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1602 MARITIME OAK DR - PLUMBING I � „,„ s. iit CITY OF ATLANTIC BEACH g1? 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 1-'40119 INSPECTION PHONE LINE 247-5814 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS17-0136 Description: install 19 plumbing fixtures Estimated Value: 0 Issue Date: 10/27/2017 Expiration Date: 4/25/2018 PROPERTY ADDRESS: Address: 1602 MARITIME OAK DR RE Number: 169505 1970 PROPERTY OWNER: Name: RIVERSIDE HOMES OF NORTH FLORIDA INC Address: 12276 SAN JOSE BLVD JACKSONVILLE, FL 32223 GENERAL CONTRACTOR INFORMATION: Name: NELSON PLUMBING CO. INC. Address: 11624 -1 DAV E DAVIS CREEK RD QA SCOTT GARY NELSON JACKSONVILLE, FL32256 Phone: 9042624884 Name: RIVERSIDE HOMES OF N FL Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS ORANGE PARK, FL 32003 Phone: 9042624884 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$7,500. PLUMBING PERMIT APPLICATION C>1 \ CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904) 247-5845 e-S(1- — a (3( JOB ADDRESS: I (o02 M At i t itYlE (94-jc, () PERMIT# 2,=- (--, - oes$ NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub I Septic Tank& Pit Clothes Washer _I__ Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 3 Hose Bibs 3 Urinal Kitchen Sink __I_ Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Li 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 Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** SIRWD 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.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 11 l VCIt. \QC ft.owtq Phone Number Plumbing Company / )t c osaf A vwt A,LU6 Co Tea Office Phone 242-t{a S y Fax Co. Address: ((b Z — I onvr kit i S tr C State t'Z Zip 322-s-6 Mri License Holder(Print): a-o ..y Mt. a t../ ii, / . e Certification/Registration# 0203 Notarized Signature of License Holder / O'°Y'* "ASS Sworn and subscnbed before me thi. day 4y--- 20 _= i•, ;_. MY COMMISSION k FF 900342 .' ,L EXPIRES.November 16,2019 j1;° Bonded Thru Notary Public Underwriters Signature of Notary Public Orr ZQ.t b�„,..