1639 Sea Oats Dr plumbing permit CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 413M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0049
Description: ONE SHOWER PAN
Estimated Value: 0
Issue Date: 7/10/2017
Expiration Date: 1/6/2018
PROPERTY ADDRESS:
Address: 1639 SEA OATS DR
RE Number. 172020 0136
PROPERTY OW NER:
Name: COLLIER KEITH D
Address: 1639 SEA OATS DR
ATLANTIC BEACH, FL 32233-5827
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CHRISTIAN BROTHERS PLUMBING
Address: 5587 COMMONWEALTH AVE
JACKSONVILLE, FL 32254
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$7,500.
z
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
II Ph(904)247-5826 Fax(904)247-5845 IP L RS 17-0049
JOB ADDRESS: I lO QA O a'�S —�) C. #
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEoFF/XTuRE QTY TYPEOFFIXTURE 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 Troy Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
I
TYPE oFFixTORE QTY �; 1 / TYPE oFFLYTURE 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 O Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
**SIRWD 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 one and correct All provisions of laws and ordinances governing this work will he complied with whether specified
or not. The permit does not give authority to violate the provisions of my other slate or local law regulation construction or the performance of construction.
Property Owners Name 1 % mber 4 Phone Nu -31098
Plumbing Company I t "I l t,�, Office Phone 5,5(- 111q Fax
Co. Address: n City ( ' StateEL—Zip 72.
License Holder(Print): ,State/Certi can on/Registration# 6,,C1 1 Y 916ge
Notarized Signature ojLiceuse Bolder
Ton,mNotFSPtacPa Before me this ( � day of ( 0 _
s MY
GOMMISSIONY rF92<351
E%PIPES'.oct.....2019
,tom
"'d", � 'v Signature of Notary Public