705 Atlantic PLPP18-0007 ,rt i.rLlYln
CITY OF ATLANTIC BEACH
j
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
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: PLPP18-0007
Description: BACK FLOW, 4 FIXTURES
Estimated Value: 980
Issue Date: 9/18/2018
Expiration Date: 3/17/2019
PROPERTY ADDRESS:
Address: 705 ATLANTIC BLVD
RE Number. 170855 0000
PROPERTYOWNER:
Name: DORSCH SALTAIR PROPERTIES LLC
Address: PO BOX 404
PENNEY FARMS, FL 32079
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ADVANTAGE PLUMBING
Address: 880 MAYPORT RD QA GREG GAUSE
JACKSONVILLE BEACH, FL 32240
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
05 Ph(904)247-5826 Fax(904)247-5845 (J G P P( 0 _0 007
JOB ADDRESS: —)a, 0L/-• IRJ 0 b . PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Values �fYlOe/1p
TYPEOFFLYTORE QTY TYPEOFFLYTORE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Throe 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 OFFLCTuRE QTY TYPE OF FrXTORE QTY
Bathtub Septic Tank&Pit
Clothes Wasber 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 jll,Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well ••
**SIRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.**
❑ other 6_cLa &-doe ' -t- It.SJ!'AllCi�
Permit becomes void if work does not commence within a sin 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 we and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not 7Le permit does not give authority to violate the provisions of my other stale or local law regulation construction or the performance ofconstruction.
Property Owners Name Or/ Phone Number /209-- Ae j�
Plumbing Company Office Phone 0/7 9Q/9 Fax
Co.Address: �tR 9��^� City 1M. &,h statef/ Zip, 1233
License Holder(Print): LS Certification/Registration#OE< �-
Notarized Signature ojLicense Holder
row GMIND1ESPEacEF Sworn and subscri efore me f 20
y pry OOMMISSIONBFF924551
EXPIRES:Odober6,2019
" , ,t s>nada wNmMFBkUde� Signature of Notary Public