381 Sargo Rd 2012 plumb CIT Yj OF ATLANTIC BEAC. H
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-CO001162 Date 9/11/12
Property Address . . . . . . 381 SARGO RD
Application type description PLU�BING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------------------------- ------------------------------------
Application desc
4 fixtures
--------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------------
CRAWFORD, JESSE J. OWNER
381 SARGO ROAD
ATLANTIC BEACH FL 32233
---------------------------------------- ------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 83 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/10/13
---------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
---------------------------------------- ------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---- ------ ---------- ----------
Permit Fee Total 83 . 00 83 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 87 . 00 87 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLAN�IIC BEACH
800 Seminole Rd Atlantic each, FL 32233
JoBADDRESS: Ph (904) 247-5826 Fax (9 i 64) 247-5845
af CM o(ZO PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$300
TYPE OF FixTuRE QTY TyPE OF FixTuRE QTY
Bathtub St ptic Tank&Pit
Clothes Washer Sf ower
Dishwasher Sf ower Pan
Drinking Fountain Slop Sink
Floor Drain Tf ree Compartment Sink
Floor Sink Tc i let
Hose Bibs Utinal
Kitchen Sink Vacuum Breakers
Laundry Tray WEtter Connected Appliances
Lavatory W Etter Heater
Other Fixtures Witer Treating System
RE-PIPE:
TYPE OF FixTuRE QTY Tj PE OF FixTuRE QTY
Bathtub Se)tic Tank&Pit
Clothes Washer Sh)wer
Dishwasher Sh)wer Pan
Drinking Fountain Slop Sink
Floor Drain Th-ee Compartment Sink
Floor Sink To let
Hose Bibs Ur nal
Kitchen Sink Va,-uum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
F-1 Sewer Replacement El Back Flow Preventer Ei Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads— o Well
SJRWD Well Completion Form. Completed form to be submitted to the—Building Department for final inspection."
r-i Other
Permit becomes void if work does not commence within a six mon"th p,�riodo,work is suspended onr 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 0\\4�y-(A Phone Number 9 04-U0-1 —34 VI;
Plumbing Company —j )ADYY) h-)C)a-,C,\-C Office Ph-
one Fax Sj(_p -Uq
Co. Address: WP Qimbe,(N C"'A city State L-(_ zip 3?091��
'J
License Holder(Print): WCWX6 State Certification/Registration 4 CIPC Os-) �.C\
Notarized�Lnature of License Holder
VIM WKS"
j.; M commis" 9419V S and subscribed before m,-this
day of 20 1Z
EXPIRES:M"30,2013
Swim T%W"Pu*Wdw~ Signature of Notary P
ublic
viok W fkol-\
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001340 Date 9/17/12
Property Address . . . . . . 381 SARGO RD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
----------------------------------------------------------------------------
Application desc
BATH REMODEL
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CRAWFORD, JESSE J. J & J HOME REMODELERS LLC
381 SARGO ROAD 955 E PALM VALLEY RD
ATLANTIC BEACH FL 32233 PONTE VEDRA FL 32081
(904) 417-24SO
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 1000
Expiration Date . . 3/16/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
kj� CITY OF ATLANTic BEACH
800 Seminole Road. Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-:5845
Permit Number:
Job Address: ,.
Pargel
v
Legal Description -51 li l(i, 2
Floor Area ot Sq.pt.
Sq,Ft
J,
Valuation of Work S Proposed Work heated/cooled non-heated/cooled.
Class of Work(circle one): New Addition Alteration,., Repair Moye-Dernolition pool/spa window/door
Use of existing/proposed structure(s)(�ircle one): Commercial
-
If an existing structure,is a fire sprinkler system installed?(Circle one): -S", o N /A
Florida Product Approval #
For multiple products use product approval I-orm
Describe in detail the type of work to be performed: t
Property Owner Information:
Name:
A Address
Statei,k Zip Phone I �L
c It\ A�
F-Mail or Fax 9 (Optional)
Contraclor Information:
'o
Company Narne: Qualifying Agent: ......I k
Z
Address: '-o State IP
OffiCe Phone '-j i 1 Job Site/Contact Number 7 t Fax 4
State Cert ification/Registration 2
Architect Name& Phone 4
F til-ineer's Name& Phone
Fee Simple Title Holder Name and
Bonding Company Name and Address
Mortgage Lender Name and Address
11)J)hLiltion is herebi-inade to obtain a permit to do the work and installations as indicaied certiti,that no work or installation has L`011nnCnVed1)r101-it)tith'
I ssl�clnc'e ol'a perinit and that all work will be periornied to ineet the slundard' refmiating coostruction in this.jurisdiction This pernut hecoines nau
�Mij Xrojj i6t ork is not commenced within six 16)'monihs, or it L-011611-1&11011 ..� i.,","U�"sp�nded or abondonedfiv a pei i.od qj'.sbr to)nionths at a"l,tone after
1, 1 W lis w. Hecaer.8,
ork is cfmonenced. I understand that separate perynits iiiiist he set ured lor Electricat If ork, Plum6ing,Signs e P001s, Furnaces, Boilei
Tank,s and Air Conifitioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herehi-cernh,that/have read and examined this ypplicatitin and knott the some to he true and correct .Ili provisions(y/avt s and ordinanees zovermin,this
ti pe ai it ork will be complied wah whether. )eciiied herew or not The granting o/a permit does hot presume to give authorin�to violate'or ca,w�/ait,
provosions otain,other'lederai.state, or locall1law regulating construction or the perlibrinance ot constr�etion,
Signature of Owner tnAl At &01 ra
--------- Signature of Contractor
Print Name Print Name I
bscob-eU"Nfore me Sw to an subscribed be
S"o
f --------- t D O:t,*--) 1 20
this
Not-677'Pubric W1
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SHIR11Y L.GFRMAHAM
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My c06AIsSION 9 DD q57760 E�PIRES:February 14,2014
d ,te,�
EXPRES:February 14,2014 F.ondod Thru Notary Public;Uridewite's
utill("
Bonded-i hru Nctary Public Underviriters