254 S Oceanwalk Dr plbg permit 1
CITY OF ATLANTIC BEACH
i 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: PLRS17-0057
Description: install 4 fixtures
Estimated Value: 0
Issue Date: 7/17/2017
Expiration Date: 1/13/2018
PROPERTY ADDRESS:
Address: 254 S OCEANWALK DR
RE Number. 169463 0508
PROPERTY OWNER:
Name: BRANDSTAETTER RAYMOND
Address: 254 OCEANWALK DR S
ATLANTIC BEACH, FL 322334676
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MIKE SANVILLE PLUMBING INC
Address: 530 ELLIS RD STE 212 CIA MICHAEL RAYMOND SANVILLE,II
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$7,500.
PLUMBING PERMIT APPLICATION
�J
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beacb,FL 32233
Ph(904)247-582/'6 Fax (904)247-5845 PC- (L 1511 -O C�q
JOB ADDRESS:! - 0CG6N 67F PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEOFFmwRE QTY TFPEoFFflavRE QTY
BathtubSeptic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain
Floor Sink Three Compartment Sink
Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtues Water Treating System
RE-PIPE:
TYPEOFFmyvAE QTY TYPEoFFLYTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain — Three Compartment Sink
Floor SinkToilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances -
Lavatory Water Heater
Other Fixtures Water Treating System .✓
MLSCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
Permit becomes void ifwork does not commence within a sixteenth period or work is suspended or abandoned for sixteenths.I hereby certify that lhaveread
Ibis applicationand knowthe same to betruc and correct. All provisions of laws and ordinances governing this work will be complied with whetherspecified
ornot The permit does not give authority to violate the provisions of any,otthhy state or local lawrtgulation construction or the performance ofconstroctim.
Property Owners Name 01 ZYV G - as P 71L Phone Number
Plumbing Company Z,�/0'&, S/ A Al& rl Office Phone1fy2'/LFax
i
.o. Address:�31Z�� _. '� ( '� City' �QC—State Et ZipTZS-y
License Holder(Print): we St e Certificatio gistration
older 6
JENNIFER) HNSrON'- MY COMMSSION a nOe129M Before me this_�_ day of �J(.I/).- 20
E%PIREa:Odobern.202a
4�ol.rv^°f BontletlTNU NotlrYPudk Uetlo^^a�^ ��_.. _.
Signature of Notary Public