1221 MAYPORT UNIT 1257 SINK 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
0 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: PLPP17-0001
Description: Unit 1257-three compartment sink installation
Estimated value: 0
Issue Date: 5/30/2017
Expiration Date: 11/26/2017
PROPERTY ADDRESS:
Address: 1221 MAYPORT RD
RE Number: 171090 0100
PROPERTY OWNER:
Name: SHOPPES OF Al NORTH LLC
Address; 4237 SALISBURY RD NSTE 212
Jacksonville, FL 32216
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ADVANTAGE PLUMBING
Address: 880 MAYPORT RD CA GREG GAUSE
JACKSONVILLE BEACH, FL 32240
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ida M�'VPu h(904)247-5826 Fax(904)247-5845 p t, PP 14 - 6C0
Jos ADDRESS: Q5-7 '(` Q ex,el� Cid PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEOFFIXTURE 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
RE-PIPE:
TYPE OFFIXTURE QTY TYPEOFFIXTURE 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 cuamence 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 we 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 C1004-508- 3 3�
Plumbing Company IfficePhone5A:J'k'1A%n 04
Fax9 -d9T-489/
Co. Address: '%%D c`bityM%&L%SSLJn State FL Zip 3'
License Holder(Print): State Certification/Registration# CFC 14a5g54
Notarized Signature o Li, nse Holder
seT
,Aynnri JENNIFEN JONNSON Before me this 3 day of �tt F 20 IA
: NIY cow0sSION t W S4]SS1 �" � /� —
., fxrlat[s:a+roarn,xam Si nature of NotaryPublic _ti�
s+.,=',i;d' auwarNa Nwnnuhud..nr. g (JJ �v