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463 SARGO RD - PLUMBING -S�1y j• ?- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD Jr • 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: PLRS18-0222 Description: PLUMBING - 9 FIXTURES Estimated Value: 1500 Issue Date: 9/17/2018 Expiration Date: 3/16/2019 PROPERTY ADDRESS: Address: 463 SARGO RD RE Number: 171498 0000 PROPERTY OWNER: Name: GERALD WADE Address: 463 SARGO RD ATLANTIC BEACH, FL 32233-3815 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: MARCHAND PLUMBING INC. Address: 10139 BOOKWOOD FOREST BLVD QA BENNIE GORDON PICKETT JACKSONVILLE, FL 32225 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$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: l os PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ (S©O 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 RE-PIPE: TYPE OF FIXTURE 0 T 5TYPE OF FIXTURE QTY Bathtub / Septic Tank&Pit Clothes Washer I 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.** O 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 orjj local law regulation construction or the performance of construction. Property Owners Name 00V IG � /6 e CCL WaciP one Number Plumbing Company t Z 11 Office Phone `555 Fax Co. Address: tOc �1QDtt '�JIVC CityAMC State f1 Zip` License Holder(Print): t-1le �1 State Certification/Registration# Cr-cp --( 5 Notarized Signature of License Holder YCAS211- � Sworn and subscribed befo - this -I ' day of�e..c\2M�C 20 \,cK *,commission a cc 248962 csa '=.7;,—)44-.W 15,2022 Signature of Notary Publi,� M1oe:* Barded I/aviary F!h Mame 8004857010