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176 Sandy Beach Ln PLRS18-0167 plbg permit CITY OF ATLANTIC BEACH 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: PLRS18-0167 Description: Add 10 Fixtures Estimated Value: 1900 Issue Date: 7/18/2018 Expiration Date: 1/14/2019 PROPERTY ADDRESS: Address: 176 SANDY BEACH LN RE Number: 173414 0165 PROPERTY OWNER: Name: BEACHES HABITAT FOR HUMANITY INC Address: 797 MAYPORT RD ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ADVANTAGE PLUMBING Address: 880 MAYPORT RD QA 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$7,500. gUV Seminole Ko Atlantic Beach,PL SLLSS Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: �p f ��pA L� PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value 8 7)YPE0FFIX7URE QTY TYPEOFFLYTURE QTY Bathtub I Septic Tank&Pit Clothes Washer —� Shower —J— Dishwasher Shower Pan Drinking Fountain Slop Sink —' Floor Drain Floor Sink Three Compartment Sink Toilet �— Hose Bibs T' Urinal Kitchen Sink t Vacuum Breakers - Laundry Tory Water Connected Appliances Lavatory Water Heater t 011ier Fixtures Water Treating System RE-PIPE: TYPEOFF7XTuRE QTY TYPE OF FIXTURE QTY Bathtub — Septic Tank&Pit Clothes WasherShower DishwasherShower Pan Drinking Fountain Slop Sink Floor Sink Floor Drain Three Compartment Sink Hose Bibs Toilet 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(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well sec **SIRWD Well Completion Farm.Completed form to be submitted to the Building Department for final inspection.** ❑ Other Permit becomes void if work does not commence within a sin month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same ro be We and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or tut. The permit does not give authority m violate the provisions of any other state or local law regulation construction orthe performance ofconstrucnoa Property Owners Name � 1� Phone Number Plumbing Company Id�A„1�;,° /'/Vm�/Office Phoneay 7--Vie Fax Co.Address: City-4M, dd State.6Zip32233 License Holder(Print): 1E S 'fication/Registration# Notarized Signature ofLicense Holder Swom and subscribed ba m m s 1' 2Q Signature of Notary Public g'Yi"'MyY 10 GINGI IEFGEa' MYCGMMISGIGNaffa2495[ exelaEs:atoeat Gaits. aona.e inn won aerc umm,�.