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22 Seminole Rd PLPP18-0002 backflow preventer permit a CITY OF ATLANTIC BEACH n 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ;t y? INSPECTION PHONE LINE 247-5814 PLUMBING COMMERCIAL OR MULTIFAMILY DETAILS PER BUILDING PLAN - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLPP18-0002 Description: Back Flow Preventer Estimated Value: 700 Issue Date: 6/19/2018 Expiration Date: 12/16/2018 PROPERTY ADDRESS: Address: 22 SEMINOLE RD RE Number. 170655 0000 PROPERTY OWNER: Name: seminole south, LLC Address: 2300 Marsh Point Neptune Beach, FL 32266 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: MIKE SANVILLE PLUMBING INC Address: 530 ELLIS RD STE 212 OA MICHAEL RAYMOND SANVILLE,II JACKSONVILLE, FL 32254 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 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: PERMIT# p t-pfl -0002, NEW OR REPLACEMENT INSTALLATION: Project Value sZd� TYPE oFFixTURE QTY TYPEOFFIXTURE 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: TYPE oFFIXTORE QTY TYPEoFF/XTURE 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 hack Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** **SIRWD 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 authority to violate the provisions of any other state or local law regulation construction or the performance of construction. `1 Property Owners Name 51 .11 r 1 S h L (✓ IX Phone Number �p Plumbing Company Ih Office Phone - /1 Fax Co. Address: — City Ta x StateQ—ZZiip;n �7�('` License Holder(Print): ' S e rtificatio,/R gi ation 96T--a�7 y 1 9mm olo Holder /MfER iounsront -1 day of JA n 1 20A Mrsslos«cc o�xeea Sworn and subscribed before me thisES'.OMUar 21.NRen um.n l+rce=uwn.* Signature of Notary Public 'i J Permit Inspections City r J ofAtlanticBeach -Ji3J fir' Permit Number: PLPP18-0002 Description: Back Flow Preventer Applied:6/19/2018 Approved:6/19/2018 Site Address:22 SEMINOLE RD Issued:6/19/2018 Finaled:6/22/2018 City,State Zip Code:Atlantic Beach,FI 32233 Status:FINALED Applicant:<NONE> Parent Permit: Owner:seminole south,LLC Parent Project: Contractor:<NONE> Details: LIST OF • SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS ID CC PUBLIC Malcolm 6/20/2018 6/22/2018 UTILITIES Clemons PASSED BACKFLOW Notes: /` Printed:Tuesday,30 July,2019 1 of 1 Txaor