t)c)t lie. PROJECT VALUE $ f 73d`y LiINEW OR REPLACEMENT INSTALLATION and/or ERE-PIPE TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub / Septic Tank& Pit Clothes Washer Shower I Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 1.-- Hose rHose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System LI MISCELLANEOUS LJ 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. tf Owner Name: �[brit- •• COU 0 L' �j Phone Number: /-1J I Plumbing Company: W —w ksZ (5fj Office Phone: 2 if (—/W1 Fax ------ Co. Address: p(e �1 '� .S. City: r , Ci( State: if Zip: 3 225 -e License Holder: "�/ ,/1 State Certification/Registration # /Zeig 7G Notarized Signature of License Holder 61' The foregoing instrument was acknowledged before me this /—1 day of 3 U I1(v , 202 , in the State of Florida, County of p U VAI, :n�,o CHRISTIAN GILES Signature of Notary Public0. vV 16);it- ��s ;, MY COMMISSION#HH 117153 •.\;; %-‘ •-• EXPIR6S:April 13,2025 [ I Personally Known OR [ >Produce Identification • v i°' Bonded Tru Notary Public Urderrriera . Type of Identification: r Updated 10/17/18