2434 SEMINOLE RD - PLUMBING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;f>>% INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0221
Description:
Estimated Value: 10000
Issue Date: 9/13/2018
Expiration Date: 3/12/2019
PROPERTY ADDRESS:
Address: 2434 SEMINOLE RD
RE Number: 168354 0150
PROPERTY OWNER:
Name: GLOVER S TAYLOR
Address: 2400 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5928
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NELSON PLUMBING CO. INC.
Address: 11624 -1 DAVIS CREEK ROAD EAST SCOTT GARY NELSON
JACKSONVILLE, FL 32256
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 G
, Ph(904) 247-5826 Fax(904)247-5845 USS ( 0 - b 221
JOB ADDRESS: Z 3 q Sleet i A o(E K-P PERMIT# Co>la-023
NEW OR REPLACEMENT INSTALLATION: Project Value$ /000 0
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 S IS)
Hose Bibs __I_— Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances 2-
Lavatory
Lavatory L Water Heater
Other Fixtures _L.__ Water Treating System t
RE-PIPE:
TYPE OFFIXTURE QTY TYPE OF FixtuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Slibwer Pan
Drinking Fotmtain 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 o Back Flow Preventer Grease Interceptor(Trap) gallons(Requires 3 sets of pl4
Lawn Sprinkler System-Number of Heads , Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection
Li Other
Permit becomes void if work does not commPnrl-within a six month period or work is suspended or abandoned for six months I hereby certify that I have
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 specii
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 condi sctic
Property Owners Name C Amt ( 04 ASk 4.c..-4-; 0" Phone Number
Plumbing Company Aie ISi„i #I.t wii,J p Co 3•V[, Office Phone 2i,2.'{tOci Fax
r ,.
Co.Address: (E2'('.-.( pA'i3 02441` L D E City i State ic_ zip ?-22.1-G
License Holder(Print): EC G T Me oe / /4 '
,• •cation/Registration# U Z(23-)raSolder - .
...,;yY^i%''•• LISA P.BASS
.i-,,:. ,=: MY COMMISSION#F 900342 _
_ Sworn and subscn.-. before me this � da f P,h'1� 201
4 EXPIRES:November 16,2019 . „ y (
",4:;i�O' Bonded Thru Notary Pubic Underwriters • 1/14.-
� �/�
Signature of Notary Public . ���111 C
lam{ Se. ?