539 ATLANTIC BEACH CT- PLUMBING !fi
`'� , .. -n , CITY OF ATLANTIC BEACH
�> 800 SEMINOLE ROAD
,,
�� ATLANTIC BEACH, FL 32233
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o3 S)�' INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0010
Description: 35 FIXTURES
Estimated Value: 10000
Issue Date: 1/10/2018
Expiration Date: 7/9/2018
PROPERTY ADDRESS:
Address: 539 ATLANTIC BEACH CT
RE Number: 169505 1425
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 1227 SAN JOSE BLVD STE 120
JACKSONVILLE, FL 32223
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NELSON PLUMBING CO. INC.
Address: 11624 -1 DAV E DAVIS CREEK RD QA SCOTT GARY NELSON
JACKSONVILLE, FL 32256
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 jJ L RS(g -6-.)() ( 0
Jos ADDRESS: WI I A't l.AArr j C- ,E-G 4( CT PERMIT# S (1— o 22.
NEW OR REPLACEMENT INSTALLATION: Project Value$ t O,000
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 2• Septic Tank& Pit
Clothes Washer �_ Shower
Dishwasher Shower Pan TT
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 5
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances Z.
Lavatory Water Heater
Other Fixtures Water Treating System
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 ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
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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.
Property Owners Name i2-%V ER-S(0 C 0 rvi g3 Phone Number
Plumbing Company AvECS tan/ Atm g iv() (' Z i L_ Office Phone 2 ,2 • `188 y Fax
Co. Address: JJ (224(-1 DIWs s CP. els 24) E Ci / 41 : State FL Zip 322r(
License Holder(Print): Sc o?T k—LS o•✓ /%S ; e P rcation/Registration# 02_o3 9
Notarized Si nature o i Holder
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= MY COMMISSION N FF 900342 USA P.BASS
Sworn and subscribed be or- e t a d• o T .. .,
, ,. : 20 '
h�, r4; a EXPIRES:November 16,2019
PF Q0.ro- Bonded Thor Notary Public Underwriters Signature of Notary Pub
dlier