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1723 SEMINOLE RD - PLUMBING Irl ,, rA ' 1 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 INFORMATION: PERMIT NO: PLRS18-0215 Description: 12 FIXTURES Estimated Value: 4000 Issue Date: 9/6/2018 Expiration Date: 3/5/2019 PROPERTY ADDRESS: Address: 1723 SEMINOLE RD RE Number: 169643 0010 PROPERTY OWNER: Name: Ed & Meredith Hines Address: 1723 SEMINOLE RD ATLANTIC BEACH, FL 32233-5832 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: TDG PLUMBING Address: 4426 LOYS DR QA TRAVIS DALE GAINEY JACKSONVILLE, FL 32246 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$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904) 247-5845 C-- L a Rs( s S -` I` �; C�o JOB ADDRESS: `f a , e1,., io� A PERMIT# 1 9W NEW OR REPLACEMENT INSTALLATION: Project Value$ �acDc2 TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub 1 Septic Tank&Pit Clothes Washer --1Shower l_ Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 3 Hose Bibs Urinal Kitchen Sink 1 Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory L{ Water Heater 1 Other Fixtures ater Treating System RE-PIPE: \7"/ 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 iimoomminminwimmommEimmiimiiiiimmillimmillin 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 C J Q Q`J Q ,\ , J Phone Number Plumbing Company Co ?t .,,r-,-�� -^ Office Phone J�1 � ) Fax L� —1 €S7 Co. Address: L& c L oNt OP-- City f____ V State �L Zip ��-2 { License Holder(Print): .i NN . lk . J\2 State Certificatio0n/Registration# C'C^i l .10(91 Notarized Signature of License Holder _ L-1,,,:::. . :4:„, TONI GINDLESPERGER Sworn and subscribed before 7.411:fis,..._ / ,.f:S___413:„. 20LE ,,; = MY COMMISSION#FF 924951 ''104:1,-Y.:;4. yeas EXPIRES:October 6,2019 Signature of Notary Public '104:1„`:: Bonded Thru Notary Public Underwriters `.