1645 SELVA MARINA DR - PLUMBING %,5 )yf
S '.. \� CITY OF ATLANTIC BEACH
" '• 800 SEMINOLE ROAD
�� J�
ATLANTIC BEACH, FL 32233
s9% INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0025
Description: 11 FIXTURES
Estimated Value: 0
Issue Date: 6/7/2017
Expiration Date: 12/4/2017
PROPERTY ADDRESS:
Address: 1645 SELVA MARINA DR
RE Number: 171994 0000
PROPERTY OWNER:
Name: LOCKWOOD TRUST
Address: 1645 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-5615
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: OGRE PLUMBING CONTRACTORS INC
Address: 5340 Otter LN
MIDDLEBURG, FL 32068
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$7,500.
1
41
I
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 .
Ph(904) 247-5826 Fax (904) 247-5845 P L l . St 7 — 00a j
JOB ADDRESS: lQ45 Se\vi,, mArItiA PERNIIT#
•
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer Shower
Dishwasher i Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink •
Floor Sink Toilet 9-
Hose
Hose Bibs Urinal
Kitchen Sink i Vacuum Breakers
Laundry Tray Water Connected Appliances
LavatoryWater Heater 1
Other Fixturesj____44-_ Water Treating System
t
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 ....i../
MISCELLANEOUS:
❑ Sewer Replacement 0 Back Flow Preventer 0 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.**
o 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 loc 1 law regulation construction or the performance of construction.
Property Owners Name L0ko0 8 `orf'cc Phone Number
Plumbing Company 09 re. P( M Li LCern 4Y4c401Office Phone
O15/2- �/02-Fax
Co. Address: 53 y A 0--��c L a(,teICity" AI a dI(Pbotij State a
Zip 307d4
License Holder (Print): VvC ti IA e-Rt_ cc Liro
St.te Certification/Registration# C rG 1 LZ83 15
Notarized Signature of License Holder
7-..Pit 4
.45TONT GINDLESPERGER Before me this 7 day of .; 0 a • 20
_,: .: MY COMMISSION#FF 924951
:•'a EXPIRES:October 6,2019
%, ��t° P' 5cnded Thru Notary Public Ur.Cer;vdters s Signature of Notary Public / e. -+t_