1726 ATLANTIC BEACH DR - PLUMBING ' v f CITY OF ATLANTIC BEACH
.:-- ` ' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;;i>r INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0035
Description: WATER TREATMENT SYSTEM
Estimated Value: 0
Issue Date: 6/26/2017
Expiration Date: 12/23/2017
PROPERTY ADDRESS:
Address: 1726 ATLANTIC BEACH DR
RE Number: 169505 1680
PROPERTY OWNER:
Name: TOLL FL VI LIMITED PARTNERSHIP
Address: 250 GIBRALTAR RD
HORSHAM, PA 19044
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AFFORDABLE WATER/KINDER 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
Ph (904) 247-5826 Fax (904) 247-5845 �L R S(7 0 035
JOB ADDRESS: (72(o A+ Lanfic teach DiZtUe, LOT 77 PERMIT#
A1-Lctn+ ;C. Becc h
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 —L—
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:
C Sewer Replacement J Back Flow Preventer 7 Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads J Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
o Other
Pe tit 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
t' pplication and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
.. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performanceoof construction.
p
ortY Owners Name
p''r n C''''''-)E-1'''''-)E-1Phone Number 220-2-513
nn9'0'1J Fax loD-rp292
f.. Plumbing Company l� FFD 21)A B LE- V'lf,4 4'E/Z Office Phone 24,2-nl q 7
Co. Address: 3'7 co o Ko i-1 P ei City JAc �CSOr1U (`e State FL Zip o2 Z�jf_
License Holder(Print): m A K KA KN t State Ce ification/Registration # 000 618(p
Notarized Signature of License Holder -
Sworn and subscribed be me this 22- day of SU11-e. 2011
d+►r Notary Public State of Florida1/4411 / l
Dorothy M.oevore Signature of Notary P lic Il.�..iL. <�
+1 My Commission GG 081383
a a Expires 02/09/2021