2207 ALICIA LN - PLUMBING ' _ CITY OF ATLANTIC BEACH
i Y . ? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
<t"-1•01119',- INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0234
Description: 4 fixtures - Bathroom Renovation
Estimated Value: 2500
Issue Date: 10/2/2018
Expiration Date: 3/31/2019
PROPERTY ADDRESS:
Address: 2207 ALICIA LN
RE Number: 169519 0735
PROPERTY OWNER:
Name: JOHNSTON DAVID L
Address: 2207 ALICIA LN
ATLANTIC BEACH, FL 32233-5975
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ATLANTIC COAST PLUMBING CORP.
Address: 3653 REGENT BOULEVARD, #305 NICHOLAS ARLON
PARRISH
JACKSONVILLE, FL 32224
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.
t(
PLUMBING PERMIT APPLICATION )
CITY OF ATLANTIC BEACH
800 Seminole ltd Atlantic Beach, FL 32233
Ph(904) 247-5826 FaZi4,
x.(904) 247-5$45
JOB ADDRESS: 2'2. of Al- 1 e/A � (�S I _ oa 3`1
PERIVIIT
—
NW OR REPLACEMENT INSTALLATION: Project Value$ Lr? Off) o
TYPE OF F.IATU On( TYPE OF FIXTURE QTY
Bathtub _j_ Septic Tank&Pit
Clothes Washer Shower
Dishwasher _ Shower Pan
Drinking Fountain �' Stop Sink �—
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs j
Urinal Sink -
Laundry Tray _ Vacuum Breakers
Water Connected Appliances
Lavatory I Water Heater
Other Fixtures 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
pivor Drain — Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen hulls Vacuum Breakers --'—
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
vffSCLLLANFOUS:
Sewer Replacement 0 Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
I Lawn Sprinkler System-Number of Heads 0 Well **
*STRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
Other
milt 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
s application and know the seine to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
not. The permit does not give aatiigrity to violate the provisions of any other tate or local law regulation construction or the performance of construction.
operty Owners Name ' 1'4k w
iC E 1Z .`1 �j'T Phone Number_Z4 5I1 ,
umbing Company 'rte Ai Y"t e C�U 4 ST R44440(7 Office thon,e Q 9732? ff Fax 6,45--?3‘3
). Address: 34� 1� ti' -VZ) 305 � City � 4, 5C
State rC Zi 37 Z�- `f
cense Holder (Print):_At(61149 4-5 7'Fri�E'Ztl� —
/_` ,,fate Csrtificatiozl/ltegistl�atrozz# e64-0.5.90tarized Signature of License Holder i ,a '
IP'
Before me this Z day of C ,i 2 /,v'%' to'
Signature of Notary Public ,,�
'''.' ;: DIANE 0.ROCHE
�� AA MY COMMISSION#GG 117147
.7.,„::.. hii '
�__., . =� EXPIRES.June 21,2021—
•.$ ;;°•' Bonded Thru Notary Public Underwriters '