1777 Maritime Oak Dr plbg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
- ATLANTIC BEACH, FL 32233
J v INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL-
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0086
Description: 30 FIXTURES
Estimated Value: 0
Issue Date: 8/25/2017
Expiration Date: 2/21/2018
PROPERTY ADDRESS:
Address: 1777 MARITIME OAK DR
RE Number: 169505 1820
PROPERTY OW NER:
Name: MURRAY DEREK BRAXTON
Address: 2019 EASTERN DR
JACKSONVILLE BEACH, FL 32250-3762
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NELSON PLUMBING CO. INC.
Address: 11624-1 DAV E DAVIS CREEK RD QA SCOTT GARY NELSON
JACKSONVILLE, FL 32256
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 /
Ph(904)247-5826 Fax (904) 247-5845 P> L RS P—Q 0 8 V
JOB ADDRESS: J3'li'1 M A It"lZ ME o H L by— PERMIT# M r7—O084
NEW OR REPLACEMENT INSTALLATION: Project Value$ 9000
TYPE oFF/XruRE QTY TYPEoFFIXTORE QTY
Bathtub Septic Tank&Ph
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet _
Hose Bibs 5, Urinal
Kitchen Sink �_ Vacuum Breakers
Laundry Tray ater Connected Appliances --T
Lavatory ater Heater
Other Fixtures _�_ O ater Treating System
RE-PIPE:
TYPE oFF/XTURE QTY 1 TYPE oFFIXTURE 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 Tmy, Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Tmp) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well "*
**SIRWD 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.l hereby certify that 1 have read
this application and know the same to be we end correct. All pmvisions of laws and ordinances governing this work will be complied with whether specified
or rot. The permit does not give authority,0 violate the provisions of my other state or local law regulation mnstrudion or the performance of construction.
Property Owners Name MEVEIL OU Rom }!o ME" , Phone Number
Plumbing CompanyAAFV;0.1 PLA*1Rl'0JL & T Office Phone Z6Z. 488q a'x
Co. Address: 1147q —1 DA VN CIe44IL RD E Ci IL ; Statey�Zip Z2.7 J%
License Holder(Print): o !ertificinionT,gistmtion# 02,0 37 9
N older
Mr oOauissfa+rrF9o9xz Sworn and subscribed be oreme
- � EXPIflES:Ntvxncer[6,2019
^ R,,� amaeemxreana�emame�.a.rs Signature of Notary Public