1717 MARITIME OAK DR - PLUMBING j1 lr
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t CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233
v r;t I) INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0191
Description: 20 FIXTURES
Estimated Value: 8000
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1717 MARITIME OAK DR
RE Number: 169505 1770
PROPERTY OWNER:
Name: MCGOWAN JOSEPH M
Address: 93 RIVER ST
SLEEPY HOLLOW, NY 10591
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NELSON PLUMBING CO. INC.
Address: 11624 -1 DAV E DAVIS CREEK RD QA SCOTT GARY NELSON
JACKSONVILLE, FL 32256
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
, Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS:_____12/2_? j1/1_6±_2 iTi✓vt t QA PERMrr# RES t8- o Ib1
NEW OR REPLACEMENT'INSTALLATION: Project Value$ g00 ti
TYPE OF FIXTURE QTY TYPE OF FIT URE QTY
Bathtub Z Septic Tank&Pit
Clothes Washer ____L_ Shower _Z_
Dishwasher _I__ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3-
Hose Bibs ____2, Urinal
Kitchen Sink ____ Vacuum Breakers
Laundi'y Tray Water Connected Appliances I
Lavatory Water Heater _____L_ -
Other Fixtures Water Treating System _I _
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Slower 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:
o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of pla
o Lawn Sprinkler System Number of Heads 0 Well - **
**SIRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection
O Other
Permit becomes void if work does not CrUnrnerrr within a six month period or work is suspended or abandoned for six months.I hereby certify that I have
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 specii
or not. The permit docs not give authority to violate the provisions of any other state or local law regulation construction or the performance of constructic
Property Owners Name 2 i Vi Gs i 0 t /1.w+4 c Phone Number
Plumbing Company /VEISo•`.) f/ w 8,...,G (% _Tb.,c Office Phone 262- Y 9 8 y Fax
Co.Address: ,2 — / u / ,. _ 6 City ``: _ State �'c Zip 3 23.n
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License Holder(Print): o _ ME S S . -" a � �. •on/Registration#_122,123_77
' US, e Holder ff1
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`,Vp'I�iY•4 USA P.BASS -i
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•,.,h ; MY COMMISSION r FF 900342 _ da o fa9s201
:•; Sworn and . 1.:. before .,e .'
-�� € EXPIRES:November 16,2019
''i, ;�• Bonded Thru Notary Pubic Underont.n
Signature of Notary Public 1 L�-