1639 MARITIME OAK DR - PERMIT PLRS18-0141 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: PLRS18-0141
Description: 23 FIXTURES
Estimated Value: 10000
Issue Date: 6/4/2018
Expiration Date: 12)1/2018
PROPERTY ADDRESS:
Address: 1539 MARITIME OAK DR
RE Number: 169505 1990
PROPERTY OW NER:
Name: CDL AB LLC
Address: 355 11TH ST
ATLANTIC BEACH, FL 32233
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 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
MY OF ATLANTIC BEACH
Soo Seminole Rd Atlantic Beach,FL 32233 n
Ph(904)247-5826 Fax(904)247-5845 1' LRS 1 O -N 4 (
aoB ADDRLis: 1 &39 In Rel i de: Alk- Q ilPERMTr# >?f�St��q
NEW OR REPLACEMENT INSTALLATION: Project ValueSJ0000
TYPE OFFDaM . QTP TYPEOFFI7Tm QTY
Bafhtab 2 Septic Tank&Pit
Clothes Washer I Shower z _
Dishwasher - _� Shower Pan
Drinking Fournam Slop Sink
Floor Drain Thtee Comparment Sink
Floor Sink Toilet
Him Bibs Urinal
Kitchm Sink S Vacuum Breakers
Laundry Tray _l_ Water Connected Appliances1
I,avatorY _� Water H,�r
Other Fmm�es Water Treating System I
RE-PIPE:
TYPEOFftamE QTY TYPEOFFDITUBE QTY
Bathtub =Tank&Pit
Clothes Washer shows _
Dishwasher SHower Pan
Dtmlang' Folin
Slop
Sink
Sink
Floor Sink Toilet _
Hose Bros Urinal
Kitrbm Sink Vacuum Breakers
Laundry Tray Wats Connected Appliances
Lavatory Wats Heater
Oer ixnuesF Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑Back Flow Pmventer ❑ Grease Interceptor(Trap) gallons(Requ¢es 3 sets of Pla
D Lawn Sprinkler System-Number of Beads ❑ Well **
**&&WD WeII Completion Farm.Completed fog to be submittedto the Building Department for final inspection
❑ Other
Permit becomes void ifworicdoo not rice within asixmonm period or work is suspended orabandoned mr scc swaths.Ib®eby cavfy that I have
dwappla mmdkmwthesemembenaeaudcone Allpronnsms of laws and ordinances govanm6mis work will be complied with whadw speed
or not. 11ce pemutdxa an,give callosity m mbsc d cpmvisims of my otic,stem"local law regolwon construction orthe petfomrance of euostcuc5c
Property Owners Name Q I VEY5 i n0;- JL m Eta Phone Number
Plumbing Company AItc/sots 0'L u wi/3 i.J[, ( d T.✓/ Office Phone 7 G2 • tJ 4 8 t/ Fax
Co.Address: 11ja2-0-1 Vnyis44L 1 ty state_&zip 2-S�
License Holder(Print): C o S n# O.S
Notarized Swiss ure ofLiceatee Holder s
REBECCA BUSH Swoon and subscribed before mr ic_, ��•-4
_day of 201
Notary Public,State of Florida
My Comm.Expires 07114121 Signature of Notary Public_
Commission No.GGIO1570