1651 Maritime Oak Dr - PErmit PLRS18-0118 S"Ail r
S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
-° 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: PLRS18-0118
Description: install 24 fixtures
Estimated Value: 8000
Issue Date: 5/8/2018
Expiration Date: 11/4/2018
PROPERTY ADDRESS:
Address: 1651 MARITIME OAK DR
RE Number: 169505 2000
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502
ORANGE PARK, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NELSON PLUMBING CO. INC.
Address: 11624 -1 DAV E DAVIS CREEK RD CIA SCOTT GARY NELSON
JACKSONVILLE, FL 32256
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$7,500.
PLuNzING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 ,P L 3-0 1
131,
JOE ADDREfs: 16 51 /Y►6� �i me k, op- PERMIT# s -006�
NEW OR REPLACEMENT INSTALLATION: Projeet Value$ g00 0
T `PE oF.FIXTUi _ QTY TIDE OFFn'URE QTY
Ba#htub Z Sepfic Tank&Pit
Clothes Washer l Shower
Dishwasher 1 Shower Pan
Drinking Fountain - top=Wartment
Floor Drain Sink
Floor Sink Toilet _
Hose Bilis 3 _ Urinal
Kitchen Sink _ I Vacuum Breakers
LLiamd Tray —1—- Water
Heater Appliances —(—
Other Fixtures Water Treating System I _
RE-PIPE:
MEOFFMZUJRE QTY TYPE OFFAxvm QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Slfi rer Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bites Urinal
Kitchen Sink Vacuum.Breakers
Laundry Tray Wager Connected Appliances
Lavatory water Heater
Other Fh aure<s water Treating System
MSCELLANEOUS:
❑ Sewer Replacement ❑Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requwes 3 sets of pia
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**
&N WD WeE 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 sac month period or work is suspended or abandoned for sic months.I hereby certify that I have
tiffs application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether sped
or not. The permit does not give authority to violate the provisions of any other state or loot law regaMon construction or the pednrmance otr
f consuctic
Property Owners Name r`VE2 S 1 b4 Tt a w S Phone Number
Plumbing Company JLUpnjg;N6 l ,o_ �C. Office phone Z6 Z • Y88 Fax
Co.Address: - 06vL Nik k ty R x State 4 ZiP_U216
License Holder(Print): 4 Certification/Registration# 02,0-???
Holder
I USA P.BASS
MV COMMISSION#FF 900342
Sworn and bed before e da of 20
€
EXPIRES:November 16.2019 a
Bonded Thor Notary PubGo UnlemBers �
Signature of Notary Pub-U b0Z