479 IREX RD - PLUMBING .d `. CITY OF ATLANTIC BEACH
wl—- � 800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233
' 0,'319`' INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0034
Description: 1/2" PIPE RERPAIR
Estimated Value: 0
Issue Date: 6/26/2017
Expiration Date: 12/23/2017
PROPERTY ADDRESS:
Address: 479 IREX RD
RE Number: 171407 0000
PROPERTY OWNER:
Name: SCHAFFHAUSER EDWARD G
Address: 479 IREX RD
ATLANTIC BEACH, FL 32233-3903
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: METRO ROOTER
Address: 8892 NORMANDY BLVD QA THOMAS ALLEN MCLAUGHLIN
JACKSONVILLE, FL 32221
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$7,500.
0
0
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 PERS( 7_ bO34
JOB ADDRESS: 4 1 C G y- RGI PERMIT# �
NEW OR REPLACEMENT INSTALLATION: Project Value$
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 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:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ 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.**
rS'Other yi p.vo. ( po R cot.) •%✓S fR-o' ee;I s'..ts ,t* Se0,✓i ri- p Apo, F't G,, 4.L. c loge&
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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 c^4"L 5 GR.e 1- C11 G I ek v S QfL. Phone Number 3 7 Z . 4536
Plumbing Company \e2A R4) t. Office Phone 69 S-i Fax 6 9
Co. Address: 88 - ND Rm uwo,/ B City 1 State F' Zip '))22ZI
License Holder(Print): Ilivocv c,5 Kta,. State Certification/Registration#CFC Ovr2:o1
Notarized Signature of License Holder _!,
� 20
►;' MARY HOLLIMAN Sworn :'.41f-cribed before a this(� day of ,SlAne ) I
.; �• i'� Commission#FF 026041
± � r Expires October 11,2017 Signatur, e f Notary Public
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