1805 SEVILLA BLVD - PLUMBING LAJ`Jr
r ` CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
'-5141° r ATLANTIC BEACH, FL 32233
`.•-•()11 INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0104
Description: install 3 fixtures
Estimated Value: 500
Issue Date: 9/25/2017
Expiration Date: 3/24/2018
PROPERTY ADDRESS:
Address: 1805 SEVILLA BLVD
RE Number: 169462 0470
PROPERTY OWNER:
Name: SNYDER JAMES L
Address: 1805 SEVILLA BLVD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: COUF PLUMBING LARRY COUF
Address: 1104 Wood Hill PL
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$7,500.
LO
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
•
Ph(904)247-5826 Fax(904) 247-5845 � '�_D L��
JOB ADDRESS: 810s Cry (f . PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ `. G _
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub • Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain SlopSink
Floor Drain Thre Compaiiment Sink '
Floor Sink Toilet j
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory I Water Heater
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 SlopSink
Floor Drain Thre 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)
❑ Lawn Sprinkler System-Number of Heads ❑ Well ** . •
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
O Other
.�.0�._S_._ _ _ _ .-. ..J. .ri..4'. �'.- !tu...._•C ';;n, _ S'� ...r . �l i•.. ..hrr%L_ �t_'.�..ii,1 _ ,•'.
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
:his 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
Dr not. The permit does not give authori to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name t vn 6t4/' Phone Number
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.lambing CompanyppL-cv� (rrNh1�5 Office Phone J�� Fax ,
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M.Address: (f 0'El W Dao{ °•r, - / '• J -/ State L Zi �°
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license Holder(Print): • L-0-77 ,15 v- ate Certification/Registration# C-i. 012112(7
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• e'er o1b` MY C MMISSION#GG 042984 I -
- . 6. ' 2020 I
=* air EXPIRES.October 27. a fore me thx' day of 20
;:"tom?; Bonded'Mu Notary Public Underwriters
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ignature of Notary Public
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