2329 BAREFOOT TRACE - PLUMBING rLyrl,,
d Lt 'w s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,fix:,.. "~ ATLANTIC BEACH, FL 32233
013 9 - INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0064
Description: 4 fixtures
Estimated Value: 2400
Issue Date: 7/27/2017
Expiration Date: 1/23/2018
PROPERTY ADDRESS:
Address: 2329 BAREFOOT TRACE
RE Number: 169463 0618
PROPERTY OWNER:
Name: HOSTO MICHAEL D
Address: 2329 BAREFOOT TRCE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone: •
Name: ELITE PLUMBING
Address: 944 Chase Ln Orange PARK STEEPLE
ORANGE PARK, FL 32065
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$7,500.
4
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 .
Ph(904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: 2329 (Utz Foo-1 Ti.ACE Q4IAa.)41c 6674c.14 , Ftot,dq PERNJT# PL R5p`ochy
•
NEW OR REPLACEMENT INSTALLATION: Project Value$ i,*0 baboa
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub • Ix Septic Tank&Pit
Clothes Washer _ Shower _
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet (x
Hose Bibs Urinal ,
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory IX Water Heater
Other Fixtures Ix 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: .
o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
o Lawn Sprinkler System-Number of Heads o Well ** .
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
o 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 Em.1,, to dc1i* pos t•kAma,U?oi,Phone Number 'i i- SV/S- 4t58
Plumbing Company Ewe pi u1.412/04 t.Lc Office Phone 3'tt W.2 54/73 Fax
Co. Address: 9'14 6+tz9l(CNn5E City''. OitA•Je,E PURL State ft.. Zip 3zoI.S
License Holder (Print): AaknEL IE -rt.** 'TR- State Certification/Registration# C.Fc. 1429433
Notarized Signature of License Holder
11 ear- ♦ /_ 1
dayof 201
;•• GRACE MACKEY Before me this E
ix ., { MY COMMISSION#GG 042989 �e r�n4ll \ 4n C '-'°-
IG k-61-.1.-
1,��
EXPIRES:octooer 27,2020 (Signatur of Notary Public '
•''e• stop•' Bonded Thu No Public Underwriters •