1679 ATLANTIC BEACH DR WATER SOFT 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0017
Description: WATER TREATING SYSTEM
Estimated Value: 0
Issue Date: 5/30/2017
Expiration Date: 11/26/2017
PROPERTY ADDRESS:
Address: 1679 ATLANTIC BEACH DR
RE Number. 169505 1365
PROPERTY OWNER:
Name: BRENNAN J MICHAEL
Address: 2230 BEACH BLVD
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AFFORDABLE WATERIKINDER 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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 LRS�7— �0 ( 7
ph(904)247-5826 Fax (904) 247-5845 " P
//--79 A + Lan+lc each l>Rru� _PERMIT#
JOB ADDRESS: I �P LA
NEW OR REPLACEMENT INSTALLATION: Project rPE aloe$_'RE DO QTY
TYPE OF FIXTURE QTY Septic Tank&Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink —_
Floor Drain -- Toilet --
Floor Sink — Urinal --
Hose Bibs - Vacuum Breakers —
Kitchen Sink Water Connected Appliances ,
Laundry Tmy, -- Water Heater
Lavatory Water Treating System
Other Fixtures
RE-PIPE:
TYPE OF FIXTURE QTY
TYPE Of FIXTURE Q� Septic Tank&Pit --
Bathtub —— Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain -- Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tmy Water Heater —
Lavatory Water Treating System —
Other Fixtures —
MISCELLANEOUS: (Trap)_gallons(Requires 3 sets of plans)
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease IntereeP for Tra **
p Well
❑ Lawn Sprinkler System-Number of Heads
** SIRWD Well Completion Form. Completed fotm to be submitted to the Building Department for final inspection.*
❑ Other
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Permit om eoi if work does some to be nue and wunncorrecc Allmo provisions s ons of lawsoand ordrk is inances govaeming this hwork w II be1co Ped with whether isp`fled
tis application
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or not The permit does not give authority to violate the provisions si any other state or local law regulation construction
Ntunbertn�"m or construction.
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Property Owners Name vl..a–nt99 Fax r
n � O iPZ , aLtr t o IE5E Office Phone
Plumbing Company v
Co. Address: 3'7to0 �LPRI ,
City Ta l n i I�State�Zip 322
License Holder(Print): (1�A R K R 1 N D EL i tate �e ification/Registmtion# 000 818
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Notarized Signature of License Holder da of r p 20�
Sworn and subscribed be me this '2q Y
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DCMhy M.Devote Signature of Notary
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