1869 SEA OATS DR - WATER HEATER iiit
,,, ,.. ,t,„ CITY OF ATLANTIC BEACH
s? 800 SEMINOLE ROAD
---s.
ATLANTIC BEACH, FL 32233
Pt 01t 9%' INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0007
Description: HYBRID WATER HEATER
Estimated Value: 0
Issue Date: 1/10/2018
Expiration Date: 7/9/2018
PROPERTY ADDRESS:
Address: 1869 SEA OATS DR
RE Number: 172020 0538
PROPERTY OWNER:
Name: KLEIN KARL M
Address: 1869 SEA OATS DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: I Q POWER LLC
Address: 3983 St Johns PKWY
SANFORD, FL 32771
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 OFFICE COPY
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 PLkS
JOB ADDRESS: Igo c Secy- Do-k PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
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
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 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 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 -t n Phone Number9O -38 6-0 2-OP
Plumbing Company 1(D '-PO(00_-r ( L C Office Phone'fn sas-toes Fax 3z1-293-sg3z
Co. Address: (091 Pr ,' ss City State PC Zip 3-47-7
License Holder(Print): _ a .i.': t. ertification/Registration#CPC I y Z4 882
Notarized Signature of License Holder ��� �\ ---
:: MARIA PASTRAt�A
A• MY COMMISSION#FF an. subscribed befo a me this 3 d of 20 (g
r:;riEXPIRES May 23,2020
'a ignature of Notary Public '1'
(407)398-0153 FWndallotaryServlce
OFFICE COPY
POWER OF ATTORNEY
I hereby authorize Maria Pastrana of IQ Power LLC to apply for and pick up an
Plumbing Permit under my Florida Contractors License number
CFC1429882, at the jobsite described below:
JOB SITE
ADDRESS la
BY / _ �
Michael Oliveira
CFC1429882
Who is personally known to me.
This instrument was acknowledged before me this 3 day of Jatiu ,20/P.
IPUBS IVY GiL M'
.,
�if MY coMMissIoN#FF 083427
Eng ''Fc3:February 2,2018
;Fc:c`oc- Boned ThruSwcetNolzryServices
Signature of notary public