248 11th St PLRS18-0162 ?1l�vY_
CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
,1 ry V INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0162
Description: 14 New Fixtures
Estimated Value: 1900
Issue Date: 7/11/2018
Expiration Date: 1/7/2019
PROPERTY ADDRESS:
Address: 248 11TH ST
RE Number: 170251 0000
PROPERTY OWNER:
Name: MCKNIGHT GERTRUDE S
Address: 248 11TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ADVANTAGE PLUMBING
Address: 880 MAYPORT RD CA GREG GAUSE
JACKSONVILLE BEACH, FL 32240
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
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of 57,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 n C I
Ph(904)24{7}-5826 Fax(904)247-5845 �LK S l 0 —6l �D
8
JOB ADDRESS: I I }" I 5 PERMIT# kg -�
NEW OR REPLACEMENT INSTALLATION: Project Value$J16-6—
TYPE
60TYPE OFFixTURE QTY TYPE OFFvcmRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower I ,
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink I Vacuum Breakers
Laundry Trey Water Connected Appliances _
Lavatory Water Heater �.—
other Fixtures Water Treating System
RE-PIPE:
TYPEOFFIXTI/RE QTY TYPEOFFDaURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor SinkToilet
Hose Bibs _. Urinal
Kitchen SinkVacuum Breakers
Laundry TinyWater Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back 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 ifwork does not commence within a six month period or work is suspended or abandoned for six months I hereby emfy 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 stale or localst
law regulation mnmction or the performance of coustmn
clio .
Property Owners Name 41
r GK ( Phone Number
Plumbing Companyf av,.T�t.+�o�Office Phone �n'w%%% Fax q - ' l
Co. Address: QQ n v n_..MrF l.A City 1M h&V �State_VL Zip 2
_
License Holder(Print): l7 Certification/Registration# r FC.I4 0�1�95.A
Notarized Signature ofLicense Holder
TONIGInriESPEAGEa efore me this day o
20
MY
COMMISS10N.11,11,
c_xPlaes.o�mba:s.gots ignattue of Notary Public
Na nvuazuxmnren