1600 PARK TER W - PLUMBING f rV11 '
�� , " ss1 CITY OF ATLANTIC BEACH
�' 800 SEMINOLE ROAD
1311x ATLANTIC BEACH, FL 32233
'"Q.c;; ca INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0100
Description: 32 FIXTURES
Estimated Value: 0
Issue Date: 9/13/2017
Expiration Date: 3/12/2018
PROPERTY ADDRESS:
Address: 1600 W PARK TER
RE Number: 171966 0000
PROPERTY OWNER:
Name: STREIT JILL A
Address: 1600 PARK TER W
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: SUNSHINE STATE PLUMBING
Address: 1340 TRAILWOOD DR MICHAEL TROY PORTER
NEPTUNE BEACH, FL 32266
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$7,500.
PLUMBING PET APPLICATION
CITY OF ATL NTIC BEACH
800 Seminole Rd Atltic Beach, FL 32233 -���\ S J
Ph(904)247-5826 F (904)247-5845 7 - Q cc
JOB ADDRESS: J4 0, p c w„,,,-e e /may_ PI?RM IT # 17-Jr,-,..73 z9
NEW OR REPLACEMENT INSTALLATION: Project Value$ /4,3-00.en
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer _L_ Shower ,s'
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 7
Hose Bibs y Urinal
Kitchen Sink i Vacuum Breakers
Laundry Tray / Water Connected Appliances
Lavatory Y Water Heater
Other Fixtures Water Treating System
RE-PIPE: 91/TYPE OF FIXTURE QT1' 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 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads 0 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%fork 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 J l l ' S 't-ee`i--" Phone Number
Plumbing Company_ (Ln rAiitmeiialt>P PY 7A, Office Phonc9oy- Z(,L/c• I'a,' 742 d3<rj
Co. Address: 7/0 illa.'nsrs 571. City L%a' Stater/ Zip,,32 Zo Z
License Holder(Print): Mall&ud [ Po YT State Certification/Registration # C f C IL(a ISS
Notarized Signature of License Holder p4----±..,_
+°``0. F`'° `''''' '' �'' cg Sworn and subscribed before me t 's 10 day of l lw, 20/ 7
* EA:.t 3„pur 22.2011
VT BceAetlT rubludietNaaryServices Signature of Notary Public _ —