350 OCEAN BLVD 23 FIXTURES L%fPf�.
CITY OF ATLANTIC BEACH
f
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
o;i >% INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0068
Description: install 23 fixtures
Estimated Value: 0
Issue Date: 3/19/2018
Expiration Date: 9/15/2018
PROPERTY ADDRESS:
Address: 350 OCEAN BLVD
RE Number: 170177 0000
PROPERTY OWNER:
Name: CELLAR WILLIAM J
Address: 4901 BELFORT RD STE 140
JACKSONVILLE, FL 32256
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DUNCAN PLUMBING
Address: 902 Blanding Boulevard Suite 2
Orange Park, FL 32065
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
�3
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(90044)247-5826 fax(904)247-5845 5 I
.JOB ADDRESS: 3�0 OCGa'✓1 61,1 22> PERMIT# � 5 ' 1-7-O�5a
NEW OR REPLACEMENT INSTALLATION: Project Value$
I TYPE OF FIXTURE Q71' TYPE OF FIXTURE
Bathtub 2 Septic Tank&Pit
Clothes Washer t Shower ^2
Dishwasher t 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 Ile— 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 Pati
Drinking Fountain Slop Sink
Floor Drain Three Compatmtent 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:
D Sewer Replacement o Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**,VRWD 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 1 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. '11-he 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 LQ1 I(t to WI CIA[A-C- Phone Number
Plumbing Company ktilCih���tn,Mkbtoq. AG. Office Phone4c'-279,-d.&SSFax 904'276'pgS1
Co. Address: q G Z-2 1tA J.rt a�IID Cityt�2A ffleg4 State F'� 7,ip 3z 0�S
License Holder(Print): CJCIC,7 b(,061�#-Al State Certification/Registration#C)✓e-04foo 10
Notarized.Signature of License Holder
Before me this kq day of �fC 20- 1
l' 7 JENNIFER JOHNSTON
' '.... z MY COMMISSION#00 042984 Signature of Notary Public
"� o EXPIRES:October 27,2020
Fo�,�o.•' Bonded Thu Notary Public Underwriters