1627 Park Terrace E - Plumbing 5 fixtures 251 L
�m CITY OF ATLANTIC BEACH
_ 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: PLRS17-0089
Description: 5 FIXTURES
Estimated Value: 0
Issue Date: 8/29/2017
Expiration Date: 2/25/2018
PROPERTY ADDRESS:
Address: 1627 E PARK TER
RE Number: 172020 0208
PROPERTY OWNER:
Name: BAKER QUINN DAVID
Address: 1627 PARK TER E
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MIKE SANVILLE PLUMBING INC
Address: 530 ELLIS RD STE 212 QA 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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 PLR S 17-Oog9
JoB ADDREss: A-22efrk- rr,, PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value
TYPEOFFIXTURE QTY TFPEoFFDavizE QTY
Bathtub �_ Septic Tank&Pit
Clothes Washer Shower _
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fndures Water Treating System
RE-PIPE: 7
TFPEoFF=AE QTY TYPEOFF,XUUAE Q77
Bathtub Septic Tank&Pit _
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System _
MISCELLANEOUS:
❑ Sewer Replacement ❑Back Flow Preventer ❑ Grease Interceptor(Trap) _ gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**SJRWD Well Completion Form. Completed form to be submitted to the—BUuflIng Department for fmat inspection.**
❑ Other
permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby emtify that Ihave reed
Itis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whetherspecified
much The permit does not give auction o violate the ovisiom of any other state or local lawngulation conswetim orthe performance ofconshuetion.
Property Owners Name S" + r Phone Number
?lambing Company '�C �1$•lnk'� ��i.ex�Jr.1 Office Phone MUtYlFax '7 S j
;o. Address: 0 t—,As eWS City State FLZip Z?R,5"Yt�
License Holder(Print): �,t/r St ca gistrati m�7 v
Votarized Signature efLicense H er
CONI nINOLESPEFGEa
2
01
r v coMMissav«PP 9z«ss1 fore me this_ day
= EXPIREG'.Odober 6,2019
:;,.. „�remn,wartww�=umznaw. ature of Notary Public