1804 ATLATNIC BEACH DR WATER SOFT 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: PLRS17-0029
Description: install water treatment system
Estimated Value: 66
Issue Date: 6/21/2017
Expiration Date: 12/18/2017
PROPERTY ADDRESS:
Address: 1804 ATLANTIC BEACH DR
RE Number: 169505 1615
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 414 OLD HARD RD STE 502
FLEMING ISLAND, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AFFORDABLE WATERMINDER INC
Address: 3760 KORI RD SPECIALTY WATER (CONS TDS QB)
JACKSONVILLE, FL 32257
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
Ph(904) 247-5826 Fax(904) 247-5845 P LQS1-_ b p a-C7
JOB ADDRESS: 1804 Ij TLAMTIC (32Oc1l "DRIVE PERMIT#
ATLA/ -Mr_ Beach
NEW OR REPLACEMENT INSTALLATION: Project Values , , 00
TYPEOFF/XTURE 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: rJUN:2
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TYPE OF FIXTURE 1020,rptic
YPE OFFIXTURE QTY
Bathtub :Tatik&Pit
Clothes Washer ooveroDishwasher ho 'sr-Pan
Drinking Fountain op ISink
Floor Drain Three Corgpanment 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 o Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
o Lawn Sprinkler System-Number of Heads o Well "
**S/RWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
o Other
ennit becomes void if work does not wmmence 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 wM1ether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perrormanw of construction.
(404)394-4q 20
Property Owners Name KORt YY102R11YlAAI Phone Number
Plumbing Company AFFouDAgLr. WAIES, Office Phone p�/r -n197 ��F''a90 L —
Co. Address: Z7 1b 0 KO CI ROaJ city JkkvtnutIla _Statel—r=Zip 022.5T!
License Holder(Print): MRK R • X 1 N D E a/State C�ee}tification/Registration# 0006/840
Notarized Signature of License Holder
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