1645 MARITIME OAK DR - PERMIT PLRS18-0117 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: PLRS18-0117
Description: install 24 fixtures
Estimated Value: 8000
Issue Date: 5/8/2018
Expiration Date: 11/4/2018
PROPERTY ADDRESS:
Address: 1645 MARITIME OAK DR
RE Number: 1695051995
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 QA SCOTT GARY NELSON
JACKSONVILLE, FL 32256
Phone:
PERMIT INFORMATION:
Please see aftached 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$7,500.
PLUMBING PERAHT APPLICATION
CITY OF ATLANTIC BEACH
goo Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 PLC--S IT D I I
j &qj pmmr# res I Ig
JOB AmPtEgs: 00
NEW OR REPLAEFMM INSTALLATION: ProjectValue$ g000
.�EOFJP�� '- QTY TYPE oF Fh xuRE QTY
Bathtub I Septic Tank&Pit
Clothes Washer —1 Shower
Dishwasher I ShowerPan
Drhddag Fountain - Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
HoseBibs Urinal
Kitchen Siok VacuumBreakers
L.;umdry Tray Water ConnwW Appliances
Water Heater
err Friyxtures Water Treating System
RE-PIPE:
IlTz oFftnvm QTY TYPE oFFbavRE QTY
Bathtub Septic Tank-&Pit
Clothes Washer Shower
Dishwasher S%wer Pan
DrWdng Fountain Slop Sink
Floor Drain Three Compariment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Comwted Applianm
LWMtDry WatewHeater
Other Fhaures Water Treating System
MISCELLANEOUS:
0 Sewer Replacement 0 Back Flow Preventer 0 Grease lntq�tor Crrap) gallons(Requires 3 sets of pb
0 Lawn Sprfiflder System-Number of Heads 0 Well
SJR FPD Well Conpletion Form.Completed fonn f(j be submitted to the ROMing Dqwtment for final inspectior
o Other
Permit becomes void if work does not cornmence wfthin a six month period or work is suspended or abandoned for six months.I hereby certify that I have
flm appheation and know the sm=to be 1rue and correct AR provisions of laws and ordinances;gDv=jng 1his work wffl be convIled with whether specii
Dr not. The permat does not gin authork to violate;the provisions of any other stft or 10W law regalation construction or the performance of constuctic
Property Owners Name F;VE&s'1Pe- game-,g . —PhoneNumber -
Plumbing Conipamy Alg-t-5gj AL4km0;PJ9 efa OfficePhone 2.6,,7 . !jj3LCj-Fa)S
Co.Address: 4&15-� --- City aAy State ff- ZiP-3"
License Holder(Print): /L/�719 OAN Al State Certificafion/Registration# Q2--Q 3-7
HoMer- Akil 7
L*@rP—BA—SS---j
My COMMISSION#FF 900342
m rl 019 Fe
EXPIRES:November 16,2019 Sworn h re me 0 —20�13
Bonded Thro Notary Pubfic Unde:rwrae,
Signaaue of Notary Pxj bhc