1122 LINKSIDE CT E - PLUMBING 'res�L`I�
, J��f
. . f CITY OF ATLANTIC BEACH
�� s) 800 SEMINOLE ROAD
�� ATLANTIC BEACH, FL 32233
'"--.0;3 s) INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0009
Description:
Estimated Value: 0
Issue Date: 5/12/2017
Expiration Date: 11/8/2017
PROPERTY ADDRESS:
Address: 1122 E LINKSIDE CT
RE Number: 172374 5110
PROPERTY OWNER:
Name: BROWN JACOB S
Address: 1122 LINKSIDE CT E
ATLANTIC BEACH, FL 32233-4386
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MIKE BROWN PLUMBING
Address: 8622 N EMERALD ISLE CIR QA MIKE BROWN
JACKSONVILLE, FL 32216
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 .
Ph(904)247-5826 Fax (904) 247-5845 I`-7,R R R 2 3 ,38
JOB ADDRESS: // '&2 Z--- /.hV I i O t PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE 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 9-- Water Treating System
RE-PIPE:
TYPE OF FIXTURE 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 ...�.,"
MISCELLANEOUS:
o Sewer Replacement ❑ Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads 0 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 true 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 A•C. J &'Ouki--k) Phone Number
Plumbing Company 6A1 KE grow() f l GO . 5Office Phone M -76, Fax
Co. Address: �66�� �1, A1d --/ Q°
6/A- G l ) City''• r VX State R Zip 3:'.1.1,16.
License Holder (Print): 6/:` ( i44 ; .'(j State Certification/Registration# CFC 056
Notarized Si:natal'- '• _ .. .•, , s older tr,,, cl Ul
t4 ,
;„r�-TONT GINDLESPEFGER
> f �_ Before me this day of :t.1 11_ OJ 20
t, MY COMMISSION#Fr 924951
� EXPIRES:October 6,2019ilk
• '":e. .•: 6anre�ThN Nc'arY Pucfic Urderwnters A /
F;,;.• Signature of Notary Public