Permit Plbg 1852 Sea Oats 2011 I, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002034 Date 5/23/11
Property Address 1852 SEA OATS DR
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 45817
Application desc
RELOCATE BATH AND BED REMODEL
Owner Contractor
HAESELER, ERIC CORNERSTONE HOMES LLC
1852 SEA OATS DRIVE 10250 NORMANDY BLVD STE 702
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32221
(904) 813 -2867
Permit PLUMBING PERMIT
Additional desc . REMODEL
Sub Contractor . FOSTER PLUMBING, INC.
Permit Fee . . . 97.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/19/11
Special Notes and Comments
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
* WINDOWS INSTALLED IN NEW CONSTRUCTION AREAS SHALL HAVE
WIND BORNE DEBRIS PROTECTION IN PLACE BEFORA A
CERTIFICATION OF COMPLETION CAN BE GIVEN*
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Total 97.00 97.00 .00 .00
PERMIT IS A' PPED"O�NIN WITH AL' a TY OF ATLANTIC (NACU ORDINANCESQtD THE FLORIDA 0 0
BUILDING CODES.
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4 °� CITY OF ATLANTIC BEACH
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j ' X. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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Page 2
Application Number 11- 00002034 Date 5/23/11
Other Fee Total 4.00 4.00 .00 .00
Grand Total 101.00 101.00 .00 .0
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: J5a 1 PERMIT # i 1 — 2-03L-1
NEW OR REPLACEMENT INSTALLATION: Project Value $ 3 'O
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 a_ 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
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 Phone Number
Plumbing Company r , fI) i / A) 6 Office Phone gZ- 0 ?d7 Faxgai — O7O7
Co. Address: a9C-- /4 4 1,1✓40 City . C State Ct, Zip 3Z2Z9
License Holder (Print): 4- 4' bk '' V�35T_"- . te Certification/Registration # CF O S I
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Notarized Si! natur ' ,'"
; ` MY C # EE 0.5738w I and bscribed before ► e , hi 0 d + f
EXPIRES: May 21, 2015 / ` lttL 20 //
- � Bonded Thru Notary Public Uncle G ; 4 % ture of Notary Public -