30 N SARATOGA CIR - PLUMBING r,„,,,, ,
' CITY OF ATLANTIC BEACH
.--, ':' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-4o-4oINSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0212
Description: re-pipe 12 fixtures
Estimated Value: 0
Issue Date: 9/4/2018
Expiration Date: 3/3/2019
PROPERTY ADDRESS:
Address: 30 N SARATOGA CIR
RE Number: 171811 0000
PROPERTY OWNER:
Name: WATERSIDE PROPERTIES LLC
Address: 1665 SAN MARCO BLVD
JACKSONVILLE, FL 32207
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROLLAND REASH PLUMBING
Address: 11606 COLUMBIA PARK DRIVE EAST 14330 GARDEN GATE
DRIVE
JACKSONVILLE, FL 32258
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$7,500.
PLUMBING PERMIT APPLICATION (i. -
CITY
OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 0,:).(c)-
Ph(904) 247-5826 Fax(904) 247-5845 FL R S ( 7 —
•
JOB ADDRESS: 3 ) 5 "y 6,4. 74'/C ?CI) PERMIT# /7-bill
3 2233 c, 7 YU
NEW OR REPLACEMENT INSTALLATION: Project Value$ 71DU
5
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 _ 9./-\9./-\L
Kitchen Sink Vacuum Breakers \`' n
Laundry Tray Water Connected Appliances �'�(�
Lavatory Water Heater
Other Fixtures _ Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan _
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 6.
Hose Bibs 42. Urinal
Kitchen Sink I Vacuum Breakers a
Laundry Tray Water Connected Appliances -
Lavatory ._ Water Heater I
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads o 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 theprovisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name W*k2 5 1 d e Tito Pt-(-t e spi1/41a) Addeo(Phone Number Mit)£2 'O y98
Plumbing Company eFo ti A A d t_ca s h ? L)m b i f)j Office Phone(Ia40 o26'O -max 600460-OM
Co.Address: I 1 t90(i CO wm biit Fyi K-K pit- E City J4)( State R.. Zip ..3.22.58
License Holder(Print): Foil A n a eick-Si /le icati egistration# CfC )5 71 71
Notarize, • • • - ..- • - ., 'Ider
MARIA PICCIONE '�¢
Notary Public-State of Florida Before me this 3 / da e f i • . As 20 1 p
*1• Commission # FF 947041
My Comm. Expires Dec 30,2019 Signature of Notary Public (' 'te P-1(0K-
) Bonded through National Notary Assn.