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871 OCEAN BLVD - PERMIT PLRS18-0139 CITY OF ATLANTIC00 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: PLRS18-0139 Description: WATER HEATER FROM ELECTRIC TO GAS Estimated Value: 0 Issue Date: 6/4/2018 Expiration Date: 12/1/2018 PROPERTY ADDRESS: Address: 871 OCEAN BLVD RE Number. 170236 0020 PROPERTY OWNER: Name: POLANEC CONNIE ET AL Address: 871 OCEAN BLVD ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: STEEG PLUMBING Address: 1601 MAIN ST QA JAMES STEEG ATLANTIC BEACH, FL 32233 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. I' PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)24-77-5826 fax(904)247-5845 JOB ADDRESS: '9r-�5 �/� OI�Ss�t I PERMIT# I NEW OR REPLACEMENT INSTALLATION: Project Value S r TYPEOFFIXTURE QTY TYPEOFF/XTVRE 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 RE-PIPE: TYPEOFFIXTURE QTY TYPE OF FIXTURE 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 Replacement ❑ Back Flow Preventer ❑Grease Interceptor(Trop)_gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well a' ..SIRWD Well Completion Form.Completed be submitted to the B I lu dd ng Department for final inspection." ❑Other m Permit becomes void if work does not commence within a six month paid or work is suspended or abandoned for six mom&I hereby cen fy Ihat l h read this application and know the same to be true and corrce[. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give a dhhorityto violate the provisions of any other state or local law regulation construction orthe performance oftemartaction. Property Owners Name�s5":t m.4f Phone Number Plumbing Company Office , ,�� Phone yAk4�Fax Co.Address:1�� m0../fn City /dam"- �� State Zip ZZ License Holder(Print): AIm §tZ State Certiffcation/Registmtion lf,r�7IL6 Notarized Signature of License Holder Before maUis dal o 0 20 IONI GINaIF6PFaaEfl tore of No Public MVmOMMIS510NMFF 924951 zs. � E%PIflES',odobar 6,2019 �., fimtletl T�ry WIaYPUSk1)Na�nihrs