1101 SCHEIDEL CT - PERMIT PLRS18-0121CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE, p247-5814,
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0121
Description: install backflow preventor
Estimated Value: 300
Issue Date: 5/9/2018
Expiration Date: 11/5/2018
PROPERTY ADDRESS:
Address:
RE Number:
PROPERTY OWNER:
Name:
Address:
1101 SCHEIDEL CT
177411 0310
TOWNSEND MICHAEL A
1101 SCHEIDEL CT
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ADVANTAGE PLUMBING
Address: 880 MAYPORT RD QA GREG GAUSE
JACKSONVILLE BEACH, FL 32240
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 $7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC PEACH
800 Seminole Rd Atlantic Beach, FL 32233
Lh'1 4)247-5826 Fax (904)247-5845� i$ -dJOB ADDRESS: /) l /� / PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE of FIXTURE QTY . TYPE of FIXTURE QTY
RE -PIPE:
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
TYPE oFFIXTURE QTY
TYPE oFFIXTURE 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:
❑ Sewer ReplacementBack Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System -Number of Heads ❑ Well
** SJRWD 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 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 author�iy to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name IV L -e- .e Phone Number
Plumbing CompanyN -imam COffice Phone ®y ay1- '%'%'kb Fax q0�4'1- X91
Co. Address: %U mos. f% -T ► City V%eState TL Zip 3aan
License Holder (Print): �A�+.t k . State Certi c iion/Registration # CFL 14 A59
Notarized ,Signature of License Holder1111: SIMMONS
YPU JENNIFER JOHNSTON fore me this ay of u-� 20
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MY COMMISSION #
Bic= GG 042984
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EXPIRES :Odober27,2020 nature of Notary Public
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