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455 IREX RD - PLUMBING a t �Jrr, i- CITY OF ATLANTIC BEACH800 SEMINOLE ROAD , � v� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS18-0020 Description: install 9 fixtures Estimated Value: 0 Issue Date: 1/24/2018 Expiration Date: 7/23/2018 PROPERTY ADDRESS: Address: 455 IREX RD RE Number: 171410 0000 PROPERTY OWNER: Name: Tacoma Properties Address: 3721 DuPont Station Court South Jacksonville, FL 32217 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: M & A PLUMBING INC Address: 1186 PECAN COVE KENNETH BRENNAN JACKSONVILLE, FL 32221 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$7,500. ,16...•.1 A 1 VI' L?I L/Al\ I IA-. LL'AVll (1.7) 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904) 247-5845 PL . 1 '- OOd-V n POB ADDRESS: ,/� C%�Y U ✓ Cf PERMIT# ./r4:',5./r4:',5`F—dZ STEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub V 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 tE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub , Septic Tank&Pit Clothes Washer / Shower Dishwasher Shower Pan 1 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 _a Water Heater _L Other Fixtures Water Treating System VIISCELLANEOUS: 3 Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) J Lawn Sprinkler System-Number of Heads ❑ Well ** '* SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** 3 Other ermit 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 its 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 r 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. 'roperty Owiim Homo, gro/2-h? gJ r iljy.3 Phone Number �' �lambig► y: ' / �+ ,• wt; , ' Office Phone / ; _Y' Fax ;o. • . I -—•o'� RY', '� a'�% '5 ; /,_ City •-i',4. ,' ,;- /,' - State ;I ; Zip 3.2-2 t°S % ;4• �; ,iceQbe ,i ld :'O - • State Certification/Registration# c '- ( ,' Yu-< / s latagkedsVi 11 of idir ldder :%A L , _. °A ti'%.,_ PVO.�'�•�� Sworn and subscribed before me this o. 411 day of 7)elt b� - 20 I le °A. %.,,_'ATE 0,,,,,,N ` Signature of Notary Public ` 461)0.X.0/1) - -k _ J 11