133 BELVEDERE ST - PLUMBING � ' '"
� "ss CITY OF ATLANTIC BEACH
rV.•- ) 800 SEMINOLE ROAD
V
zr
ATLANTIC BEACH, FL 32233
-ttZ 9r- INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0023
Description: install 14 fixtures
Estimated Value: 0
Issue Date: 1/30/2018
Expiration Date: 7/29/2018
PROPERTY ADDRESS:
Address: 133 BELVEDERE ST
RE Number: 170587 0000
PROPERTY OWNER:
Name: SALT AIR HOMES INC
Address: 226 TALLWOOD RD
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CANNON PLUMBING, INC.
Address: 1794 -1002 ROGERO RD QA OLIN MARSHALL CANNON
JACKSONVILLE, FL 32211
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.
U
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH P,ES '-7" Z3
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: 133 BELVEDERE STREET PERMIT# p L (2- S 1 $_ C D 3 3
NEW OR REPLACEMENT INSTALLATION: Project Value$µ
TYPE OF FIXTURE QTY. TYPE OF FIXTURE QTY
Bathtub 1 Septic Tank&Pit
Clothes Washer 1 Shower
Dishwasher Shower Pan
Drinking Fountain SlopSink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs 1 Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 5 Water Heater 1
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:
o Sewer Replacement ❑ Back Flow Preventer o Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
O Lawn Sprinkler System-Number of Heads o Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
0 Other
Ammliimm
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. f 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.
Lome
Property Owners Name Salt Air Ie e;es Inc. Phone Number 904-482-5555
Plumbing Company Cannon Plumbing Inc Office Phone 904-744-6350 Fax 904-551-0416
Co. Address: 1718 E Church Street City,Jacksonville State FL Zip 32202
License Holder(Print): Olin Cannon State Certification/Registration# CFC 1426140
Notarized Si:nature s ' ; , - ,older
'"`s' , LESLIE DALE
*. s comm,se.#FF 144322 Sworn and subscribed before me this day of Saq�■r14 2018
_ Expires July 23,2618o�p
a;,; aond'dT"flay Din
"""""°° Signature of Notary Public /