1723 MARITIME OAK DR - PLUMBING (--1yLJfCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
~10;319%' INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0028
Description: 25 FIXTURES
Estimated Value: 0
Issue Date: 6/16/2017
Expiration Date: 12/13/2017
PROPERTY ADDRESS:
Address: 1723 MARITIME OAK DR
RE Number: 169505 1775
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Address: 414 OLD HARTS RD STE 502
FLEMING ISLAND, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS
ORANGE PARK, FL 32003
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
, Ph(904) 247-5826 Fax(904)247-5845 P L RE( 7 0 Oz8
JOB ADDRESS: f 23 ill A Cal WIE 00_ Pt__ PERMIT# 11-SFJ.-384701
NEW OR REPLACEMENT INSTALLATION: Project Value$ Co 0 0 —
TYPE OF FIXTURE URE QTY TYPE OF FIXTURE WY
Bathtub fSeptic Tank&Pit
Clothes Washer Shower 2_
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet t{
Hose Bibs 3 Urinal
Kitchen Sink ____[__ Vacuum Breakers
Laundry Tray Water Connected Appliances 2
Lavatory — Water Heater
Other Fixtures t 0 Water Treating System 1
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 0 Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of pit
o Lawn Sprinkler System-Number of Heads Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection
172 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
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 specil
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 constructic
Property Owners Name T l V€ L S i 0E- I4 o wtgc Phone Number
Plumbing Company /0ELS0'+1 P/urffilr tiK Cp -1-Air. Office Phone 262- q(643 ( Fax
Co.Address: • - P a .S . f 9 A, C r A :, i v (- State!�Zip 22.M
ir
License Holder(Print): JC p j A.4:-LS 0 e/ -reification/Registration# 0103-)
Notarized Signature of License Solder ( / LI
1
t.; LISA P.BASS Sworn and su• • 'bed before ••- •.A � 1 S y of,SI:
J LU 20t
1(1:;:;. MY COMMISSION IIF 900342
'.
'' ;, EXPIRES:November 16.2019 Signature of Notary Public Or ki-e. I �1.�r-3�''r}R;/y,` �dod rhro Notary Pubr�c undenniters