277 BEACH A & b PLBG 2017 ri�Lyrhi
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r%alv� INSPECTION PHONE LINE 247-5814
PLUMBING COMMERCIAL OR MULTIFAMILY SEPARATE PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLBG17-0003
Description: DUPLEX A& B
Estimated Value: 0
Issue Date: 6/6/2017
Expiration Date: 12/3/2017
PROPERTY ADDRESS:
Address: 277 BEACH AVE A
RE Number: 170192 0000
PROPERTY O WNER:
Name: HOLMES MARK H LIVING TRUST
Address: 275 BEACH AVE
ATLANTIC BEACH, FL 32233-5214
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CHRISTIAN BROTHERS PLUMBING
Address: 1766 ASTON HALL DR DOUGLAS POWELL JR
JACKSONVILLE, FL 32246
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
.TOB ADDRESS: a1'1 lSc" 32733 PERMIT#
NEW OR REPLACEMENT INSTALLATION: ProjectValues jo.0ju W
TYPEOFF=RE QTY TYPEoFFLYmAE 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 Tiny Water Connected Appliances
Lavatory 7 , Water Heater Z
Other Fixtures / Water Treating System
RE-PIPE:
TYPEoFFMMRE QTY TYPEOFFIRTORE QTY
Bathtub _71 Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Tyree Compartment Sink
Floor Sink Toilet
Hose Bibs I Urinal
Kitchen Sink 2 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 Re
Form. Completed(form to be submitted to the Building Department for final inspection.**
❑ Other 112 pipe- C 11 C�n k,--\
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 reed
this application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whetherspecified
or not The permit does not give authority to violate
1the provisions of my other state or local law regulation construction or the performance of construction.
Property Owners Name,,.�,11 1M>< t E-1•L� 110A. MP,S Phone Number 4I` " 7,34a
Plumbing Company lJ'tr�s`�., (�ro*�'-nv) Q(tie+6��c OfficePhone SSI" Illy Fax
Co.Address: C01 ('u..l..s�t w l-k. ,D�trc Citf JAj State Z L Zip ?�ZZA
License Holder(Print): G Y o (A to Certification/Registration# C F( Iy ZR b 84
Not
+e "�•: mr comaissia+a rF a2asst efore me this�day l7 ��
�,' r{t E%PIPES:Octrber 6,2619
ignature of Notary Public