1965 Brista De Mar PLRS18-0230 S1L`la
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL-
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0230
Description:
Estimated value: 1800
Issue Date: 9/26/2018
Expiration Date: 3/25/2019
PROPERTY ADDRESS:
Address: 1965 BRISTA DE MAR CIR
RE Number: 169506 1668
PROPERTY OWNER:
Name: Valerie Steece
Address: 1965 BRISTA DE MAR CIR
ATLANTIC BEACH, FL 322334525
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: EARY PLUMBING
address: 1870 Swiss Oaks St ST
JACKSONVILLE, FL 32259
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 he 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 U W•n'Z ` �8{.�l�O
JOB ADDRESS: q l9 ) �1ct 14(n < h1 L V l 1 r /r PERMIT ip 'UZ3l^,
NEW OR REPLACEMENT INSTALLATION: Project Values fw
TYPE oFFIXTURE QTY TYPE of FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Dmin 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
RE-PIPE:
TYPEoFFtxTURE QTY TYPEoFF1X7URE 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 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
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 authoAArity to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name A x c x, ie-ore (e JPh��{o{��n�e Number
Plumbing CompanyLahr Office Phone �'N (ooh
Co.Address: I0¢ 70 �-�S ) 64, S r� City S'r d-t'wr) State Zip E-Z-
License Holder(Print): P a State Certification/Registration#
S
Notarized Signature of License Holder_
Swom and subscribed be e me this d of G 20-M-
MY COMMISSIONiGC,155991 Signature of Notary Publ
atV,
EXPIM:sepos"5.10216orAMtn�v Naary Pubflc Udorwllen