875 Sailfish PLRS18-0186 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r
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: PLRS18-0186
Description: 9 fixtures
Estimated Value: 2000
Issue Date: 8/8/2018
Expiration Date: 2/4/2019
PROPERTY ADDRESS:
Address: 875 SAILFISH DR
RE Number. 171248 0000
PROPERTY OWNER:
Name: SHAWN T SHANAHAN 8 STACY LOPEZ
Address: 919 8TH AVE N
Jacksonville Beach, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CALL PLUMBING INC
Address: 5436 KENNERLY RD
JACKSONVILLE, FL 32207
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
tPPh'(9004)247-5826 Fax ((9904)247-5845 11L0 c I g O(g0
JoB ADDRESS: f7 ('7 J� �? 2 2-?,7 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Values act
TYPE of F/XTURE QTY TYPE oFF7XTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan —1—
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
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 **
** SlRWD 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.1 hereby certify that 1 have read
this application and know the same to be hue 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 rformance of construction.
Property Owners Name u PhoneNumber - 7-r4-,told
Plumbing Company C�L L v o Office Phone Fax
Co. Address: --TV3/T gnnre,4itv _T!i�State Zip_�'ZZCI_7
License Holder(f rint): State Certification/Registration cf,�
Notarized Signature of License Halder' A I q'
}geiv�haexwrraIoxN= Swom and subscribed before me this day of �'i�tHu s+20�L(5
MY cOMM1G91GN p GG W198C
hY, exalse °dor^"re Signature of Notary Public
— 9oMeAnwN