1021 ATLANTIC BLVD - PLUMBING (JUMPING JAX) ,...„,_,,v.,./.4.,
CITY OF ATLANTIC BEACH
j ? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
at
LJ;119 INSPECTION PHONE LINE 247-5814
PLUMBING COMMERCIAL OR MULTIFAMILY DETAILS PER BUILDING PLAN -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLPP18-0005
Description: Fixtures & Sewer Replacement
Estimated Value: 9500
Issue Date: 9/17/2018
Expiration Date: 3/16/2019
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD 953-975
RE Number: 177602 0040
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE INC
Address: 1600 NE MIAMI GARDENS DRATTN: TREASURY DEPT
NORTH MIAMI BEACH, FL 33179
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: Mesic Construction Services, Inc.
Address: 9046 Kentisch Cy
Jacksonville, FL 32257
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.
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.
* 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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 fa f fir 000 J
JOB ADDRESS: I Q / 0"--1011. - t C g 1 vel PERMIT##(V in
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NEW OR REPLACEMENT INSTALLATION: Project Value$ 0 a I
TYPE OF FIXTURE QTY TYPE OF FIXTU QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink 2 C
Floor Drain 2 Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal 2__
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 1- Water Heater 2.
Other Fixtures Water Treating System
RE-PIPE: 0
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink 2_
Floor Drain Three Compartment Sink \\
Floor Sink Toilet
Hose Bibs Urinal 2
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 au ority to violate the provisions of any other state or local law re ulation construction or the performance of construction.
Property Owners Name 0Gv'/a d ,�`jO( W gIA 95ref r• Phone Number
Plumbing Company ales(G C6,-7,s4ittekon Office Phone ciesu ^' f�i/Z1ax
Co. Address:905d Ie,74 e./ , City S2Ckfoivi//e Staten- Zip 32Z �
License Holder(Print): MA'P op 1. 11§S I e. State Certification/Registration#
Notarized Signature of License Holder
r J 4, REFIKCORALIC Sworn an bscribed before me this i�1 day of S �bef 20/ 9
,.....`• t. MY COMMISSION#FF 970610
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