1800 Sevilla PLRS18-0176CITY 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:
PLRS18-0176
Description:
MAIN SHUT OFF VALVES
Estimated Value:
2000
Issue Date:
8/2/2018
Expiration Date:
1/29/2019
PROPERTY ADDRESS:
Address:
1800 SEVILLA BLVD
RE Number:
169462 0105
PROPERTY OWNER:
Name:
SEVILLA GARDENS HOMEOWNERS ASSOCIATION INC
Address:
1800 SEVILLA BLVD
ATLANTIC BEACH, FL 32233-5622
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
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
JlbB ADDRESS:
'F)L RS (8- 017 6
PERMIT #
N
W OR REPLACEMENT INSTALLATION: Project Value $ ?,
TYPE OF FIXTURE QTY TYPE OF FIXTURE 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
-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE 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
ISCELLANEOUS:
❑;Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System -Number of Heads ❑ Well **
* SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
�bOther yY1�I.J vb� VAV/'3S
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
th's 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 ot. The permit does not give thon to violate the provisions of any other state or local law regulation construction or the performance of construction.
P operty Owners Name ��`a C a p s L. Phone Number �'`( I —YI rl�
P umbing Company �(A J � PL Jdy� 3t' Office PhonO Vl' 71 q1 Fax'_2 l- 2 ?� 3
C .Address: CityAk AX C �4 State Zip�Z Z 7 a
L cense Holder (Print): �, -0tat�e Certificatioli/Registratiol 04 3'7 S"b 3
ized Signature of License Holder
!rotary Public State of Montle
Jacqueline aroom
tMy Comnssion C 22a 204"2
Sworn and subscribed4efore me this
Signature of Notary Publ
of
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