725 Atlantic Unit 4 PLPP18-0006 •r1 'jr ,
CITY OF ATLANTIC BEACH
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: PLPP18-0006
Description:
Estimated Value: 400
Issue Date: 9/18/2018
Expiration Date: 3/17/2019
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT
RE Number: 171363 0000
PROPERTY OWNER:
Name: ATLANTIC-PENMAN LLC
Address: 500 S 3RD ST
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PATS PLUMBING COMPANY LLC
Address: 5947 PICKETVILLE RD OA PATRICK KEVIN CLAYDON
JACKSONVILLE, FL 32254
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 Oft j3 C /"
[ Ph(904) 247-5/826 Faux (904)247-584(5 r Lei f l u M TO
JOB ADDRESS: a J Jyl �"1 /J/v� l PERMIT# /5'- 0 0 1 9
NEW OR REPLACEMENT INSTALLATION: Project Value$ 40 C)
TYPEOFF/XTURE QTY TYPE oFFLxTuRE 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 —L Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPEoFFixTuRE 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:
❑ Sewer Replacement ❑ Back Flow Provender ❑ Grease Interceptor(Trop) 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
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 contraction or the performance of construction.
Property Owners Name 44&1-1 < PeNr.. &n L Phone Number
Plmnbing Company /Z //C 9 OfficePhone .�/�-yro`f/ Fax
Co. Address: S9`L,7 R,e-� k"4- A& City 7 .X State Zip TZ-2
License Holder(Print): -- C 14V State Certification/Registration# Cpc/Y2-20W
Notarized Signature of License Holder
JAINUED SMITH Sworn and subscribed befoK me this day 201$1_
MYCOMMISSIONWGG25E3J[ Signa[tlreofNotaryPub '
p-1 EXPIRES:September 5,2021
•' 6ariaeC iNu Nafaypapge ba�llys