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1021 ATLANTIC BLVD - PLUMBING (JUMPING JAX) ,...„,_,,v.,./.4., CITY OF ATLANTIC BEACH j ? 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 at LJ;119 INSPECTION PHONE LINE 247-5814 PLUMBING COMMERCIAL OR MULTIFAMILY DETAILS PER BUILDING PLAN - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLPP18-0005 Description: Fixtures & Sewer Replacement Estimated Value: 9500 Issue Date: 9/17/2018 Expiration Date: 3/16/2019 PROPERTY ADDRESS: Address: 1021 ATLANTIC BLVD 953-975 RE Number: 177602 0040 PROPERTY OWNER: Name: EQUITY ONE ATLANTIC VILLAGE INC Address: 1600 NE MIAMI GARDENS DRATTN: TREASURY DEPT NORTH MIAMI BEACH, FL 33179 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: Mesic Construction Services, Inc. Address: 9046 Kentisch Cy Jacksonville, FL 32257 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$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904)247-5845 fa f fir 000 J JOB ADDRESS: I Q / 0"--1011. - t C g 1 vel PERMIT##(V in fg2—no/7 NEW OR REPLACEMENT INSTALLATION: Project Value$ 0 a I TYPE OF FIXTURE QTY TYPE OF FIXTU QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink 2 C Floor Drain 2 Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal 2__ Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory 1- Water Heater 2. Other Fixtures Water Treating System RE-PIPE: 0 TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink 2_ Floor Drain Three Compartment Sink \\ Floor Sink Toilet Hose Bibs Urinal 2 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 momillismimiimmimmimimmoimmillmiNommimimmilmilmolmilli 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 au ority to violate the provisions of any other state or local law re ulation construction or the performance of construction. Property Owners Name 0Gv'/a d ,�`jO( W gIA 95ref r• Phone Number Plumbing Company ales(G C6,-7,s4ittekon Office Phone ciesu ^' f�i/Z1ax Co. Address:905d Ie,74 e./ , City S2Ckfoivi//e Staten- Zip 32Z � License Holder(Print): MA'P op 1. 11§S I e. State Certification/Registration# Notarized Signature of License Holder r J 4, REFIKCORALIC Sworn an bscribed before me this i�1 day of S �bef 20/ 9 ,.....`• t. MY COMMISSION#FF 970610 ;