785 Sailfish Dr plbg permit o11 IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J �r
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4113M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0124
Description: install sink &water heater
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 785 SAILFISH DR
RE Number: 171239 0000
PROPERTY OWNER:
Name: DUVAL HOME RENO
Address: 11250 OLD SAINT AUGUSTINE RD 15-183
ST AUGUSTINE, FL 32257
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CONCEPT RENAISSANCE SERVICES LLC
Address: 3903 Edidin DR
JACKSONVILLE, FL 32277
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Pcch��(904)) [Z)247-5826 fax(904)247-5845 P L(_S l —C) ( C{
J()B AI)UIZF:�ti: 8 `J VQ ( / F) .5 k D r • ate •F( PERMIT14
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
i Hose Bibs Urinal
Kitchen Sink �_ Vacuum Breakers
i Laundry Tray Water Connected Appliances
Lavatory Water Heater _,—
Other Fixtures Water Treating System
i
I
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
{ Clothes Washer Shower
Dishwasher Shower Pan
I 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:
n Sewer Replacement ❑ Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads [.i Well
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
n 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 true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. 'Ihe 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 0')OU( HV 01,R )?P Nd (—, Phone Number ?0q -V!q �3
Plumbing Company !� S - Office Phone 9O'I W92 Fax
Co. Address: .v ✓r • City State 1tr Zip
License Holder(Print): e Certificatipp/Registration#, ��� l4�`�to3_7
Notarized Signature of License Holder
JENNIFER JOHNSTON Before me this d y of Al 20 1
MY COMMISSION#GG 042984
EXPIRES:October 27,2020 Signature of Notary Pub)is
Bonded Thru Notary Public Underwriters