461 ATLANTIC BLVD - PLUMBING ,Ci '-* ' 'N. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
yr ATLANTIC BEACH, FL 32233
44'40;319'' 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: PLPP18-0004
Description:
Estimated Value: 78000
Issue Date: 9/13/2018
Expiration Date: 3/12/2019
PROPERTY ADDRESS:
Address: 461 ATLANTIC BLVD
RE Number: 170691 0010
PROPERTY OWNER:
Name: ATLANTIC BEACH YARD REAL ESTATE LLC
Address: 1238 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: DOUG'S DRAINS AND MORE INC
Address: 1198 MAYPORT ROAD, SUITE #4 QA DOUGLAS MATTHEW
PARSONS
ATLANTIC BEACH, FL 32233
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 IIPf( 8-o 0° t
JOB ADDRESS: y6 I ,4'M&JTh. fk�/ PERMIT # lz' /7-eve
NEW OR REPLACEMENT INSTALLATION: Project Value$ ` OOO
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher / ' Shower Pan
Drinking Fountain Slop Sink Z
Floor Drain —4F7- Three Compartment Sink Z C)
Floor Sink /0 Toilet cr
Hose Bibs 3 Urinal /
Kitchen Sink 3 Vacuum Breakers 6-
Laundry
Laundry Tray Water Connected Appliances
Lavatory i z- Water Heater Z
Other Fixtures - 27-7-c 4 —46 Water Treating System
RE-PIPE:
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: ? fI A r
❑ Sewer Replacement ❑ Back Flow Preventer ilrOrease Interceptor(Trap)G 3 Z06llons(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
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/¢/7 4�i j�� few/ G1 7c. LZ C Phon Number
Plumbing Company 'o✓1 ,1 • r-./n/-r s /lies rel. ,.1,---
ivc, Office Phon *y in`77z7Fax
Co. Address: //9 f/4f7/po rJ / g 7 City / .v✓ G 4i State R., Zip P/33
License Holder(Print): " 7 f''.— a j s State Certification/Registration#/'Z•f/bI.
Notarized Signature o it- older `�"—�
• s 2 Sworn and subscribed before me this f3 da of /`�1 ..�. 2O\
��m� "'ber Signature of Not Publ / w
;r!o:nh°p•' Bonded Rxu Notary Pudic Underwriters g '