303 ATLANTIC BLVD - PLUMBING , ,t„,,,,,,:r,
�� 4„ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
P!DI119 INSPECTION PHONE LINE 247-5814
PLUMBING COMMERCIAL OR MULTIFAMILY DETAILS PER BUILDING PLAN -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLPP17-0004
Description: Approved Plans per Building Permit#17-CADD-3210
Estimated Value: 80000
Issue Date: 8/2/2017
Expiration Date: 1/29/2018
PROPERTY ADDRESS:
Address: 303 ATLANTIC BLVD
RE Number: 169729 0000
PROPERTY OWNER:
Name: JUNKSHIRLEY
Address: 915 13TH ST N
JACKSONVILLE BEACH, FL 32250-3653
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DOUGS DRAINS & MORE
Address: 2453 BAYWAY CT DOUG PARSONS
ATLANTIC BEACH, FL 32233
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.
I
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 7 0 1I 56-L e S
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: ?O 3 /V-17t G , /,/ e PERMIT# In 11-WO LI
NEW OR REPLACEMENT INSTALLATION: Project Value $ A 44.i
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher / Shower Pan
Drinking Fountain Slop Sink /
Floor Drain Ale Three Compartment Sink 7-
Floor
Floor Sink ,9 Toilet f
Hose Bibs i Urinal 1
Kitchen Sink / Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory /Z Water Heater
Other Fixtures 17,-..,.-X otic i , 7 Water Treating System
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:
❑ Sewer Replacement L1 Back Flow Preventer Grease Interceptor(Trap) Z/,,//if (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 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 true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Al Mansur Phone Number(904) 537-6969
Plumbing Company Doug's Drains & More, Inc. Office Phone (904) 372-7727 Fax
Co. Address: 1198 Mayport Rd., Suite 4 City Atlantic Beach State Fl. Zip 32233
License Holder(Print): Doug Parsons State Certification/Registration# CFC 1425800
Notarized Signature of License Holder /N-----"--
40..,:-k. ,-
GRACE Sworn and subscribed before me this�^_day of S� 201-1
; ��CC 1 P
*' ,•, .'., MY COMMISSION N GG 042989 X50)�Gl l�l//� DLtJsJtC� �A�11nQ1 v GrSpt�r
• ° EXPIRES:October 27,2020 ignature df Notary Public
•+"F• 0 oe Bonded Thru Notary Public Underwriters &C.) �, (� ` - ' •
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