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1075 ATLANTIC BLVD PLPP21-0024 6'' '�"r;` PLUMBING COMMERCIAL OR PERMIT NUMBER . \� MULTIFAMILY DETAILS PER PLPP21-0024 rISSUED: 7/7/2021 -,,,,:11...A4‘11.);.,,, - BUILDING PLAN PERMIT EXPIRES: 1/3/2022 MUST CALL INSPECTION PHONE LINE(g04) 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: PLUMBING COMMERCIAL OR NEW SERVICE & BACK FLOW 1075 ATLANTIC BLVD MULTIFAMILY DETAILS PER $2300.00 PREVENTER BUILDING PLAN TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 177508 0000 SECTION LAND COMPANY: ADDRESS: CITY: STATE: ZIP: AMELIA PLUMBING 2232 FLORIDA BLVD NEPTUNE BEACH FL 32266 OWNER: ADDRESCITY: STATES ; ZIP: POOCHES PLAYHOUSE LLC 1864 NIGHTFALL DR NEPTUNE BEACH FI_ 32266 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\ 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. 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:7/7/2021 1 of 2 Plumbing Permit Application **ALLINFORMATION s� e i&-' HIGHLIGHTED IN 1 , _ � City of Atlantic Beach Building Department GRAY IS REQUIRED. �% _ 800 Seminole Rd, Atlantic Beach, FL 32233 _--,94_-'~ Phone: (904) 247-5826 Email: Building@coab.us t@coab.us PERMIT#:1LPP2(-OC)ZZ JOB ADDRESS: 1O15 }i1(410., E\fd_— PROJECT VALUE $ ),JDO — I'i'UEW OR REPLACEMENT INSTALLATION and/or DRE-PIPE TYPE OF FIXTURE OTY 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 ISCELLANEOUS Sewer Replacement Back Flow Preventer ❑Lawn Sprinkler System (number of sprinkler heads) arease Interceptor (Trap) , gallons (Requires 3 sets of plans) ❑ Well **SJRWD Well Completion Form. Completed form to be submitted to the Building De artment for final inspection. ** ;Other k # r l.L. s ' Co,-\,,,e • ._ I a. 0 ` L)c ©,-\ a we 1( 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 knew the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or riot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 2 Owner Name: Qhfr P (94 of Phone Number: 3J - 313 I Plumbing Company: Itigird / J. Office_ Phone: g Fax _ Fax las.. ' /, Co. Address: _Q v DM5-- City: _ b _State: -0 Zip: . • . ill License Holder: ,,/ , __ ,// State Cer ification/Registration # CR-OS-14i 4 Notarized Signature of License Holder_. ai �/ - '.4(-4/--7---- The foregoing ins ment was cknowledged before me this _ _ _ ay of, U 202 (in the State of Florida, r County of v tv _ , 41114 •• •<%.:;:, TONI GINDLESPERGER f a: i•_ :,,; MY COMMISSION#GG 353178 Signature of Notary Pu. -- /� EXPIRES:October 6,2023 ..".For Fop•' •..____BondedThruNaaryPublicUnderwrttes [ ) Personally Known OR ; 1 Produced Identification Type of Identification: 4 , , ( , Updated 10/17/18 i