335 10th St plbg permit CITY OF ATLANTIC BEACH
ri 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
>' INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0048
Description: 7 FIXTURES
Estimated Value: 0
Issue Date: 7/10/2017
Expiration Date: 1/6/2018
I PROPERTY ADDRESS:
Address: 335 10TH ST
RE Number: 170075 0000
PROPERTY OWNER:
Name: AF AB VENTURE LLC
Address: 800-C THIRD ST
NEPTUNE BEACH, FL 32266
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: KDS VENTURES LLC
Address: 4341 N RED TIP RD KURT SCHLUP
JACKSONVILLE, FL 32218
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 PI,RS I-j -oc 48
Ph(904)247-5826 Fax(904)247-5845 Are/.?— Oo y7
JoB ADDRESS: S 3S /D�h �'j PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OFFDXmRE QTY TFPEOFFvaVRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower z
Dishwasher Z Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Z Urinal
Kitchen Sink _a— Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory �_ Water Heater /
Other Fixtures Water Treating System 'x
RE-PIPE:
TYPE OFFLYTURE QTY TYPE OFFiXTDRE 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:
D Sewer Replacement D Back Flow Preventer D Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
D Lawn Sprinkler System-Number of Heads D Well
** SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
D Other
permit becomes void lfwork does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have reed
this application and know the same to be tore and correct. All provisions of laws and ordinances gowming this work will be complied with whether specified
ornot The permit does not give authority to violste the previsions of my other state or local law regulation constmction or the performance of construction.
Property Owners Name 1�F A6 Ver\+Ur-e, (_l.'0_ Phone Number/w-(Ozlo-3YL3
Plumbing Company /4�,05. Venraefft' LLC— Office Phone ice— Fax bZ
Co.Address: VW/ ie&A r.P 12,0 AV City A�State F/. Zip 2/
License Holder OMnt): State Certification/RegistrationC& /y12 3/pg
No ' nnture License Holder
�yr�._ nINI GINDIESFERGEfl 0
.Nr cotunissioNrRR ezass Before me this day of
z• 1 EXRIflEa.Ccmber 6,2x19
'`*'�•:n• sommmNramrwoa u,°.�R Signature of Notary Public