1600 Selva Marina Drive PLRS18-0147 CITY OF ATLANTIC BEACH
s> 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: PLRS18-0147
Description: 2 Lavatory&2 Toilets
Estimated Value: 2000
Issue Date: 6/12/2018
Expiration Date: 12/9/2018
PROPERTY ADDRESS:
Address: 1600 SELVA MARINA DR
RE Number: 172000 0010
PROPERTY OWNER:
Name: ATLANTIC BEACH COUNTRY CLUB INC
Address: 1600 SELVA MARINA DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ALESCH CONTRACTING INC
Address: 1946 BEACHSIDE CT THEODORE ALESCH
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.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole'Rd Atlantic Beach,FL 32233 n
Ph(904)247-5826 Fax(904)247-5845 ?as ! `
JOB ADDRESS: mndf4aPERMTP
NEW OR REPLACFAff T INSTALLATION: Project Values 1000
.T`YPEOFFIIaum � QTY TFPEOFFhxvRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain - M=partinent
Floor Sink
Floor Sink Toilet
Hose Bins Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Hearer
err Water Treating System.
RE-PIPE:
ME OFflav E QTY TYPE OFFravRE QTS`
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher S%i Yer Pan
Drinking Fountain. Slop Sink
Flodr Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fhdnmes Water Treating System
IVUs OUS:
o Sewer Replacement O Back Flow Preventer o Crease Interceptor(Trap) gallons(Requires.3 sets of pla
D Lawn Sprinkler System-Number of Heads D Well **
**SJRWD Well Completion Form.Completed fonn to be submitted to the Building Department for final inspection
o Other
Permit becomes void if work does not wmma=within a six month period or work is suspended or abandoned for sac monft I hereby certify that 177
this application and know the same to be true and correct All provisions of laws and ordinaaoes 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 local law regulation construction or the performance of cousauctic' .
Property Owners Name Phone Number
Plumbing Company Office Phone z- ax
Co.Address: - City�C State—Fl—,Zip
License Holder(Print): Ae cation/Registration#
Notarized:Fzatitreo J iew=eHoMff 7)V
USA P.BASS Sworn and subscri efore d of 20_
= MY COMMISSION 4 FF 900342
a` EXPIRES:November 16,2019
Bonded Thin Notary Public Underwriters Signature of Notary Public