1877 Atlantic Beach Dr PLRS18-0154 ,avLyr.,
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL-
MUST CALL BY 4111M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0154
Description: PLUMBING 22 FIXTURES
Estimated Value: 8DDD
Issue Date: 6/26/2018
Expiration Date: 12/23/2018
PROPERTY ADDRESS:
Address: 1877 ATLANTIC BEACH DR
RE Number: 1695051565
PROPERTY OWNER:
Name: TOLL FL VI LIMITED PARTNERSHIP
Address: 250 GIBRALTAR RD
HORSHAM, PA 19044
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CHRISTIAN BROTHERS PLUMBING
Address: 5587 COMMONWEALTH AVE
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
4JOBPh(904)247-5826 Fax(904) 247-5845 PL RS1 G - Of S4-
JOB
ADDRESS: 1`81, PVlzAaavlElC SCOP- _Z2f'1VQ 3aGIS3 _PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Values ' WO -OD
TYPE oFFixTURE QTY" TYPE OF FDruRE QT
Bathtub 3 Septic Tank&Ph _0
Clothes Washer Shower T_
Dishwasher _J_ Shower Pan _
Drinking Fountain Slop Sink
Floor Dram Three Compartment Sink
Floor Sink Toilet "
Hose en S Urinal
Kitchen Sink Vacuum Breakers
Etc—
Laundry Tray Water Connected Appliances
Lavatory S— Water Heater
Other Fixtures Water Treating System
RE•PIPE:. - -
TYPE oFF/XTURE QTY !/ EoFFLYTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Thain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer L] Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads Ll Well ••
**S7RWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
Nis application and know the same to be true aid correct All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violst"e provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Nam,e, II�� RAM
Phone Number
Plumbing Company (J�J.��,t--� ISA Tt-�nr.✓- P�f.�.�t •1ti Office Phone SSI- I g 1 N Fax
Co.Address: cov^ `- r wi, k�,_ J City j bo,�A State f2L Zip ?2
License Holder(Print): a State catio a 'stration# C Le 1 L$
Nolerized Signatwe of License Holder
r�.;. :„:,14 row OINotESPERCER S om and subscribed before this of 2
I• r T'i, MV COMMISSION$FFK4951
EXPIRES:Oceeer a,2019
"2 y:w conewtsawwscoaeum.rnaS lure of Notary Public