469 ATLANTIX BLVD #6 PLPP21-0027 msPLUMBING COMMERCIAL OR PERMIT NUMBER 1
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MULTIFAMILY DETAILS PER PLPP21-0027
BUILDING PLAN PERMIT EXPIRES: 3/9/2022
xi?.,.. ,w . ...,; '.. cps.
MUST CALL INSPECTION PHONE LINE (904) 247-5814BY 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
469 ATLANTIC BLVD 06 MULTIFAMILY DETAILS PER REMOVE SINK $200.00
BUILDING PLAN
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170690 0000 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
STEEL PLUMBING
COMPANY INC 1601 MAIN STREET ATLANTIC BEACH FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP;
DIAMOND REAL ESTATE 6517 LOU DR S JACKSONVILLE FL 32216
PROPERTIES IV LLC
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.
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
Issued Date:9/10/2021 1 of 2
Plumbing Permit Application **ALL INFORMATION
r' c. HIGHLIGHTED IN
�`�� City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
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.4J'"""'r V Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: P�l`�PP`�'7(-v"�-�;
JOB ADDRESS: It
‘ I n// - o:I k — 6 PROJECT VALUE $ z �(� VO
❑NEW OR REPLACEMENT INSTALLATION and/or EIRE-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
❑ 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 Departure t for final inspection.**
❑ Other �e%e p/U /pf N e o v 1 rl3 S I z,
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. `� r
Owner Name: P/M2 ) PCZ /.9Yz c )1 4 4p Phone Number: 'Of-- /Z•9�
Plumbing Company: %Lely % / 4j ()+• Office Phone: Z f9 577,) Fax
Co. Address: / // /2Jft > City: lit L4 Stater/ Zip: 3.7Z-3
License Holder: 10'7 State Certification/Registration # e, 37 96
Notarized Signatuf4f License Holder
1,9—
The foregoi g I trument w s acknowled d before me this/0 da e Q_I6— , 207,(in the State of Florida,
County of 0 V'
Signature of Notary Public _ ' _�
.wYP;,' C ersonally Known OR [ ] Produced Identification
;:2�..•••.�:" TONIGINDLESPERG�R
,, ! .- MYCOMMISSION#GG 353178 Type of Identification:
PQ; EXPIRES:October 6,2023
FPF,`O Bonded Thru Notary Public Underwriters Updated 10/17/18