1955 BEACHSIDE CT - PLUMBING Sy�iy
�� ' 's CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
'tr:).2>>' INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0160
Description: KITCHEN SINK
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1955 BEACHSIDE CT
RE Number: 169542 0580
PROPERTY OWNER:
Name: JURASIC MATEO
Address: 1955 BEACHSIDE CT
ATLANTIC BEACH, FL 32233-5955
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: WILLIAM'S BIG BOY PLUMBING INC
Address: 516 SOUTH 11TH AVE QA WILLIAM WAGNER GOODLING
JACKSONVILLE BEACH, FL 32250
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$7,500.
•
PLUM fEING PERMIT APPLICATION
CITY OF ATLANTIC I EAC 1
800 Seminole Rd Atlantic Beach, FL 32233
{ Ph(904) 247-5826 Fax (904) 247-5845 PL KS t`7 _ b coo
JOB ADDRESS: - ,y`:r' ,= ~,,,:4 _., w, )".^
.) it PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Vak e$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain SIop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink �t Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 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 Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
LavatoryM,___,_ Water Heater
-- Other Fixtures Water Treating System
{ MISCELLANEOUS:
❑ Sewer Replacement o Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of pious)
❑ Lawn Sprinkler System-Number of Heads ci Well **
**S.IRWD 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.1 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.
�"i-t: 1 ;,` Phone Number
Property Owners Name {-� t
Plumbing Company �'1 ' l r trim„ i -, :i_3u;i - `i ;t':,�_.J' Fax
I ;�� i-_ °; Office Phone � 1 '•' _
r41--- ` City � . t ;'''`t State Gip ,2 L.
Co. Address: ,;. ; 1-t 4 E1/ ,4 Vr..‘.., _ ,
• '')•`' ''_' `):-.I L/1- State Certification/Registration# Iz-1'��f � `• • `�
License Holder(Print): !�'''1 i' 1 • � '�
' Notarized Signature o License Ifolder-
rTONI GINDLESPERGER BI fore me this day 9�;;: MY COQ,115SI0v*FF 924951 ...g_______________,
�� EXPIRES:October G,2019 P' Bonded ThmNotary Public UnderertteF ;�nat<ire afNotary Public