340 Ocean Blvd house plbg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
0ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0050
Description: HOUSE- 18 FIXTURES
Estimated Value: 0
Issue Date: 7/11/2017
Expiration Date: 1/7/2018
PROPERTY ADDRESS:
Address: 340 OCEAN BV
RE Number: 170177 0010
PROPERTY OWNER:
Name: FOSTER GARY WAYNE
Address: 110 LEMON ST
NEPTUNE BEACH, FL 32266
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: OGRE PLUMBING CONTRACTORS INC
Address: 5340 Otter LN
MIDDLEBURG. FL 32068
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 PL R S 17-0050
JoB ADDRESS: Ho Oc ea a 61140 — H o S PERMIT#
NEW ORREPLACEMENTINSTALLATION: Project Value$
TYPEOFFmmRE QTY TYPEOFftauRE QTY
Bathtub _ Septic Tank&Pit
Clothes Washer Shower
Dishwasher I 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 ater Treating System
RE-PIPE:
TYPEOFFLuuAE QTY TYPEOFFLYTORE QTY
Bathtub _I Septic Tank&Pit
Clothes Washer E—1Shower
Dishwasher _}_ Shower Pan
Drinking Fountain Slop Sink
Floor Drain 'Tyree Compartment Sink -
Floor Sink Toilet
Hose Bibs It Urinal
Kitchen Sink _ Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory - Water Heater
Other Fixtures Water Treating System =�
MISCELLANEOUS:
D Sewer Replacement D Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
D Lawn Sprinkler System-Number of Heads D Well **
**S,RWD Well Completion Form. Completed form to be submitted to the Building Department for fmal inspection.**
D 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 Ihaveread
this application and know thesametobetruearedconee. All provisions of laws and ordinances goveming this work will be complied with whetherspx5ed
or not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance ofc ¬ion.
Property Owners Name
pp�� / / Phone Number
Plumbing Company_ A2 re k-1)k-1) COntraCta/S /1'Office Phone
ff 9sy-31�- S)02Fax
Co.Address: S-� No 04er L 4vle City (e L001ii State FZ Zip S.7ag
License Holder(Print): f,toK oed' State Certification/Regeration# CFrl rt(2�3[6
i
Notarized Signature of License Holder L{
mr�eor�+Mi sous eiaasst B ore me this day of 20___�
!` e eKPTREEoOryroEe s.�o,cedS' ature of Notary Public