2401 MAYPORT - PLUMBING , 0,,A,,,„.,
,), ' "s� CITY OF ATLANTIC BEACH
-', 0 800 SEMINOLE ROAD
J v ATLANTIC BEACH, FL 32233
x WI 9' 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: PLPP17-0005
Description: replace water heater
Estimated Value: 0
Issue Date: 9/1/2017
Expiration Date: 2/28/2018
PROPERTY ADDRESS:
Address: 2401 MAYPORT RD
RE Number: 169398 0300
PROPERTY OWNER:
Name: UNITED HOTEL GROUP LLC
Address: 4900 STATE ROAD 524
COCOA, FL 32926
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: DAVID GRAY PLUMBING INC.
Address: 6491 S POWERS AVE
JACKSONVILLE, FL 32217
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 L P P 1 —Odds
JOB ADDRESS: .2-cl 0 ( M Cl i 120*(4 12th . PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
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 I
Other Fixtures 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 ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
** VRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
Li 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 he 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 regulati�onstntction or the performance of construction.
iv
Property Owners Name ECitNl 0 (.,(�d e, r! Ar'. -�� - .;' ti Phone Number ROy'Zyq-0313
1 c ��(.t.•+-�bl lnG. Office Phone' -7a- MI Fax Q.)`P-72�'. z
Plumbing Company-Da �✓Gt,�
Co. Address: ct (f Ci l Pbl,.s7S JJe . City J Gt C.46On0d I It State ►t, Zip 372-17
License Holder(Print): y State ertification/Registration #C,ic0 22,5341Notarized Signature of License Holder
ailite
_oorf Ry Notary Public State of �a Sworn and subscribed before me this 1 i da of c �- ,,b — 20 11
f411Wendy Rayle
JP' My Commission FF 133618
i„�d'
Exptres 06/17/2018 Signature of Notary Public