760 BONITA RD - PLUMBING ,:$1,Ali
. , '"\ 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 It RM.ATION:
P M TT NO: PLRS18-0188
I ip' on: 5 FIXTURES
E_, Hated Value: 4500
Iss a Date: 8/9/2018
Ex +ation Date: 2/5/2019
PROPERTY )DRESS:
Ad css: 760 BONITA RD
RI ,tuber: 171097 0000
PROPERTY 'vNrR:
r; SMYTH JAIME
P s 760 BONITA RD
ATLANTIC BEACH, FL 32233-4207
GENERAL f \CTOR INFORMATION:
t -
A( :ss:
,
F'
r• TDG PLUMBING
P /426 LOYS DR QA TRAVIS DALE GAINEY
,1ACKSONVILLE, FL 32246
F'
PERMIT I- F 1 'TION:
ri c. .), a attached conditions of approval.
WARP (; TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMM \.CEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPRe I \TENTS TO YOUR PROPERTY. A NOTICE OF
COMl\I N'CEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE B ( iRE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINAl`" Y c,, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFO I? T-CORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE-:: ,don to the requirements of this permit,there may be additional restrictions
applical-1, ) ! , property that may be found in the public records of this county, and there may
be addit. 1 remits required from other governmental entities such as water management
districts. s"enci es, or federal agencies.
* A noti 4 ornmencement is only required for work exceeding an estimated value of
$2,500. ' 1' ' \C work, a Notice of Commencement is only required when HVAC work
exceeds . mated value of S7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 pc_ k ( 8 _0 ( 8 O
JOB ADDRESS: 1 (o D d O r 1-A PERMIT # 13 - Q of
NEW OR REPLACEMENT INSTALLATION: Project Value$ 5 C 0
TYPE OF FIXTURE QTY TYPE OF FIXTURE QT Ti'
Bathtub Septic Tank&Pit
Clothes Washer Shower A____
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet _L__
Hose Bibs Urinal
Kitchen Sink I Vacuum Breakers _
Laundry Tray Water Connected Appliances
Lavatory I Water Heater
Other Fixtures Water Treating System
RE-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
MISCELLANEOUS:
❑ 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.**
❑ Other
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
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 state or local law regulation construction or the performance of construction.
Property Owners Name 5tr..i T ksi -. il i ri4. Phone Number
Plumbing Company C'O C CI'Lt. t):nciNt.— Office Phone r4S--"'1 M 1 Fax Sl.4 ''li SB
Co. Address: 44D6 L0044 Co 2. CitTS-gak o U Lk State C= L Zip ')1.-1,4 t
License Holder(Print)12.4 i S fl ( &A State Certification/Registration# GFC- 141"1a'I
Notarized Si:natur,, i ' • •,.. ....older
a 7" TONI GINDLESPERGER
2r_ . ,, - MY COMMISSION#FF 924951 Sworn and subscribed before me th • A4 20 C
"'' 4 } EXPIRES.October 6,2019
'_."^.ci``�Pp° Notary Public , 1'
l F"< '. Bon,.ed Th u Signature of Notary Public