606 DAVID PLBG 2017 CITY OF ATLANTIC BEACH
;> 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;I �• INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0043
Description: 7 FIXTURES
Estimated Value: 0
Issue Date: 7/5/2017
Expiration Date: 1/1/2018
PROPERTY ADDRESS:
Address: 606 DAVID ST
RE Number: 170622 0100
PROPERTY OWNER:
Name: CANTRELL MARK
Address: 606 DAVID ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
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 worly�
exceeds and estimated value of$7,500. ` ��y
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PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247--5845 pl,RS t7- 0 O 43
JoB ADDRESS: C0 0 6 D(}U 1D �f_ PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ 250�0
TFPE OF FIXTURE QTY TYPE OFFwvRE 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 7- Water Heater
Other Fixtures Water Treating System
RE-PIPE:
a
TYPEOFF4YTURE QTYTYPE OFFLYTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor
l
Floorr Drain Three Compartment Sink -
Floor Sink Toilet
Hose Bibs Uma
Kitchen Sink Vacuum Breakers
Laundry Troy 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 one and correct. All provisions of laws and ordinances gaveming this work win be complied with whether specified
or not. The permit does not give authority"to violate the previsions of any other sae or local law regulation wocaraction or the performance of construction.
Property Owners Name Phone Number
Plumbing Company D c.��1-P/' Q t� 2✓� Office Phone Fax
Co.Address: City_ State_Zip
License Holder(Print): State Certification/Registration#
Notari iolder
JENNI=�#WNn�
;x`?.,••":�:, day of JU.(�.L 20 1�
uvcouraBefore methis
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i..�l aonASOFihu n
Signature of Notary Public V ��