1841 ATLANTIC BEACH DR - PLUMBING C¢-
t' CITY OF ATLANTIC BEACH
� •� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;3»'' INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0210
Description: REPLACE PLRS18-0125 (20 FIXTURES)
Estimated Value: 0
Issue Date: 8/29/2018
Expiration Date: 2/25/2019
PROPERTY ADDRESS:
Address: 1841 ATLANTIC BEACH DR
RE Number: 169505 1535
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Address: 414 OLD HARTS RD STE 502
FLEMING ISLAND, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: RINKWELL PLUMBING INC
Address: 5105 PHILIPS HWY QA JOHN DAVID TREADWELL
JACKSONVILLE, FL 32217
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$7,500.
R ) (QL C, n 6
PLUMBING PERMIT APPLICATION PCS/8-o ')
�-
CITY OF ATLANTIC BEACH �%� Z
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 pL Rs f 6 _ 0 a I 0
JOB ADDRESS: L o H Z - I cc LI k 1: -...\A"'"'"-\-'1c. 2,"'--c - IQ-4 .--. PERMIT#y.,�S) Q
,31
NEW OR REPLACEMENT INSTALLATION: Project Value$ 6 000 0__
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I— Septic Tank& Pit
Clothes Washer Shower 'Z
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs Urinal
Kitchen Sink —l_ Vacuum Breakers
Laundry Tray , ------ Water Connected Appliances
Lavatory 0 Water Heater
--1,Other Fixtures 9 Water Treating System i
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 0 Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
Cl 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 r \\ V- --��'ck c S Phone Number
Plumbing Company `P:0 N kw-}.Q\ k Aud►1a,, N G ��1, ti-)C_ Office Phone q04-LTD- S5 ax Qp\-1.-.13-)-51-111
Co. Address: C 5 CLe Sic (ire. City I3 State Zip 3).•)(1
License Holder(Print): ! VQC\y D , 12.21 (vV - State Certification/Registration#C -C1`t-)-LS ly
Votarized Signature of License Holder RA...,,AR--
-43
Sworn and subscribed before me s c i� day of ),Sq 20 /
.* '"" • ERIKA SANCHEZ
• a,�) Notary Public-Stated Florida
:,+�: Signature of Notary Public r (a�
a : ,s Commission t GG 113815 l
.''?,,,,:e` My Comm.Expires Jun 11,2021