1551 Ocean PLRS18-0192 CITY OF ATLANTIC BEACH
rm 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: PLRS18-0192
Description: 36 FIXTURES
Estimated Value: 18000
Issue Date: 8/13/2018
Expiration Date: 2/9/2019
PROPERTY ADDRESS:
Address: 1551 OCEAN BLVD
RE Number: 171874 0000
PROPERTY OWNER:
Name: Kenneth Denbesten
Address: 7084 CANYON DR
PARK CITY, UT 84098
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: COGBURN AND WAKEFIELD PLBG
Address: 6809 TANGO LN S CIA JOHN COGBURN
JACKSONVILLE, FL 32210
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904) 247-5826 Fax(904) 247-5845 lI
JOB ADDRESS: OaA,-) 'R A PERMIT I -0234
NEW OR REPLACEMENT INSTALLATION: Project Value$ 000
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 1 Septic Tank&Pit
Clothes Washer Shower
Dishwasher J— Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet -
Hose Bibs L4 Urinal
Kitchen Sink Vacuum Breakers
Laundry Trayr ^ Water Connected Appliances --,X—
Lavatory ,�.11/1 a
m
Other zres n_ Water Treating System I
RE-PIPE: /)
TYPE OF FIXTURE Q 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 he are and correct. All previsions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give an my to violate the previsions of any other state o?r local law regulation construction of the performance of construction.
Property Owners Name &54-Cr3 /305c. vJKItA&S Phone Number 'le"04I-6320
Plumbing Company (o UP" WA-�t �(.(� llr/Af • Office Phone 96t1-kY•) FS-3 Fax
Co. Address: C/ L' S City 13Ae( State F-Lzip 3Zzf0
License Holder(Print): State Certification/Registration# CR-IV_1140
Notarized Signature ofLicense Holder �}
iota clNotrscranEe Sworn an ubscribed ore me t 20�Q
MY COMMISSIONYFF9249a1
EXPIRES Ocmher 6,2019 Signature of Notary blit
�::5 a EXPIRES c tr nr 6.2 19