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654 Selva Lakes PLRS18-0175 CITY OF ATLANTIC BEACH Y �_w 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 p INSPECTION PHONE LINE 247-5814 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS18-0175 Description: 6 FIXTURES Estimated Value: 2000 Issue Date: 7/31/2018 Expiration Date: 1/27/2019 PROPERTY ADDRESS: Address: 654 SELVA LAKES CIR RE Number: 172027 5806 PROPERTY OWNER: Name: "CONFIDENTIAL•` Address: "•CONFIDENTIAL"••CONFIDENTIAL " "CONF`•, XX M##p# GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: STEEG PLUMBING Address: 1601 MAIN ST CA JAMES STEEG 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$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 / dy+/N.CPh(904)247-58/26 fax(904)247-5845 PL FSI$-b (7S Joe ADDREss:5s Id., (_I/S PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Values Z— ©CXD_ TYPEOFFtxrunE 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 -A Water Heater Other Fixtures Water Treating System RE-PIPE: TYPEOFFIXTUREQTY 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 ❑Back Flow Preventer ❑ Grease Interceptor(Tmp) gallons(Requires 3 sets of plans) ❑ lawn Sprinkler System-Number of Heads ❑ Well **VRWD Well Completion Form.Completed be submitted to the B-0iling Department for final inspection." ❑Other Permit becomes void dwork does tmt commence within a six month period or work is suspended or abandoned for six months.I hereby certify that 1 have read this application and know the same to be We and com ot. All provisions allows and ordinances governing this work will be complied with whether specified or not, The permit does not give authority to violate the provisions army other state or local hew regulation mnstruetion or the performance ofconsauction. Property Owners Name`,y fA �a PhomeNumber a�� Plumbing Company .317e% ,?)o,a,1� 1 D Tw r Office Phone "�- —S 9 J Fax ,�f Co.Address: ! �oi city �state Zip3Z-Z License Holder(Print): a tate Certification/Registration#/'f� ,l7 C., Notarized Signature of Liceme Holder ronalan.ESFEaoEp Before me t i of 20 1 :+'' sr `�`. MY COMMISSIena FF9141 E7(pIpES'. 0c1abara.2019 Signature of Notary Public ameasu�n,aomnverrurmreraen